Never Too Early For Botox?


That’s what the dermatologists say. A commentary, published online in JAMA Dermatology, states that it is “rarely too early” to start the “conservative and thoughtful use of neuromodulators [i.e., Botox], fillers and noninvasive energy-based treatments.”   Who cares that it costs a ton or that kids will start wanting to use it?    It doesn’t matter because these darn dermatologists need to feed their families…..on the veranda of their Lake Como villa, that is.    Remember the R.O.A.D. (Radiology, Ophthalmology, Anesthesia, Dermatology) to being happy as a physician depends on which direction you take.   For me, I am in a never ending roundabout.

Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  1 comment for “Never Too Early For Botox?

  1. Kurt
    September 19, 2013 at 8:28 pm

    I guess we were just too danged stupid to take the R.O.A.D. trip.
    I’ve been kicking myself ever since. Stuck in the primary care swamp.
    I wonder what BS the ivory tower bastards are feeding the med students to
    get them to do the IM/FP residencies? Will they be surprised when they get
    to compete with NP’s and are held liable for their 5′ by 5′ patient’s Krispy
    Kremes habit. (Five feet tall, five feet wide)

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