I think any board-certified dermatologist or physician in other specialties would be very ethical and use the real Botox. It is not legal to use the veterinary Botox that we all heard about in Florida causing some severe problems. So you can ask the physician what kind of Botox do you use, you can look at the vial when they draw it up. So if you are not sure about that physician, if it seems a little shady, I would not get Botox in that office.