In neurology it has been used for decades, for example, to relieve muscle spasms. Contrary to frequent voices in the tabloids, etc. it is one of the most actively studied substances in the world. Properly applied, it is a very safe drug. After local application of a pain-relieving ointment containing lidocaine, botulinum toxin is applied with extremely fine needles directly into the muscle. In many people, the prominent pronounced frown lines are a result of excessive muscle activity in the forehead muscles or can also arise from habit. The application of botulinum toxin here is ideal because it not only lowers the tone of the overactive muscles, but also leads to a slight shrinking of the muscle, a so-called “hypotrophy”. Immediately after application there may occur a slight reddening and swelling at the injection sites, which disappears within one or two days in most cases. The duration of action of botulinum toxin varies individually, but usually lasts about 4 to 6 months. In general, the treatments become less frequent with the number of sessions.

Even larger wrinkles and scars may be treated with hyaluronic acid.
The procedure is carried out by applying a pain relieving ointment containing lidocaine prior to injection into the skin. So-called “fanning” denotes a technique with a blunt needle, through which hyaluronic acid can be applied to a wide area in the tissue, for example the cheeks. With a sharp needle smaller and larger wrinkles can be replenished purposefully. This technique is particularly well suited for the glabella. Frequently glabellar frown lines remain – albeit weakened – after treatment with botulinum toxin. This is not because of treatment failure, but results from deep tissue fractures that have already taken place. Using hyaluronic acid, these fractures are replenished and the connective tissue is stimulated to new growth.

After treatment, there may be local redness and swelling, rarely a slight bruise can occur. However, these symptoms usually disappear within a few days.

Tear trough filler treatment

Have you frequently heard people saying “You look tired”? Often dark circles under your eyes are the first signs of fatigue. But they can also occur with age or be hereditary. With age there is a decrease of subcutaneous fat, in particular under the eyes, which causes a relative hypovolemia and may form “dark circles”. As a result, puffiness can also be caused by a relaxation of the lower eyelid muscle, letting them emerge or look even bigger than they obviously are. Through tear trough filler treatment with hyaluronic acid this relative volume depletion can be compensated and thus your eye bags appear visually mitigated. I use specially developed, high-quality hyaluronic acid, which has a low swelling potential. However injections with hyaluronic acid is no causal treatment of eye bags. This procedure gives patients an obviously fresher look and brings a new shine to the eyes. A visual effect can already be seen immediately after treatment and usually lasts up to 12 months. Optionally, a second session is necessary.

After the treatment, there may be bruising in the area of the tear trough that will have disappeared in a maximum of 14 days.

Here a special drug mixture is inserted into the skin using very small needles (microneedling) or injected into the middle (meso) layer of the skin. Microcirculation is improved and thus the nutrient supply in the dermis, which in addition leads to regeneration and firming of the skin. Mesotherapy can also be used for wrinkle therapy and as anti-aging treatment. Cosmetic products often do not penetrate deep enough into the skin. With the help of mesotherapy, however, the substances can have their full effect directly at the target site in the deep tissue. Due to application of a local anesthetic (Emla®) the treatment is usually not painful. Afterwards local redness and individual small bruises can occur, but subside within a short period of time.

Especially the female neckline is one of the known body surfaces that are often exposed to sunlight, which causes the skin to age faster and wrinkle earlier.
The reason for this loss of elasticity is age and with time a decrease in tissue collagen fibers, which form the connective tissue. Through their ability to store water, they tighten the skin. With polylactic acid the formation of new collagen fibers is stimulated and so the newly formed connective tissue can help to retrieve lost volume. Polylactic acid is applied by means of injection with a very fine needle. A pain-relieving gel is applied to the treatment area 30 minutes prior to injection.

For full effect one to four sessions are required, which take place at intervals of 4-6 weeks. Results cannot be seen immediately; please allow up to six weeks for visible improvement. After treatment, the areas should be cooled and a moisturizing cream should be applied several times a day. Direct sunlight must be avoided.

After thoroughly cleansing the face, the fruit acid peel is applied for several minutes. Even after this short time you experience an immediate effect. By removing old layers of skin, the formation of new cells is stimulated. Finally, after multiple treatments, there is a visibly refined complexion and a more youthful appearance.

After exfoliating the skin should be treated with a moisturizing cream and protected from sunlight. Concomitant use of vitamin A preparations is not recommended and should be discussed individually. A slight redness and burning may occur at short notice during and after the treatment, but disappears after a short period of time.

Usually several sessions are recommended at weekly intervals, to achieve an optimal result.