Finding a good practice.
The market is confusing: physicians, alternative practitioners, beauty salons, chains. Twelve questions you may – and should – ask before any treatment.
How to recognise a reputable practice for Botox and fillers: twelve questions on qualification, consent, products, prices and emergency equipment
Twelve questions, one checklist.
1. Who treats? In Germany only physicians may use botulinum toxin and fillers. Ask whether the person advising you also treats.
2. What training? A medical licence is mandatory; additional training in aesthetic medicine (e.g. DGBT certificates) is a plus.
3. How many of these treatments does the practice do? Routine counts – especially with fillers.
4. Is there an informed-consent talk with time to consider? Required by law (§ 630e BGB). Anyone offering 'consult today, inject today' as the rule without offering time to think is not taking it seriously.
5. Which products? Ask for manufacturer and licensing (CE mark, licence for the area). Unknown brands or 'own imports' are a warning sign.
6. How is the price formed? By the GOÄ, with a written cost plan. Discounted package prices are impermissible for medical services.
7. Is hyaluronidase in stock? The emergency medicine for vascular occlusion must be in every practice that injects fillers.
8. How is follow-up handled? An appointment after about two weeks is part of it.
9. Who can be reached at night? An emergency number for the first days after fillers is standard.
10. What happens if I am not satisfied? A reputable practice has an answer – touch-up, dissolving, an honest conversation.
11. Does the practice also say no? If you are sold everything you ask about, the medical assessment is missing.
12. What does the practice look like? Hygiene, calm rooms, no before-and-after walls with advertising promises.
Leave immediately if: treatment without a physician, prices 'per syringe' without product and amount, discount campaigns, pressure to decide on the spot, promises of certainty or complete painlessness, no hyaluronidase. And: a practice that advises you against a treatment is usually the right one.
The essentials.
A question about Choosing a practice? Send us a short WhatsApp message – we usually reply the same working day.
Ask via WhatsAppImportant note.
This text is general information. It replaces neither a medical examination nor the consultation required before any treatment under German law (§ 630e BGB). Whether and which treatment is suitable for you can only be said after examination and consultation. No treatment results are promised.
Frequently asked questions.
May an alternative practitioner inject Botox?
No. Botulinum toxin is prescription-only and for physician use. For fillers the legal situation has tightened; physician use is the safe standard.
Are reviews a reliable criterion?
A hint, not proof. Read the critical reviews and the practice's replies – that shows how problems are handled.
Sources and further reading.
- § 630e BGB – duty to inform before treatment (German Civil Code)
- GOÄ – German scale of medical fees (official text)
- § 11 HWG – ban on before/after images and advertising promises
- Professional code of the Medical Association North Rhine
- NHS: non-surgical cosmetic procedures
- Medical Association North Rhine – patient information
- DGBT – German Society for Aesthetic Botulinum Toxin Therapy
External links open in a new window; their operators are responsible for their content. Medical responsibility for this page: Katayoun Mostaghimi, specialist in general medicine. Last updated: 2026-10-15.
Talk to the physician.
Book on DoctolibOr simply call: +49 1520 8367711 · info@vivaderm.de
Or start with a consultation only: consultation appointment (€50, credited against a treatment)