by Botox Edu
There’s good news and bad about Botox: it doesn’t last forever. That’s bad, of course, because you have to regularly spend money for Botox injections if you want to maintain its powerful wrinkle-reducing impact. It’s good that the effect is only temporary, however, if you get botched Botox. You don’t have to worry because your skin and muscles will return to normal after a few months.
So exactly how long does Botox last? The length of results depends on how the product is applied and what dosage is used.
The face contains 43 muscles, and the right dosage range is different for each area. Within each area of the face, the right dosage can vary too.
Here’s an example: crow’s feet around the eyes usually take 8 to 14 units on each side. The muscle group between the eyebrows — called the glabella area — contains stronger muscles that need 18 to 36 units for maximum effect.
Not surprisingly, your body’s particular characteristics have an impact on the question of how long Botox lasts. If you have thick muscles, more injections are required to get the desired effect than if you have thinner ones. Rather than injecting deeper into thick muscles, more injections are done to ensure that the same safety standards are met.
Athletic patients may see the results from Botox injections fade faster. That’s because active bodies heal faster and therefore work more quickly to eliminate the solution from the body.
Botox Lasts Longer With Repetition
There is another piece of good news for everyone, however: Just like with many other beauty regimens, consistently using Botox makes each application work better. That’s because wrinkle-causing muscles get weaker with each repeated use, allowing the impact of the injections to last longer.
When Botox isn’t strong enough or the proper number of units isn’t administered, results may not last very long. Also, getting Botox for deep-set, static wrinkles may not give you much improvement.
So once again, how long does Botox last? When administered correctly by a skilled doctor and injected into the right places, expect to see results that last 3 to 4 months.
While this can vary widely, you should certainly expect results that last several weeks. Some say that when done regularly over the course of a number of years, Botox can start to last up to 9 months or even a year. While there’s plenty of anecdotal evidence to suggest that, there’s no research to back up this assertion — yet.
It’s also true that first time users of Botox injections might find that the solution wears off in less than the anticipated 3 months. Facial muscles get conditioned to the injections, however, and results are likely to lengthen. It’s also likely that Botox injections done around the eye will last less than 3 months.
For men, larger doses mean potentially longer results.
Simply saying that Botox lasts 3 months or so covers most exceptions and eventualities.
If Botox Doesn’t Last As Long As Expected
If you notice your Botox treatment wearing off more quickly than you expected, it makes sense to talk to the person who administered it and find out the reason for the short lifespan of the results. Was the solution diluted? Was too little used? Was the Botox old? Did your anatomy require an unusual procedure? Is it possible you’re simply resistant to Botox?
Any reputable physician will want to work with you and help you determine how to make treatments worth the money and the time. Also, take into account that Botox may need 1 to 2 days to take effect and may not peak in impact for 1 to 2 weeks.
In summary, saying that Botox lasts 3 months is generally accurate, but there are many caveats. When it lasts a very short time, however, you need to take action to find out why it didn’t last longer for you.
by Botox Edu
“Aging gracefully” is often over-used by people to describe someone who is older and has little to no wrinkles on their faces. While each one of us would want that from our old-age, having a naturally wrinkle free face is pretty hard to achieve. Lots of factors come into play like genetics, nourishment, fitness etc. for someone to have absolutely zero wrinkles as they age. Luckily, for everyone without great genes, there are cosmetic procedures that can be done to achieve the same effect. For the longest time, Botox was the most popular procedure used for removing wrinkles from the skin, but with Dysport gaining its fair share of popularity in the recent times, some believe that it may even be a lot better than Botox. If you are considering to get one of these procedures done, continue reading to learn more about the effects of Botox Vs Dysport.
So Botox or Dysport?
Before you chose Botox over Dysport, or vice versa, it is important to understand what these are and how they are different from each other. Both Botox and Dysport are commercially sold drugs that are made up of neurotoxins which help remove wrinkles from the skin. Now, even though the main underlying mechanism for these two are pretty much the same, there are a lot of differences between the two, in terms of what composition of neurotoxins is in each one, how many units are required to get the desired effect and their cost. From clinical tests and results, it is known that Dysport has a quicker effect on its patients than Botox, although it is believed that the latter has a longer lasting effect. Further studies are yet to be conducted on these two to officially say which one lasts longer, but looking at what these injections are made of, it is almost likely for Dysport to win this battle against Botox. Because Botox contains significantly larger amounts of protein, it is very probable for the body’s immune system to kick in and fight any foreign particles entering the body. Dysport, with a much diluted quantities of protein, makes it easier for the body to not retaliate the injections.
The diluted concentrations of protein in Dysport also makes it the best choice for the coverage of larger areas as it tends to spread out more and a lot quicker than Botox. The spreading out effect also helps in keeping the costs low because you end up using lesser amounts for treating the desired areas. To put all of this into perspective, ten units of Botox cost about $52.5 while the same number of units of Dysport will cost you about $6. All this to say, with so many positives about Dysport, it is also a good thing to remember that Botox has been around for longer and has a more extensive database with regards to the side-effects, infections or allergies it may trigger. It is advisable to consider these things especially if you have a sensitive skin or a weak immune system.
by Botox Edu
Putting a fine point on exact Botox prices depends on many factors. Generally, it costs from $200 to $400 or more per treatment depending on who is doing the procedure and where his or her office is located as well as the number of units required and many other factors — including how much competition there is in the area and whether there’s a promotional price available.
Botox is one of the world’s most popular anti-aging facial treatments for wrinkles, but making the decision to try it can be overwhelming and complicated if you don’t understand what’s involved.
Some doctors charge by the unit injected while others charge based on where the injections are being placed. No matter how the pricing works, however, you need to understand how much you’re getting for the price you’ll be required to pay. That means you’ll want to know the number of units involved and how much you’re paying per unit. No honest practice won’t hesitate about giving you precise pricing.
Here’s one example: a woman was charged $350 for her Botox treatment based on pricing per area. Since she chose the most reputable doctor she could find, the price was on the high end. She found it well worth the expense, however, because she respected the well-trained, skilled staff and was able to find plenty of positive patient reviews. In this woman’s case, it was worth paying more so she could be completely confident in her decision.
That doesn’t necessary mean that high-priced doctors are better than less expensive ones. But the woman in the example above understood that while hesitating because a treatment is expensive is understandable, it makes just as much sense to hesitate if a treatment is extremely inexpensive. Surely, a very low price is an indication of lack of experience, an attempt to cut corners or other lapses.
Since it’s absolutely possible to botch a Botox treatment, it makes sense to have it done by a skilled hand.
Getting The Best Botox Prices
When on a budget, look for promotional pricing on Botox injections. Individual doctors as well as many clinics and other facilities will sometimes offer such promotions, and these are often the most common toward the end of the year when people are in the market for touchups to get ready for holiday parties and visitors.
Still, however, an offer for Botox injections at ridiculously inexpensive prices should raise a red flag. That means you shouldn’t look for Botox offers on Groupon or similar daily deal sites. You get what you pay for in many cases, and as in the example above, it makes more sense to overpay a bit than to underpay and not get the high-quality results to expect.
Another reason to avoid online deal sites is that Botox may not be the anti-aging treatment you need. A reputable doctor will tell you that and suggest something that will work better. When you buy an online deal, you may be buying services you can’t use or don’t need.
When choosing Botox, choose based on the skill and expertise of the doctor, not simply on Botox prices.
So how much does Botox cost? Choosing the wrong office or physician can cost you dearly in anxiety and depression from botched results. It can also end up costing you financially when you have to have someone else try to even out the results.
In summary, expect to spend a few hundred dollars on your Botox treatment. While shopping around can help you determine the range of Botox prices in your area, buying services based only on price is a bad idea. Choose Botox treatments based on expertise as well as how many units are used or what areas are being treated. And make sure Botox is right for you before buying anything.
Long-Term Effects Of Botox Use
Botox may actually get less expensive for you as time goes along. That’s right: while Botox prices may remain the same or go up over time, your dosage and the frequency of your treatments may go down.
Wrinkles can look permanently better with repeated use of Botox and may not get worse if you use the injections regularly.
Here’s how that works: Everyday facial expressions make temporary lines show up on your face, whether those are expressions from emotions like smiling or from a habit like furrowing your brow. These so-called dynamic lines go away, but as you make these expressions day after day for years, the lines start to get etched in, getting deeper and deeper. That’s when you notice permanent frown lines and crow’s feet that don’t go away when your smile fades.
When injections are done regularly, you effectively prevent the potential formation of wrinkles from continuing in the treated area. Since Botox limits the movement range of treated muscles when done skillfully — you’ll never look frozen when it’s done right — wrinkles don’t happen, so they can’t get worse over time.
If you have the habit of lifting your eyebrows or frowning a bit without a reason, consistently using Botox can help you kick the habit and prevent the etching of lines into your skin through the years. Plus, as your facial muscles learn to relax, lower doses in the future or less frequent injections may be enough to maintain your desired results.
In summary, while you may not need to use Botox all the time, using it regularly allows it to work better for you. Simply put, wrinkles get worse over time if you don’t use Botox and better over time if you do.
But Is Botox Really Worth It?
Temporary results with short-term and long-term implications? Regardless of Botox prices, is it really worth it? In the short term, you can look better. In the long term, you can keep from looking worse. For many people, that’s absolutely worth it.
So, for the sake of argument, let’s say that Botox treatments cots $300 and last about 3 months. Maintaining optimal results, then, means having 4 injections each year at a total cost of $1200. Sounds like a lot of money, doesn’t it? But putting aside just $100 a month means you get the short-term and long-term benefits of Botox on your face and in your life.
Sure, Botox isn’t really necessary, but it’s absolutely worth it. Try it for yourself and see. There isn’t a face cream on the market — even those that market themselves as a topical Botox alternative — that can freeze away wrinkles the way Botox does. You get quick and often amazing results when you have this sensible procedure performed for you.
In summary, if you have the money and find the right doctor, Botox can often make a huge difference. And that means it’s absolutely worth it. When used in conjunction with a good skincare program and the right sunscreen, long-term Botox use prevents wrinkles, stops them from getting worse and more. And it’s safe to use and has relatively few side effects too. What’s not to love?
by Botox Edu
Which anti-aging injectable is right for you?
Injectable anti-aging treatments have become an increasingly popular alternative to surgery for a variety of reasons. Here are some things to be aware of before deciding to seek out one of these treatments.
A survey was conducted of 2,500 physicians that perform cosmetic procedures by Medicard Financial, a Canadian company that focuses on funding cosmetic procedures. They found that injectable treatments like Botox, and fillers like Restylane and Juvederm were among the most popular cosmetic treatments for aging. In Canada in 2005, 126,554 injections of filler were administered as well as 142,374 doses of Botox.
The survey revealed that the majority of people receiving these injections were women who lived in Ontario, British Columbia and Quebec. 72% of recipients were between 35 and 50 years of age, with the majority of the remainder being between 19 and 34. At the time of the survey, women accounted for 83.5% of injectable anti-aging treatments, but the number of men seeking these treatments has been increasing.
Here is what you need to know about non-surgical anti-aging treatments to help you decide which one is best for you.
Treatment with Botox uses an ultra fine needle to inject a minute amount of purified protein made by the bacterium clostridium botulinum into the face. The injection weakens the tiny muscles in the face, inhibiting facial expressions and the fine lines they cause.
Botox is typically injected into the glabellar muscle where it minimizes the lines between the eyebrows. It is also sometimes used to diminish lines on the forehead, around the eyes to reduce crows feet, around the corners of the mouth and in the muscles of the neck.
The effects of Botox typically wear off after about three or four months. When injected by a doctor or nurse, the cost is about $10 per injection. Expect to pay more, around $15 to $17 if you go to a dermatologist or cosmetic surgeon. Forehead lines may need anywhere from 12 to 16 injections to get rid of the lines. The area between the eyes could take as many as 30 injections. Crow’s feet will take 12 to 15 injections for each eye for women, 25 to 30 injections for men.
Botox is fast outpatient procedure with no recovery time. In and out of the doctor’s office in about twenty minutes, you could have it done on your lunch hour and still have time to grab a bite. The sensory nerves are unaffected, so there is no numbness or tingling in the area. Botox requires no anesthetic or sedation as there is very little or no pain, due to the very fine needle used to administer the injections. It might feel a little like getting bit by a bug. Common side effects include bruising and a short-lived headache. Other potential side effects include a bit of swelling or redness, both of which are temporary.
Restylane is a type of naturally sugar produced in the skin and other cells. Hyaluronic holds water much as a sponge, helping to hydrate the skin and improving the volume and density of cells. The body’s stores of hyaluronic acid declines as we age and as a result of exposure to hormones, medications and ultraviolet rays.
Restylane is used to smooth out wrinkles, highlight eyebrows, fill in the area under the eyes, plump up lips and upper cheeks and smooth laugh lines between the nose and mouth, and highlight the profile in the area of the cheeks, jaw and chin. Restylane can also be fill acne scars, hide jowls and subtly change shape or symmetry of the face, softening a bulbous nose or filling in a ski-jump dip in the profile of the nose.
There are several factors that affect how long Restylane treatments will last. How much is injected is one major factor. Another is the location of treatment. When Restylane is injected closer to bone, it lasts longer. Lip treatments usually last about six months, while treatment for laugh lines may last nine months. Cheek augmentations usually last even longer. Restylane is expensive, starting at $1,000 and can run as high as $2,500.
Restylane is not an animal product, so there’s no risk of contracting disease and allergic reactions are rare. Restylane can be used on any skin type and treatments have immediate results and some areas of the face only need one treatment. Restylane is also made in half-vial doses that are great for touching up the upper life or for fine lines in areas with little fat. Common side effects include redness and swelling that may last for a few days, but should be gone in a week. Treatments around the lips may result in a bit more swelling than other types of treatments.
Juvederm is a hyaluronic acid similar to Restylane, but it is manufactured using a different filtration process and different techniques to manipulate the molecules.
Juvederm is used to treat moderate to severe wrinkles, lift the upper eyebrows, fill hollows under the eyes, plump lips and cheeks and accentuate the outline of the chin and jaw. Like Restylane, it can also be used for minor reshaping of the nose.
Juvederm lasts six months or more and cost of treatment starts at $1,000. Each vial costs between $550 and $700. Lips can usually be done with one vial and the area between nose and mouth usually require one for each side. Cheeks may take as many as three vials for each side.
Juvederm’s benefits are similar to those of Restylane. It is not an animal product, so risk of disease, allergic reactions are rare and it can be used on any type of skin. Swelling and pain are minimal. Side effects are also comparable to other injectable anti-aging treatments and include redness, swelling or bruising, all of which are temporary. Reports of nerve or blood vessel injury are rare, but have occurred.
Each individual insert is divided into four distinct section:
The wide square handle with the orientation indicia indicate the direction of the guide post; The middle sleeve holder is the round section just beyond the square section. The sleeve holder holds the middle sleeve that directs the drills that determines the implant direction. It is this metal sleeve that is ultimately going to be bonded to the pre-made jig; The third section, the widest section is referred to as the ‘platform stop’. When the metal sleeve is placed over the sleeve holder, it can go as far as the platform stop; The final section is referred to as the ‘measuring post’. This narrow, tapered end has 3 mm calibrations that are used as a reference to calculate the vertical height of the bone and the socket. Excess of 3 mm sections are cut off to ensure that the platform stop is level with the crest of the socket or level with the gingiva just about the socket.
There are direction bumps or indicia on the handle of many of the inserts. When the arrow is aiming downwards, it means that the tip of the mesaruing post is actually behind the handle. When the arrow is facing upwards, it means the tip of the measuring post is in front of the handle.
When the elongated rectangle slopes down from the top right to the lower left, it means that the tip of the measuring post is to the left of the handle. When the elongated rectangle goes from the top left to the lower right, it means that the post tip is to the right of the handle.
Ideal positioning: How to use the inserts
Each insert has two main functions. The function of the measuring post is to use as a reference to measure the available bone height on x-ray and the round sleeve guide is to direct the metal sleeve and position it correctly into the jig.
The insert is ideal when the sleeve guide (the round, cylindrical section) is aiming in the direction of the ideal location in the bone where you would like the implant to be placed. The platform, the widest section, should be level with the gingiva and the measuring post should approximate the depth of the socket. The length of the measuring post and the depth of the socket should be almost the same.
There will be daisy elastics around the measuring posts and these daisy elastics will engage the socket wall and hold the inserts steady so that the metal sleeve can be bonded to the pre-made jig with ease.
In order to place the metal sleeve correctly, the measuring post should be stable, firm and centered in the socket. In order to achieve this, daisy elastics are placed around the measuring post. These daisy elastics will center the post in the socket and not traumatize the bony wall.
When placing the elastic on the measuring post, hold the insert close to the free end where you’re attaching the daisy elastic. Do not remove the daisy elastic from the large circle where all the daisy elastics are attached. The daisy elastic must be attached to the circle.
Push the free end through the hole in the center of the daisy against your fingertip. When the end of the measuring post goes through the hole in the center, only at that point in time will it detach the elastic from the round circle where they are all attached.
We’ll hold it towards the end and rotate it slowly, pushing the point through the daisy. Do not hold the insert on the other end. If you hold it too far from the end where you are placing the elastic, the measuring post will snap. Inserts should be adapted to match the sockets where they’re being used. The post length approximates the depth of the socket. The platform (which is the widest part of the post) should be level with the gingiva or slightly above the socket crest.
To adapt the post length, remove 3 mm sections. Cut them off with your burr, with a scissors and try to snap them off with your fingers. Place the insert in the socket and check the length of the measuring post to the length of the socket. In this instance, we can see that the insert is 6 mm too long, so we remove the insert from the socket and cut off two 3 mm sections. And then we can place it back into the socket and we will see that the platform is now level with the gingiva.
When you have attached the metal sleeve to the jig, you can then take an x-ray of the entire assembly in the mouth. You’re going to use this x-ray to calculate the bone height and the depth of the socket. The 3 mm calibration show up very clearly on the rather opaque insert. Each insert has two main functions. The function of the measuring post is to use as a reference to measure the available bone height on x-ray and the round sleeve guide is to direct the metal sleeve and position it correctly into the jig.
The inserts are selected from the kit (and the drill) at a predetermined site on the jaw bone. The straight red insert will center the implant in the same location as the extracted tooth. The calibrated tapered end is centered in the socket by the orange elastic around the post. This end is cut to length so that the wide platform is leveled with the gingiva above the socket crest. The middle sleeve on the insert is then bonded to the premade jig.
The green insert will position the implant drill parallel to the socket interseptal bone. The blue insert will angle the drill away from the socket’s center as required in the anterior teeth with limited facial bone. The purple insert is useful on divergent root sockets.
Ideally, we would like to see the implant emerge centered in the space that was occupied by the extracted tooth. An insert will be selected to place the drill exactly into the ideal location centered between the adjacent teeth. The longest, straightest socket will be selected, the measuring post will be cut to length and will be placed into the socket.
All Safegide inserts and verification point show up well on x-ray, so it is easy to calculate drill depth with the Safegide system. It is important to drill to an exact depth so that no vital or sensitive anatomical structures are damaged and your implant is correctly placed.
Drill stops are not universal. You need to select the type that matches the manufacturer of the drill that you are using. Also, when you place the drill stop onto the drill, you place it on the latch shaft side. You do not slide it over the cutting end of the drill.
Drill stops come in a range of sizes. In order to calculate the ideal drill stop size, one adds up the height of the metal sleeve, the gingiva and the bone and any additional depth where one intends placing the implant. One totals up all these measurements and subtracts that from the length of the drill that emerges from the hand piece. That difference will give you the height of the stop to place on the burr.
The metal sleeve on the drill guide will direct the drill exactly where it is supposed to go. When the plastic drill stop hits the metal, it will prevent the drill from going any deeper into the bone.
– Dr Howard Katz
I am going to give you a very quick course. I am going to show you very quickly how to add another step when you are doing your socket preservation that will enable you to always place accurate implants without the risks of nerve or bone perforation. Very few of you may be doing implants because of the risks, technology and cost. Before I start here are some quick pointers to reduce most of the risks. Don’t place implants above the mental foramen, in the upper and lower 2nd molar areas, and try always use short implants with platform switching (The abutment is narrower than the implant. But as I said this is not an implant course. This is just to show you another step that you should do be doing when you do socket preservation.
So the easiest time to accurately place an implant is when you take out the tooth and the reason for that is that you are able to see inside the socket.It’s not always convenient to place the implant at the time of extraction. There may be infection, a socket wall defect or the patient does not want the implant on that day. Regardless every time you pull out a tooth you should be recording and preserving the socket. Let me show you why.
When the inside of a socket is visible you can center the implant in the socket, or into the septal plate, or to offset it lingually if there is deficient facial bone; there are a variety of Safegide pegs that will allow you to preselect any position in relation to the open socket. Before you position the bone replacement material into the socket, record or “pick up” the socket dimensions and relationship with a disposable Safegide socket insert and bite registration material.
So at the time of extraction you pull out the tooth and you insert a little plastic insert that looks like a peg into the socket. These plastic pegs are made out of a special proprietary type of plastic that is antibacterial and shows up in 3D on a regular x-ray. If the peg is too long it can be snapped to size with your fingers. The peg has 3mm markings like a perio probe that show up on an x-ray. This allows you to measure bone height easily so that you canselect the right length implant. The metal ring on top that sticks out the socket becomes a drill guide.
So you pretty much take a piece of plastic, snap it so that the bottom of the metal part is level with the bone crest, and take your bite registration with a very rigid material.Your pick up gives a very accurate representation of where the socket is, the angle of the socket, the depth of the socket, all the information that you need to do the implant at a later date. Then you remove the plastic peg which will leave the metal ring attached to bite registration material. On the day you want to place the implant simply place the bite registration in the mouth and drill to your desired length. The guide will also show you where to remove gingiva if you do not want to raise a flap.Another reason to use this technique is you may want a guide to use on the day of extraction simply to stabilize your drill. It will take a week or two plus many hundreds of dollars to have a laboratory fabricate a guide that you can easily do in a few seconds for less than the cost of a pizza. Your cost and time are low enough that I suggest that you make a guide with every extraction for free. This gives you another wayto put a ring on your patients finger so that they come back to you for the implants. If you are not taking out the tooth on the day you make your diagnosis then you can simply take impressions for a working cast model. Then make a plastic jig out of triad on the model with a hole in the Triad above the tooth to be extracted. Or make a jig in the mouth using Triad and your curing light. Complete the guide on the day the patient comes in for the extraction.
There are many reasons why you should have a guide if you want to place an implant, that’s because it makes things very safe and very easy. The alternatives for the patient are a CT scan and a lab fabricated guide. This may be inconvenient and adds an extra $1000 on an implant which may make the procedure unaffordable.
State laws vary so dramatically regarding Botox and dermal fillers that it is hard to know whether you are allowed to perform these procedures as a dentist, and if you are, under what circumstances. Here is a partial summary of what the law is regarding the use of Botox by dentists in 27 states.
In the states of Mississippi and Virginia, the use of Botox in dentistry is restricted to oral and maxillofacial surgeons who have completed a specific residency.
In many states, use of Botox by dentists is permitted, but restricts its use to dental treatments only and only by dentists who have completed a course of study by a program that is accredited by the American Dental Association and/or the dental board of that state. These states include: Alaska, Connecticut, Florida, Idaho, Iowa, Kansas, Maryland, Nevada, New Hampshire, New York (see our New York Botox training program), North Carolina, Texas, Washington, West Virginia and Wisconsin. The wording of these laws varies by state and a few of them do not address Botox specifically, but do contain verbiage that restricts dental practice to procedures involving the mouth, its contents and associates structures and tissues.
In other states, use of Botox by dentists is not restricted beyond a requirement that the dentist completes a course of study by a program that is accredited by the American Dental Association and/or the dental board of that state. These states include Arkansas and Louisiana. These two states in particular further set forth that the training course must cover certain topics to include consulting with and assessing patients, uses and contraindications of Botox, potential risks and side effects associated with Botox and related treatments and how to manage them, preparation and administration of the injections, therapeutic uses of the drugs, hands on training with actual patients. These states further restrict use of Botox by dentists to their dental office and forbid administration from support staff, such as dental nurses and hygienists.
Some states currently have no regulations regarding use of Botox by dentists. These states include: Massachusetts, New Mexico, Pennsylvania, South Carolina, South Dakota, and Wyoming. It should be noted that many malpractice insurance carriers still require that anyone administering Botox or dermal fillers complete an appropriate course of training (see our Online Botox Training Program). A few of these states, while they do not currently have any restrictions, are considering or may soon consider regulations in this area.
Finally, Delaware has taken rather a unique stance on use of Botox by dentists. The Board of Dentistry and Dental Hygiene in Delaware has responded to inquiries regarding Botox by refusing to take a position. At the current time, Delaware treats possible violations regarding dentists administering Botox on a case by case basis.
It is important to note that these regulations are politically motivated, not a reflection of the ability of Dentists to perform Botox – in fact, Dr. Katz is a dentist, and pioneered the use of Botox for the face.
For a full list of state regulations, visit: http://dentox.com/state-by-state-dental-botox-regulations/