There are wrinkles that are caused by movement, so-called mimic wrinkles. Over time, our skin loses the ability to compensate for them and they dig deep into our face. For example, the frown lines between the eyebrows are typical mimic wrinkles.

Wrinkles that develop in this way are usually treated with botulinum toxin. Through finely tuned targeted injections into the muscles involved, the activity of the muscles can be reduced individually and the skin relaxes. The effect lasts 4-6 months and can be repeated.

There are also wrinkles caused by the loss of substance of our skin and subcutaneous fatty tissue. These wrinkles can be filled with autologous fat, collagen or so-called fillers.

Of the many filler alternatives, I prefer hyaluronic acid. It is a gel-like substance that occurs naturally in the body (e.g. in our eye, in our joints and in our skin). Hyaluronic acid is the "moisture reservoir" in our body, the concentration of which is reduced as we age.

It can now be produced synthetically in an almost nature-identical way and is available in different concentrations from completely liquid to completely solid gel, so that very fine-tuned regions and wrinkles in the face can be treated.

Fillers can be used to treat forehead, temples, eyebrow wrinkles, lower eyelid contours, cheeks, nasolabial folds, lips, corner of the mouth wrinkles and also the décolleté.

The effect lasts 4-6 months and can be repeated.

As a normal aging process of our face, the superficial and deep subcutaneous fatty tissue degrades over the years. Due to the additionally increasing weakening of the connective tissue framework and its ligamentous structures, the individual compartments can no longer be stabilized to a sufficient degree. Both lead to the fact that some regions collapse and others sink.

One way to mitigate these changes and perform a soft, non-surgical lift is to add volume to the face over a large area using hyaluronic acid.

We are focusing on three regions:

• Lower eyelid, cheeks, zygomatic bone
• Perioral region: region around the mouth
• Mandible margin contour

In about three sessions, these three regions are refilled with a special rounded needle (piX`L cannula). Complemented by the botulinum toxin treatment, a gentle lifting effect can be achieved.

From the age of forty, age-related changes begin to occur in the face. Numerous studies show that many factors influence the way we age.

What changes over the years?

If you divide the face into three zones, the proportions are equal in youth. The eye focuses on the central triangle and the harmony of the nose, cheeks, lips and chin. Due to the aging process, there is a shift in proportions. There are many different methods described under the term face lifting, but their results are limited and rather short-lived. The exact knowledge of the anatomical structures of the face and the age-related changes of the respective structure are the basic prerequisite for a successful face lift. The goal of a facelift is to achieve the best possible lifting of the sunken facial structures over the smallest possible scars. The method used in the past to achieve this lifting effect via the skin is hardly possible and results in artificially lifted faces. The method of choice is lifting, where the actual tightening is achieved through the muscular layer that lies under the skin and is called platysma in the neck area and SMAS (Superficial musculoapeunoreutic System) in the facial area. When this framework is stabilized again, the then remaining excess skin can be removed without tension. Lifting has no effect on the region around the mouth with the small lip wrinkles and the nose-lip wrinkles as well as the marionette wrinkles running down from the corner of the mouth. Supplementary measures would have to be taken for this. Partial lifts such as forehead lift, temporal lift, eye lift or midface lift can also be performed.

Due to the central importance in our interpersonal communication, the age-related changes of the eye region are particularly prominent. The particularly thin skin of the region, the pronounced facial expressions, UV exposure and also family predisposition can accelerate the aging process. Rarely is only the skin affected. The annular musculature around the eye slackens, the eyelid elevator muscle weakens, connective tissue structures (septum orbitale) and ligamentous structures loosen. Lymphatic congestion and protrusion of sagging fatty tissue may occur. In the upper eyelid, this leads to so-called "drooping eyelids", which in particularly pronounced cases can result in a reduced field of vision. In the lower eyelid, "bags under the eyes" can form and the edge of the lower eyelid lowers. Both make the eyes appear more tired. After an exact analysis of which individual changes are present, the treatment concept is determined. The surgical removal of the excess skin, the tightening of the respective sagging muscles and septa, and the removal or redistribution of the fatty tissue are all possible. Which of these measures and in which combination they are required is discussed individually. The goal is to achieve a rejuvenation of the eye region through the differentiated restoration of the personal, age-related changes, without losing the natural and very unique appearance.

Mammary glands that are too large can lead to postural problems with severe tension in the neck and back, resulting in painful strain. 

Reduction of the mammary gland (mammareductionplasty) assumes that body growth is complete and the breast is fully developed. During reduction surgery, part of the glandular tissue is removed. The nerves and milk ducts are spared to the extent that the sensation of the nipple and the ability to breastfeed are preserved as much as possible. The remaining glandular tissue is shaped and lifted. Often, there is a large excess of skin that must be removed by an additional tightening operation. After the operation, scars remain that run around the areola and from the areola perpendicularly to the inframammary fold and transversely in the inframammary fold. 

The technique used during surgery depends on the extent of excess skin and the size of the breast and will be discussed with you individually. After the operation, a special bra must be worn for about 6 weeks.

Our body creates certain fat deposits as depots. The distribution of these deposits is often genetically predetermined. Typical zones of these depots in women are hips and thighs, so-called riding breeches and inner knees. In men, the abdomen, hips and chin are more likely to be affected. These fat deposits cannot be reduced even by strict diets or intensive sports.

Liposuction or fat removal is an established procedure to remove these localized. Remove fat deposits and sculpt the body. Liposuction is not a weight loss method and the volume is limited to 4-5 liters.

In order to be as gentle on the tissue as possible, there are numerous techniques that can be used to prepare the fatty tissue accordingly. Whereas in the past it was necessary to mechanically "crush" the fat cells with thick cannulas in order to be able to suction them out, today the fatty tissue is softened with a special solution and can be removed with very fine cannulas. This tumescent technique is gentle on the tissue as it causes little damage to vessels and lymphatic channels.

Depending on the extent of the region, the procedure is performed under local or general anesthesia and lasts between 1-4 h. After surgery, a compression girdle must be worn for 6 weeks.

The basic prerequisite for liposuction is that there is sufficient elasticity in the skin so that it can contract again after the operation. In addition, there should not be too much excess skin, otherwise a tightening operation would have to be performed.

Our abdomen is our physical center. Training and maintaining the abdominal muscles not only improves the aesthetic image, but also stabilizes our torso and posture, thus relieving the strain on our back. However, age-related changes, pregnancies or weight reduction can cause the elasticity of the skin to be disturbed and stretch marks or even skin aprons to appear. The muscles and ligamentous structures involved give way and rectus diastasis, a divergence of the straight abdominal muscles, occurs. Even intensive training can hardly compensate for such changes. In case of local fat accumulation with good elasticity and without excess skin, liposuction can be performed. In a mini-abdominoplasty, skin and fatty tissue are removed from the lower abdominal area and a tightening of the muscles and connective tissue is performed. The belly button is not moved. If the upper and lower abdomen are sagging, a complete abdominoplasty must be performed. The skin is tightened via a transverse incision in the lower abdomen, the muscles that have grown apart are brought back together and the belly button is moved.

After surgery, a girdle must be worn for 6 weeks.

After severe weight loss and/or due to predisposition, the loss of skin elasticity on the thighs, buttocks and arms can result in remaining excess skin that cannot be compensated for by sporting activities. The goal of body-firming surgery is to surgically remove the existing excess skin to improve contour. Additional liposuction can perfect the harmony of the body contour. Likewise, a build-up of volume deficits, e.g. in the buttocks area, can be achieved through the supplementary shaping of local body tissue. Afterwards, however, relatively large scars remain. 

Postoperatively, a girdle should be worn for 6 weeks.