March 31, 2006

Dermatology society warns of “bogus Botox”

By Charnicia E. Huggins

NEW YORK (Reuters Health) - Recent reports of "bogus Botox"
injections that resulted in the deaths of several women has
prompted the American Society for Dermatologic Surgery (ASDS)
to issue a statement warning the public against seeking
cosmetic treatments from non-physicians.

"Never have any injections done unless it's in a reputable
physician's office, because it's unsafe," Dr. Rhoda Narins,
past president of ASDS, told Reuters Health.

"You wouldn't entrust the care of your heart or kidneys to
a non-physician, so why should your skin be any different?" she
asked in the ASDS statement.

The recent report involved a Salinas, California
hairstylist who may face charges of manslaughter for injecting
clients with the counterfeit substance. The ingredients of the
substance used are still unknown, according to police reports.
Furthermore, the hairstylist, who solicited clients from her
salon and conducted house calls to perform the procedures, was
not medically licensed or trained to do so.

"People are drawn to non-physician offices because of
price," said Narins, a private practice dermasurgeon and
clinical professor of dermatology at New York University.

Yet, considering the high cost of the FDA-approved Botox
versus the non-regulated less expensive alternatives, she said,
"if something looks too cheap, it is too cheap."

Injections of the real Botox can also lead to serious
health problems -- and fatalities -- if improperly used.
Concern about potential dangers from Botox treatment performed
by non-licensed professionals is not new, however.

In 2005, Britain moved to impose tougher regulations on the
cosmetic surgery industry due to increasing safety concerns,
according to a previously published Reuters report. According
to those regulations, future Botox injections as well as other
cosmetic procedures have to be performed by trained medical
staff registered with the government as cosmetic surgery

During the 2000 World Congress in Cosmetic Dermatology, Dr.
Edileia Bagatin, from the Federal University of Sao Paulo,
warned that inappropriate use of the toxin can result in severe
facial paralysis and deformity.

"Getting anything injected into the body is dangerous,"
Narins said, citing the risk of impurities, infections, and
overdose. "It's nice to look great, it's important to look
great, but you need to do it without the risk," she added.

To avoid experiencing complications from Botox use, the
American Society for Dermatologic Surgery advises potential
cosmetic surgery patients to follow a few of the following Dos
and Don'ts:

* Do make sure a board-certified physician is on site and
immediately available.

* Do check the credentials of the person who will perform
the procedure.

* Don't ever go to someone's home or a hotel room to have a
cosmetic procedure performed.

* Don't rely on price as the determining factor.

* Don't be afraid to ask questions.

* Don't be afraid to walk away.