I'm a botox nurse AMA.

[fruitcider]

I feel like I'm cheating slightly as I've already done one about my other job but happy to answer any questions about botox, fillers, chemical peels and medical microneedling! (I will not treat anyone that contacts me through mumsnet or give out my business name!)

Would you get it done?

I always have any new treatments I offer on myself, I need to know what I'm selling!

How do you feel at being part of a growing social message that says women need to look a certain way? Do you worry about how services like yours affect young women in particular?

Do chemical peels actually work?

Do you ever try to discourage very young women? My sister was 23 when she had her first Botox and I'm in my 30s not even considering something like that yet!

Thanks. Excuse my ignorance, but are you a medically trained and qualified nurse?

Do lip fillers ever not look stupid?

How do you feel at being part of a growing social message that says women need to look a certain way? Do you worry about how services like yours affect young women in particular?

This is something I'm very conscious of and I guess it boils down to why people want treatment, treatment should never be obvious and just leave people looking refreshed, my client base is very well refined eg men and women in their 40s+ who want to replace volume lost with age or who have aged beyond what is the norm, and I mean the norm rather than expected.

Do chemical peels actually work?

Yes to a certain extent, but only the deeper TCA peels give obvious results.

I have to have Botox on my forehead every 4 months to stop a facial spasm. I find it incredibly painful, I’ve tried Emla cream last time after a recommendation and literally smothering my face but it was still painful. Is there anything else I can try?

Do you ever try to discourage very young women? My sister was 23 when she had her first Botox and I'm in my 30s not even considering something like that yet!

It depends. If a 23 year old woman approached me with the lines of a 33 year old woman I would treat. If a 20 year old woman had an obvious imbalance between her top and bottom lip I would treat. I wouldn't give preventative botox to a 23 year old though. Collagen production is very efficient until the age of 28, it's only at that point it starts to decline (unless someone is a heavy smoker or uses a lot of sunbeds). I normally try and redirect younger clients wanting botox to peels or microneedling.

Thanks. Excuse my ignorance, but are you a medically trained and qualified nurse?

Yes. I have another AMA running about my nhs job.

Do lip fillers ever not look stupid?

If you can tell they have been done then it's not a very good job that's been done...

How do you treat those lines around the mouth.

I have to have Botox on my forehead every 4 months to stop a facial spasm. I find it incredibly painful, I’ve tried Emla cream last time after a recommendation and literally smothering my face but it was still painful. Is there anything else I can try?

I've literally never had to use numbing cream on any patient for any botox ever. Perhaps it's your practitioners technique? Maybe they are mixing the botox with sterile water or sodium chloride instead of bacteriostatic saline. Is it the needle that hurts or the botox going in?

Do you prescribe?

Is it lucrative?

How do you treat those lines around the mouth.

I personally use fillers not botox, there is various techniques involving filler injected vertically into the lines themselves, horizontally on the upper lip, injecting the vermillion border, or a combination of all 3.

Why does my BOTOX seem to be lasting less and less time? I've been having it done for 4 years and it started off as lasting 6ish months, now I'm feeling I need a top after just two 😞 I'm 33. Non smoker and wear sunblock if that matters.

Love this thread!

I'm getting Botox for crows feet - they're not really bad but I don't like them when I smile in pictures. Someone said that once I start I won't be able to stop because I will get used to having no wrinkles, do you find that is the case?

What extra training have you done?
I'm a nurse and would be interested in learning a new, lucrative, skill.

Are you an independent prescriber?
If not, how do you go about getting the prescriptions?

Do you work under a Patient Group Directive?

I'm thinking about training in Botox but concerned that as I am not an independent prescriber I would have to find one to see all my patients before I'm able to administer Botox. This would be so impractical if I were to set up my own business...?

Do you prescribe?

No, I employ a prescriber to carry out face to face consultations for botox on my behalf, my other treatments do not require a prescription. I want to do V300 (prescribing course) in 2019.

Is it lucrative?

It can be! I make anything from £30 to £122.50 a Treatment. Most appointments are around 1 hour long. I see 20-30 clients a month.

Why does my BOTOX seem to be lasting less and less time? I've been having it done for 4 years and it started off as lasting 6ish months, now I'm feeling I need a top after just two 😞 I'm 33. Non smoker and wear sunblock if that matters.

Try changing brand! Also your practitioner should use more units if needed.

Are you a sole trader or limited company?
Do you have a 'regular' nursing job too?

I'm getting Botox for crows feet - they're not really bad but I don't like them when I smile in pictures. Someone said that once I start I won't be able to stop because I will get used to having no wrinkles, do you find that is the case?

You still have wrinkles when you have botox, it prevents dynamic movement lines it doesn't get rid of static lines. It's primary purposes is to prevent more lines appearing.