By Dr. Anna Frisch, MD, PhD. Most injectors never ask about your thyroid. I ask every patient, and here is why.
A neurotoxin meets an endocrine history
BOTOX® Cosmetic acts where nerves signal muscles. The label asks patients to disclose nerve and muscle conditions, and it names myasthenia gravis as a risk factor for serious side effects. Myasthenia gravis is autoimmune, and it occurs more often in people who already have autoimmune thyroid disease such as Hashimoto's or Graves'.
What I review before every treatment
- Thyroid diagnosis and control. Stable, treated thyroid disease is common and usually compatible with treatment.
- Autoimmune history. One autoimmune condition makes another more likely.
- Medications. Blood thinners, certain antibiotics and muscle relaxants are reviewed.
- Hormonal changes. Perimenopause, menopause and weight change affect skin quality and how a plan is built.
Why I perform every injection
At Palm Beach Cosmetic Medicine the physician who reviews your history is the physician who injects. I treat the FDA-approved areas only: forehead lines, frown lines, crow's feet and platysma bands, with product purchased directly from Allergan Aesthetics.
Explore BOTOX® Cosmetic with Dr. Frisch
Frequently Asked Questions
- Do I need to see an endocrinologist before BOTOX® Cosmetic?
- Not necessarily, but your thyroid, autoimmune and medication history should be reviewed. At PBCM Dr. Frisch does that review herself.
- Does BOTOX® Cosmetic change hormone levels?
- No. It acts where nerves meet muscles and is not a hormone treatment.
Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist | Emory University School of Medicine-trained physician-scientist | Medical Director, Palm Beach Cosmetic Medicine | Founder, VitellaMD, Palm Beach Thyroid & Endocrinology Wellness, and Frisch Integrative Medicine
Dr. Anna Frisch, MD, PhD, is a board-certified endocrinologist, Emory University School of Medicine-trained physician-scientist, Medical Director of Palm Beach Cosmetic Medicine, and founder of VitellaMD, Palm Beach Thyroid & Endocrinology Wellness, and Frisch Integrative Medicine. Her research is cited internationally, and she brings decades of experience in endocrinology, thyroid disorders, hormones, metabolic health, and patient-centered care. At Palm Beach Cosmetic Medicine, Dr. Frisch applies her medical background to aesthetic wellness by looking beyond the surface, connecting skin health, hair health, hormone balance, metabolic wellness, nutrition, collagen support, and advanced cosmetic treatments to help patients look refreshed, confident, and natural.
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