Janelle and Rebekah talk about the darker side of the med spa industry from the patient and consumer perspective. The goal is not to scare people away from medical aesthetics, but to help them understand what is normal, what is concerning, and what questions they should ask before trusting someone with their face, body, or money.

They start with one of the most common patient concerns: Botox dilution. Seeing a provider add liquid to Botox is not automatically a red flag. Botox comes in powder form and has to be reconstituted before it can be injected. The real concern is not that Botox is being mixed. The concern is where the product came from, how it was stored, whether it is expired, and whether it was purchased through the proper channels.

Pricing is another major warning sign. A temporary promotion is one thing. But if most clinics charge within a certain range and one place offers injectables at a dramatically lower everyday price, patients should pause. Extremely cheap Botox or filler can raise bigger questions around sourcing, expiration dates, storage, and safety.

Janelle and Rebekah also talk about professional skincare, expired retail products, open syringes, treatment room cleanliness, and why a med spa should never feel like a place where pricing is being negotiated on the spot. Consistency, transparency, and integrity matter.

Most med spas and injectors are doing things the right way. But patients should still know what to look for, what to question, and when to walk away.