"They want to see certification that you've been trained before they will allow you to open that account and sell," Love said.
There's a reason for that. While temporary fillers like Botox and dermal fillers pose no risk of permanent disfigurement, save for the chance of infection if they are not sterile, temporary complications could last a while, he said.
They range from lumps and bumps in the face to drooping eyelids and brows and uneven smiles and can last up to six months, Love said.
"When you're a female and it's four to six months, that's a long time," Kathy Eller, a nurse practitioner who works alongside Love at Imagine Medispa.
Eller went through additional training to be able to perform those types of procedures.
She was involved in opening a medispa in Charleston in 2005 and has been at Imagine since October. Eller said she thinks regulation for those undergoing training for cosmetic procedures has ramped up over the past few years.
"I know the difference in continuing education now is that I actually have to show my license before I'm even allowed to register for a course," Eller said. "Before, you could say you were anything and take a course in ascetics, lasers, anything that has to do with the medical spa industry."
Eller said some training courses are better than others.
"You have to honestly, proactively look for something that's comprehensive, not just pull the first thing that you see on the Internet," she said. "[There are a] ton of people doing fly-by-night courses on how to do Botox."
When it comes to picking a place to have cosmetic procedures, Eller and Love recommend asking who at the facility is doing those procedures. A physician might have a laser that's used for skin procedures, but is that physician or someone else actually doing the work?
"Sometimes you think you're getting something that you're not," she said. "So it's extremely important that you really think everything through."
Also, if you're concerned, ask about the person's background, Love said. Medical licensing boards -- for instance the Board of Medicine and the Board of Osteopathic Medicine in West Virginia -- keep records of physicians online.
"You can check the licensing boards of medicine in every state and see what disciplinary actions, if any, have been taken against a physician," Love said. "Medical schools, where they did their residencies . . . . There's nothing that's not available on a physician."
Reach Lori Kersey at lori.ker...@wvgazette.com or 304-348-1240.