Indeed. Also the picture is showing fillers or silicone. Botox is mostly harmless as it is gradually removed by the body. It paralyses muscles, which is why actors who use it can’t emote, but it does not cause the stung-by-a-bee look.
It is often used for migraines, neurological - muscular conditions, and for delicate surgery where you need a muscle to remain paralysed while it heals or during surgery.
They are working on an European alternative. Wero is just one backed project. The “digital euro” is what they are working on as an alternative. Though no idea how far that is.