J Drugs Dermatol
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Although the injection of Botox Cosmetic for the treatment of dynamic rhytids is safe and effective, there is a potential risk for foreign body embolization. This case report documents the presence of a rubber particle in the reconstituted Botox product. ⋯ Alternatively, alteration of the manufacturing process for the bottle cap may reduce the risk of coring a piece of the cap during reconstitution. Injectors should be aware of this risk and visually inspect Botox prior to injection.