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The board documents dont specify where Silverman was working at the time, only that he was supervising Nunez. Nunez performed the lip augmentation with a dermal filler, the boards investigation found. The woman said she called Silverman after business hours because of the swelling but was unable to reach anyone, the records say. An outside medical consultant hired by the board found that Nunez had no record of being certified as a medical assistant, though he did meet the minimum standards for acting as a medical assistant under Arizona law. However, the outside medical consultant found that in plastic surgery and dermatology it is not accepted practice to allow even certified medical assistants to perform sensitive cosmetic filler injections. Thats because their training for injections does not include those for cosmetic purposes, and weekend courses and company-sponsored training do not qualify as recognized formal training or certification, the consultant said. The board in 2011 also found that Silverman violated the standard of care by failing to have after-hours phone support available to patients. this hyperlinkThe standard of care is to provide such support in the event of complications after cosmetic procedures. He also violated the standard of care because the patient did not sign a consent for treatment form, the board found.

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