<\/strong><\/span><\/p>\n \u05d0\u05e0\u05e9\u05d9\u05dd \u05e2\u05e9\u05d5\u05d9\u05d9\u05dd \u05dc\u05d7\u05e9\u05d5\u05d1 \u05e9\u05d4\u05dd \u05d9\u05db\u05d5\u05dc\u05d9\u05dd \u05dc\u05db\u05e1\u05d5\u05ea \u05d0\u05ea \u05e4\u05e9\u05e2\u05d9 \u05d4\u05d3\u05de\u05d9\u05dd \u05e9\u05dc\u05d4\u05dd \u05d1\u05d7\u05d5\u05dc. \u05d0\u05d1\u05dc \u05d9\u05d5\u05dd \u05d0\u05d7\u05d3 \u05d4\u05e8\u05d5\u05d7 \u05ea\u05e2\u05d9\u05e3 \u05d0\u05ea \u05db\u05dc \u05d4\u05d7\u05d5\u05dc \u05d5\u05d8\u05d1\u05d9\u05e2\u05d5\u05ea \u05d4\u05e8\u05d2\u05dc\u05d9\u05d9\u05dd \u05d4\u05de\u05d3\u05de\u05de\u05d5\u05ea \u05d5\u05d4\u05e2\u05e6\u05d5\u05d1\u05d5\u05ea \u05d9\u05ea\u05d2\u05dc\u05d5\u00a0<\/strong><\/span><\/p>\n People may think that they can cover their bloody crimes with sand.<\/span><\/span> <\/span>But one day the wind will blow away all the sand and the sad bloody footprints will become visible<\/span><\/span>.<\/strong><\/span><\/p>\n <\/p>\n [\/et_pb_accordion_item][\/et_pb_accordion][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ custom_padding_last_edited=”on|phone” admin_label=”Hero” _builder_version=”4.18.0″ _module_preset=”default” background_color=”#000000″ use_background_color_gradient=”on” background_color_gradient_direction=”232deg” background_color_gradient_stops=”rgba(49,128,192,0.2) 0%|#0d85e8 100%” background_color_gradient_start=”rgba(49,128,192,0.2)” background_color_gradient_end=”rgba(49,128,192,0.6)” background_enable_image=”off” parallax=”on” background_blend=”exclusion” min_height=”451px” custom_margin=”|5vw|1px|||” custom_padding=”2vw|0px|2vw|120px|true|false” custom_padding_tablet=”100px||100px|” custom_padding_phone=”|||” animation_style=”slide” animation_direction=”left” animation_duration=”1050ms” animation_intensity_slide=”5%” border_radii=”off||0vw|30vw|0vw” border_color_all=”#000000″ border_width_right=”1vw” border_width_left=”0vw” global_colors_info=”{}”][et_pb_row module_id=”1″ _builder_version=”4.27.4″ _module_preset=”default” custom_padding=”0|0px|0px|0px||” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_accordion open_toggle_text_color=”#000000″ _builder_version=”4.27.5″ _module_preset=”default” toggle_text_color=”#000000″ custom_margin=”|1px||||” locked=”off” global_colors_info=”{}”][et_pb_accordion_item title=”1.\tContaminated Medicines” open=”on” _builder_version=”4.27.5″ _module_preset=”default” global_colors_info=”{}” toggle_level=”h3″ toggle_font=”|700||||on|||”]<\/p>\n <\/p>\n The IGJ<\/strong> deliberately keeping medicines factories in China for the Dutch pharmacies market open, despite it had been rejected by the Chinese authorities.<\/p>\n This fabric can still continue to make a number of cancer-causing medicines. See TV program Zembla’s broadcasts on YouTube most of the documentary is in English <\/strong>about the rejected Chinese medicines factory by China and the approval the persistence IGJ<\/strong><\/span> to continue to use cancer-causing contaminated raw polluted materials<\/strong> for medicines.<\/strong><\/p>\n The motive of the IGJ is that generic medicines are produced very cheaply in China.<\/span><\/span> <\/span>It is macabre that the IGJ contributes to the development of cancer through medicines that are produced in China.<\/span><\/span> <\/span>The Health and Youth Care Inspectorate is therefore an institute that operates in a contradictio in terminis of what the name IGJ stands for.<\/span><\/span> <\/span><\/p>\n Half<\/span><\/strong> of the Dutch population develop cancer (2024) in this already most overpopulated and seriously polluted country in Europe. <\/span>In this Zembla broadcast, the IGJ is explicitly and compellingly named.<\/span><\/span>\u00a0<\/span>The deliberate production of contaminated carcinogenic medicines, while the Chinese authorities wanted to close these factories, is bizarre, a serious offense against health care and humanity in the Netherlands and highly punishable.<\/span><\/span><\/p>\n The IGJ is the cradle of these 2 infamous generic medicinesbrands Teva<\/span> and Mylan<\/span><\/span><\/strong>.<\/span><\/span> <\/span>Due to the shortage of global raw materials, many medicines are out of stock or no longer available cause of the So don’t accept in the Netherlands those two generic medicinesbrands. there is global a shortage of medical raw materials.<\/span><\/span><\/span><\/p>\n Due to the global shortage of medical raw materials and the cheapest purchasing policy by health insurers in the Netherlands, two carcinogenic substances have been found in Dutch generic medicines again in 2024.<\/span><\/span> <\/span>The emails to the IGJ<\/span><\/strong><\/span> remain unanswered.<\/span><\/span><\/span><\/span><\/span><\/p>\n <\/span><\/span><\/span><\/p>\n Again, cancer has increased<\/span> in the Netherlands from 1 of 3<\/strong> to 1 of 2,<\/strong>\u00a050%<\/span><\/span> of the Dutch population has cancer or will get cancer.<\/span>\u00a0<\/span><\/span>How can a patient be treated for cancer, if that medicine actually causes cancer?<\/span><\/span> <\/span><\/span>Answer: Calculated loss of patients by the IGJ<\/span><\/strong><\/span> and the health insurers.<\/span><\/span> <\/span><\/span>Only Mylan and Teva are reimbursed by all health care insurers!\u00a0<\/span><\/span><\/p>\n https:\/\/www.youtube.com\/watch?v=pqJjfbkQ1Ew&t=55s<\/strong><\/p>\n Contaminated Medication | Zembla International<\/a><\/p>\n <\/p>\n [\/et_pb_accordion_item][\/et_pb_accordion][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][\/et_pb_column][\/et_pb_row][et_pb_row module_id=”2″ _builder_version=”4.27.4″ _module_preset=”default” custom_padding=”0|0px|0px|0px||” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_accordion open_toggle_text_color=”#000000″ _builder_version=”4.27.4″ _module_preset=”default” toggle_text_color=”#000000″ custom_margin=”|1px||||” locked=”off” global_colors_info=”{}”][et_pb_accordion_item title=”2.1 The use of Permanent Fillers + Update 13 Januari 2025 Hyaluronacid nanoparticles” open=”on” _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}” toggle_level=”h3″ toggle_font=”|700||||on|||”]<\/p>\n Worldwide, (also in the Netherlands used till 01\/01\/2015) use of permanent fillers which are probably neurotoxic and carcinogenic. The Non specialist M.D. (In the Netherlands basic doctors) call themself cosmetic doctors, but there is no BIG code for this (“specialism”). The IGZ(J) knew about the danger of these permanent fillers since the mid 90th but even allowed any person, like hairdressers, beauticians and laymen to inject permanent fillers into the anatomically very complex face. Based on article .38 of the IGZ (J). On 1 januari 2015 the Ministry of Health prohibited the use of permanent fillers in the Netherlands.<\/p>\n Filler-induced Psycho-Physical Syndrome: A new entity that may occur years after treatment with permanent fillers. \u00a9\u00ae<\/p>\n There has been no financial support and there are no financial interests.<\/p>\n Abstract.<\/p>\n A new phenomenon, which we have seen in more then a dozen of patients years after treatment with permanent fillers, is described and called \u201cFiller-induced Psycho-Physical Syndrome\u201d.\u00a0\u00a0 \u00a0\u00a0Three typical cases, that represent this typical manifestation with a cohort of symptoms,\u00a0 are extensively described: they all have a combination of typical psychological symptoms (compulsive disorders, anxiety, fear for light, suicidal, depression) combined with local physical problems (chronic inflammation , abscesses, and granuloma formation and destruction of their dentition).<\/p>\n Introduction.<\/p>\n In the nineties many types of permanent fillers,\u00a0 such as polymerised silicones, Bio-Alcamid, Artecoll and Dermalive were introduced on the cosmetic market to be used for wrinkle treatment and volume loss\u00a0 in the face (1-4). Early literature concerning the use of these permanent fillers reported good results with only minor complications (inflammation, late granuloma formation, infection and abscesses) that could be treated very easily (5-11). \u00a0Very recently, \u00a0a study of Schelke et al. (12) already considered the complication rate of such permanent fillers much higher than reported earlier: for Bioalcamid (polyalkylimide) the complication rate was even considered to be too high (4,8%) and too severe to be used for cosmetic purposes.\u00a0 More reports over time indicated that many permanent fillers may lead to devastating physical complaints that are very difficult to treat surgically.<\/p>\n We now wish to describe a new phenomenon we have seen in more then a dozen of patients we call \u201cFiller-induced Psycho-Physical Syndrome\u201d.\u00a0\u00a0 \u00a0\u00a0Three cases that represent this manifestation with a cohort of symptoms we described.<\/p>\n Patients and Methods<\/p>\n In period 2010 – 2012 , we have seen 23 \u00a0patients that have been treated with permanent fillers. They have been referred to the principle authors (S. N. ) by the Dutch Foundation called \u201cFoundation of Victims of Cosmetic Doctors (SSCA foundation)\u201d because they suffered from both physical and severe psychological symptoms. These patients have extensively been evaluated, studied (among other radiological techniques like MRI 2D and 3D and OPG) and mapped. We came to the conclusion that most of these patients had typical psychological symptoms (compulsive disorders, anxiety, fear for light, suicidal, depression) combined with local physical problems (chronic inflammation , abscesses, and granuloma formation and destruction of their dentition).<\/p>\n We now wish to present three cases in order to illustrate this \u201c typical psycho-physical syndrome\u201d which we call \u00a0\u201cFiller-induced Psycho-Physical Syndrome\u201d.<\/p>\n Thus far, we have seen 5 sub syndromes of this Filler-induced Psycho-Physical Syndrome:<\/p>\n The FFOP, FVESC and DDRRC syndromes can manifest themselves depending on where the filler is injected. The gap between the permanent filler injections and DOLAS and RRDDC seems about six to seven years .<\/p>\n Case Reports<\/p>\n Case 1: Patient A \u00a0had a \u201cFPP syndrome\u201d called \u201cGMF and DOLAS syndrome\u201d since 2010 six year after Bio Alcamid treatment in 2004:\u00a0 filler induced granuloma and mass formation combined with severe obsessive compulsive disorder, social phobic complains, feelings of depression.<\/p>\n Patient A is a 35-year old female patient, working as a data-processing scientist.\u00a0 She had a clean psychiatric history and no family psychiatric disorders. In 2004, because of some weight loss and facial fat atrophy around the eyes due to aging, she was treated by her Dermatologist with 2,5 ml Bio Alcamid bilaterally in the zygomatic region. At a later stage an additional 1 ml Bio Alcamid was injected bilaterally.<\/p>\n In 2010, she returned to the clinic of her Dermatologist because she had noticed that some parts of the filler had migrated towards the nose bridge and mouth angles (migration combined with swelling due to granuloma formation: GMF syndrome). The filler was then partly expressed by the dermatologist. The remnants of filler subsequently hardened and the dimples of the expressed spots were subsequently filled up with Restylane. Late in \u00a02010, patient A developed the DOLAS syndrome. A severe obsession with how she looked in the mirror as well as a\u00a0 strong fear being in the spotlight had emerged. Because of her DOLAS symptoms, she contacted the foundation SSCA and was subsequently referred to us.<\/p>\n Given the serious DOLAS syndrome the patient was treated with Paroxetine 10 mg\u00a0 1 dd 1 and was elevated under titration to 30 mg. Further the patient received Alprazolam 0.5 mg 2dd 1. Within two weeks she recovered of the psychiatric disorders and within six weeks all complaints had disappeared. She fully returned to her professional activities.<\/p>\n Case 2:\u00a0 Patient B with FFP syndrome had developed both GMF syndrome (see Fig. 1) as well as DOLAS,\u00a0 FFOP , FVECS and DDRRC syndromes in 2009, 5 years after Dermalive treatment in 2004:<\/p>\n Patient B is a 57 year old woman with a medical history of an osteotomy for correction of Angle Class II jaw relationship and no psychiatric history, nor psychiatric syndromes in her family. In the end the patient developed a severe DOLAS syndrome and made contact with the SSCA Foundation. The patient was referred to us for diagnosis and treatment. Within four weeks, a metamorphosis took place. The patient again became talkative and all the DOLAS symptoms dissapeared. The disturbing symptoms of granuloma, FFOP, FVESC and\u00a0 DDRRC \u00a0remained. Especially the complaints of the right eye severely disturbed and bothered \u00a0the patient.<\/p>\n In 2010 the patient went to the dentist, large cavities in her teeth were found to have emerged. There was a severely parodontitis\u00a0 combined with significant gingivitis around the four implants, despite her daily oral hygiene, which was adequate. The dentist had no explanation for these serious complaints (see OPG in Figure 2). <\/p>\n Image 1<\/p>\n <\/p>\n <\/p>\n Image 2<\/p>\n Case 3: The patient C.\u00a0 GMF, DOLAS, FFOP, FVECS and DDRRC syndromes developed since 2002, due to injection with several unknown permanent fillers since 2000.<\/p>\n Patient C is a 51 year old woman with a blank medical and psychiatric history. No familial depression or OCD were present. She was bodybuilding champion of the Netherlands in 1994\u00a0 and active as a professional musician. Since 1995 she was a professional beautician. In 2000 – 2001 the patient was injected in the face for soft tissue augmentation by a physician with an unknown permanent cosmetic filler and New-fill. Quantities were unknown.\u00a0 In 2000 she has had a breast augmentation with revision of the right breast implant in 2005, a lower eyelid correction and lip augmentation in 2001,\u00a0 an upper eyelid correction in 2003, and a short scar facelift (S lift) in 2004. (See Image 1) In 2009, patient C developed severe problems with her teeth, and developed oral pain, gingivitis and parodontitis. Dentally there was a generalized gingivitis, extreme caries and large cavities. The OPG made several apical inflammatory lesions visible (see OPG in Figure 2) .<\/p>\n 2.4-2.6 with the bridge were so lose that they could be removed by hand, just as some teeth and molars. Surgical removal of the radix 2.3, 2.4, 2.5, 2.6 and 2.7 was needed in addition, necrotic removed in the third and fourth quadrant \u00a0\u00a0(see Figure 2).<\/p>\n In addition she developed in 2006 a DOLAS syndrome. She fought\u00a0 her illness but fell into disrepair in early 2010. The depressive and OCD symptoms were treated with Venlafaxine 37.5 mg 1 dd 4, severe anxiety symptoms that persisted were treated with Alprazolam 1mg tablets 3dd1.<\/p>\n The atypical facial pain and oral pain responded best to Ibuprofen 600 mg 1 dd 1 and Morphine sulfate 1 dd 1. The patient used Ranitidine 150 mg 2 dd 1. The patient is now free of depression and her suicidal thoughts have disappeared as well as her\u00a0 social phobia. The compulsions disorders are \u00a0still present to some extent.<\/p>\n Part of her facial granulomas could be surgically removed, especially the filler mass above the nose bridge and forehead \u00a0(see image 2 and 3\u00a0 ) .<\/p>\n Image 1<\/p>\n Image 2<\/p>\n <\/p>\n Image 3 Patient after removing permanent fillers<\/p>\n Image 3<\/p>\n Image 4 Patient 2 before the permanent injections.<\/p>\n <\/strong><\/p>\n Discussion.<\/strong><\/p>\n In search of the ideal filler and in the light of an expanding beauty market, permanent fillers like Artecoll, Bioalcamid and Dermalive have been developed and were introduced on the cosmetic market in the early nineties (1-4). Initially, there were only optimistic publications. The literature only reported minor complications that could be resolved very easily (5-11). Thousands of people therefore have been injected with permanent fillers in the early nineties the twentieth century, all resulting initially in satisfactory results. But with \u00a0passing of time there is a gradually increase in the development of significant granulomatas and infectious problems (GMF syndrome) in as much as at least 5% of the patients with disastrous effect (5): the bacterial contamination and subsequent infection probably results from either biofilm formation initiated at the moment of injection or by late haematogenous origin like bacteraemia for example after tooth brushing. Both of these mechanisms may subsequently result in severe facial infections with abscesses formation, inflammation and hardening of the remnant material. These permanent filler complications (we call GMF syndrome) are already well known among facial surgeons. However, these patients are hard to treat, since adequate treatment implies extensive enbloc tissue removal and subsequent severe mutilation. The only way to treat them is to supply antibiotics and to drain abscesses locally. All of these permanent filler \u201cvictims\u201d \u00a0end with a facial distortion that goes far beyond what is acceptable: not only a lot of HIV patients have been treated and have been victimized in this way, also many young healthy patients just wanting small volume corrections for purely aesthetic reasons have been treated in this way and have become a victim: with ugly deformities of lip, cheek, infra orbital; and among the jaw line . With already a 5% reported incidence of\u00a0 facial mutilation, the only conclusion to be drawn about the use of these permanent fillers has to be that this material should be banned completely from the facial filler assortment (13).<\/p>\n Based upon our experience having had revered more than two dozens of patients by the Dutch Foundation called \u201cFoundation of Victims of Cosmetic Doctors (SSCA foundation)\u201d because these patients suffered from both physical and severe psychological symptoms, we observed the other devastating problem that may occur in the long run with the use of \u00a0permanent fillers : the development of severe psychological\/ psychiatric symptoms. Combined with the already known physical complications we can speak\u00a0 of a so-called \u201cFiller-induced Psycho-Physical Syndrome\u201d: <\/strong>\u00a0a mixture of physical symptoms of granuloma formation, abscesses, chronic inflammation, eye vitreus fluid problems, oralfacial pain complains and severe dental destruction combined with psychological symptoms: depression obsessive compulsive disorder, lability anxiety, fear for light, suicidality.<\/p>\n Because of the long delay between the use of permanent fillers and the onset of manifestations of the symptoms of the FPP syndrome, hardly anyone has previously linked the combination of serious medical, dental and psychiatric complaints that apparently may develop among permanent filler \u201cvictims\u201d. We think that all these symptoms might be a late \u201ctoxic\u201d effect of permanent fillers; to stabilize permanent fillers, large quantities of so-called\u00a0 (cohesion promotion) nano(protein)-particles are used (14,15). We think that upon hardening and to some extent \u201cbreaking down \u201dof these permanent fillers, these nanoparticles may be massively released into the body. It is known that these nanoparticles are neurotoxic, and probably carcinogenic\u00a0 (15)<\/p>\n For now we can not know for sure whether the psychological symptoms, we have found in these patients, \u00a0are of organic origin (e.g. because of nano-particles or because of side effects of inflammation) or are a result of the psychological \u00a0consequences of having a disfigured appearance by the GMF syndrome.<\/p>\n Nevertheless, whatever the real cause is of this \u201cFiller-induced Psycho-Physical Syndrome\u201d \u00a0<\/strong>syndrome, \u00a0which may occur years after the use of permanent fillers, this syndrome should be adequately recognized\u00a0 and treated with psychofarmaca to cure the patients psychological diseases. Local surgical treatment (abcess drainage, excision of diseased tissues, lateron lipofilling for local tissue replacement and regeneration) is necessary for treatement of the GMF syndrome with its complications.<\/p>\n With the current possibility to treat wrinkles and volume deficiencies with either one\u2019s own fat by means of lipofilling (14-16), sharp needle infiltration of fat (17) or by hyaluronic acid (temporary filler with a very low a easily solvable complication rate) (18-20),\u00a0 there is no place for the use of permanent fillers.<\/p>\n <\/p>\n Casuistry, photos and radiological imaging material is with the permission of these three patients through an informed consent.<\/p>\n The authors thank these three patients for their cooperation to make this scientific article possible.<\/p>\n \u00a0<\/strong><\/p>\n References<\/strong><\/p>\n The worldwide, (also in the Netherlands used till 01\/01\/2015) use of permanent fillers<\/strong> which are probably neurotoxic and carcinogenic. The Non specialist M.D. (In the Netherlands basic doctors) call themself cosmetic doctors, but there is no BIG code for this (“specialism”). The IGZ(J) knew about the danger of these permanent fillers since the mid 90th but even allowed any person, like hairdressers, beauticians and laymen to inject permanent fillers into the anatomically very complex face. Based on art. 38 of the IGZ (J)On 1 januari 2015 the Ministry of Health prohibited the use of permanent fillers in the Netherlands.<\/p>\n <\/p>\n \u00a02.2<\/strong><\/p>\n <\/strong><\/p>\n Update 05\/2024: The Danger of “cosmetic doctors”, they are BIG registered basic doctors without any specialization.<\/span><\/strong><\/span><\/p>\n <\/strong><\/span><\/p>\n The IGJ<\/span> <\/strong>allow “cosmetic doctors (BIG registration basic doctors!) are to perform the same operations as Plastic Surgeons. <\/span><\/span><\/p>\n A basic doctor has basic knowledge<\/strong> of the head and neck area. <\/span><\/span><\/p>\n The head and neck areas are one of the most complicated areas of the human body<\/strong>.<\/span><\/span> <\/span><\/p>\n Invasive operations must be performed by a Plastic Surgeon, Head\/Neck Surgeon, Dermatologist, Oral Medicine doctor, the ANT doctor, the Eye doctor, Dentist and Dentist specialists.<\/span><\/span><\/span><\/span><\/p>\n These above mentioned seven specializations take six years<\/strong> or more.<\/span><\/span><\/p>\n Urgent advice: Do not have<\/span> invasive<\/strong><\/span> (including semi-permanent fillers and Botox) operations performed by primary basic doctors.<\/span><\/span><\/span> The cosmetic doctor should limit him\/herself to the skin.<\/span><\/span> But the Dermatologist exists for the skin already. <\/span><\/span><\/span><\/p>\n This is a for decades a known healthcare problem and still is.<\/span><\/span><\/p>\n There must be a BIG recognized training course to become a cosmetic doctor with clear boundaries as to what is and is not reserved for medical procedures for a cosmetic doctor.<\/span><\/span><\/span><\/p>\n\n
In 2002 the patient underwent a bilateral neck and facelift with an acceptable result. Her plastic surgeon additional treated her in 2004 with 3 x 10 cc Dermalive at 25 sites in the face, including the nasiolabial folds, upper and lower lip, around the orbit and in the glabellar region.\u00a0 In 2009 the filler material started to harden and migrated to some extent in the surrounding tissues.\u00a0 In addition granulomas started to develop.
Since then the patient had an anesthetic feeling right under her lip and could not laugh by the pavements in her upper lip. She started to suffer from dry, watery, sore eyes. The ophthalmologist had no explanation for her complaints.<\/p>\n
The patient was adjusted with trespassing and titration to 10 mg Paroxetine 1 dd 3, Alprazolam 0.5 mg 2 dd \u00bd.<\/p>\n
In 2011, large parts of her fillers were removed, however not from the infraorbital region because of the risk of damaging the infra-orbital nerve. Clinically, she then remained stable since then.<\/p>\n![\"\"](\"https:\/\/stephannossbaum.com\/wp-content\/uploads\/2022\/11\/Female-permanent-filler-patient-12.06.1954-with-granuloma-and-inflammations-225x300.jpg\")
<\/a><\/p>\n![](\"https:\/\/stephannossbaum.com\/wp-content\/uploads\/2016\/11\/OPT-patient-1.jpg\")
<\/p>\n
In 2002 she developed the granulomas in the glabellar region and forehead. This was treated by means of cortisone injections. In 2005 lypolyses was conducted in various areas of the face and then she started to suffer from increasing amounts of granuloma in the face and from facial pain. She received additional injections with cortisone and had several treatments with penicillin.<\/p>\n
In the early 2011 the patient was referred to us by the SSCA Foundation because of\u00a0 serious GMF, FFOP,\u00a0 DDRRC and\u00a0 DOLAS syndromes.<\/p>\n
( in addition she uses Atenolol 50 mg 2 dd 1, Simvastatin 40 mg 2 dd 1, Ascal 80 mg, lisinopril 5 mg 1 dd 1).<\/p>\n![](\"https:\/\/stephannossbaum.com\/wp-content\/uploads\/2022\/11\/OPG-female-A-v-W-29.03.1960.jpg\")
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![<\/a><\/p>\n\u00a02.2<\/strong><\/p>\n<\/strong><\/p>\nUpdate 05\/2024: The Danger of “cosmetic doctors”, they are BIG registered basic doctors without any specialization.<\/span><\/strong><\/span><\/p>\n<\/strong><\/span><\/p>\nThe IGJ<\/span> <\/strong>allow “cosmetic doctors (BIG registration basic doctors!) are to perform the same operations as Plastic Surgeons. <\/span><\/span><\/p>\nA basic doctor has basic knowledge<\/strong> of the head and neck area. <\/span><\/span><\/p>\nThe head and neck areas are one of the most complicated areas of the human body<\/strong>.<\/span><\/span> <\/span><\/p>\nInvasive operations must be performed by a Plastic Surgeon, Head\/Neck Surgeon, Dermatologist, Oral Medicine doctor, the ANT doctor, the Eye doctor, Dentist and Dentist specialists.<\/span><\/span><\/span><\/span><\/p>\nThese above mentioned seven specializations take six years<\/strong> or more.<\/span><\/span><\/p>\n\nThe IGJ<\/strong> <\/span>states that these professional groups and “cosmetic docters” should “fight it out” themselves. <\/span><\/span>The BIG basic doctor (cosmetic docter) should limit himself t<\/span>o non-invasive<\/span> procedures<\/span>. <\/span><\/span>It is precisely the IGJ<\/strong><\/span> that criticizes the commas in their own articles. <\/span><\/span>The IGJ <\/span><\/strong>lacks rationality and there are apparently no extensive protocols within the IGJ<\/span><\/strong> regarding invasive operations by basic doctors. <\/span><\/span><\/span><\/li>\n<\/ol>\nUrgent advice: Do not have<\/span> invasive<\/strong><\/span> (including semi-permanent fillers and Botox) operations performed by primary basic doctors.<\/span><\/span><\/span> The cosmetic doctor should limit him\/herself to the skin.<\/span><\/span> But the Dermatologist exists for the skin already. <\/span><\/span><\/span><\/p>\nThis is a for decades a known healthcare problem and still is.<\/span><\/span><\/p>\nThere must be a BIG recognized training course to become a cosmetic doctor with clear boundaries as to what is and is not reserved for medical procedures for a cosmetic doctor.<\/span><\/span><\/span><\/p>\n](\"https:\/\/stephannossbaum.com\/wp-content\/uploads\/2024\/08\/a-nanoparticles-6.jpg\"){kind=link}