If you've been keeping up with the latest news, you've probably heard about the recent surge in complications and even hospitalizations stemming from aesthetic procedures gone wrong. 

It's a sobering reality check that's shaking up the industry, and as someone who's been following this scene closely, I felt compelled to share some insights with you.

Watch the corresponding YouTube video for more details about the current aesthetics issues we are seeing. 

Counterfeit Aesthetics Products

From Botox to fillers to other aesthetic procedures, the black market is flooded with knock-offs that pose serious risks to your health. It's not just a few isolated cases – we're talking about a significant uptick in complications, including some tragic outcomes.

I want to shed some light on what you need to watch out for to avoid falling victim to these dangers. We'll delve into the world of counterfeit Botox and fillers, explore the risks of untrained providers, and examine a recent case of liposuction gone wrong. 

But that's just the tip of the iceberg.Next week, we'll dive even deeper into the some interesting tactics that some providers use to masquerade as legitimate experts. We'll uncover fake credentialing systems and arm you with the knowledge you need to protect yourself from potential complications.


The CDC and FDA recently launched an investigation into counterfeit Botox after numerous reports of harmful complications, including hospitalizations and even the need for ventilators. It's a stark reminder that when it comes to aesthetics, safety should always come first.

Authentic Botox 

Genuine Botox vials bear specific markings, including lot numbers, expiration dates, and pharmaceutical information. 

Here is a great article from the FDA that can help you understand what you should be looking for and what they have found with counterfeit botox. 

If your provider's vial doesn't match this description, it's a red flag that demands immediate attention. 


Spotting Fakes

So, how can you safeguard yourself in this unregulated landscape? One crucial step is to ensure that your provider is using authentic products from reputable sources. 

Ask questions, demand transparency, and don't be afraid to walk away if something doesn't feel right. Your health is too precious to gamble with.

When it comes to Botox, for instance, there are telltale signs of counterfeit products, such as suspiciously low prices or improper reconstitution.  Authentic Botox should come from Allergan, with clear labeling and proper refrigeration. Anything less is a red flag.

Diluting Product

I've witnessed firsthand when correcting complications from other providers, that there is real temptation for some Medi Spas or unqualified providers to cut corners in pursuit of profit and how they can have devastating consequences. From diluting fillers to overextending Botox, unethical practices run rampant in some corners of the industry. 

That's why it's crucial to do your due diligence and seek out qualified professionals who prioritize patient safety above all else.At the end of the day, knowledge is power. 

By arming yourself with the right information, you can navigate the world of aesthetics with confidence and peace of mind. And remember, your safety is worth more than any bargain or shortcut.


Proper Reconstitution 

Moreover, the process of reconstitution is critical. Authentic Botox is reconstituted with preservative-free saline, maintaining its potency and efficacy. 

Any deviation from this standard, such as over-dilution, significantly increases the risk of complications. 

Patient Comfort 

Equally important is the choice of needle gauge. In my practice, we prioritize patient comfort and safety by using a 33-gauge needle, despite the higher overhead costs. While this may seem like a minor detail, it significantly enhances the patient experience and reduces the risk of adverse effects.

In light of recent incidents and regulatory announcements from the CDC and FDA, heightened awareness is crucial.  By staying informed and vigilant, patients can make more informed decisions, safeguarding themselves against potential risks and complications.

I urge you to prioritize your safety and well-being. 

Stay tuned for next week's blog and Youtube video where we'll explore strategies to identify counterfeit credentials and ensure a safe aesthetic experience. 

As always if  you are looking for dermatologist formulated skincare that prioritizes the latest science, don't forget to learn more about my line: MDAiRE Skincare. You can learn more about our products HERE


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