How to be a Bad Cosmetic Injector – Worst Practices

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The 5 Bad Habits of a Bad Cosmetic Injector

It’s important to have confidence in your Injector. Firstly, because you are placing your one and only face under their care. Secondly, there’s extensive technical and clinical expertise required to do injections and fillers properly. And the third reason is that are are dangers to being injected improperly or with fake injectable products.

We know what makes for a good injector, but what makes for a less than desirable (or even’bad’) Injector?

Knowing What’s Bad About an Injector or Injecting Strategy Can Save Your Life

When you do decide to go ahead and use injectables as part of your anti-aging program, it’s important to really observe what the doctor is doing during the procedure.

These are the five worst practices of a bad injector that you want to identify and stay away from at all times. The reason why is because these five practices could conceivably lead to disfigurement, pain, scarring, infections, or simply poor results.

You also want to be sure you get what you deserve for your money, and understand why cheap injection options are not always your best option or a bargain.  This is why you want to aim for a quality injecting service and avoid

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How to avoid a Cosmetic Injector that leaves you needing injections for a Tension Headache – or worse!

Tension Headaches? How Injections Can Help

5 Worst Practices of a Bad Injector

Here are the five worst practices of what could be deemed a ‘bad injector.’

1. Over-Dilution of the Injectable (or Dilution of a Filler)

Not Using the Injectable according to Recommended Specs or over-diluting an injectable often means it will be less effective.

Some injectables (muscle-relaxant products) come in a powder form, in small sterile glass bottle. These DO need to be mixed with a saline-based solution before injecting. But there are specific ratios (Specs) that need to be followed. 

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Other injectables (such as fillers) are generally ready to go.

For example, fillers are typically a gel and dilution is not recommended. These should not be diluted, but some injectors DO dilute them – even though they’re not approved for dilution. The companies that make these products know how much will be needed to perform a treatment for a certain facial concern. A well-trained injector will have learned, directly from the manufacturer and in additional training sessions, how to inject the substances precisely so that a minimum amount will be used for the best effect (and also avoiding the pillowy or over-injected look).


What should you do if you spot your Clinician diluting (‘mixing or watering down’) your filler product with another solution? Or if you suspect the wrinkle injection is being OVER diluted?

Anti-Wrinkle injections have a manufacturer’s recommended dilution rate; but a bad injector might exceed this in order to attempt to cut product costs to offer a ‘cheaper injectables’ option.  Ask your Injection Clinician what dilution specs they are following (but do your research first) and ask what the BRAND of product is and where they purchased it from.  This could save your life because, unfortunately, counterfeit products are rampant in the cosmetic injectables market (read the blog on the Medical Dangers of Fake Injectables).

The questions to ask are what is the brand name and type of the injectable; what is the injectable being diluted with, why – and if it’s being over-diluted or diluted against recommendations, why does the injector believe it will be better for you than using it at full strength.

Ideally the filler solution used for your skin comes straight out of a fresh bottle, is not diluted, and the brand name is clearly visible on both the container and the jar.  For wrinkle injections that must be mixed before injecting, the key is that they are diluted precisely and to manufacturer’s specifications (and not over-diluted).

It is also helpful to ask how the filler or muscle-relaxing product was stored.  A quality focused Clinic and top injecting team will follow protocols for safe storage at the product safety and effectiveness-tested temperatures.

2. Not Using Quality Products

The products used for your injectables should be high quality products and ones you can see the package of if you ask the doctor. Prior to your appointment, spend about an hour personally researching the products that your injecting clinician might use.  Whilst the Australian injecting clinicians cannot print the brand names of injectables in advertising, you should have a solid idea of the top brands used in Australia. Then you can ask the Clinician by phone – or in person – so you know what you’ll be getting.

If you call the office and find out the names of the possible products that could be used in your situation, you can then do some online research. Save the photos onto your smart phone so you can compare them with the photo of the products your Injecting Clinician uses.

Use your discerning mind to notice the details. If you’re satisfied with the comparison, proceed to the second office visit.

This step is an important step, as many fake injectors – ones posing as plastic surgeons – use fake injectables. These fake products are obviously low quality, and may even be contaminated.

Unfortunately, the number of women that are opting for the use of substandard injectable products is rising. Women and some men are not using their mind to discriminate wisely between those who are using high quality products and those that are not. The results could be disastrous, causing pain, suffering and scarring.

3. Injecting in a Non-Sterile Environment

Offering to meet you at an apartment, house, or hotel is a bad practice for several reasons.

First of all, there’s no way that any of these locations can be considered sterile or sanitary. Thus, it increases the chances you’ll develop an infection from the injectables. Doctors are taught to never place their patients at risk so this practice is unacceptable.

Secondly, highly qualified doctors operate out of offices, not people’s homes or hotels. Thus, the chances that the doctor partaking of this practice is unlicensed or not even a doctor at all are great.

Don’t take a chance with your injectables!

4. Injecting Incorrectly

Spend some time online watching doctor training videos for how they should do the injectable procedure.

You’re not watching them for the purpose of doing them yourself, but simply for the confidence that results when you watch your highly qualified Injector do the procedure correctly.  You will notice a big difference between injectors in how fast they rush the treatment, how dedicated they are to minimising bruising (usually by going slowly and not rushing although some people will bruise no matter what), and how much thought they give to the injecting strategy (including facial markings in advance of injecting).

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DIY Injecting? A potentially fatal flaw.

Some people wrongly believe that they can watch a video and then do the procedure themselves.

This is very dangerous thinking. First of all, how can you be so sure that the video is the complete training? No training company is going to put their complete training on the internet for other companies to snatch their training and use the information without paying them for it. This would be a serious business blunder.

Secondly, when you are watching a video on how to do the procedure for the dermal fillers or injectables, think hard. What are they not showing on the video? The answer would be all the years of pre-existing knowledge that went into becoming a Clinician (RN, Physician or Plastic Cosmetic Surgeon). Hundreds of hours about germs, infections, sanitation, hygiene and preventing infections are part of the training of a well-qualified injecting professional.  Where are you going to get that knowledge from?  Unless you enter medical school, you simply won’t…and even then, it takes many years to become a master injecting Clinician.

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Our culture now seems to downplay the achievements that many have, saying it’s nothing to accomplish this or that and that most things we can do ourselves.

It may be a Do It Yourself (DIY) world, on some counts. But with medical or cosmetic treatments, please don’t fall for this type of delusional thinking…because it could be seriously damaging or even deadly.

Being an informed consumer of cosmetic injectables and fillers is great; but it doesn’t mean you’ll be able to do it yourself (DIY) or for someone else

It’s great to know the procedure of the cosmetic injectables for purposes of your confidence only, nothing more. You should definitely only trust a fully qualified and experienced Injecting Clinician (Division 1 Registered Nurse, Physician or Plastic Surgeon).  With so many GPs now entering the cosmetic services & injectables treatments market, it’s also good to ask JUST how long they have been performing injections.  You really want someone who has decades of expertise in anatomy, skin care and injections and fillers for the best possible outcomes and best value for your money.

5. Decanting the Injectable

Decanting an injectable means pouring part of one syringe into another. This practice brings up a lot of questions such as:

  • Will the syringe be used for another patient after it’s used to break my skin?
  • Was the syringe used for another patient prior to using it for me?
  • If it’s rare that someone needs more than one syringe, why does the doctor offer a price for a half syringe?

An experienced and highly qualified injector never decants the injectable.

There’s also an issue with the amount of time that the injectable should not be ‘stored’ or remain unused, once the bottle or container is opened.

But if you have had a bad experience with an injector who used the wrong products or the wrong injecting strategy and you either need Tension Headache treatments using injectables, we can help on both counts.

Give us a call today if you are considering Cosmetic Injectables.

We’ll do them correctly and help set your mind at ease. Plus, if you’ve had prior injecting experiences, you’ll soon learn why the Coco Ruby Injecting team is sought after for high quality, precision injections and other leading skin care treatments including Fraxel, DOT therapy and Dermapen.

Read more about “Top Tips for First Time Injections or Fillers” and our other injecting blogs.

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