A Medi-Spa, also known as a Medical Spa or Medspa, is a medical practice focused on minimally invasive cosmetic procedures, such as Botox injections, laser treatments, and injectable fillers. The people performing procedures in a Medi-Spa typically operate under the supervision of a licensed practitioner, such as a medical doctor. In general, a Medi-Spa differs from a "spa" by its affiliation with a medical director who has the overall responsibility for the care and safety of the patients.

Beverly Hills plastic surgeon, Dr. Calvert, recommends you consider the following things when choosing a Medi-Spa:

MEDICAL DIRECTOR: Ask if the facility is operating under the license of a medical director. Once you know a medical director is involved, make sure he or she has the appropriate credentials, such as a 4-year medical degree. Remember, the medical director is ultimately the person responsible for the safety and wellbeing of the patients under care in the Medi-Spa facility.

STATE LICENSING: Physicians operating as medical directors will be licensed by the state they are practicing in. Check with the state board of medicine to see if the medical director is licensed in the state where you are planning your procedure.

TRAINING: Verify the credentials and ongoing training of the person performing your procedure. A licensed practitioner should be able to show continued commitment to learning the proper and most up-to-date techniques through training certificates or coursework.

ASK FOR REFERRALS: Talk to your primary care doctor, plastic surgeon, family and friends, or patients you know who have had good Medi-Spa experiences. The best referrals come from trusted sources.

CHECK BUSINESS QUALITY: Find out how long the Medi-Spa has been in business and how long the practitioners have been practicing the procedures in that facility. Facilities that have been in business for some time will likely be around for your continued care and treatment.

CHECK EQUIPMENT QUALITY: If there is medical equipment involved in your procedure, check to ensure it has been inspected and is maintained properly. Make sure you are comfortable with the state of the machine being used to treat you.

INTERNET RESOURCES: The Internet can be a good source to discover information about the procedures you are considering. Once you have the information you need about the procedure, ask your primary care doctor or plastic surgeon to see if they can refer you to a qualified Medi-Spa center in your area.

TREATMENT CHOICES:
The trained practitioners at a quality Medi-Spa will be able to evaluate you and make proper recommendations through a consultation. Ask about consultations when booking your appointment to make sure your Medi Spa can evaluate your condition to make sure you are receiving the proper procedure.

MALPRACTICE COVERAGE: Verify malpractice insurance coverage. It is important to know if the Medi-Spa has made a commitment to patients by carrying some type of malpractice insurance.

MALPRACTICE HISTORY: Malpractice suits can be checked through a number of avenues, but may require that you make a trip to the county courthouse. You can check the malpractice status of any medical doctor serving as the medical director. In most states, this information is available through the Internet.

PRACTITIONER EXPERIENCE: Choose a practitioner who has experience performing the procedure you wish to have. Some practitioners may have more experience using lasers or injectables than others. Knowing the experience level will help you to get the result you desire.

CONTINUING MEDICAL EDUCATION: It is useful to know if the people performing the procedures attend local and national meetings to keep up on the latest technology and techniques. A commitment to on-going education is a sign that the Medi-Spa has qualified, well-informed practitioners to perform the procedures.

ADVERTISING: Advertising has become quite common for Medi-Spas. The market is competitive and advertising is a way to spread the word. However, a large amount of advertising does not necessarily mean anything. The information given through advertising is often limited and can usually not be relied upon to make a solid choice about a Medi-Spa. You must still look at all of the items listed above and make your own judgment.

If you or someone you know has suffered from a disastrous beauty procedure, share your story below to prevent someone else from having the same experience. For more information, visit www.roxspa90210.com and Dr. Calvert's website www.jaycalvertmd.com



NEXT: Recovering from An Eating Disorder


 
Hi Tyra, would you consider posting a list of reputable companies who do these treatments. Companies that have a proven track record in different areas(especially norcal). I have been considering laser hair removal for a few years but I am so worried that I will be scarred up like the women who were on your show. I am a black woman and I know it is an even bigger risk if you are black. I would really, really appreciate it.
 
Hey Tyra, I love your show!!! I just wanted to say that all nail and pedicure salons aren't bad. I have been going to Kimmie in Little Rock Ar for 15 years every two weeks and have gotten pedicures often and have never gotten a fungus or itchy funky stuff from the pedicures. She sanitizes often and her salon is very clean. I have a friend that has gone to the "in and out" salons and she has had a fungus for three years!!! Make a appointment!!! It is well worth it!!!!
 
Hi Tyra: OMG!!! I know Yvonne and went to high school with her. My family and hers are family friends. I feel soo bad for her and this made me sooo sad to see this and can't believe this happen to her. I feel for her. Your show is soooo real outstanding. Keep up the good work.
 
Hello Tyra, I missed your spa show because i was working, but my husband caught a glance of it and filled me in. I am very sorry for the african americans on the show who have had a bad experience with laser hair removal. I would also like to say that dark skin indians as well as individuals with mediterranean and middle eastern skin are also frequent victims. I know this because i am a clinical laser trainer for a very prominant laser company. The problem of scarring and hypopigmentation with darker skin types, 4-6 is mainly a result of providers using the wrong wavelength of laser. Darker skin types require a longer wavelength with which melanin is not the main chromophore. In the last 10 years, laser companies have developed a laser made for darker skin types called an Nd:Yag. Many military bases around the country are purchasing these machines in order to do hair removal on their darker skintyped military before sending them off to war. I have treated people with darker skin types many times with a YAG, and had tremendous results. A few things to look out for when looking for a laser provider is 1) Never go to a spa that advertises IPL laser hair removal. IPL is NOT a laser! Hair removal results are poor! 2) make sure the provider is a certified laserologist! 3) Do not go to a spa that claims an idividual with white,blonde or gray hairs can achieve hair removal! IT's not possible without pigment in a hair follicle! 4) dO NOT GO TO A SPA THAT TELLS YOU THAT YOU WILL BE RETREATED EVERY 3 MONTHS! hAIRS MUST BE TREATED IN THE EARLY ANAGEN STAGE OF HAIR CYCLES! GOOD LUCK, AND PLEASE DO NOT ALLOW PEOPLE TO DEVELOPE MISCONCEPTIONS
 
HiTyra,I love you're show unfortunately the one on plastic surgery gone bad was alittle unfair. I would have to agree with some of the comments made above just because you had one case gone bad happend in Mexico does not mean all the cases out side the U.S are necessarily going to go bad. In my case my nose was broken by a baseball and without insurance. I had to find a solution to get it fixed,I did my research and I had my nose surgery done in Guadalajara, Mexico and my surgery couldn't have gone better or cheeper.
 
To the young lady who was saying that spa chairs are a throne waiting to happen, thats not true, you have to clean those chairs after each customer, meaning sanitize. Tyra's manicurist never said that She said sanitizing is very important. It was not negative- you can get diseases if you don't sanitize the proper way.
 
I really and truly agree with the mancurist from Maryland, the crede blade should not be used and it is aganist the law to be using them, but not all Nail spa's are using them we will not use them at all. Kimmie
 
Tyra, i really wish i was on your show yesterday. Please do another one ASAP.
 
This is for the young lady who had a pedicure done and was itching after her service done, please don't tell people not to go spa's with nice pretty pedicure chairs, you should always make sure your not going to discount salon's, make sure they are sanitizing if you do want to go to a discount, salon. i am a Nail tech. and we do sanitize. Kimberly
 
This is for the young lady who had a pedicure done and was itching after her service done, please don't tell people not to go spa's with nice pretty pedicure chairs, you should always make sure your not going to discount salon's, make sure they are sanitizing if you do want to go to a discount, salon. i am a Nail tech. and we do sanitize. Kimberly
 
Dear Tyra, Oh how I wish I was on the show yesterday! I too had a bad result from plastic surgery. I had uneven breasts, A vs C and just wanted to be normal. I just wanted an implant but the doctor insisted that he reduce the other breast so the insurance would pay for most of the surgery. I never needed the reduction! The person who did my surgery was in the US, head of staff of a hospital where it was done, and was my best friends' relative. I had confidence that everything would be ok! However, after surgery, I found out that he had given me an antibiotic that I was allergic to which in turn caused a severe reaction. Also, I was supposed to have drainage tubes inserted into my breasts, but that was never done. I was not supposed to have the stiches and staples removed for about 2 weeks after the surgery. However, I went to the hospital to meet with him because part of the incision opened up and turned black. My fat cells were protruding out and it smelled awful! I was told I had a bacterial infection. This resulted in a complete infection in my whole entire breast. The end result 13 years later is a breast that looks like it has 3rd degree burns and is totally gross looking! If you ever do another show on this subject again, please call me. I have all the before and after pictures!
 
Really useful to know all of this to be more careful with this issues but I think the show should convey both sides of the coin because this way it´s seems just really scary but, if you also tell that there are qualified doctors everywere and bootleg doctors everywere and the rest it´s up to you...it´s good to know to be careful but show the good side of it, otherwise it looks just morbid.
 
Hey Tyra I just wanted to post a comment about your show on beauty disasters. About 6 years ago I had a nissen fundoplication (which is surgery to fix reflux). Although this was not cosmetic surgery I have suffered from complications that can never be repaired. During the procedure my surgeon severed my vagus nerve which controls the speed of your stomach, heart, lungs, etc. It is the longest nerve in your body. I now have dumping syndrome, hypoglycemia, rapid heart rate, low b12, nausea, delay in my large intestine, kidney stones and malabsorption problems because of the rapid gastric emptying. I now have to give myself 3 shots a day to try to slow my stomach down. I take so much medication now and I am totally disabled because of this surgery gone bad. I could really relate too the people on the show. I have a condition that can never be fixed and there are no support networks available to me for my condition. I guess I just want to thank you for putting the information out there for people to think about. I was totally upset by the fact that even after all of the information that was provided to this woman that she still went forward with the surgery. Although my surgery was not an elective surgery; I just want everyone to know that mistakes can happen and you need to really do research on your surgeon before going under the knife. I live in misery every day and I nearly died; how could she go through with it. Anyways, I've been feeling really down about my condition and that show really made me cry. I hope that ladies surgery was a success story. Thanks for listening. Do you know of anyone that might be able
 
Tyra I'm so glad you covered pedicures on this show! I'm a manicurist, but unemployed at the moment, partly because every salon I've ever worked in DID NOT follow proper sanitation procedures. In the state of Maryland where I live, it is against the law to use a credo blade(the blade they use to scrape off calluses), because it can cause not only bacterial infections, but HIV and other blood transmitted diseases. Yet every place I go into, there they are using them. That doesn't even cover the multiple problems you can get with the actual toe nails, though not fatal or disfiguring can be very embarrassing, and nearly impossible to get rid of. I just wanted to say that you need to protect yourself. First make absolutely sure the person you're trusting your skin ans nails to is a LICENSED manicurist!!! I cannot stress this enough. And like Tyra's manicurist said on the show...the throne as nice as it looks, is a disease waiting to happen. Always make sure the equipment they are using, like cuticle nippers, toe nail clippers, etc., are in a disinfecting solution at all times! Never and I mean NEVER let them use a credo blade on you. Last thing, please keep in mind that just because a salon looks clean or is very expensive doesn't mean they are sanitary or even licensed. Please remember this is coming from someone who works in this industry and is so disgusted by the state of salons where I live that I just don't do it anymore. Thanks for listening and I hope I was helpful to at least one person.
 
First off just wanted to say I'm a devoted fan of yours and I love your talk show as well as americas next top model. I learn something new from you every day. youare so intelligent. saw your show on beauty disasters. I'm now worried to get a pedicure cause all the chairs have those jets for massage havent seen ones without where can i find a place without those jets for pedicure. also is it bad to cut cuticles and use a blade for dead skin on feet my place does that but they always use a new blade. thanks please write back i love you girl



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