Is your botulinum toxin real? How to spot fakes before it’s too late

The dark side of “cheap botulinum toxin”

Across Asia, clinics and regulators have reported a disturbing rise in fake or diluted botulinum toxin.

These counterfeit versions often appear in:

• Suspiciously cheap online deals
• Beauty salons or spas
• “Home-based” injectors
• Overseas pop-up events

Patients assume botulinum toxin is a simple, low-risk treatment. But when the product is fake, contaminated, or improperly stored, the risks become very real.

How fake botulinum toxin harms you

Counterfeit toxin is unpredictable – you don’t know what you’re putting into your face. It may contain:

• Too little active ingredient
• Too much
• Absolutely none
• Or contaminated, unsafe substances

This can lead to:

• Asymmetry or uneven relaxation
• Drooping eyelids or frozen expressions
• Patchy or zero effect
• Inflammation or swelling after injection
• Long-term resistance, where your body stops responding to real botulinum toxin

Once resistance develops, future treatments may not work – even with genuine products.

How to know if your botulinum toxin is real

Before treatment, you have every right to ask questions. A safe, reputable clinic will willingly show you proof.

Here’s what to check:

• Ask to see the vial – real products have batch codes, holograms, and proper packaging
• Ensure the clinic uses HSA-approved imports
• Confirm the injector is a doctor, not a beautician or therapist
• Ask where the product is sourced (authorised distributor vs grey market)

Any hesitation or vague responses are red flags.

SW1’s protocol: what safety looks like

At SW1, authenticity and safety are non-negotiable.

Every injection follows strict medical-only standards:

• Only MOH-certified aesthetic doctors administer botulinum toxin
• All vials are HSA-approved and traceable by batch
• Toxin is stored at controlled temperatures for stability
• Fresh vials opened in front of patients when requested
• Standardised dosing for consistent, natural-looking results

What to do if you’ve had a suspicious injection

If something felt “off” – price, setting, or experience – monitor closely.

Seek medical attention if you notice:

• Swelling that gets worse after 48 hours
• Drooping eyelids or uneven brows
• Patchy results
• Headaches or nausea
• Zero effect at 2–3 weeks

A doctor can assess whether the product used was ineffective, contaminated, or improperly injected – and recommend the appropriate corrective approach.

Final note

“Botulinum toxins should never be a gamble. It’s a medical treatment – not a discount beauty product.”

Cheap toxin may cost less upfront, but the risk to your face, muscles, and long-term results is far more expensive. Choose clinics that treat safety as seriously as results.