MANILA, Philippines — The Philippine Dermatological Society (PDS) has strongly warned the public against getting injectable treatments, including “dermal fillers” and “Botox,” from nonmedical practitioners.

In an advisory, the PDS said it had observed cases of severe complications, including blepharoptosis (eyelid drooping), supraorbital neuropathy (forehead and scalp numbness), and infections among patients who availed of injectable treatments from unqualified professionals.

Among the severe and irreversible complications of filler injections are blindness and skin necrosis—or when cells in the skin tissues die, causing the skin to turn black and rot.

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“Injectable treatments require extensive medical training to ensure proper administration, minimize risks, and manage potential complications. Nondoctor practitioners lack the necessary expertise in facial anatomy, injection techniques and emergency response—putting patients at risk,” the PDS said.

Performing injectable treatments on patients without a medical license is considered illegal practice of medicine, which is punishable under Republic Act No. 2382, or the Medical Act of 1959.

When getting dermal fillers, the PDS advised the public to ensure that the doctor is a board-certified dermatologist or licensed medical doctor trained in cosmetic dermatology.

They should also go only to reputable medical clinics, and avoid home-based or non-medical settings for procedures.

Botox and dermal fillers are injections that plump up wrinkles and smooth lines on the face. These are usually injected in the areas around the eyes, mouth and nose.

The Food and Drug Administration (FDA) regulates dermal fillers as medical devices, while Botox is considered a prescription drug.

As reported in clinical trials, the effects of most FDA-approved dermal fillers are temporary because these are made from materials that the body eventually breaks down and absorbs, including hyaluronic acid, calcium hydroxylapatite and poly-L-lactic acid.

Botox, on the other hand, is a purified form of the botulinum toxin that is obtained from bacteria.