Botox Injections (For Beautification)

[ummtaalib]

Question:

 

I am a general practitioner in UK . My question is it permissible to practice give Botox injections, facial peels,
dermabrasions. Mostly done for patients to look younger and good looks. I am mainly thinking of doing it for earning extra money {being honest} I would like to know If its allowed or not.
 

What would be the answer if the need is for medicational use.
 

Answer:

 

In the Name of Allah, the Most Gracious, the Most Merciful.

 

As-salāmu ‘alaykum wa-rahmatullāhi wa-barakātuh.

 

Botox (Botulinum Toxin Type A) is by nature a poisonous toxin. It has been approved by FDA in US for specific medicinal use, however it has gained more popularity in the cosmetic surgeries. [1]

 

Botox serum uses enzymes from pig’s milk
in its initial stage which is later on purified through industrial
process. [2] Although the serum may be clinically categorized void of these
enzymes in its final product form, it will still be considered an impure substance according to
Shariah.

 

Moreover, Botox has been clinically classified as a lethal toxin which if consumed in larger quantities can have devastating effects. Even in the lower medicinal usage, it is not free from some side effects. In some cases it may lead to problems in swallowing, speaking, or breathing, all-over muscle weakness, double vision, blurred vision and drooping eyelids, hoarseness or change or loss of voice (dysphonia), trouble saying words clearly (dysarthria), loss of bladder control, trouble breathing.[3] While these may be isolated conditions, they are sufficient enough for the FDA (Food and Drug Administration) to issue caution against Botox usage.[4]

 

It was perhaps this vital information which pushed many Ulama, locally in South Africa, as well as internationally
(Malaysia) to rule against Botox. [5]

 

While many people have used Botox for beauty treatments it has been equally popular in the medical field. Since Botox is essentially a toxin with the ability to weaken or dampen the response in muscles, it has been targeted by many doctors as a temporary relief medication for illnesses due to spasmodic muscles. Some of the practical medical uses for Botox in practice are treatment for inflammation in specific areas, controlling bleeding after intramuscular injection, excessive weakness or wasting in the muscle, swallowing difficulties (dysphagia) or liquid accidentally going into the lungs (aspiration), chronic breathing problems, Diseases or conditions affecting the nervous system, seizures like epilepsy, closed angle glaucoma(eye disease) etc.[6]

 

The medicinal usage is still not void of the potential harmful side effects that could emerge from using this serum, hence, Shariah affords a balanced approach towards its usage. The rules of Shariah are more relaxed in the case of medical need and necessity. However such relaxation is also governed closely by rules. In principle:

 

Necessity renders the restrictions permissible[7]

 

and

 

Necessity warrants (permissibility of the restricted) to the extent of (one’s) necessity.[8]

 

Hence, the use of an impure Botox serum will become permissible for medicinal use only if,

 

2. The experts of the field opine the need for such a medicine[9]
3. 
   
4. There is no halal alternative available

 

As a doctor one will be responsible in providing a permissible or impermissible service to the consumer. If there is a suitable alternative for skin care treatments then that avenue should be adopted.

 

It is not permissible to use an impure substance to beautify one self. Since Botox is impure because of the use
enzymes from pig’s milk it will be impermissible to use it for purely beatification purposes.

 

Facial Peels and dermabrasions or other cosmetic procedures.

 

Facial peels and dermabrasions are skincare procedures which use various techniques like exfoliation of upper layers of skin to rejuvenate a healthier and smoother skin. These procedures are permissible provided that,
 

1. i. The creams or lotions used do not contain impure or
   impermissible substance;
3. ii. The procedure does not aim at changing the physical features.[10]
4. 
   
5. 
   
6. iii. The procedure is not harmful to one’s health.

 

At the same time, we also caution that venturing into the skincare procedures should not compromise the general Shar῾ī work ethos (i.e. unnecessary gender interaction etc).

 

And Allah Ta’āla Knows Best

 

Mawlana Faisal bin Abdul Hameed
Student, Darul Iftaa Canada

 

Checked and Approved by,
Mufti Ebrahim Desai.
www.daruliftaa.net

http://fatwa.ca/apparel-and-adornment/botox-injections/

 

[1]“FDA has approved
Biologic License Applications (BLAs) for two botulinum toxin type A products
(Botox/Botox Cosmetic and Dysport) for clinical use…” Re:
Docket No. FDA-2008-P-0061

[2] Muslim
Council bans Botox, January 15 2008 accessed Nov. 23 2011.

[3] http://www.botox.com/ accessed Nov. 23,
2011

[4] FDA
Notifies Public of Adverse Reactions Linked to Botox Use accessed Nov. 23,
2011

[5] Muslim
Council bans Botox, January 15 2008 accessed Nov. 23 2011. ; Malaysian
Muslims told not to use Botox, July 18 2006 accessed Nov. 30 2011;

[6] http://www.netdoctor.co.uk/medicines/100000363.html accessed
Dec. 01 2011.

[7] ففي الأشباه والنظائر لابن نجيم (ص: 73)
الضَّرُورَاتُ تُبِيحُ الْمَحْظُورَاتِ

[8] ففى المرجع السابق : مَا أُبِيحَ لِلضَّرُورَةِ يُقَدَّرُ
بِقَدْرِهَ

[9] ففى الدر المختار وحاشية ابن عابدين (رد
المحتار) (1/ 210) (قَوْلُهُ اُخْتُلِفَ فِي التَّدَاوِي بِالْمُحَرَّمِ) فَفِي
النِّهَايَةِ عَنْ الذَّخِيرَةِ يَجُوزُ إنْ عَلِمَ فِيهِ شِفَاءً وَلَمْ يَعْلَمْ
دَوَاءً آخَرَ

[10] The prohibition excludes corrective procedures to rectify abnormalities. More information on
this can be read in Fatwa #19172

 

[Bint e Aisha]

Botox treatment

 

Answered by Molana Muhammad Adnan

Question:

I am a dermatologist. My question is regarding temporary facial injections under the skin(hyaluronic fillers and botox) that diminish lines and wrinkles and last for 3-6 months after which the skin returns to pre-treatment state. Women who are psychologically distressed about the wrinkles that come with aging seek these treatments. Is the money earned by providing these treatments haram?

Answer:

Islamically, we are encouraged to beautify ourselves for our spouses. There are many ways of doing this, some being permissible and some being impermissible. Botox itself would come under the category of permissible as it does not fulfil the conditions to come under the category of impermissible. The Hanafi’s follow an integral principle of “the actuality of everything is permissibility”(Tafeesaat Ahmaddiyyah, Surah Baqarah). So on the basis of this principle it will be permissible. However, there are many risks and side-effects attached to Botox so it should be avoided on medical grounds, a quick google search will show vast amounts of articles written by medical experts outlining the risks and side-effects. In conclusion, of itself botox is permitted but it should be avoided and discouraged on medical and health grounds.

In regards to money earned from botox and other permitted procedures, it will be permissible.

Written by Molana Muhammad Adnan

Checked and approved by Mufti Mohammed Tosir Miah

Darul Ifta Birmingham

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