Dermatology practice B18

The areas of application of the fractional CO2 laser (Fraxel laser) are manifold.

It is used to improve the skin structure (reduction of small wrinkles and tightening of the skin through the formation of collagen, among other things), tightening of the lower eyelids and gives the skin a more even complexion by removing superficial pigment spots and irregularities.

Acne and chicken pox scars, small wrinkles, especially in the area of the lower eyelids or skin rejuvenation of the face, neck, décolleté or hands are among the classic areas of application with usually impressive results. Depending on the indication, one or more treatments are required to achieve the desired result.

After a short healing phase (usually a few days), the first treatment results are already visible.

All aesthetic treatments are preceded by a detailed consultation and information session. You will then receive a written information sheet, an individual cost plan and a treatment contract.

The KTP laser has a wavelength of 532 nm and is therefore very well suited for the treatment of superficially dilated vessels and haemangiomas, which appear as so-called “couperose” on the face.

Small warts, fibromas and other benign, disturbing skin changes can also be gently removed with the KTP laser.

The short light pulse penetrates the upper layer of the skin so that the energy is first absorbed by the red blood pigment in the blood vessels.

The vessels are heated, contract, no longer receive blood and disappear.

This effect is already visible directly after the treatment. Reddening in the treated area immediately after the treatment is completely normal and usually disappears completely after a few hours.

Occasionally, however, small crusts may appear that fall off on their own after a few days. Depending on the type and extent of vascular dilatation, several treatments may be necessary.

All aesthetic treatments are preceded by a detailed consultation and information session. You will then receive a written information sheet, an individual cost plan and a treatment contract.

The Q-switched ruby laser for pigmented skin lesions and multi-coloured tattoos has an optimal wavelength of 694 nm and extremely short pulses of only 20 ns. This makes it one of the safest and most precise treatment solutions for benign pigmented skin lesions and for removing all types of tattoos, whether decorative or dirty, professional or amateur, or permanent make-up.

Whether in preparation for a cover up or for permanent tattoo removal, the ruby laser is ideally suited. As a rule, the treatment sessions are carried out at intervals of at least 6 weeks. The interval between laser and cover-up should be at least 4 months.

Disturbing benign pigment spots (e.g. “age spots”) can be removed gently and permanently. The pigment is broken down into its smallest pieces and removed by the body’s own macrophages. This explains the breaks in treatment that are always necessary.

All aesthetic treatments are preceded by a detailed consultation and explanatory talk. You will then receive a written information sheet, an individual cost plan and a treatment contract.

Mimic muscles are the muscles of the face that intentionally or unintentionally bring movement to our face.

Over the years, very strong and active muscles can lead to the formation of wrinkles in the overlying skin, which may give us an expression that outwardly reflects our basic mood incorrectly. This can make us appear unintentionally angry, sad or stressed.

Small wrinkles around the eyes caused by frequent, unconscious squinting may also be distracting.

Botulinum toxin enables us to give you back the relaxed facial expression you desire. Depending on the dose, the temporary interruption of the signalling pathway between nerve and muscle leads to a reduction in muscle activity and consequently to a relaxation of the overlying skin.

The wrinkles are reduced or even disappear completely. As a rule, the treatment is repeated every 3-6 months to maintain the effect.

In addition to the classic indications such as frown lines, forehead wrinkles and wrinkles around the eyes, we also treat other localisations.

These include wrinkles in the neck area, reduction of undesirable dimpling on the chin due to pronounced muscular activity (cobblestone chin), bunny lines in the nose area, ‘lip flip’ of the upper lip, micro-botox on the face,
In addition to gentle smoothing, this is also particularly suitable for reducing sebum production and thus improving acne symptoms. Treatment with botulinim toxin is also an innovative treatment method for reducing the redness of rosacea.

In addition to these indications relating to the skin, there are other established treatment options in other areas.
These include, for example, the treatment of the masseter muscle to reduce teeth grinding (bruxism) and thus contribute to dental health.
Botulinum toxin can also be used to reduce the sometimes disturbing hypertrophy (enlargement) of the masseter muscle, which is caused by increased muscle tone and visually widens the face (facial slimming)

All aesthetic treatments are preceded by a detailed consultation and information session. You will then receive a written information sheet, a personalised cost plan and a treatment contract.

Hyaluronic acid (filler)

Multiple indications:

• Sagging cheeks
• Hollow cheeks
• sagging neckline
• droopy lower eyelids
• dark tear trough
• sagging facial skin

Advantages of thread lifting:

• Less stress than a traditional facelift
• Fast healing
• Short treatment time (only about 15 to 45 minutes)
• Low risk of pain and inflammation

The treatment area is locally anaesthetised and the absorbable thread is inserted into the tissue. The type and number of sutures to be used are determined in advance in a detailed consultation and information session.

This minimally invasive procedure builds new connective tissue around the thread, making the skin firmer and smoother. Certain types of thread can also lift skin and subcutaneous tissue, returning it to approximately its original position.

This new and gentle method usually leaves no wounds or scars. The threads are absorbed after a certain time (depending on the type of thread), i.e. they dissolve. The results are visible for months to years, depending on the thread and indication.

All aesthetic treatments are preceded by a detailed consultation and information session. You will then receive a written information sheet, an individual cost plan and a treatment contract.

A ‘vampire lift’ or PrP (platelet-rich plasma) is a type of treatment for skin rejuvenation and tightening using the patient’s own blood or the plasma and platelets it contains.

Many people want a little less wrinkles, less tired eyes or simply a fresh complexion. Some have concerns about foreign material in the skin. This is precisely the strength of the PrP treatment.

As the treatment involves processing the patient’s own blood and injecting individual components under the skin, this type of aesthetic treatment is free from foreign substances and is the most natural way of rejuvenating the skin.

A PrP treatment is also ideal as a supportive procedure for other aesthetic treatments and to improve hair growth.

All aesthetic treatments are preceded by a detailed consultation and information session. You will then receive a written information sheet, a personalised cost plan and a treatment contract.

This type of skin treatment with hyaluronic acid serves to improve the skin structure in the medium and long term. The hyaluronic acid is injected as a depot under the skin, which supplies it with moisture.

The clearest effect is achieved when the build-up phase (2-3 treatments at intervals of 2-4 weeks) is followed by a regular 2-3x annual refreshing phase (1 treatment each). Skinboosters are suitable for the face, neck, décolleté and hands. Particularly dry and light-damaged skin also benefits from this type of treatment.

All aesthetic treatments are preceded by a detailed consultation and information session. You will then receive a written information sheet, an individual cost plan and a treatment contract.

Injection lipolysis is an aesthetic therapy that is able to reduce unwelcome fat deposits in a simple, targeted and lasting way.

This is achieved by subcutaneous injections of a combination of active ingredients of phosphatidylcholine (PPC) and deoxycholic acid (DOC) into those regions that are to be reduced. Especially for smaller fat pads and the facial region, injection lipolysis is a very successful therapy.

Besides the double chin, the inner and outer thighs, the “love handles” and soft fat pads on the abdomen can also be treated.

All aesthetic treatments are preceded by a detailed consultation and explanatory talk. You will then receive a written information sheet, an individual cost plan and a treatment contract.

Photodynamic therapy is also used in aesthetic medicine.

PDT is often performed in our practice in combination with a mild Fraxel laser treatment to enhance the effect.

The procedure, whether for aesthetic or medical reasons, is the same (for more information see PDT under medical treatments).

All aesthetic treatments are preceded by a detailed consultation and information session. You will then receive a written information sheet, an individual cost plan and a treatment contract.

Here we use various methods that often complement each other in their effect. Thus fruit acid peelings, laser treatments, PrP treatments, thread lifts and filler treatments with hyaluronic acid each find their place in the individually designed treatment, which is strictly oriented towards your needs, wishes and possibilities. Treatments are often carried out at regular intervals over several weeks or months.

All aesthetic treatments are preceded by a detailed consultation and information session. You will then receive a written information sheet, an individual cost plan and a treatment contract.

Fruit acid peels are used as an adjunctive therapy for acne, to smooth the skin and reduce superficial pigmentation.

For the best possible treatment success, regular peels are usually recommended, because regular fruit acid peels improve the skin structure in the long term.

Common areas of application are the face, décolleté and upper back.

All aesthetic treatments are preceded by a detailed consultation and information session. You will then receive a written information sheet, an individual cost plan and a treatment contract.

Here we use various methods, often in close co-operation with our medical cosmetics, which often complement each other in their effect. Fruit acid peelings, laser treatments, PrP treatments and filler treatments with hyaluronic acid each have their place in the customised treatment, which is strictly based on your needs, wishes and possibilities. Treatments are often carried out at regular intervals over several weeks or months.

All aesthetic treatments are preceded by a detailed consultation and information session. You will then receive a written information sheet, a personalised cost plan and a treatment contract.

Spider veins are finely dilated, reddish or bluish vessels directly under the skin. Mostly appearing on the upper or lower legs, they are often visible and are usually perceived as very disturbing.

A simple sclerotherapy of the vessels induces the regression of these vessels. Depending on the severity and localisation, various treatment options come into question. We will be happy to advise you.

All aesthetic treatments are preceded by a detailed consultation and information session. You will then receive a written information sheet, an individual cost plan and a treatment contract.

IncontiLase® is a non-invasive laser therapy for the treatment of mild and moderate stress and mixed urinary incontinence (SHI) in women.
Preliminary clinical studies show that it is an effective, easy-to-use and safe procedure.

The vaginal mucosa tissue in the area of the vaginal vestibule and the urethral opening as well as in the area along the anterior vaginal wall is heated using an Er:YAG laser and collagen neogenesis is stimulated.
The existing collagen is remodelled and the formation of new collagen is stimulated. It also shrinks and tightens the vaginal mucosa tissue and the collagen-rich endopelvic fascia. This results in better support for the bladder.