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Where to get Botox Training near me?

Empire Medical Training provides Botox Training all over United States in most of the main cities including, New York, Las Vegas, Atlanta, Chicago, Nashville, Philadelphia, Riverside, New Orleans, Detroit, Austin, Charlotte, Orlando, Dallas, Los Angeles, Tampa, Fort Lauderdale, Houston, Detroit, Naples, Raleigh, San Diego, Charleston, Boston and more. Always at top 5-stars hotels or at prestigious medical facilities.


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Can a Lay Person inject Botox?

Botox injections are performed by medical professionals only. As a certified teaching facility, we are often called on by medical professionals as well as non-medical professionals such as cosmetologists, who believe that Botox injections may be performed by non-physicians. It is true the technique may appear to be relatively simple to perform, and with proper training it can be; however, only a Physician or qualified health care practitioner can properly treat complications should they occur, and therefore Botox injections are restricted to medical professionals only.

What qualifications do I need to become Botox certified?

You must be a medical professional and have the necessary Botox certification requirements. 

The requirements include having a valid medical, professional license in the state for which you're practicing medicine and performing Botox injections. Once you enroll in a Botox certification training program, you will need to provide documentation that proves you are licensed in your state. Your medical license also must be active and in good standing with the state. Without a valid medical license you will not be able to become BOTOX certified 

For more information about State requirements and Botox certification, contact your local State Medical Board. 

For Botox training with Empire Medical Training, you must provide documentation that shows you are a licensed medical practitioner. Specifically, only medical practitioners who hold an MD, DO, DDS, DMD, NP, and nurses under the supervision of a physician may inject at a Botox certification program. For practitioners who are not Physicians, there are usually state specific requirements to be aware of. Every state is different regarding who is allowed to perform a medical procedure, other than Physicians. . Even a simple injection, or piercing the skin, is considered to be performing a medical procedure so it is important to be aware of the regulations.

Foreign medical doctors or foreign medical graduates may attend a Botox training program with Empire Medical Training however, may not perform the injections unless they are licensed in the United States. There is no International reciprocity in medicine. Foreign medical graduates and medical doctors must pass all US licensure requirements to be able to inject at a Botox certification course.

Non-medical Personnel may enroll in an Empire Medical Training Botox Certification program, however, are not eligible to perform any medical procedures or live injections on patients. Non-medical individuals must be sponsored by a professional who holds an MD, DO, NP, DDS, or DMD degree.

Can I become Botox Certified if I am NOT a Physician or Dentist?

The answer is Yes and NO. 

Some Non Physicians may become certified to perform Botox injections; however, this is dependent on their medical degree and the state the procedure is being performed. 

Here are some general guidelines for Non Physicians getting certified in Botox 

Nurses (RNs) will always require the supervision of a physician and may perform Botox injections and become certified to perform Botox injections in most states, but not all. Nurse Practitioners who have the authority to prescribe may also purchase Botox, which is a controlled substance, and also perform Botox injections. This is true in most states; however, it is prudent for the medical professional to confirm this with their local state medical board. 

Physician Assistants (PAs) are usually able to inject with the supervision of a physician, but with some restrictions as to their ability to acquire, dispense, and administer the medicine. Please click on the following regulations concerning mid-level providers by state for scheduled prescription medications.

How do I become Botox Certified?

You need to enroll in and successfully complete training in an accredited, AMA approved Botox Certification Course (be careful, most are not!) Empire Medical Training is a “full time” medical training organization that offers AMA PRA Category 1 Credits ™  credits (not just CME credits) for your certification in Botox. Empire’s faculty are highly qualified, expert physician-only instructors who will help you pass the necessary testing that is required to become certified in Botox. Many trainers claim to be approved providers however if there is no proficiency testing or examination of any kind is given, the program is NOT accredited. Empire Medical Training Botox training is approved for AMA PRA Category 1 Credits.

DO I need to be certified in Botox administration to perform the procedure? 

 The benefits for physicians and mid-levels in obtaining Botox certification allows others (i.e. malpractice insurance carriers, Allergan, and patients) to know you have successfully completed the learning objectives and hands-on technical training to safely and effectively administer Botox within a practice setting as well as acquire the medication. All healthcare providers benefit in learning these “in-demand” procedures whether a physician practice owner or mid-level provider expanding their skill set. The manufacturers of the various medical supplies such as Botox or dermal fillers, will not sell the medicines to you if they believe you are not qualified so it is in your best interest to become certified. 

Is there a Board Certification in Botox Injections or Aesthetic Medicine?

It is not necessary to become Board Certified in order to purchase medicines or perform procedures; however, like other areas of medicine the more training and knowledge you have, the better your outcome will be and the more recognized your credentials will be. Empire Medical Training in cooperation with the American Academy of Procedural Medicine (AAOPM) offers the coveted Board Certification in Aesthetic Medicine which is recognized in the Aesthetics community. 

Why should I attend a Botox Training Program?

Empire Medical Training is the worldwide leader in CME education for Physicians with over 20 years’ experience and over 100,000 graduates. 

Empire remains the only CME training company to provide the most complete “University Style Curriculum” with over 30 topics in Aesthetics, Anti-Aging and Regenerative Medicine, Surgery, and Pain Management. 

Empire Medical Training is the nation’s largest training organization for the past (20) years. Empire has successfully trained over 100,000 physicians and licensed healthcare providers in all areas of aesthetic, regenerative, medical, and pain management procedures. 

Above all else, our highly distinguished “celebrity” physician faculty are top trainers and recognized in their state as sought-after practitioners in Aesthetics. Your training can only be as good YOUR TRAINER so make sure before you enroll in any course that your instructor is at least as qualified as the Physician Staff at Empire Medical Training. 

Our board-certified physician faculty are practice owners who actually perform the Botox procedures and are highly credentialed in their specialty. Empire Medical Training also offers many options for Botox Training from beginners to experienced injectors who wish to expand their skill sets. We also offer a variety of training pathways for certification in Botox (Level 1) and (2) advanced training modules in Botox as well as combination Botox and Dermal Filler 1-Day Training. The difference is the experience of our physician instructors, evidence-based didactic, and supervised “hands-on” experience for all attendees. We guarantee our training as evidenced by our WOW Guarantee of satisfaction – no other training organization can make this statement.

Where to get Botox Training near me?

Empire Medical Training provides Botox Training all over United States in most of the main cities including, New York, Las Vegas, Atlanta, Chicago, Nashville, Philadelphia, Riverside, New Orleans, Detroit, Austin, Charlotte, Orlando, Dallas, Los Angeles, Tampa, Fort Lauderdale, Houston, Detroit, Naples, Raleigh, San Diego, Charleston, Boston and more. Always at top 5-stars hotels or at prestigious medical facilities.

What are the complications of BOTOX?

Botulinum Toxin-A and HA Dermal Filler injections are very safe procedures to perform in-office and has a high safety profile. These non-invasive, non-surgical procedures though safe to perform due carry a risk aesthetically as well as medically due to incorrect needle placement. The following summary will review possible complications associated with the most popular Botulinum Toxin-A and HA Dermal Filler injections. 

As with any hypodermic needle injection there is always possibility of bruising associated with the procedure as well as certain patients that are more susceptible to bruising we will concentrate on the various areas for incorrect needle placement and associated adverse events.

Botulinum Toxin-A Injections

The most common injections for Botulinum Toxin-A injections are the (3) main areas of the upper 1/3 of the face. The (3) regions are the Forehead (Frontalis Muscle), Glabella Region (Procerus and Depressor Corrugator), and the Lateral Canthal Rhytid Region (Orbicularis Occuli).

Forehead (Frontalis Muscle) 

The injections should be intra-dermal which is taking a 5-10º angle at the point of needle penetration and breaking the skin. When the needle is below the skin a small amount (typically .05 – 1.0cc) is administered within the soft tissues of the epidermis or dermis (avoiding the periosteum). The areas of the injection for the Frontalis is at least (1) finger breath above the eyebrow and should not extend laterally beyond the frontal limbus. The injection may be painful due to superficial nerves throughout the forehead and visual observation should be used to avoid the (2) large veins of the forehead; supratochlear vein and supraorbital vein. Other possible (potential) complications due to incorrect needle placement after the procedure are:
  • Brow Ptosis / Heaviness: This condition occurs where either the injection of the Botulinum Toxin-A was delivered too low (less than one finger breath above the eye brow) or the Glabella Region was not treated at the same time. The Frontalis Muscle is the only elevator muscle in the upper 1/3 of the face – if relaxed and the depressing muscles interacting with the frontalis are not relaxed it is possible for the eyebrow to lower and or feel heavy to the patient. Other possible reasons for this condition could be administering a too large amount (units) of the Botulinum Toxin-A in the area. This is a cosmetic condition and could last the duration of the expected treatment.
Glabella Region (Procerus and Corrugator Muscles)
There are (3) distinct muscles that make up the Glabella Region of the face and are depressing muscles; Procerus, Corrugator, and Depressor Supercilii). Only the Procerus and Corrugator muscles are typically injected in a procedure. These injections for the Glabella area are intermuscular injections since there is a possibility of diffusion and there are fibers of the frontalis muscle that if infiltrated with the botulinum toxin-A could cause ptosis of the eyebrow or possibly the eyelid. Proper technique demands that you isolate these muscles by pinching these muscles prior and during the injection to confirm location as well as the ability to feel resistance during the needle penetration of the muscle and when infiltrating the muscle with the medication. The most common complications in this area are:
  • Asymmetry: Unevenness of the eyebrow can be eliminated by ensuring that the proper dosing is administered at each injection point. Other reasons for a exaggerated asymmetry of the eyebrow would be a pre-existing asymmetry of the brow that was not addressed before treatment.
  • Eyelid Ptosis: Botulinum Toxin-A cannot migrate or diffuse within the orbital rim as the medication will affect other muscles within the eye that work with acetylcholine for muscle contraction specifically the levator palpebrae superioris muscle that controls the elevating of the eyelid. If weakened or relax the eyelid will not raise correctly – this condition typically lasts (2) weeks as the histamine release within the eye will break down the botulinum toxin-A quickly. This condition is avoided by using the pinch technique when injecting the Glabella Region.
  • Eyebrow Ptosis: Unevenness of the eyebrow can be eliminated by ensuring that the proper dosing is administered at each injection point. Other reasons for a exaggerated asymmetry of the eyebrow would be a pre-existing asymmetry of the brow that was not addressed before treatment.
Lateral Canthal Rhytids (Crows Feet Area)
Hypertrophic Platysmal Bands can be relaxed with the Botulinum Toxin-A and works very well in minimizing the look of these protruding bands. The injection needs to be directly into the bands at approximately .75in apart both proximal and distal of the indication of the protruded bands. Patients typically grimace which over exaggerates the bands and the physician will be able to isolate the band and enter into these bands with a slight lateral approach. Confirmation of location is achieved when the needle breaks into the band and the medicine is dispersed. However safe this injection there are complications associated with incorrect placement and they are:
  • Weakened Neck Flexors/Dysphagia: Though usually associated with the side effects of using botulinum toxin for neck, tongue, and jaw dystonia there is a possibility of it occurring in a platysmal band aesthetic injection. The issue is that every patient is different and if injecting the sternocleidomastoid (SCM) muscles the botulinum toxin may diffuse to the strap muscles on the hyoid bone that may inhibit the tongue to push food back and trigger the throat to swallow. The frequency of this type of side effect are related when the bilateral injections are more frequent or if large doses are injected. The side effects are transient and last typically 4-6 weeks after the incorrect placement of the injections.
Lips (Vertical Rhytids – Orbularis Oris)
Vertical Lip Lines and Perioral Rhytids can be treated with Botulinum Toxin-A and are administered as an intradermal injection at small dosages (1-2u). The muscle itself covers a number of other muscles needed for facial expression so location of the injections and performing them as an intradermal injection will keep you safe from complication. Other considerations associated with the injection is that the injections need to be above the vermillion border and lateral to the philtrum as well as away from the corner commissure. Each of these areas will lead to a poor aesthetic result and complication associated with needle placement. Injections that pierce through the Orbicularis Oris also have a number of complications associated with these injections, however he most common complications for injections for vertical lip lines are:
  • Asymmetric Smile: This occurs when the proper dosing is not administered equally to both sides of the muscle. This is not a strong muscle and is the reason for the smaller dosing volumes even the smallest difference in units may weaken one side of the lip compared to the other. It is possible to create asymmetry even if everything was done correctly and why it is better to use a smaller initial dose so that you have the ability to titrate to give correction to the asymmetry with no further side effects.
  • Drooling | Speech Interference: Botulinum toxin injections in this area need to be conservative, there are a number of people that are sensitive to the medication where the effect is greater than in other individuals. Drooling and speech interference for these types of injection is almost always associated with excessive dosing and volumes when treating this area.
Bunny Lines (Nasalis)
This common injection is not without its need for proper placement of the injection or has risk associated with the injection. Most dosing charts state that the nasalis muscle injection needs to be intermuscular however it is difficult to know if you are in the muscle when it is very thin banded muscle. Therefore, the proper technique to inject this muscle is to have the patient form these lines by facial expression and inject the peaks (not valleys) of the rhytids portrayed by the patient. It is typically one injection per side and should not go lateral to the side bridge of the nose with the needle direction pointing medial due to the possibility of diffusion. Slow infiltration will limit unwanted diffusion as the botulinum toxin will stay encapsulated with soft tissue chambers rather than forcefully injecting the medication. The major complication associated with improper needle placement for the Bunny Line area is:
  • Asymmetric Smile | Dropping of Upper Lip: This occurs when the injection is too far lateral in the nasalis muscle and the direction of the needle was not medial. The botulinum toxin may diffuse to the labii superioris aleque nasi muscle that controls the elevation of the facial upper lip. If weakened by the medication it would lead to relaxation of the muscle and may affect the upper lip either bilaterally (if both injections were done improperly) or unilaterally. Proper technique will avoid this complication.
Sad Smile (Depressor Anguli Oris)
When injecting the Depressor Anguli Oris (DAO) it is important to understand that this is not a deep muscle but is more superficial. The Depressor Anguli Oris is in proximity to and in many cases is covering another muscle, Depressor Labii Inferioris muscle that controls your lower lip movement. Either by making too deep an injection or by diffusion (injecting to hard) it may affect the lower lip. Injecting more distal within the muscle will also reduce any other complication with the various muscles associated with the corner commissure. The major complication associated with this injection is:
  • Inability to Lower Bottom Lip: This complication is aesthetic and will last the duration of a normal botulinum toxin injection (13 weeks). The diffusion from the injection of the DAO muscle into the Depressor Labii Inferioris muscle is not allowing the lower botton lip to lower. To avoid this complication take a 15-20º angle to the injection and aim for the corner commissure but start lower in the muscle and do not go too deep – about 4-5mm in depth.

Other Considerations

Botulinum Toxin-A Systemically: For cosmetic Botulinum Toxin treatments, the amount injected does not warrant permanent disability or nerve damage associated with an intervascular injection. However, there has been studies in rats that show that large doses of botulinum toxin systemically may affect distant muscles as they have very small bodies and diffusion would be greater. There are theories that the reason some patients suffer headaches from botulinum toxin injections is the possibility of the medication systemic after the injection. However, the majority of evidence does not support any claim that Botulinum Toxin-A cosmetically (under 100u) could cause any problems of any major significance or have much spread at all since it has never been confirmed in any patient receiving botulinum toxin.

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