Over the past few years, the use of resorbable, non-resorbable or partially non-resorbable, dermal or sub-dermal injectable fillers (to be referred to as fillers from now on) has increased for the correction of wrinkles and subcutaneous defects. Additionally, there are an increasing number of types of fillers available. The Nederlandse Vereniging voor Plastische Chirurgie (Dutch Society for Plastic Surgery) believes that restraint is needed in the use of (semi-)permanent fillers.
The Blooming plastic surgeons support this because they frequently deal with patients from all over the Netherlands, and even Germany, who require treatment due to complications arising from plastic surgery using these non-resorbable fillers. It should be noted that often these patients have not been treated by plastic surgeons, but by paramedics and general physicians, who call themselves a “cosmetic” physicians. Like the NVPC, we believe that the final responsibility for each application of a filler used for the correction of wrinkles or congenital or acquired defects, or any other related applications, should lie with a plastic surgeon who is, after all, fully-qualified to oversee the range of alternative treatments for wrinkles and defects, as well as the whole range of possible treatments concerning complications associated with fillers.
The advice from the Blooming plastic surgeons is to fill wrinkles or create volume in the face using resorbable hyaluronic acid, such as Esthelis® or Restylane®, and lipofilling using fat cells from the patients’ own body.
Our plastic surgeons have a great deal of expertise with wrinkle treatments involving injections (hyaluronic acid, botox and lipofilling), mostly in the face and hands.
Some citations originate from NVPC patient information.