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A Journal on Forensic Medicine




Minerva Medicolegale 2010 March;130(1):7-17

language: Italian

Open matters in esthetic treatments. Legal medicine controversy

Vasapollo D., Montanari E.

1 Sezione di Medicina legale, Dipartimento di Medicina e Sanità pubblica, Università di Bologna, Bologna, Italia
2 Specialista in Medicina Legale


The authors deal with some important issues on esthetic medicine, with particular reference to media implication after treatment of beauty flaw (peeling, use of dermal filler, botox and mesotherapy). They relate, in detail, about the sentence of the Regional Tribunal issued on 2006 June 14, N. 4593. The Administrative Law Judge stated that botox infiltration, for esthetic purposes, cannot be made by estheticians or medical attendants (or other medical health staff) without being MD. This kind of treatment can be made, anyway, by a general doctor, since there is no reason for which only a specialist is allowed to administer a drug, in low dose and for improving glabellar wrinkle. The authors focus on “off-label” treatment and recall jurisprudence on this specific argument; moreover, they underline the relevant matter on medical cure/therapy choice on behalf of doctors.

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