Quality of care

What is our quality of care?
We strive to provide our patients with the best medical care and service before, during and after the treatment. We guarantee the quality of our care by working exclusively with experienced and registered professionals, by offering good pre- and after care and by providing good information. We do not only promise this, we also ask our patients to assess this.

Our method
Doctors often master a specific procedure very well. This also applies to clinics. Diana Gabriels knows exactly which clinic and doctors are best in the different procedures.  That makes us so special: we only work with the best.

Not only expertise is important, but customer service, hygiene and safety are also important. Every quarter we evaluate the collaboration with the doctors and the corresponding customer satisfaction. In addition, every six months we conduct an extensive audit where we evaluate the following matters (and more):

  • Further training doctors
  • Recording doctors in the mandatory registers
  • Training support staff
  • Quality certificates clinic
  • Hygiene
  • Customer service
  • Course of treatment
  • Experiences of our patients

In 2014, patients who underwent surgery at the practice of Diana Gabriels valued us on average with a 9.0. 96 percent of those surveyed also indicated that they would do another treatment with us. The ISO certification obliges us to substantiate these figures.

The quality of our care is ISO and NEN certified
The practice of Diana Gabriels is ISO 9001 and NEN-EN 15224 certified. This means that we have an ISO certificate for advising and performing plastic surgery, including aftercare. The condition of this certification is that we ask our patients to assess our method. We use these assessments to evaluate our medical care and service and, if necessary, to improve them.Wij werken uitsluitend met klinieken en artsen die aan al onze strenge eisen voldoen:

  • The medical specialists are * BIG and ** MSRC registered and have a demonstrable education and training followed in aesthetic surgery.
  • The nurses are * BIG-registered and members of the V & VN.
  • The anesthetists are NVA-registered.
  • The anesthetic assistants are NVAM-registered.
  • The surgery assistants are LVO registered.
  • The recovery employees are members of V & VN.
  • * BIG register – click here or call: 0900 – 899 82 25
  • (Act BIG (1998): Act on Professions in Individual Health Care)

** Medical Specialists Register in Utrecht. T 030 – 2823244

We work together with Pharmacy Carnisselande, Middeldijkerplein 2, in Barendrecht. Supervising pharmacist: mrs. D. van Dijk and mr. M. de Pater.

Safe breast implants are part of our care
The safety of breast implants is often a subject of discussion. For example, implants of the PIP brand were banned after it appeared that there was a great chance of cracks and leaks. What should you pay attention to if you want to undergo a breast enlargement? First of all, it is important to check whether scientific research has been carried out into the safety of the breast implants in question. In the United States the guidelines are strict and a thorough investigation often takes years. Two breast implants came out of this strict test, the brands Mentor and Natrelle (formerly McGhan). Our plastic surgeons recommend always to choose one of these two brands. Praktijk Gabriels works exclusively with Mentor, they give a lifelong guarantee.

Silicone breast implants
A silicone breast implant consists of a silicone shell. The implant is filled with silicone gel or a cohesive silicone gel. This casing retains its original shape and has a rough or smooth exterior. A rough surface gives less capsular formation than a smooth one, but is generally more tangible. Breast implants come in all shapes and sizes: there are more than five hundred! According to the Dutch Association for Plastic Surgery (NVPC) a breast augmentation with silicone breast implants is a responsible medical procedure. This type of breast implant has been used since the sixties. 
Silicone implants are used in various medical devices, such as heart valves and artificial joints. This is due to the biocompatibility, which means that the body does not show any unwanted reactions to the silicone substance. Numerous scientific assessments and studies carried out in recent years show that silicone is a safe substance. Note that the relevant prosthesis used in breast augmentation has been extensively tested. High-quality brands of breast implants (with FDA approval, the US Food and Drug Administration that controls medical products, among others) are Mentor and Natrelle.

Cohesive gel
The practice of Diana Gabriels works exclusively with safe breast implants from the brand Mentor. These implants are filled with a cohesive gel, which ensures that the breasts feel natural when touched. More importantly, extensive scientific tests show that these implants are extremely safe. We give a 20-year guarantee for leakage.

Sometimes the doctor advises you to choose Mentor prostheses filled with cohesive II instead of cohesive I as a patient. This is to reduce the chances of seeing the prosthesis through the breast. This depends on the skin structure and the amount of mammary gland tissue. This costs 300 euros extra. If this applies in your case, we will discuss this during the consultation. There is no quality difference between them, there is only a difference in the firmness of the gel.

Dutch Breast Implant Registry (DBIR)
The use of breast implants is registered in the DBIR, as well as the results of operations where breast implants have been used by plastic surgeons. The DBIR was developed by the Dutch Society for Plastic Surgery (NVPC) and is intended as an implant register and a quality measurement system for audits.

Audit
In addition, the DBIR makes it possible to compare the quality of care with other clinics. The quality information from practitioners is fed back into this and compared with a national average, a so-called benchmark. In this way, the care provided can be evaluated and points for improvement can be identified. Scientific research is also possible in the future with the recorded data.

Participation in the national implant register will be mandatory by the Ministry of Health, Welfare and Sport (VWS), the Healthcare Inspectorate (IGZ) and the members of the NVPC and is intended for all Dutch hospitals and independent treatment centers (ZBC). Doctors who are not members of the NVPC can also register if they create an account.