Police are investigating a dodgy dentist over claims she deformed the faces of at least 18 of her patients to make more money.
The Brazilian surgeon's alleged rogue procedures had devastating consequences including lost jobs, marriage breakup and ultimately depression.
Investigators believe Giselle de Souza Gome injected her patients with a cheaper substance instead of approved dermal fillers.
Police have seized money, mobile phones and materials as they probe the claims.
The victims' lawyer Andrea Paes claims some of the women are no longer able to brush their teeth due to the pain.
Others lost their jobs or got divorced because of their deformed faces and the subsequent depression they suffered, he told.
Victim Lana Vellascos, who was diagnosed with depression after she developed an infection from her lip fillers, told local media: "It was very difficult. I suffered a lot. I spent almost four months locked indoors. I couldn't see anyone."
Another victim, Camilla Carvalho, was left with a deformed mouth after developing painful lumps following a procedure, and she reportedly nearly lost the tip of her nose in another procedure performed by Gomes.
According to investigators, the substance the dentist used was legal but not recommended for facial harmonisation procedures.
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Police officer Nathalia Patrao told local media: "She offered the victims profile harmonisation, saying she would use hyaluronic acid, which is an absorbable and temporary product, and she actually used PMMA, which is a non-absorbable and permanent substance, which can only be removed with plastic surgery."
According to Patrao, the substance gave the dentist a higher profit margin.
She explained: "Where she would spend about BRL 250 to 300 (around £40) – using the correct substance, with the irregular one she would spend from BRL 10 to 20 (£1-£3.)
The dentist's lawyer, Eduardo Ferraz, has denied any wrongdoing on the part of his client, who he claimed was authorised to carry out the procedures.
However, the materials seized from Gomes by the police included expired products unauthorised by the Brazilian Health Regulatory Agency that were purchased from South Korea.
Officers also seized over 1,000 patient records, approximately BRL 68,000 – almost £10,000 – in cash from a safe, a number of cheques and two mobile phones from the two addresses, one of which is the dentist's home address.
A number of precautionary measures have been taken out against the suspect, such as the seizure of her passport. However, she has not been placed in preventive detention.
She will answer to charges of personal injury, embezzlement and illegal practice of dentistry, and her victims intend to claim compensation for damages caused.
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