This a a great question, partly because I wouldn’t have thought of it.  So thank you!I

The short answer is; it IS important who does it because technique in almost everything matters.  Experience also matters.  And, the ability to anticipate and prevent complications before they occur also matters.  Safety matters. Quality control matters.

The better trained, more experienced person will almost always:

  • Get you a better result for your money due to better technique,
  • Have fewer problems and complications, including scars, infections, asymmetries, etc.
  • If problems do occur, know how to fix them,
  • Have better sterile or clean facilities, and trained staff who can maintain that.

I’ll give you some examples:

  1. Coolsculpting.  Some patients think ….”Well, it’s just a matter of hooking up the adapter head.  Anyone can do that.”  The choice of the adapter head size and the placement of them is key.  The contouring part has a technical and an artistic component to get the best result.  Some nurses or medical assistants are just better at this than others.  It really can look wonky when random pockets of fat are left.
  2. Invasive body sculpting like lipo or Trusculpt.  This is even more true.  We’ve seen patients from other offices with infections, lumps, asymmetries, and pigment problems who are very dissatisfied with their results, who are now paying more to have it fixed.
  3. Filler.  For example, a patient recently went to an office where she had 3 syringes of various fillers done.  She had odd filler bumps under one eye, “shelf” upper cheeks (makes the eyes look smaller), her left cheek was noticeably larger than her right, and she had “duck” lips.  It took 3 visits over 4 months, to reduce the protrusions, and then rebalance her face.

Bottom Line:  Generally, you get what you pay for, and it’s worth it (my opinion) to have it done correctly and safely the first time.

Hope this helps,

Dr. B

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