Forum: All medical procedures, including injectable treatments, carry risks

We refer to the article “More younger Singaporeans are getting Botox and collagen shots. How effective and safe are they?” (June 9).

In the field of aesthetic medicine, there is a broad spectrum of treatment modalities available. While procedures such as Botox and injectables are increasingly popular and effective, relying solely on them may limit optimal outcomes.

In patients whose aesthetic goals cannot be realistically achieved with injectables alone, excessive or repeated use may not only lead to suboptimal outcomes, but also increase the risk of complications.

Recognising when alternative or adjunctive surgical treatment modalities are more appropriate is essential to ensure both treatment efficacy and patient safety.

A balanced approach that considers both non-invasive and surgical options, when appropriate, is key to achieving safe, comprehensive and lasting results.

A common misconception is that injectable treatments are inherently safe simply because they are less invasive and offer temporary results. Although they are generally safe when performed by trained professionals, all medical procedures carry risks.

In rare but severe cases, complications such as blindness have been reported locally.

Additionally, some temporary injectable products may lead to delayed complications such as granulomas, or firm nodules under the skin, which can require medical or surgical management.

We advocate a holistic and balanced approach to aesthetic care, which emphasises long-term, natural outcomes and places the individual needs and safety of each patient at the core of all treatment decisions. 

Assoc Prof Ong Yee Siang
President 
Singapore Association of Plastic Surgeons

Dr Jonah Kua Ee Hsiang
President
Singapore Society of Cosmetic (Aesthetic) Surgeons

Clin Asst Prof Jeremy Sun Mingfa
Chairman
Chapter of Plastic Reconstructive and Aesthetic Surgeons, College of Surgeons, Singapore