How to know your Botox is original.

The box, the hologram, the fridge, the dilution in front of you, and the number of units. Five things to ask to see, and why Botox that "wears off fast" was usually diluted.

Safety · 3 min · Dr. Sara El Hamawy · October 2026

Botox is diluted with saline before injection, which makes it the easiest thing to cheat on: the same vial can yield 50 units or 150 "units". These are the things to ask to see.

1. The box and hologram

Botox (Allergan), Dysport, Xeomin: each carries a hologram, seal and batch number. The box is opened in front of you, not brought in open from another room.

2. The fridge

Botox is refrigerated from factory to clinic. A vial left out since morning, or carried in a bag without cooling, has weakened.

3. Dilution in front of you

The doctor adds a known amount of saline to the vial while you watch. A pre-filled syringe from elsewhere tells you nothing about the units in it.

4. Units written down

At Injection Studio the units per area are recorded in your file and visible in the app. "A full dose" without a number is not an answer.

5. Duration

Original Botox at the right dose lasts three to four months. If it fades after five or six weeks every time, the dose was most likely diluted, not "your fast metabolism".

Quick answers

How much does original Botox cost?

We do not publish prices, but the price of an original vial is known and varies little between clinics. Ask how an offer at under half is possible.

Is Dysport weaker than Botox?

No, the units are counted differently (about 3 Dysport units ≈ 1 Botox unit). Both are original, registered products.

Can I ask to see the box?

Yes, and you should. A clinic that is bothered by the question is the one with something to hide.

Related treatments

This guide is general information, not medical advice; your treatment is decided at your consultation with Dr. Sara El Hamawy.

Injection Studio · Smouha, Alexandria

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