SEATTLE -- Three people have been indicted in a crackdown on unlicensed cosmetic surgery practices in Western Washington.

Xin "Faith" He of Issaquah, as well as Toan Le and Hang Ho, both of Burien, appeared in court on Tuesday.

Defendant He, 46, is accused of using counterfeit Botox and Restylane on her customers at her salon, Natural Beauty at 11004 Northeast 11th Street in Bellevue.

He is a licensed esthetician and manicurist, but is not licensed to use injectable treatments for wrinkle removal, investigators said.

The defendant was first indicted in 2004 after allegedly injecting counterfeit Restylane into the face of a Snohomish woman whose face became so inflamed that she required medical treatment from a dermatologist.

The substance, which He had claimed was Restylane, came from a vial with a Chinese label. Following an investigation, the state Department of Health served He with a cease and desist order in July 2006.

But in April 2008, He was allegedly injecting patients at the Bellevue salon once again.

A Bothell woman required treatment by a plastic surgeon after sustaining permanent scarring and hardening following Restylane treatments at He's salon.

The woman told investigators He injected a substance purported to be Restylane into her forehead, cheeks, chin an areas near her nose -- a procedure that cost approximately $7,700. He had told her she had been administering the procedure for some 15 years, and that she had been a nurse in China, the woman said.

Investigators served a search warrant at the Natural Beauty salon and obtained numerous vials of injectable substances labeled in Chinese. Investigators have not identified the drugs, but said they're certain they are not FDA-approved.

Federal officials believe there may be additional victims in the case. The investigation is ongoing.

Investigators: Burien couple imported radioactive device

A federal grand jury has charged Le, 51, and Ho, 41, of conspiracy to bribe a public official.

Le is an owner of the Crystal Nails Beauty Salon in Burien, and his wife, Ho, is listed as an employee. Investigators said the pair last month attempted to import medical devices that have not been approved by the FDA, including a laser-type skin treatment device that emits unknown levels of radiation.

When an FDA consumer safety officer inspected the salon, the two offered the officer hundreds of dollars to allow them to keep the device.

According to the indictment, Ho, on July 2, told the FDA officer, "If you release everything, I will give you $500."

Then on July 9, Ho repeatedly told the same officer that her husband would "give the money that I put in an envelope ahead of times; five hundred dollars, you can take and spend it," the document said.

Five days later, Le told the officer that "we will give you a present," and said he would deliver an envelope containing $800 to the officer, investigators said.

If convicted, He could face up to three years in prison and a $10,000 fine. Le and Ho could face a $250,000 fine and up to 15 years in prison.