Safety
When we do not treat, and why
In brief
There are situations in which we do not treat: pregnancy and breastfeeding, certain neuromuscular conditions, an active infection at the injection site, known hypersensitivity to the product, and being under eighteen. There are also situations calling for extra caution, such as blood thinners or previous treatments elsewhere for which no record is available.
Absolute reasons not to treat
- Pregnancy and breastfeeding. There is no research demonstrating safety. When in doubt we do not treat; that is the only responsible choice.
- Neuromuscular conditions such as myasthenia gravis or Lambert-Eaton syndrome. The product acts on the very junction between nerve and muscle that is already disrupted in these conditions.
- An active infection or inflammation at the injection site. Injecting through inflamed skin spreads the infection.
- Known hypersensitivity to the product or one of its components.
- Being under eighteen. We do not treat minors, not even with parental consent.
Situations calling for extra caution
If you take blood thinners or anti-inflammatory medication, the chance of bruising is greater. That is not a reason to refrain from treating, but it is a reason to discuss it beforehand and to allow for it in the planning.
If you have been treated elsewhere and it is not known which product, dose and areas were involved, we ask about that first. Without that information we cannot judge when a further treatment is justified.
Certain antibiotics from the aminoglycoside group can amplify the effect. That belongs in the intake as well.
The question we always ask
Alongside the medical questions we ask one that matters just as much: why now? If the answer has to do with a difficult period, pressure from someone else, or an expectation a treatment cannot meet, then not treating is sometimes the better advice.
That is not a judgement about you. It is the reason a consultation with a doctor is something other than simply booking an appointment.
What to expect from us if we say no
We explain why, in plain language. We tell you whether it is temporary or permanent. Where possible we refer you to someone who can help you. And you pay only for the consultation, never for a treatment that was not carried out.
Frequently asked questions
I am pregnant. Can I still have this later?
Yes. After pregnancy and after the breastfeeding period, treatment is possible again by arrangement. We then plan a new consultation, because your situation may have changed in the meantime.
I take blood thinners. May I be treated?
Usually yes, but the chance of bruising is greater. Mention it in the intake. Never stop taking blood thinners yourself for a cosmetic treatment; always discuss that with your prescribing doctor.
What if I disagree with the advice not to treat?
That is your right. You are free to seek a second opinion from another doctor. We explain what our judgement is based on and record that in your file as well.
Written by Dr Sanne de Boer, doctor at Calla Medical. This article is general information and does not replace personal medical advice; please discuss your own situation during a consultation.
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