Recently a man in New York was charged with using fake Botox and his clients got sick. He was trying to save money by purchasing it from China on the internet. Medical spas are supposed to only purchase products that their medical directors approve of. These products are from companies who make their products in first world countries where the standards are higher. If you would like more information call or email anytime 519-542-0079 or karen.callies5@gmail.com