Remove marionette lines

Marionette wrinkle fight: We're ready for the showdown!

Say "goodbye" to your marionette lines! With hyaluronic acid injections, we can effectively combat these unwanted wrinkles. We use precise injection techniques to restore volume and make the skin look firmer. Enjoy a more youthful appearance and a confident smile. Make an appointment today and say goodbye to marionette lines!

Treatment duration

5 - 20 minutes


On demand local






6 - 18 months


Quick Facts

Presentation| without make up
Treatment duration| 5-20 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

Hyaluron (filler) - What is it?

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:

  1. 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.
  2. ModelingStructures can be specifically modeled with hyaluronic acids of different strengths - depending on the region - to change silhouettes and contours.
    Examples: Cheekbones, lips, chin, jawline (jawline).
  3. SkinboosterUsing very liquid hyaluronic acids with antioxidants, trace elements, vitamins and minerals, the skin texture and appearance can be made plumper and more radiant without making the treated area more "voluminous".
    The result is a wonderful "glow".
    Examples: entire face, neck, décolleté.
Treatment procedure

The effect of hyaluronic acid on the skin is multifaceted. Firstly, it can restore skin volume by injecting it into deep wrinkles and lines. This creates a plumping effect that significantly reduces the appearance of wrinkles.

Hyaluronic acid can also improve the elasticity and firmness of the skin. It stimulates the production of collagen and elastin, two proteins that are responsible for the structure and elasticity of the skin. This stimulation makes the skin firmer and smoother.

Another advantage of hyaluronic acid is its long-lasting effect. The results of a treatment can last from several months to a year, depending on individual factors such as metabolic rate and lifestyle.

Overall, hyaluronic acid is an effective way to improve the condition of the skin. It can reduce fine lines and wrinkles, restore skin volume and give the skin a more youthful appearance.

Filler treatment procedure

  • Please do not wear make-up on the day of treatment!
  • 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.
  • This should be followed by cooling for a few minutes. The result of the treatment can be seen immediately afterwards.

The breakdown of hyaluronic acid is exactly the same as the breakdown of the body's own natural hyaluronic acid - to CO2 and water. To maintain a long-term correction, it is recommended to repeat the treatment after around 6-12 months, depending on the region.

If you have any questions about the process, we are always here for you.


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.

Rules of conduct after treatment with fillers

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 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).
Possible risks

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
  • In extremely rare cases, hyaluronic acid can also clog vessels and lead to tissue loss. In this case, the hyaluronic acid must be dissolved again with an antidote known as hylase.

Treatments with hyaluronic acid as a so-called filler therefore belong in the hands of certified experts in this field.

Make an appointment and let us advise you. We look forward to your visit.

Which combination treatments are possible?

When treating marionette lines with hyaluronic acid, various combination treatments (e.g. Nasolabial fold with hyaluronic acid and/or Chin augmentation treatment with hyaluron) in order to achieve optimum results. Here are some possible options:

  • Botox: The combination of hyaluronic acid with botulinum toxin (Botox) can help to relax the muscles and further reduce the appearance of wrinkles. Botox is usually injected into the area around the corners of the mouth and chin line to reduce muscle activity.
  • Thread lifting: By inserting absorbable threads under the skin, a lifting effect can be achieved that further improves marionette lines. The threads also stimulate collagen production and thus promote long-term tightening of the skin.

It is important to note that each case is individual and a thorough consultation is therefore essential to find the best treatment plan & combination options for your personal needs.


Before / After


David Conrad, MD

M. Sc. Aesthetic Medicine

After his time at the Freiburg University Clinic and a private aesthetic clinic near Zurich, Dr. Conrad rounded off his further training as a highly specialized doctor in aesthetic consultations at the laser clinic next to Prof. Dr. Raulin and at the Aesthetics and Skin Centre in Karlsruhe.

At the same time, he deepened his knowledge in the field of thread lifting and minimally invasive aesthetic treatments with a Master of Science in London.


Our intention? Simple!

To demystify the hype and hysteria of the skincare industry.


Mr. Conrad is very empathetic, friendly & authentic! A really great speaker with impressive expertise in the field of aesthetic medicine, hyaluron and Botox! We especially appreciated Dr. Conrad's openness and honesty! A clear recommendation

sophie T
one month ago

Marie-Luise Schacht
one month ago

luana schirosi
one month ago

Very competent doctor who takes the time to explain everything very clearly, beautiful, natural results. Can highly recommend him.

Dominik Marquenie
2 months ago

World class lecture! Dr. Conrad can break down even complex topics in a very understandable way and convey them well. I would definitely recommend him and will be back for the next workshop. - TOP !

St. S.
2 months ago

I can recommend Dr. Conrad without reservation. He is very nice, competent and patiently answers all questions about the treatment.

Jochen Reichel
2 months ago

Everything is great!

Cuba A
2 months ago

The frown line is smoother than ever! I am super satisfied! Absolute recommendation!

I felt very well looked after here. Very good advice without pressure and lots of information about how injections and botulin work. That also made my decision easy. I'm really happy with the result and will be back =)

Pepita Grillo
3 months ago

I highly recommend Dr. Conrad, I am always satisfied with his knowledge, his skin treatments and his wonderful attention. Now I don't live in Karlsruhe, but I travel 5 hours to get an appointment with him. After the treatment I can see my skin noticeably better, and the effects last for a very long time, thus stopping the effects of aging.

Perwin Alo
5 months ago

Super friendly and competent doctor! I can recommend Dr. Conrad to everyone.

S. Timo
one year ago

Super doctor, respect for what he has already achieved at such a young age! Dr. Conrad always has an open ear and explains all open questions precisely and, above all, very clearly! I can only recommend him.

Leon Lutschinger
8 months ago

I was able to get to know Dr. Conrad as a DGBT speaker for Botox and filler courses. He impressed me with his professional expertise and extensive experience in the field of aesthetic medicine. I can recommend him wholeheartedly as a practitioner.

J. D.
one year ago

Dr. Conrad is a very friendly, empathetic and competent doctor who has earned my complete trust. I visit the practice regularly for fillers and botulinum and have been consistently satisfied. Above all, the fact that Dr. Conrad focuses on natural, realistic results appeals to me personally. You are very well advised by him and feel that you are in good hands before, during and after every treatment.

Lilia Röder
one year ago

Dr. Conrad takes his time, always listens to me carefully and you can just feel that he loves his work. Thank you for finally curing me of my migraines after more than 20 years! I am thrilled with the results every time. A clear 5 stars for Botox and hyaluronic acid in Karlsruhe

Birgit Schmitt
one year ago

Thank you for a unique, absolutely natural result. Until now, I had great respect for Botox and hyaluronic acid, but Dr. Conrad knows how to empathize with the patient and achieve an absolutely discreet, aesthetic result according to my own wishes. He really explains every step in detail so that I feel I am in good hands.

Claudio Greinke
9 months ago

Dr. Conrad was recommended to me by my best friend because I have been suffering from acne scars on my cheeks for a long time. He took his time and screened my skin. Together we decided to use professional microneedling together with a skin booster to correct the scars and the result is simply brilliant! Thank you so much again!

Eva Koch
one year ago

Really great, super friendly doctor who has the absolutely perfect, professional touch for me when it comes to aesthetics! The consultation is great, he knows exactly what looks good and implements it! I have never been as satisfied as with Dr. Conrad and have had Botox and hyaluronic acid injections for many years. I can recommend him with a clear conscience.

David Maas
one year ago

Dr. Conrad was not only very professional, but also very empathetic and helpful. An absolute expert who I can highly recommend. I went to Dr. Conrad for a Botox treatment and am very satisfied. Dr. Conrad took a lot of time for my concerns and gave me excellent professional advice Overall, the atmosphere on site is simply very relaxed and friendly. I will gladly come back again.

I am more than thrilled with the result! Detailed consultation, pleasant and relaxed atmosphere and highly recommended. Dr. Conrad takes a lot of time and conjures up a natural result.

Andreas Reichel
one year ago

Dr. David Conrad did an excellent job of taking away my nervousness, fear and concerns. Well informed, I decided to follow his recommendations. Great result, I am very satisfied.

3 months ago

Very respectable practice - they were very kind. Would recommend

one year ago

The absolute best doctor for aesthetics! I am always amazed by Dr. Conrad's expertise, empathy and the natural results of my Botox and hyaluronic acid treatments!

Jasmin Thiel
one year ago

I have trusted Dr. Conrad in the field of aesthetic treatments for over 2 years. Thank you for your honesty and consistently outstanding results! The next appointment is already scheduled :)

Udo Konstantin
10 months ago

My wife has already been to Dr. Conrad several times. He is very personable, takes a lot of time and treats you individually. He is an expert in his field.

Li M
5 months ago

One of the best doctors. Very competent ... I am extremely satisfied with the result.

R. Blumenröhr
5 months ago

Very pleasant atmosphere, very friendly and detailed advice, very good work. Highly recommended!

Benedict Britten
5 months ago

Very good doctor. Good information and treatment. Highly recommended.

Tanja B.
one year ago

The result of my cheek treatment with hyaluronic acid is super natural and subtle. I can only recommend Dr. Conrad to all my friends!

one year ago

We really appreciate working with Dr. David Conrad. His expertise, his advice and medical consulting, his treatments and his lectures are always at the highest level and it is great fun. Thank you.

Jan-U. Schweitzer
one year ago

A really great doctor. He has a great deal of specialist knowledge and expertise, especially in aesthetics. Works with very high-quality products. Also gives lectures on toxin and hyaluron treatments.

georg Eilert
one year ago

Professional, excellent practice organization, honest, empathetic and a unique eye for natural results! My trusted doctor in Karlsruhe for over 2 years! Keep up the good work!

Thomas Maulhardt
one year ago

I have associated Dr. Conrad with reliability, expertise and care for many years. I can recommend him unreservedly!

Alfons Conrad
one year ago

Amazing customer service, very quick response rate and most importantly super natural results. This guy knows what he is talking about and practices top-notch aesthetic medicine! Keep it up, man!

Very nice young doctor. Knows exactly what he is doing. Very attentive and competent. I am very satisfied.

Max Adams
one year ago

A very emphatic doctor with comprehensive advice who knows his trade. Highly recommended for Botox and fillers!

Nina Kucun
5 months ago

Super competent and recommendable doctor!

one year ago

Doctor I trust. Best advice, best results. Absolute recommendation.

Carolin Rude
11 months ago

Beautiful practice, great doctor, very nice and competent!

Barbara Scholten
one year ago

Doctor with professionalism and humanity. I am delighted with the results achieved and feel wonderful.

Fayhaa Ba
7 months ago

Very good artz, respect full I am satisfied with the result

Verena Berndt
one year ago

Super pleasant to talk to, very professional, great results!

Super doctor, nice competent advice.

Andreas Meyer
one year ago

Best dermatologist in the field of Botox. SUPER FINAL RESULTS !!!!

Louis Schmitt
one year ago

Alexander Seer
one year ago

Enjoy the
Holidays with us:

28.12. & 29.12. - We are here for you.