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Treatments
Treatment duration
15-25 minutes
Anaesthesia
On demand local
Pain
Very low
Recovery
Immediately
Durability
18 - 24 months
Filler treatments
Hyaluronic preparations, as the most sought-after fillers, are used to fill and smooth wrinkles, scars, model selective areas of the face or even as skin boosters to promote skin health. Due to their complexity, these treatments belong in the hands of certified experts.
FAQs
Presentation| without make up
Treatment duration| 15-25 minutes
Onset of action| immediately | final result after 2-4 weeks
Anaesthesia| High-tech filler provided with local anesthetic
Material| highly purified, biocompatible hyaluronic acid
Socially acceptable| immediately
Load capacity| immediately | sport after 4 hours
Incapacity to work| none
Rules of conduct| see below
Prices| individual depending on regions and desired effect
Fillers are substances that have a "filling" character.
In recent years, hyaluronic acid has gained acceptance due to its high product safety, its compatibility as a substance produced naturally in the body, and its precise controllability of results. Basically, this is a sugar molecule which, depending on the degree of crosslinking in a complex manufacturing process, can bind different amounts of water and thus have different viscosities.
Various effects are derived from this:
- Refill: People lose massive volume in selected areas of the face as part of the individual aging process. This volume can be restored with viscous hyaluronic acids. The water-binding effect is also reflected in a more radiant, firmer skin.
Examples: Nasolabial folds, marionette wrinkles, tear trough, chin, mouth region, hollow cheeks, back of the hand as well as scarred wrinkles or volume loss in fatty tissue, the extent of which represents a significant psychological burden for our valued patients. - Modeling: Structures can be specifically modeled with different strength hyaluronic acids - depending on the region - to change silhouettes and contours.
Examples: Cheekbones, lips, chin, jawline (jawline). - SkinboosterBy means of very liquid hyaluronic acids provided with antioxidants, trace elements, vitamins and minerals, skin texture and skin appearance can be made plumper and more radiant without making the treated area more "voluminous".
A wonderful "glow" is created.
Examples: entire face, neck, décolleté.
You are welcome to present yourself for a non-binding consultation at the consultation without make-up. After a detailed consultation and explanation, the areas to be treated are cleaned and disinfected.
Then the treatment is carried out according to your wishes. The hyaluronic acid is gently placed under the skin surface directly along the wrinkles with a very fine needle until the desired correction is achieved. You are also welcome to view the intermediate result and help decide, so that the treatment is perfectly tailored to your needs.
Subsequently, it should be cooled for a few minutes. The result of the treatment can be seen immediately afterwards. The degradation of hyaluronic acid proceeds exactly like the degradation of the body's own natural hyaluronic acid - to CO2 and water. To obtain a long-term correction, it is recommended to repeat the treatment after about 6-12 months depending on the region.
If you have any questions about the process, we are always here for you.
Rules of conduct exist on numerous websites, which have historically arisen since the days of discovery of hyaluronic acid. Most of them have no scientific basis.
Our recommendations include:
- no pressure or manipulation of the sites for 48 hours, however lips should be massaged for 10 minutes daily from day 1 after treatment for 1 week
- Moderate sport is possible without problems after 24 hours
- Avoid sauna, intensive sun, solarium for 24 hours or until bruises disappear.
- No subcutaneous treatments for 2 weeks to avoid infection of the inserted hyaluronic acid.
These include- Dental operations |-cleanings
- Microneedling
- Tattoos | Piercings | Permanent make-up
- Hot scrubs
- Laser treatments
- Vaccinations
- Special features of lip treatments:
- no hot drinks for at least 4 hours
- not kiss intensively on the same day
- 4 weeks no dental treatments
- Massage from day 1 after treatment 1 week daily 10 minutes (It is true: you can not do anything wrong).
Highly effective innovative hyaluronic acids currently represent by far the safest and most effective treatment option in the filler area of aesthetics. Although hyaluronic acid is in principle a substance produced naturally in the body, side effects can nevertheless rarely occur:
- Redness, swelling, bruising
- Irritation in the treated area
- Inflammation / Infection
- Nodule
- Extremely rarely, hyaluronic acid can also clog vessels and lead to tissue destruction. In this case, the hyaluronic acid must be dissolved again with an antidote - so-called hylase.
Treatments with hyaluronic acid as a so-called filler therefore belong in the hands of certified experts in this field.
We offer a very comprehensive range of filler treatments:
- Lips
- Skinbooster
- Eye circles / tear trough
- Temples
- Cheek augmentation
- Hollow cheeks
- Nasolabial folds
- Marionette folds
- Pleated wrinkles
- Jawline
- Chin augmentation
- Back of the hand
- 8 point lift
Rhinoplasty: International literature has increasingly reported significant complications such as blindness after this treatment. For safety reasons, rhinoplasty is therefore not performed.
The actual durability of hyaluron should be distinguished from the perceived durability. Both vary depending on the product used as well as the mechanical stress on the treated region.
The actual shelf life of high-quality products is 10-24 months. The shelf life is longer if the product is placed in an area with little movement and blood flow.
For the perceived durability, it must be taken into account that the individual aging process also naturally progresses during the application period, albeit at a slower rate. Therefore, it is often useful to refresh the result again after 10-12 months.
Studies have shown that patients can benefit from significantly extended durability by combining hyaluron with botulinum in areas of high movement.
We will be happy to clarify questions regarding durability in a personal consultation.
Individually depending on regions and desired effect.
How do botulinum vs. fillers differ ?
- Filler are substances that exhibit a "filling" character. In recent years, hyaluronic acid has gained acceptance due to its high product safety, its compatibility as a substance produced naturally in the body, and its precise controllability of results.
- Botulinum inhibits the activation of certain nerves on muscles and sweat glands. This is also the reason for its effect. In the area of muscles, it can be used to smooth out wrinkles caused by muscle movement or to reduce excessively strong muscles - such as the masseter muscle in patients who grind. Through the targeted inhibition of sweat glands, it is excellent for treating excessive sweating, for example, on the armpits, hands and feet.
A major advantage of minimally invasive procedures is their ease of combination. The preparations we use for botulinum, hyaluron and thread lifting can be safely combined.
In particular, different regions can be treated at the same time. If the same region - such as the eye area - is to be treated with hyaluron and botulinum, an interval of 2 weeks is recommended in most cases.
Treatment duration
10 minutes
Anaesthesia
On demand local
Pain
Very low
Recovery
Immediately
Durability
3-6 months
Botulinum treatments
Wrinkle treatment with botulinum relaxes the muscles of the expression lines and thus reduces the formation of wrinkles in the short and long term. The body is given time to heal deep skin break lines formed over the years with natural regeneration.
In the medical field, botulinum is used to reduce facial expression wrinkles, which are a considerable psychological burden. In addition, there are numerous studies that speak for an antidepressant, migraine alleviating, mood-lifting effect.
FAQs
Presentation| without make up
Treatment duration| 10 minutes
Onset of action| after 3-10 days
Maximum effect| after 14 days
Anaesthesia| local with cream on request
Material| biologically derived botulinum free from animal testing
Socially acceptable| immediately
Load capacity| immediately | sport after 4 hours
Incapacity to work| none
Rules of conduct| see below
Prices| individual depending on regions and desired effect
Botulinum refers to a protein derived from nature, which today is used as a highly purified drug for the temporary, controlled relaxation of muscles in, among other things, aesthetics (wrinkle treatment), pain therapy (migraine, teeth grinding) and excessive sweating (hyperhidrosis).
The former term botulinum "toxin" dates back to the days of discovery > 200 years ago, when this protein was found in 100 000 - fold dosage in degenerated sausage (Latin botulus = sausage) and should no longer be used today. This quantity would be absolutely unattainable in purified form today for financial and logistical reasons alone.
Botulinum is used in particular for the temporary reduction of moderate to severe wrinkles in the area between the eyebrows (frown lines), horizontal forehead wrinkles and the so-called crow's feet at the sides of the eyes, the extent of which can certainly represent a considerable psychological burden for adults. In addition, there are numerous studies that speak for an antidepressant, migraine alleviating, mood-lifting effect.
You are welcome to present yourself without make-up for a non-binding consultation during the consultation hours.
If facial expression lines in particular are to be smoothed, the appropriate dose is selected on the basis of musculature and the objective from the experience of the practitioner. Based on the individual muscle structure and course, treatment points are marked after disinfection and the botulinum is precisely introduced with barely visible needles. Occasionally, smallest bruises can occur, which may then be easily covered with make-up on the same evening.
Important! The effect starts only after 3-10 days, so the maximum muscle relaxation is achieved after 14 days.
In the first days no effect is visible and wrinkle smoothing occurs increasingly in the period between 2-8 weeks after treatment.
The body must be given some time to gently smooth out the skin stress lines that have formed.
If you have any questions about the process, we are always here for you.
Rules of conduct exist on numerous websites that have historically emerged since the days of botulinum discovery. Most of them have no scientific basis.
Our recommendations include:
- No pressure or manipulation of the sites for 4 hours to avoid spreading the botulinum to other lots
- Moderate sport is possible without problems after 4 hours
- Avoid 24 h sauna, intensive sun, solarium
- 48 h no treatments that get under the skin
(Microneedling, dental surgery/cleanings, tattoos, piercings, permanent makeup, sharp peels, laser treatments).
Botulinum is extremely well tolerated. Unlike most other drugs, ALL possible effects and side effects here are temporary.
Minor side effects include bruising as well as unintended treatment of neighboring muscles. The risk of bruising is strongly dependent on the treatment region.
We will be happy to advise you on the details of your desired treatment in an on-site educational consultation.
The following treatments are distinguished:
Aesthetic treatments
- frown lines, forehead wrinkles crow's feet, bunny lines
- Browlift
- Paving stone chin
- Facial slimming (Facial Slimming)
- Gummy Smile
- Raise corner of mouth
- Neck treatments (so-called Nefertiti Lift)
Medical treatments
(Rarely covered by health insurance).
- Frown line treatment for migraine
- Teeth grinding (bruxism)
Sweating treatment
Armpits, hands, feet, head/forehead
How do botulinum vs. fillers differ ?
- Filler are substances that exhibit a "filling" character. In recent years, hyaluronic acid has gained acceptance due to its high product safety, its compatibility as a substance produced naturally in the body, and its precise controllability of results.
- Botulinum inhibits the activation of certain nerves on muscles and sweat glands. This is also the reason for its effect. In the area of muscles, it can be used to smooth out wrinkles caused by muscle movement or to reduce excessively strong muscles - such as the masseter muscle in patients who grind. Through the targeted inhibition of sweat glands, it is excellent for treating excessive sweating, for example, on the armpits, hands and feet.
Individual depending on musculature, regions and desired effect
How do botulinum vs. fillers differ ?
- Botulinum inhibits the activation of certain nerves on muscles and sweat glands. This is also the reason for its effect. In the area of muscles, it can be used to smooth wrinkles caused by muscle movement or to reduce excessively strong muscles - such as the chewing muscle in patients who grind. Through the targeted inhibition of sweat glands, it is excellent for treating excessive sweating, e.g. underarms, hands, feet.
- Fillers are substances that exhibit a "filling" character. In recent years, hyaluronic acid has gained acceptance due to its high product safety, its compatibility as a substance produced naturally in the body, and its precise controllability of results.
A major advantage of minimally invasive procedures is their ease of combination. The preparations we use for botulinum, hyaluron and thread lifting can be safely combined.
In particular, different regions can be treated at the same time. If the same region - such as the eye area - is to be treated with hyaluron and botulinum, an interval of 2 weeks is recommended in most cases.
Treatment duration
45-60 minutes
Anaesthesia
Gently local
Pain
Very low
Recovery
Immediately
Durability
Until 24 months
Thread lifting treatments
Thread lifting represents a gentle, minimally invasive treatment option
to slightly lift the parts of the mid-face and the lower third of the face.
FAQs
Presentation| without make up
Treatment duration| 45-60 minutes | outpatient
Anaesthesia| local anesthesia
Yarn material| biodegradable polylactic acid
Practice visit| outpatient
Socially acceptable| in up to 7 days
Load capacity| Maximum incl. sport after 2 weeks
Incapacity to work| none
Rules of conduct| after treatment | see below
Costs| from 2000 € incl. VAT
By inserting self-dissolving, fine threads under the skin, sagging areas of the face are smoothed and gently lifted.
In addition, this minimally invasive treatment method, which is gentler than a surgical facelift, refines the superficial skin structure by using thread material to stimulate the body's own collagen regeneration. In this way, a natural and long-lasting result can be achieved.
The lifting of sunken facial compartments results in attractive definition of the cheek area and reduction of nasolabial and marionette wrinkles. Thus, the youthful facial silhouette (so-called V-shape) can be emphasized - without surgical operation.
Patients perfectly suited for thread lifting are
- with sunken tissue in the middle face, making nasolabial and marionette wrinkles look deeper due to shadow effect
- decreasing volume above the cheekbones
- Sagging cheeks under the jaw line
Rather unsuitable are patients with
- very strong excess and heavy, thickened skin - This would be lifted only surgically.
- barely present subcutaneous fat tissue - Here the sutures cannot be anchored.
- very thin skin and lack of fatty tissue - Here the stitches would be visible to the outside after treatment.
We only want happy and satisfied patients. Therefore, we will tell you openly and honestly whether this therapy meets your objectives or whether we consider an alternative therapy more suitable.
Regions that are particularly affected by gravity effects in the aging process can be treated best.
Therefore, thread lifting is most often used to treat the nasolabial/marionette folds and to tighten the so-called jawline (jawline) and neck.
The goal of these treatments is always the natural restoration of an attractive, youthful facial silhouette (=rejuvenation) and the definition of facial contours.
Important! Please come without make-up on the day of treatment.
First, the before condition is photographed from different angles. After thorough cleaning and disinfection, the places where the threads can develop the optimal tensile effects for you are determined.
These regions are marked with a special pencil, then the desired direction of the threads is defined. Thread lifting is performed gently under local anesthesia.
After the treatment, it takes about 1 week for the slight swelling and possible bruising to heal completely. You can speed up this process with some ibuprofen and cooling pads.
Recommended rules of conduct after treatment:
- Immediately after the treatment, cool the treated areas for 5 to 10 minutes using cold packs or a cold towel.
- Take anti-inflammatory drugs for pain
(Ibuprofen, not aspirin). - Elevate your head for the first 3 nights
and preferably sleep on your back (5 nights). - Gently clean and dry your face without vigorous rubbing
(5 days). - Make-up, shaving and hair washing carefully (5 days)
- Avoid sunlight and tanning salons (2 weeks, SPF 50 outside)
- Avoid excessive facial movements while chewing, speaking, and yawning (2 weeks).
To prevent inflammation or infection:
- No massages and facials (2 weeks)
- No intense sports, especially contact sports (2 weeks).
- No sauna (2 weeks)
- No dental treatments (2 weeks)
Treatment by an experienced aesthetic doctor is considered extremely safe. Following the thread lifting treatment, slight swelling or bruising may occur. Occasionally, a skin irregularity may be visible at the puncture sites initially. These impairments disappear a few days after the treatment.
Side effects are fortunately very rare and usually temporary, as the threads break down in the body after some time.
The following accompanying reactions are possible:
- Very rarely, infections, skin discoloration and induration may occur, but these are easily treated.
- Occasionally, pain, itching, minor bruising and swelling may occur in the treatment area.
- Temporary redness may occur occasionally
Unfortunately, the market for thread lifts has become very confusing for patients. Due to the numerous, sometimes contaminated products on the market, it must be emphasized that the use of high-quality threads in the correct skin layer with realistic objectives is of crucial importance.
We use only threads made of biodegradable, sustainable polylactic acid, which are inserted invisibly to the outside. This results in a gentle tightening of the skin and effective collagen stimulation, which allows results of up to 2 years.
We want the best possible result for you. That is why we use a certified sustainable thread technology, which allows long-lasting results for 18-24 months.
Nevertheless, the aging process of each person is very individual. With us, every patient has the freedom to decide for themselves when and whether they want to refresh a treatment. We are always there for you with an objective assessment.
It is true: quality has its price. Material costs for threads on the market range from 5-300€ (per thread!) and just as large as the price range are the differences in quality, compatibility, cleanliness, longevity and experience of the practitioner.
Since your health is our main focus, we put special emphasis on using only FDA-certified sutures with excellent studies to achieve perfect results for you. The costs start from 2000 € including VAT.
The procedure is performed in a highly specialized aesthetics and skin center, guaranteeing the highest standards of hygiene, and is therefore low in side effects, effective and safe.
With thread lifting, the natural facial expression is preserved, as tensile forces are only applied to the areas where the threads are inserted. In this way, regions can be specifically omitted where numerous facial muscles meet. The naturalness of facial expressions is the focus and is preserved. However, if extreme pulling effects are desired and massive excess skin must be surgically removed, facelifting remains the method of choice.
In contrast, there are no visible scars with thread lifting and the stress on the entire body is significantly less than with conventional facelifting (general anesthesia).
The result can be seen immediately after the treatment and improves over the next 8-12 months due to the sustained stimulation of the body's own collagen formation. Further advantages compared to a facelift are the short treatment time < 1h and the extremely fast regeneration afterwards.
An aesthetically skilled doctor achieves optimal results by intelligently combining suitable procedures to improve skin health in the various skin layers. Thread lifting is a sensible, gentle and scar-free addition to the repertoire alongside classic wrinkle injections with hyaluron, muscle relaxation with botulinum as well as cosmetic treatments.
Important! The threads we use can be combined very well with other skin rejuvenation procedures, i.e. treatments with hyaluronic acid or botulinum are still possible.
In order to give the body time to regenerate, we recommend an interval of at least 2 weeks between injections with hyaluronic acid, while treatments with botulinum can also be combined in one session.
About
David Conrad, MD
M. Sc. Aesthetic Medicine
Combining dermatology with aesthetics
After his time at the University Clinic Freiburg as well as an aesthetic private clinic near Zurich, Dr. Conrad continued his education as a highly specialized physician of the aesthetic consultation in the laser clinic next to Prof. Dr. Raulin as well as in the Aesthetic and Skin Center Karlsruhe.
At the same time, he deepened his knowledge in the field of thread lifting and minimally invasive laser, scar and aesthetic treatments with a Master of Science.
As a speaker of the "German Society for Aesthetic Botulinum and Filler Therapy" (DGBT) and with over 25,000 treatments performed, Dr. Conrad has extensive experience in the field of aesthetics and injectables and is happy to share his knowledge in national and international lectures and workshops.
Impressions
Workshops
Dr. Conrad offers comprehensive lectures, individualized workshops and hands-on training (also external) on the topics of hyaluronic acid and botulinum.
If you would like to refine your skills or discuss specific questions/problems 1:1, Dr. Conrad offers suitable Masterclass webinars for you.
For questions and personalized appointment requests, please feel free to contact us.
