Is your injector quietly ruining your face?

The med spa industry is a $19 billion market in the United States alone — and it is almost entirely unregulated at the federal level. There is no single governing body overseeing who is holding a syringe in the procedure room. Rules vary wildly by state, enforcement is inconsistent, and patients routinely walk in without any idea who is actually qualified to touch their face — or whether the product in that syringe is even real.In this episode, Dr. Chris Lee is joined by Jenna Gomez — patient coordinator at Clareo Aesthetics, trusted colleague, and the person who talks to patients every single day about what they've had done, what went wrong, and what they wish they'd known. Together they break down who is legally allowed to inject, what a weekend certification course actually teaches (and doesn't), how to tell a legitimate practice from a liability waiting to happen, and what Jenna sees patients consistently getting wrong before they ever walk through the door.There's also a local angle that hits close to home: in late 2025, a Massachusetts man pleaded guilty to injecting patients with unapproved botulinum toxin at his Milton med spa, leading to ten documented botulism cases. This isn't a Florida problem. It's a right-here, right-now problem.