Botox causes muscles to contract less forcefully, so that wrinkles that occur during, for example frowning, will decrease. Fillers give volume. For example, they can make a wrinkle or crease less deep or a cheek slightly fuller.
Indicate which effect you wish to achieve. I will advise you on the choice between botox and / or filler. I make the choice between the different fillers according to your wishes. The hyaluronic acid fillers are classified according to their viscosity. The firm, viscous products are injected deep into the skin to give volume, the thinner products are superficially injected to eliminate finer lines.
Botox has been used in medicine for more than twenty years. Many studies have been done on long and short term effects of botox. The quantities we use within our field do not pose a threat.
There has been no study of the safety of using botox and fillers during pregnancy. Therefore, it is not recommended. However, there are no indications that the use of botox or hyaluronic acid fillers is dangerous during pregnancy.
No. Once injectables (fillers and botox) have been worked out, you will return to your initial situation. The use of botox does not make a wrinkle after development stronger.
No. Permanent fillers such as silicone oil, ISP and aquamid are not recommended. They can give problems in the long term, such as infection and encapsulation. This is because the body is foreign material. Moreover, a certain filling after a few years may no longer be the desirable form. Our face has changed over the years, and a permanent filling remains the same. This may become unnatural in the course of time. For example: when a woman at 40 years of age increases her lips with a permanent filler, she probably has too full lips for her appearance at the age of 50. The Dutch Society for Plastic Surgery has issued a guideline in which it strongly advises against the use of permanent fillers for cosmetic purposes. The Health Care Inspectorate (IGZ) checks where appropriate and acts if necessary.
Important to know: which medicines you use, whether you have a certain condition, whether you are allergic to something, or if you have used permanent fillers. If you come for facial aging, it is a good idea to take a picture of a few years back (not more than 10 years ago).
Getting bruises depends on many factors. Firstly: some people get bruises faster than other people. Second, the way of pricking. By using ice packs during treatment and using a cannula for injection as needed, the doctor can reduce the chance of a bruise. Third, you can take some measures yourself. Take care that you do not take blood thinning pietillers such as aspirin and ibuprofen a few days before a treatment. Paracetamol can still be used. You can also use the homeopathic ‘Arnica’. Drugstores and pharmacies sell this in droplet and pill form. Still suffering from bruises? Consult with your doctor if there are more measures to be taken.
As with any injection, a bruise or painful spot may develop at the site of the injection for several days. Because the Botox ® product is a protein, there is a small chance that vague flu-like symptoms (headache, fatigue, mild fever, swelling of the face, dizziness, skin rash, muscle pain, …) occur. However, these disappear spontaneously within a few days. A slightly depending eyelid is very rarely reported. This disappears after 1 to 3 months. An infection is only extremely rare. Rarely, asymmetry arises in the mimic. This disappears after a few months, and can in most cases be corrected. These effects are very occasional, and never give problems in the long term. Talk to your doctor if such side effects become annoying or if you notice any other side effects that you think might have been caused by the treatment.
Before proceeding with treatment, we always ask customers to complete a number of forms. You can download these forms here in preparation for an appointment. During the appointment you will be asked to read and sign the relevant forms. Of course, these forms are always available at the location of the practice.
Form for medical data
For a treatment we also need information from you. For example, it is important to be informed about your medical history, possible allergies and medication use. In order to be able to anticipate possible risks of the treatment. In some cases, medical treatment may or may not be dispensed with for a limited period of time. For this reason we also ask you to fill in a so-called anamnesis form with the relevant medical information: Anamnesis form (PDF)
The Act on the Medical Treatment Agreement (WGBO) has been in effect since 1995. The starting point is that the physician provides the consumer with the information that is necessary to be able to make decisions about his or her own health in a responsible manner. This means that the physician must clearly inform the consumer about the nature and purpose of the examination or treatment, the risks and any alternatives. The consent of the patient is required for every medical treatment. Without this permission (informed consent) the care provider can not start or continue treatment.