What is the difference between Botox and dermal fillers?


Botox relaxes the muscle under a wrinkle while dermal fillers fill the crease with a substance. Botox will reduce the appearance of new wrinkles while fillers will reduce the appearance of firmly established wrinkles.


Is the treatment painful?


No. Our doctors are experts in anaesthesiology and pain management, so there should be very little, if any, discomfort or pain. Dermal fillers are also prepared with a numbing agent, which will reduce pain.


Is it perfectly safe?


There are a few dangers involved in getting the treatment, but with a qualified medical practitioner, these risks are extremely low. Some people might be allergic to some ingredients, so the person should disclose any and all allergies to the doctor. In rare cases, permanent bumps might appear under the skin. Skin discoloration, known as the Tyndall effect, is also rare and there are treatments available to combat this. If fillers aren’t administered correctly, some skin cells may die, but this is extremely rare. A few cases of nerve paralysis and blindness have also been reported, but isn’t permanent.


Are there any side effects?


Not always, but yes. Side effects may include swelling, redness, and localised bruising. In some cases the filler will cause nodules under the skin, but this will improve over time. Other side effects may include abscesses, infection, hyper-pigmentation and skin discoloration. Improper administration of the treatment might also cause what they call Spock eyebrow, drooping mouth and heavy forehead. Once again, this is unlikely if the treatment is given by a qualified and expert medical practitioner. Other side effects may include a dry mouth, tiredness, headache, neck pain or eye problems.


Will the treatment make me look fake and plastic?


Not with Dr Kovacic’s expert treatment. The horror pictures of some celebrities are due to a combination of bad plastic surgery, Botox and fillers. However, many celebrities do get expert treatment, but people hardly notice it because it is very subtle. Doctors at DK Medical offer the same type of treatment that won’t advertise to everyone that you had Botox or dermal fillers.


What if I don’t like the end result?


If you are not happy with the end result, an injectable “eraser”, called hyaluronidase, will reverse the effects. If done by a qualified and experienced medical practitioner, the chances of you being dissatisfied with the end result are very low.


How long will the effect last?


This depends on the type of filler used. Botox can last any time from 4 months to a year, while dermal fillers will last from several months to a year or two. Some dermal fillers will stimulate the body’s production of collagen, which will make the effect last longer.


What should I do prior to treatment?


Some medication that would prevent your blood to clot should not be taken about a week before the procedure, since it could cause bruising. Find out about any allergies you may have and do proper research about your medical history, such as cold sores, herpes, etc. Eat pineapple and avoid garlic two days prior to the treatment. If you want numbing cream to be applied, ask if you could come in a little earlier.


How is treatment administered?


Numbing cream is usually applied about 20 minutes before the treatment. This will prevent bruising and make you more comfortable. Botox and/or dermal fillers are then gently injected in strategic areas using a needle or cannula (hollow tube).


Can Muslims get Botox and dermal fillers?


Many Muslims disagree on this subject, claiming that changing your appearance is not permissible in Islam and that Botox is an impure substance since it makes use an enzyme found in pig’s milk during the production of Botox. The Muslim Judicial Council banned the use of Botox in 2008 due to concerns that Botox might be contaminated with animal products. However, the facts state that Botox is not an impure substance since the enzymes from pig’s milk is removed in the final product. On the topic of changing your appearance, while plastic surgery is not permitted in Islam, Botox and dermal fillers don’t change what Allah has given you; it merely restores it. Anti-wrinkle creams that are Halal are permissible in Islam, therefore Botox and dermal fillers should not be an issue. However, continuous use of Botox and dermal fillers might be an issue, since Islam discourages its members to align themselves with continual vanity. For more information on the purity of Botox, go to http://en.islamtoday.net/artshow-398-3397.htm


Will my health insurance cover the treatments?


While the use of Botox for medical purposes might be covered by some health insurance companies, cosmetic use is not covered.