I suppose when you call around and you find the ONLY doctor that charges less than $ 10/unit for Botox, you should wonder why. He does a «Spa Day» where he is able to provide excellent prices for botox by turning and burning patients en masse, making it financially feasible. I don’t judge by an office’s external look, but I was thrown a little when I walked in the lobby and it looked slightly shady. His waiting room is nice, and he had a little spread for his spa day patients — sandwiches, et al. Theoretically a nice touch, but kind of weird. The receptionist did not mention before my appointment that he is cash only, and when I overheard it, I asked… and had to leave, get back into my car and drive a mile or so away to get money out of the bank. More red flags. I came back and was a little put off by the exam room. It was a little dirty and disheveled. There was an accumulation of grime under the examination chair and the pedals were filthy. I was having second thoughts when I was greeted by the doctor. He told me how he does this service for no profit to bring in business. He said he does not usually sell it in less than 50 unit increments. I wanted to say that was more information than I needed, but instead I told him I had been getting botox to my forehead for the last few years and that 20 units had always sufficed. He looked at my skin and agreed that it should be enough. I am not a delicate flower by any means. I drag heavy things through the mud for fun. But he was REALLY rough. He jabbed at my forehead in a way that almost made me jump in the chair. Remember — I have been having this done 2−3x year for the last 5 years. I have never had this experience. No instructions, no ice pack, just sent me on my way to pay. But, again… the price was reasonable. Within 24 hours two fingertip sized bruises showed up on my forehead — another first. They faded and the botox was definitely working, so again… let it go. But after a week, I saw that there was an area near the scalp that had been clearly missed, and was glaringly prominent with the other lines gone. I called the office and was told I should come in. A week later, I came in and was seen right away. Same room. Same filth. I showed the doctor the area that had not been properly addressed and. was told that I bought 20 units and if I wanted anything else I would have to pay for it. But not just a few extra units — which is insulting enough(considering he was supposed to have done the forehead completely with the 20 units that were, indeed, if properly administered sufficient) he said if I wanted it done before the next spa day I WOULDHAVETOBUY50UNITS. $ 400 to have him fix his mistake. I explained to him that he had not done what was discussed and he replied«Do you expect me to just GIVE the botox to you?» No — I expect you to have done with what I purchased what we agreed to. He suggested that I come back on the next spa day and that he would work something out… I explained that I had it done when I did because it was for something special. That really did not seem to matter in the least. Which, at the end of the day, is fine. I should have listened to my instincts and ran the moment I saw the condition of his exam room. I am giving him 2 stars, because… if you really don’t care — he does have great prices. I think I will just save up for a pricier facility and know that you really DO get what you pay for — and be grateful that I didn’t get an infection being stabbed in such an unsterile environment.