Doc, What Are All the Difference Between Chinese B-tex and USA Botox?

It is no joke that botulinum toxin A is a deadly poison.  It is rigorous quality assurance practices that makes these products safe for clinical use.  Allergan carefully tests and standardizes BOTOX.  This means that a clinician picking up vial of BOTOX can draw up a certain number of units of BOTOX and know that this will be precisely what is in the syringe each and every time.  Think you can say that about that vial of botulinum toxin A that someone has illegally smuggled into the United States?  No you can't.

I would not trust any Botox like product other than the real thing.  There have been cases where patients have ended up with Botulism from non regulated sources.  Too risky to even try.