Is it safe to get botox at a med spa? can i safely get botox at my local mall med spa, or do i really need to go to a dermatologist or plastic surgeon?

Botox : Botox is not "idiot proof" and i've seen plenty of complications. These can be difficult to improve. As a rule, i think you'll find that the Botox you get at the mall is really no cheaper than the Botox you get form an experienced provider (oculoplastic surgeon, dermatologist, etc). Check www.Asoprs.Org for an experienced injector near you and i think you'll be happily surprised.

Depends: The skill and experience of the injector does make a difference . What are the qualifications of your provider at the spa?

Sometimes: Sometimes safe. Depends on practitioner. Make sure you're treated by a facial plastic surgeon.

It is safe: when performed by a skilled medical professional.