Jumbo shrimp, military intelligence, managed care?  What is your favorite oxymoron?  Right now, mine is “Botox Party”.  Despite its overall safe track record as a cosmetic facial enhancement, botulinum toxin (Botox, Dysport) is, nevertheless, a therapeutic medication.  To maximize your chances of a good outcome, a quiet doctor-patient communication and treatment session are, in my opinion, essential.  The celebratory energy and loud conversation of a party may adversly affect a patient’s health judgement.  If alcohol is served, the problem is compounded.  As a physician, I must have a completely sober, thoughtful, and articulate patient to make it possible for me to get the best results.  As a patient, you probably want your doctor to be completely sober and thoughtful too!  Once in awhile, you might enjoy going to a party.  You may also find that once in awhile you would benefit from receiving Botox or Dysport, but please don’t do them at the same time.