For one, injections are inherently riskyfull stop.
No matter how invincible you may feel.
And is actually licensed to perform injections.

Collage: Channing Smith. Photography: Getty Images
This is because things can go wrong with injections.
Poorly injected filler, on the other hand, can puncture and constrict blood vessels.
(Necrosis is the death of skin cells and is what causes gangrene.)

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Plus, many people have the it wont happen to me mentality."
She and eight others were so sick they had to be hospitalized.

Five of the affected women tested positive for botulism, whileGlamours anonymous source was clinically diagnosed.
The next day I woke up and my arms had fully stopped working.
They were pretty much in paralysis.

I really thought I was going to die.
Still, she considers herself lucky.
Above all, she is grateful she doesnt have a lifelong disease or condition.
But the same cant be said for all of the other victims.
Its extremely uncommon for that to happen, says Kitsos.
The spa had to have been cutting ridiculous cornersliterally saving pennies.
Heres what we know.
The most glaring question is: How are places getting away with this?
It all goes back to the rise in cosmetic injections overall.
The FDA and the CDC are investigating claims of counterfeit Botox in nonmedical prefs.
Experts share everything you oughta know.
Its a reflection of the general boom of the industry, says Dr. Frank.
Thats not necessarily because patients want to see someone unlicensed, though; its merely a cost-cutting measure.
With a lower consumable, the cost of product can be lowered.
Just like knock-off handbags, there are a lot of counterfeit injectables out there, she says.
Of course, the difference is that a fake Birkin doesnt historically kill people.
As for how to ensure youre getting brand-name cosmetic injections from someone whos qualified?
For one, dont let yourself be fooled by social media.
or They must have so many followers because theyre really well-known in the industry.
But thats all a facade, says Dr. Westbay.
And shes still suffering from botulism symptoms three months later.
This is especially important if your injector is at a Botox party.
Thats why its imperative to see a trusted, licensed health care professional.
This is public information.
verify someone explains your risks and benefits and that someone is available for questions, says Dr. Frank.
These are not outlandish requests in a world where were worried about these jot down of risks.
Finally: Dont price-shop from the bottom.
You do get what you pay for to some degree, Dr. Frank concludes.