Can products like Botox, Dysport and Fillers be counterfeit or fake??

Hi I am a doctor and three month ago I was in Iran and had botox injection on my forehead and crows feet. Before I had Azzalure twice and never had any problem. but this time in Iran a dermatologist told me it is dysport from Canada which recently I have heard it is from korea which is not healthy one. since last month i have got some skin changes on my forehead like atrophy and or orange peel at the site of injection. I am so worried and doctors in UK can not understand what is it.


I and all doctors like to think that every doctor is compulsive about procedures and honest.   Sometimes, sadly this is not the case.   Good doctors source their products carefully and how can YOU know that, if you don’t know this doctor/nurse well??

I’m not saying that this doctor wasn’t careful but……some doctors/nurses are NOT CAREFUL about the sourcing of their injectible products and will buy product from “cheaper” sources than the companies.   These inferior products can now be produced in China, Korea, India or wherever and made to look with the packaging just like the real thing.   Like the “Louis Vuitton” handbags you see being sold on the streets in many place……these are fakes……except they are going in your face.

The doctor/nurse thinks they and the patient (you) think that they are saving money but it’s a little like playing Russian roulette.   It’s hard to know at this point what was actually (as opposed to what you or the doctor thought) was injected.

Some ideas for what to do now.  If there really is atrophy, talk to your dermatologist about starting some treatments with a gentle, collagen building fractionated laser just on the area.   A Fraxel 1550 would be a good choice done on lighter settings to start.  You may need several treatments.   Using an antioxidant like the SkinCeuticals Phoretin CF or Retinol or prescription tretinoin also helps build collagen.

Hope this helps,  Dr.  I

Dr. Brandith Irwin, MD

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