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Botulism cases linked to unlicensed toxin treatments trigger criminal inquiry

The Medicines and Healthcare products Regulatory Agency (MHRA) has launched several criminal investigations following a ‘spike’ in hospital admissions believed to be linked to the use of unlicensed botulinum toxin products in cosmetic procedures.

Between June 4 and August 6, 2025, 41 confirmed cases of botulism were reported across several regions in England, including the North East, East Midlands, East of England, North West, and Yorkshire and Humber.

Botulism symptoms can take up to four weeks to develop and may include difficulty swallowing, slurred speech and breathing difficulty. In severe cases, patients may require mechanical ventilation and intensive care treatment.

According to the MHRA’s Criminal Enforcement Unit, some sellers and practitioners – often untrained – are obtaining unlicensed botulinum toxin products illegally and administering them in informal, unregulated settings such as domestic bedrooms and kitchens, hair salons, and through mobile beauty services.

The MHRA warned that anyone caught selling or supplying unlicensed botulinum toxin faces up to two years in prison and unlimited fines under the Human Medicines Regulations 2012.

New Government campaign partners with TikTok to warn consumers about risks of cosmetic tourism

The UK Government has launched a new online campaign with TikTok that aims to give consumers reliable advice before travelling overseas for cosmetic or medical treatments.

The move comes amid growing concern about the number of patients returning to the UK with serious complications from procedures such as hair transplants, dental work and non-surgical “tweakments” carried out abroad – often promoted through social media marketing.

The partnership will see TikTok work with medical influencers including Midwife Marley and Doc Tally to produce videos explaining the risks, what research to do before booking, and how to reduce the chances of complications.

The Government said the goal is to challenge glossy social media marketing that often fails to warn of the dangers, urging people to consider clinical standards, complication risks and potential language barriers before committing to surgery overseas.

The Foreign, Commonwealth & Development Office (FCDO) has also updated its travel advice pages with detailed guidance for those seeking cosmetic surgery or aesthetic treatments abroad.

The TikTok campaign is part of the Government’s wider plan to improve safety in the aesthetics industry and reduce the number of patients returning to the UK needing NHS care for botched treatments.

MHRA launches online service to combat counterfeit products

The Medicines and Healthcare products Regulatory Agency (MHRA), the UK’s regulator of medicines and medical devices, has introduced two new online services to combat the illegal sale of medicines, as concerns around counterfeit products grow in the aesthetic sector.

The service comes after the news of rising reports of botulism caused by unlicensed ‘Botox-like’ or fake products.

The ‘Not Recommended List’ provides a simple way to directly check whether a website has been deemed unsafe by the MHRA. The list is regularly updated to allow individuals to check whether services are scams or known to sell medicines illegally.

‘The Reporting Tool’ allows anyone to report a website or online seller that they think is offering medicines or medical devices illegally.

The service on the UK Government website functions as a questionnaire to report any suspicions and evidence, to create a report.

Study reveals that millennials are the most likely to get botulinum toxin

Research has revealed the age groups most likely to get botulinum toxin, and surprisingly, Gen-Z failed to make any of the top spots, despite perceptions that they are one of the most interested age groups in having injectables. Millennials and older adults made the most botulinum toxin bookings.

Experts at the Harley Street Skin Clinic have compiled the ‘UK Botox Report’, compiling internal booking data to reveal several findings about botulinum toxin usage in the UK.

The research revealed that millennials and older adults are leading the botulinum toxin boom, with one in five botulinum toxin bookings made by people aged between 35 and 39. 40 - 44 year olds were the age group that made the second most bookings followed by 45 - 49 year olds.

Experts warn incorrectly stored botulinum toxin may fail CPSA standards

Following the Government announcement of new regulations for aesthetic and non-invasive procedures, experts are expressing concerns about the lack of awareness surrounding the proper storage of botulinum toxin.

“There is a widespread lack of awareness about how to handle and store botulinum toxin products, particularly among smaller clinics and salons,” said Lec Medical refrigeration specialist James Hebblethwaite.

The Department of Health and Social Care’s formal consultation response, published on August 7, 2025, confirms a licensing scheme for lower-risk procedures such as toxin and fillers, informed by professional standards and bodies like the Joint Council for Cosmetic Practitioners (JCCP) enforced locally. Providers that cannot evidence safe storage and governance may not meet licensing conditions.

Dr. Patrick Treacy Honoured with World Regenerative Medicine Innovation Award

The global regenerative medicine community gathered at King’s College, Cambridge, on Thursday, August 28, for the prestigious World Scientific Conference, where Dr Patrick Treacy was awarded the World Regenerative Medicine Innovation Award.

This accolade celebrates his groundbreaking contributions, particularly his development of non-surgical hair growth techniques using platelet-rich plasma (PRP) and stem cells.

The conference brought together leading researchers, clinicians, and thought leaders to explore the latest advancements in regenerative medicine and Dr Treacy delivered a highly anticipated presentation on Secretomes and how they differ from exosomes.

The highlight of the event was the presentation of the World Regenerative Medicine Innovation Award to Dr. Treacy, recognising his earlier innovative work in non-surgical hair restoration.

“This award is a testament to the power of innovative science and collaboration. I’m honoured to share these advancements with the world’s leading minds and look forward to furthering research that transforms lives,” stated Dr Treacy.

New resource dedicated to raising the standard of menopause care

The Menopause Network is launching a dedicated resource for healthcare professionals committed to raising the standard of menopause and midlife care across the UK.

Patients can use The Menopause Network to search for trusted clinicians, connect with experts, and find medical professionals in their area.

The network aims to provide clinicians with a platform to enhance their expertise, improve patient outcomes, and join a national movement reshaping the way menopause is supported in modern medicine.

It provides professionals with the information they need to confidently address core menopause symptoms.

Professionals can stay up to date with the latest research and guidelines, and connect with peers nationwide, and improve patient outcomes by providing tailored care that enhances quality of life, boosts patient confidence, and fosters satisfaction.

New research reveals patient motivations behind cosmetic surgery

New research by members of the British Association of Aesthetic Plastic Surgeons suggests that patients undergoing aesthetic plastic surgery are motivated by more than just aesthetics.

Recent studies published in the Aesthetic Surgery Journal highlight that certain procedures are increasingly linked to improved psychological well-being, relief of physical symptoms, and enhanced quality of life.

The studies show that the reasons behind breast reduction surgery often go beyond cosmetic improvements, with patients frequently reporting pain relief, improved posture, and improvement in daily life.

Body contouring is a popular procedure following weight loss. Surgery can alleviate skin irritation and mobility limitations, whilst improving self-esteem and mental health.

“Patients consistently describe improvements in mental well-being, physical comfort, and quality of life, outcomes that should be recognised as legitimate health benefits,” noted psychologist Lucy Kozłowski.

“This research aims to inform surgeons and their patients about the genuine health benefits of aesthetic plastic surgery. Many patients struggle with embarrassment or self-consciousness during consultations, which can hinder them from recognising the full advantages of seeking professional guidance,” shared the president of BAAPS and contributing author, Nora Nugent.

NEWS IN BRIEF

BCAM appoints Dr Sophie Shotter as president

Dr Catherine Fairris has stepped down as president of the BCAM, proudly handing the presidency over to Dr Sophie Shotter.

Dr Sophie Shotter brings a wealth of clinical expertise, a proven track record in education, and a commitment to promoting the best practice in aesthetic medicine.

Gill Pharmaceuticals Wins “Best New Pharmaceutical Aesthetics Product 2025” for ICONA H8 at the Welsh Enterprise Awards

The bio-revitaliser and skinbooster ICONA H8, has been awarded with the title of “Best New Pharmaceutical Aesthetics Product 2025.”

The Welsh Enterprise Awards celebrate businesses and innovators who are driving progress across multiple sectors in Wales and beyond. Gill Pharmaceuticals was selected as the winner of this award, highlighting ICONA H8’s impact on the aesthetics industry as a safe, effective, and innovative treatment.

Royal College of Surgeons of Edinburgh announces new Vice Presidents

The Royal College of Surgeons of Edinburgh has announced the appointment of its four incoming Vice Presidents following an election process.

Professor Robin Paton, Professor Angus Watson, Professor Phil Turner, and Miss Anna Paisley will assume their roles as Vice Presidents on 14 November 2025.

Arthrex launches into the UK aesthetics market with premium regenerative PRP and PRF systems

Arthrex, a global leader in PRP and PRF systems, has officially launched in the UK. With a long-standing reputation of 10 years in aesthetic medicine, dermatology, and plastic surgery, Arthrex systems are globally renowned.

This article appears in October 2025

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This article appears in...
October 2025
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DEAR READERS
October is our Body Issue, so who better
MEET THE EXPERTS
The Aesthetic Medicine editorial board’s clinical expertise and diverse range of specialities help ensure the magazine meets the needs of the readers. In this issue, we have received guidance from the following members:
HOT OFF THE PRESS
Botulism cases linked to unlicensed toxin treatments trigger
OUT & ABOUT
SKINCEUTICALS MASTER PHYSICIAN EVENT Renaissance Hotel, King’s
EXOSOMES AND Bio-Pulsing Technology
A Scientific Framework for Advancing Regenerative Aesthetics
Mounjaro MARKUP
Editorial assistant Connie Cooper spoke to our experts about how the price increase of weight loss drug Mounjaro will impact patient accessibility and safety
Online with DR FAB
From NHS frontline to digital dermatology: Dr Kemi Fabusiwa discusses her journey into entrepreneurship with Kezia Parkins…
Ozempic body: MANAGING THE AESTHETIC CHALLENGES OF RAPID WEIGHT LOSS
With weight loss drugs on the rise, patients are increasingly seeking aesthetic support for the skin laxity and volume loss that follow rapid fat reduction. Ellen Cummings explores some of the options
Case study: INTEGRATING LED PHOTOTHERAPY INTO POST-OPERATIVE TREATMENT RECOVERY
In this case study, Dr Nina Bal integrates the Dermalux Tri-Wave MD into her post-recovery treatment plan following VASER liposuction.
PLATELET-BASED Regenerationeration
Dr Edward Robinson shares his experience with ACP liquid PRF and why he feels it is the future of platelet-based treatments
Botulism’s TOXIC RISK
The rising number of botulism cases in the UK over the summer has sparked concerns around counterfeit botulinum toxin products, safety standards, and UK regulation.
The Princess and the PRP
Regenerative expert, nurse Claudia McGloin looks at the best way to administer PRP: cannula vs. needle
OZEMPIC Vulva
‘Ozempic Vulva’ is trending, but is it a thing? Kezia Parkins asks the experts
PCOS IN BLACK WOMEN: the overlooked realities in beauty and health
Dr Amina Hersi , GP and founder of Polybiotics, takes a look at how PCOS affects Black women differently and the systemic barriers and bias that exacerbate symptoms
Breaking BIAS
Dr Itunu Johnson-Sogbetun discusses culturally competent practice and the need to reshape what fair, dignified care looks like for Black and Brown women at every stage life.
A weighty ISSUE
Our WIAM board discusses body image, the rise of weight loss medications and whether there’s pressure on aesthetic practitioners to conform to certain body types
REDEFINING Success IN AESTHETICS
Independent nurse prescriber, Julie Scott beleives it is time to look at how we are defining success in our aesthetic practice…
Bird’s THE WORD
Social media in aesthetics: Professionalism, patient safety, and the standards we cannot ignore
PREPARE AND thrive
Lisa Kelly shares how to market your clinic, maximise earnings towards the end of the year and drive sales towards the beginning of 2026, so your business can flourish
PERFORMANCE BEAUTY
REDEFINING AESTHETICS THROUGH
High-tech facials... BESPOKE COMBINATION FACIAL
Kezia Parkins experienced a bespoke mixed-tech facial with award-winning skin specialist Smita Ahluwalia in her serene garden clinic, Smita London.
CELLSTORY LIQUID MICRONEEDLING
Former editor, Anna Dobbie visits Anel Lamine to try the much-hyped bio-microneedling facial from Cellstory
PRODUCT NEWS
Murad The new Murad Retinal Resculpt Overnight Cream
THE FUTURE PROOF CLINIC: MARKETING INNOVATIONS EVERY CLINIC NEEDS TO KNOW
Joel Stone, best-selling author and founder of international marketing agency Codebreak, shares insights on the future of aesthetics marketing and explores the differences between the clinics that thrive and those that survive.
SKIN & Beyond
Nurse and founder of Tan&Co, Teresa Tan, shares her journey from the hospital ward to running her own unique aesthetic clinic
5 Black aesthetic experts to follow
Looking for inspiring doctors? Check out these five black aesthetic experts who are redefining the industry
ASK Alex
ALEX BUGG Alex Bugg works for Web Marketing
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