Med spas operate largely without government or professional oversight in many states, and it can be difficult to make an educated, safe choice. That means it’s up to you to ask the tough questions. Here are the top 10.
Does a physician oversee the facility, and is he or she on-site? “If not, run, don’t walk, away,” says Mitchel Goldman, M.D. Anything more invasive than alight chemical peel (laser treatments, and injectables, for example) should be overseen by a specialist.
What are the physician’s credentials? Your best bet is a board-certified dermatologist or plastic surgeon. Beware of “cosmetic medicine physicians” who may lack training and experience. You can find out if a doctor is board-certified at the American Board of Medical Specialties’ Web site.
Will I meet with a doctor before the procedure? A doctor should review your medical history, examine you, and help you weigh treatment options.
Who will perform the procedure? In some states, it’s legal for a nurse or physician’s assistant to do some minor procedures. So be sure to ask about the staff’s training and experience, and make sure they are supervised by a physician. Don’t trust your skin to nonmedical personnel.
Does the facility use FDA-approved products? Even if the answer is yes, keep in mind that “there have been cases of bootleg or diluted Botox,” says Richard D’Amico, M.D. “Patients should ask to see the unopened package.”
What results should I expect? The doctor should provide realistic before-and-after photos. Also, seek out people who’ve had the same procedure.
What are the risks? They’re usually minor and temporary--irritation, swelling, residual pain--but all invasive procedures carry some risk of more serious problems, such as burns or scarring. Also, ask if a physician will be available to follow up in case of complications.
How many visits will it take? It could take several for procedures such as laser hair removal or vein therapy.
How long will the effects last? You might be willing to spend more on a hyaluronic acid wrinkle filler such as Restylane or Juvéderm knowing that it will probably last longer than a collagen-based filler like Zyplast or CosmoDerm.
What is the total cost? Don’t go by the often-misleading prices quoted in ads. Ask for the total price up front, including physician’s fees, drug costs, and follow-up visits.
