Both Sharma and Naik agree that Botox — the biggest fad in cosmetic procedures — is also “the biggest fraud”. The injectible contains bacteria that paralyses muscles on being injected into the skin, giving a ‘youthful’ wrinkle-free appearance. But because the effect of Botox is temporary, regular touch-ups are essential. “In the case of frequent use, the damage to the muscles may force a patient to undergo a face-lift at an early age. This scam allows for doctors and dermatologists to set themselves up for a steady income from their patients.” warns Sharma.