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September 17, 2025SKIN The Journal of Cutaneous MedicineOpen Access

Counterfeit Botulinum Toxin and Cosmetic Iatrogenic Botulism: Emerging Threats that Require Regulatory Reform

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Authors

GOGisele Viana de OliveiraDCDisha ChakrabortyEKEleni Kroumpouzos

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Overview

Analysis reveals a rise in cosmetic iatrogenic botulism from counterfeit botulinum toxin, highlighting regulatory gaps.

Key Points

  • An increase in cosmetic iatrogenic botulism cases associated with counterfeit botulinum toxin has been reported.
  • Ten cases were identified, affecting 303 participants; blurred vision and ptosis were the most common symptoms.
  • Patients required hospitalizations and responded well to botulism antitoxin, leading to improved outcomes.
  • Regulatory reform is urgently needed to ensure safety in cosmetic procedures involving botulinum toxin.

Cite This Study

Oliveira et al. (2025) studied this question.

synapsesocial.com/papers/68d4606031b076d99fa6041ahttps://doi.org/10.25251/kkby0454
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1From Botox Party to Botulism: A Case Report and Public Health Warning on Adulterated Botulinum Toxin Injection2024 · 9 citations
  2. 2Unlicensed Cosmetic Botulinum Injection Leading to Iatrogenic Botulism: A Case Analysis and Insights2025
  3. 3<i>Notes From the Field</i> : Severe Illnesses After Self-Injection of Botulinum Toxin Purchased Online — New York, Texas, and Wisconsin, 20252025
  4. 4A local outbreak of iatrogenic botulism associated with cosmetic injections of botulinum neurotoxin-containing products, England, 20252025 · 3 citations
  5. 5From Beauty to Botulism: A Case Report Highlighting the Rare Risk of Botox Administration2024 · 6 citations