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surgery","scope":"procedure","source":{"url":"https://www.accessdata.fda.gov/spl/data/b0bf872a-b136-435f-af20-46a9b3e02f2b/b0bf872a-b136-435f-af20-46a9b3e02f2b.xml","host":"accessdata.fda.gov","quote":"Physicians administering BOTOX Cosmetic must understand the relevant neuromuscular and structural anatomy of the area involved and any alterations to the anatomy due to prior surgical procedures and disease.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Ask about the provider's training and experience with the procedure","scope":"treatment_type","source":{"url":"https://www.fda.gov/medical-devices/products-and-medical-procedures/aesthetic-cosmetic-devices","host":"fda.gov","quote":"You may also wish to ask about your health care provider’s training and experience with the procedure.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Discuss benefits, risks and whether you are a candidate with the provider","scope":"treatment_type","source":{"url":"https://www.fda.gov/medical-devices/products-and-medical-procedures/aesthetic-cosmetic-devices","host":"fda.gov","quote":"If you are considering any type of aesthetic procedure, talk with your health care provider about the benefits and risks associated with aesthetic devices and discuss whether you are a candidate for the procedure.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The injection is offered in a non-medical or unlicensed setting","scope":"procedure","source":{"url":"https://www.fda.gov/drugs/drug-safety-and-availability/counterfeit-version-botox-found-multiple-states","host":"fda.gov","quote":"These incidents have occurred when counterfeit Botox is injected by licensed and unlicensed individuals and/or in non-medical or unlicensed settings.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"The provider cannot confirm the product comes from an authorized source","scope":"procedure","source":{"url":"https://www.fda.gov/drugs/drug-safety-and-availability/counterfeit-version-botox-found-multiple-states","host":"fda.gov","quote":"Confirm with your health care professional that you are receiving a product from an authorized source.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise 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breathing problems, trouble swallowing, muscle weakness and slurred speech.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Slurred speech","urgency":"emergency","general":false,"source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/botulinum-toxin//safety","host":"plasticsurgery.org","quote":"It is very unlikely that the toxin might spread beyond the treatment area, causing botulism-like signs and symptoms such as breathing problems, trouble swallowing, muscle weakness and slurred speech.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Temporary facial weakness or drooping","urgency":"contact_clinic","general":false,"source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/botulinum-toxin//safety","host":"plasticsurgery.org","quote":"If this happens, you could have temporary facial weakness or 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