Botox Reconstitution

This video reviews proper handling and reconstitution of Botox and all neuromodulators

[@lullabellelullabella3358]

you did a fantastic job explaining the protocol , thank you kindly....

[@facesdoctor]

Many thanks for your kind comment LullaBella! Let me know if there's anything else on the topic of injectables that you'd like to see covered!!

[@facesdoctor]

Hi Alice: thanks for the question. Using the same aseptic technique (alcohol to the rubber stopper) and using the needle you'll use to inject the skin - place a volume of air equal to the volume you'll need to withdraw - into the bottle, invert the bottle and withdraw the amount needed. Opening the bottle is not considered to be aseptic. Hope that helps!!

[@yudita21]

Thank you very much! This is the best explanation I have found.

[@jackybeltran2712]

Super amazing presentation. Very detailed information I didn't know that helps to do every single step with high standards of care and professionalism. THANKS AND THANKS.I would ask you to share with us, how to calculate the units in a syringe, as I have seen soo many videos and it changes so much based on syringe size that it comes to be confusing. THANKS

[@facesdoctor]

Thank you Jacky! Here's a link to our units calculation video: kzbin.info/www/bejne/iGnFdnWIi9t1mtk Hope that helps!

[@pao8997]

This is one of the more incredible video and practice. I really thanks the people mix a lot of thinks and they don’t know what to do and they not care. this video is great so people will not make many mistakes like they do. People do risk on there own. Before and after this video wich is very importan to help the way you did they need to do more videos like this one. Beauty all is very importan bud some people don’t have the money and they not trust easy any more witch i do understan the is very importan all this information to prevent mistakes I do like your video Please do more videos Is just great Thanks a lot

[@facesdoctor]

Thanks so much for your kind words. We do continue to create more videos and are always open to suggestions for topics! If you have something specific you'd like to see please let us know. Feel free to email us with suggestions at [e-mail]. Thanks again!!

[@fernandosanjuan9297]

Great detailed and educational video, Thank You

[@facesdoctor]

Thanks so much! Let us know if there's anything else you'd like to see covered!

[@JP-pm8tk]

Hi, Ive seen that 10ml bottles only have a very short shelf life, therefore is the a way of extracting just a short amount of the powder to use for a few uses? I have spare empty sterile bottles and saline/bac water.

[@kimberlyanderson5773]

VERY INFORMATIVE!!!

[@facesdoctor]

Thank you! Please let us know what other subjects you'd like to see covered! [e-mail]

[@bedokgentler]

So with the reconstituted bottle, we can later poke the rubber a few times with various needles to draw the product for patients' use? Is this good practice?

[@II-gc9ki]

It is illegal in Canada to use single vial medication on more than one patient.

[@alicewoods1]

great video thank you, one question, how would the doctor withdraw the botox/xeomin once its reconstituted? is it just by injecting the appropriate needle into the bottle and withdraw? or opening the bottle to withdraw?

[@facesdoctor]

Hi Alice: The CDC states that it's not acceptable to open the bottle for multiple medication draws. You need to access through the stopper. Thanks!

[@michellemancell1411]

Can you show us how to reconstitute the amount of neurotoxin you need and how much saline to add to your syringe to disperse the correct amount of units needed into the muscles. Such as the Frontalis muscle. If you want 6 units dispersed over 10 sites, how to you know how much saline to draw up?

[@facesdoctor]

Hi and thank you for your question! I believe the answer is in my video found here tinyurl.com/3nxxmuvx if this doesn't answer your question please LMK. Thanks again for stopping by!!

[@DebbieLeighDriver]

How is botox actually made? is it animal based? how does it get from the animal to botox?

[@ryanh.nguyenmd5357]

Good videos very detailed. Do me a favor, where do I getting that products?:from US,

[@nathaliek.4953]

Hi there ... very educational. I have some questions though... -- do the units come in different strength? and if yes - what does it depend on? ... my anesthetist told me i need 100 unit ... so i would assume the will reconstitute a 100 vial Botox + saline ... but i educated my self and i looked up a chart of the propositions ... and it was confusing. Thank you ahead for your answer.

[@danieloyarzunmadrid]

28 days? Whats about if I freeze?

[@facesdoctor]

Hello: You cannot freeze the product after you have reconstituted it. Prior to reconstitution you can freeze the product and keep it for use prior to the expiration date stamped on the bottle. Thank you for your question.

[@oomma5]

Thank you

[@michelemichele5204]

you didnt show how much bacteriostatic water is added to the botox?

[@facesdoctor]

Hi Michele: as mentioned in the video - the volume of saline varies depending on the product used and the desired units per volume. (units per volume are largely driven by practitioner preference) For a full review on how to calculate volume please see our video on those calculations: kzbin.info/www/bejne/iGnFdnWIi9t1mtk . Thanks for your question.

[@toffahahloua6781]

Is it possible to make reconstitution with lidocaine?if yes which amount?thank you

[@stilledwind]

If preservative containing normal saline is used, how long can we use the botox units in the vial? 28 days?

[@facesdoctor]

Yes, if you use bacteriostatic saline you may use the bottle for 28 days.

[@baharehlotfi2956]

can placing a volume of air in bottle cause contamination?

[@facesdoctor]

Hello and thanks for your question. If you use proper aseptic technique as described in the video, contamination cannot occur. Thanks!

[@BinhLe-vu9cb]

Do I need freeze the vial ( with saline ) >?

[@facesdoctor]

Hello Binh! Thanks for the question. Once reconstituted, neuromodulators (Botox, Xeomin, Jeuveau, etc) should not be frozen. The only time you can freeze them is prior to reconstitution. Also, the bottles of bacteriostatic saline themselves should not be frozen - they can be stored at room temperature (20° to 25° C) or (68° to 77° F). Thanks again!

[@serhat3991]

Ty

[@facesdoctor]

:-)

[@tovahromanov7414]

Clearly old vid. Preservative Bac stat is used now. Less pain for pt. among other reasons. Everything changes, certainly from 2015. Great job tho!

[@facesdoctor]

Hi Tovah: Thank you for your comment - not sure why there is confusion - please see 2:43 - Bacteriostatic Saline used in the video even in 2015. Thanks for viewing.

[@krmarak9619]

Hi

[@omaralsamarraee2909]

Great

[@facesdoctor]

Many thanks, Omar!

[@facesdoctor]

Thank you Omar!

[@cheryldurant8409]

😅😊

[@artistadrtm]

Do you have any data to support your "24h disgard rule" or do you have that info from tik-tok?

[@facesdoctor]

Hello: Yes, here's the link for the Allergan Reconstitution Instructions: bit.ly/46vcJAv Please note that, as stated in the video beginning 1:19, if you use Bacteriostatic Saline, the CDC allows you to use that vial for 28 days before discarding it. Also, this video was created long before tik-tok was created 😀and all information provided by FACES is supported by science. Thank you for your comment!