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Cosmetic injectables have become a go-to for smoother skin and fuller lips, but behind the growing demand lies a troubling reality: more people are falling victim to unsafe treatments and unqualified practitioners.
In South Africa, experts are raising concerns about the rise in botched procedures linked to illegal injectors and counterfeit products.
What may seem like a quick, affordable beauty fix can quickly turn into a medical emergency.
Injectables like fillers and neurotoxins are often marketed as simple, lunchtime procedures.
In reality, they are complex medical treatments that require an in-depth understanding of facial anatomy.
When performed incorrectly, the consequences can be severe.
Injecting into the wrong area, or too deeply, can restrict blood flow, damage tissue, and even lead to permanent scarring. In extreme cases, it becomes an emergency requiring immediate medical care.
There’s also the risk of filler migration, where the product moves from the intended area, leaving behind lumps, swelling, or an unnatural appearance.
While some fillers can be dissolved, this must be done by a qualified professional.
Neurotoxins, on the other hand, cannot be reversed, meaning patients may have to wait months for the effects to wear off.
A major issue in the local beauty industry is the presence of unregistered practitioners offering treatments at low prices.
In South Africa, only medical doctors and dentists are legally allowed to administer injectables. This is because they are trained to understand the vascular system and how to avoid potentially dangerous complications.
All legitimate practitioners must be registered with the Health Professions Council of South Africa.
If someone is not registered, they cannot legally obtain injectable products, which often means they are sourcing them from the black market.
And that’s where the real danger lies.
“There is no guarantee what’s inside these products,” warns Dr Judey Pretorius renowned biomedical scientist and founder of Biomedical Emporium skincare. “If something goes wrong, there is little to no recourse.”
Many patients don’t think to ask about the product being used, but this is a crucial step.
In South Africa, only a handful of neurotoxins are approved, including Botox, Dysport and Xeomin. Anything outside of these should raise immediate concern.
The same applies to dermal fillers.
Well-known, regulated brands are always the safer option, and patients have every right to ask to see the product before it is used.
Transparency is key. A reputable practitioner will never hesitate to explain what they are using and why.
In South Africa, only a handful of neurotoxins are approved, including Botox, Dysport and Xeomin.
If you’re considering injectables, there are clear warning signs to watch out for:
If anything feels off, trust your instincts and walk away.
If you suspect a botched procedure, time is critical. Do not return to the person who performed the treatment.
Instead, seek immediate medical attention. Either from your GP or the nearest emergency room. Early intervention can prevent more serious complications.
It’s also important to document everything. Take photos, note your symptoms, and keep a record of timelines.
If the procedure was performed by a registered practitioner, a complaint can be lodged with the Health Professions Council of South Africa.
If not, the matter can be reported to the police, as practising without the proper qualifications is a criminal offence.
The appeal of cheaper treatments can be strong, especially in a tough economy.
But when it comes to your face and your health, cutting corners is simply not worth the risk.
Doing your homework, asking the right questions, and choosing a qualified professional can make all the difference.
Because in aesthetics, as in medicine, safety should always come first.
