The effect of rhinoplasty on perceived age.

ity of participants (61%) ranging in age from 36 to 55 years. Notably, most of those responding were in the field of dermatology and dermatologic surgery (46%), the greater proportion of whom were female. In contrast, the remaining specialties were composed mainly of male surgeons. Our results indicate that a large subset of the physicians participating in this study have been injected with either neurotoxin or fillers. An impressive 70% confirmed that they have been injected with botulinum toxin, whereas a lesser proportion (40%) have been injected with fillers. Remarkably, roughly half (46%) of the physicians who have been injected with botulinum toxin and a fifth of those injected with fillers (21%) have actually injected themselves (Figure 1). Of the 102 participants who confirmed self-injection with fillers, 96 attested to which types of fillers they would inject themselves with. Responders seemed to be least averse to hyaluronic acid as 81% of those responding would self-inject with this type of filler; 45% would use calcium hydroxylapatite, and 43% would use polymethylmethacrylate, whereas only 30% would use poly-Llactic acid (Figure 2). Those injected by another practitioner were asked to reveal which type of colleague they would elect to perform their injection for either botulinum toxin or fillers. Not surprisingly, for the application of botulinum toxin, 65% would prefer a physician colleague; 27% reported treatment by a certified physician assistant (PA), certified registered nurse anesthetist (CRNA), or registered nurse (RN); and 8% would choose another type of medical assistant or aesthetician. When dealing with facial fillers, it seems as though a larger percentage (76%) would prefer injection by a physician colleague, whereas 22% have opted for injection by a certified PA, CRNA, or RN, and only 2% would permit a medical assistant or aesthetician to perform the procedure. The allotted free text responses suggest that the participants in this study for the most part prefer to be injected by colleagues in the same field.