Lines, expression lines, pigmentation, telangiectasia, rosacea, enlarged pores, a sallow complexion and signs of ageing caused by the sun are among the most common undesirable skin changes. Nowadays, the transition between cosmetic and medical treatments is fluid. The combination of highly effective cosmetic products with state-of-the-art device technology enables amazing effects.
Wrinkles that have permanently deepened in the skin can be treated very well with hyaluronic acid, possibly also in combination with other procedures. Before each treatment, a detailed consultation is carried out at our practice clinic in Frankfurt so that we can respond to your individual needs. Hyaluronic acid gives the skin a fresh appearance and more volume thanks to a protein produced naturally in the body. As hyaluronic acid does not contain any foreign proteins, an allergic reaction is virtually impossible.
Botulinum has been used in various areas since the 1980s, but its use in the area of wrinkles is relatively new. The safety of this product has been proven in various studies. Over the years, wrinkles develop in the overlying skin due to the constant activity of the mimic muscles, such as laugh lines at the corners of the eyes, frown lines above the nose or wrinkles on the forehead. Botulinum (also known as "Botox") inhibits muscle contraction and thus smoothes the wrinkles. The result usually lasts 4 - 6 months, and the treatment can be repeated at regular intervals if desired. The fear that the face will look like a wrinkle after the Botox treatment unnatural and mask-like appearance is unfounded - we attach great importance to a natural look.
Unwanted hair growth, spider veins, age and pigment spots, couperose, acne and rosacea can be excellently removed with IPL and the diode laser. With the computer-controlled IPL light or the laser the melanin, pigment or blood vessel is heated and denatured, without damaging the surrounding tissue. The resulting substance is shed during the skin's renewal cycle. Both skin layers on the surface and in deeper regions can be treated. IPL or laser treatment works below the surface of the skin. You will be fit for socialising again immediately after the procedure.
From the age of 20, the skin begins to change in the sense of "wrinkles" and increased pigmentation due to external influences such as UV radiation, pollutants, etc. as well as the decreasing ability to store water. These changes become visible in the areas that are most exposed to these influences: The face and hands.
The aim of the treatment is to gently remove the increasingly keratinised, dry and hyperpigmented top layer of skin and stimulate the formation of new, smoother skin. To prevent damage to the subcutis, solutions are used that change colour before reaching a critical penetration depth.
To understand the development of wrinkles, you need to know the structure of the skin. There are basically three layers: The epidermis is the top layer of the skin. It renews itself independently in a cycle of around 27 days. The second skin layer is the dermis, also known as the dermis. It contains sweat glands, sebaceous glands and scent glands and is surrounded by a network of collagen fibres and elastin. This interplay of glands and fibres keeps the skin supple, enables it to store water and is responsible for the high stability of the skin. The third layer of skin is the subcutis with its fatty tissue. This layer also helps to store water and moisture.
The three skin layers mentioned above generally function optimally until young adulthood. This is also evident in their appearance: the skin appears wrinkle-free, fresh, plump and vital. It is able to store a lot of water.
Over the years, the skin layers change and perform their tasks more slowly and to a more moderate extent, which continues to diminish. The collagen fibres and elastic fibres are minimised, which is why less moisture can be stored in the skin. Now the visible ageing process begins: the skin loses its elasticity, becomes thinner and drier. The result: wrinkles and sagging tissue.
There are three main types or groups of wrinkles.
Getting older is a normal process - and skin ageing is part of it. It begins at around the age of 25. However, the speed at which the skin ages depends on genetic predisposition. Every woman and every man therefore ages differently and at their own pace.
However, wrinkles, sagging tissue and pigmentation spots can also become visible earlier than average. This is due to certain factors that accelerate skin ageing. These include UV radiation, smoking, excessive and regular consumption of alcohol, an inadequate supply of nutrients, a very unbalanced diet, but also little sleep and too much stress on a permanent basis.
A conscious lifestyle can help to slow down the skin ageing process. For example, a balanced, varied diet of good quality can lay the foundation for the beautiful appearance of your skin - and of course for your general physical health! It is also important to always drink enough (preferably water or unsweetened teas) - this will help the collagen fibres to retain more moisture. Regular exercise, sufficient sleep and as little stress as possible also contribute to a good, fresh appearance. It is also advisable to avoid smoking and drinking too much alcohol. Protect yourself from UV radiation and use appropriate sun protection.
It is also important to actively care for your skin with the right cosmetics. Visits to the beautician can also help to keep your skin beautifully clean, smooth and firm.
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It has been scientifically proven that the UV rays in sunlight can promote structural skin ageing. This is because UV rays lead to the formation of free radicals on the skin. These can attack the cell structures of the skin and damage the collagen fibres. Furthermore, the rays activate so-called MMPs (matrix metalloproteinases) on the skin. These promote the breakdown of collagen, elastin and hyaluronic acid. This accelerates the formation of wrinkles.
When you smoke a cigarette, you are also ingesting the neurotoxin nicotine. It is transported to the brain via the bloodstream, where it can interfere with the functioning of various nerve cells. Nicotine also constricts the blood vessels and thus inhibits blood circulation and the supply of nutrients to the skin. The neurotoxin also favours the breakdown of collagen and elastin. This can reduce the elasticity of the skin. Another consequence of smoking on the skin: nicotine contributes to a reduced storage of moisture in the skin.
When smoking, it is not only nicotine that damages the skin and can lead to the premature formation of wrinkles, tobacco smoke can also have a negative effect: In addition to free radicals, it also contains carbon monoxide and fine smoke particles. Both further damage the skin.
And finally, dragging on a cigarette with pursed lips can favour expression lines around the mouth.
There are various treatments that can improve the skin structure and thus reduce wrinkles. They utilise different principles of action:
The treatment effect usually occurs after 48-72 hours, the maximum effect is achieved after 1-2 weeks. The blockade at the transmission site between nerve and muscle usually lasts 4-6 months, after which the changes caused by botulinum regress. If desired, the treatment can be repeated at regular intervals in our Frankfurt practice.
Some patients are afraid that their face will be damaged after a Botulinum treatment looks mask-like and unnatural. This concern is unfounded, as we place the highest value on a natural appearance in our practice clinic and discuss your wishes with you in detail during the preliminary consultation.
The injection of botulinum by our experienced practitioner is a very safe and well-tolerated method for gentle wrinkle smoothing. In a few cases, minor swelling and bruising occur, but these disappear very quickly. A very small number of patients have complained of temporary discomfort, tiredness or headaches after the treatment, but there are also many cases in which pre-existing headaches improve significantly. Allergic reactions, itching or skin rashes are extremely rare.
The treatments are carried out in our practice by Dr Thomas FischerThe treatment is carried out by a highly qualified and experienced doctor in accordance with the highest medical quality standards. We will be happy to answer any questions you may have.
There is hardly a person who is really happy about the signs of ageing on their face. Wrinkles on the forehead, between the eyebrows or around the mouth make us look tense, exhausted and unfortunately also old. One very effective method of treating wrinkles is the use of Botox®.
When you look at Hollywood beauties, models and other VIPs, you often marvel at how young and fresh they look. But unfortunately, this is not a natural model - because they have usually had some help. No one is safe from the natural ageing process. Wrinkles form and the tissue gradually sags.
Wrinkles on the eyes, forehead or around the mouth can make a person appear much older than they are. In addition, wrinkles also leave a tired facial expression. One method of combating wrinkles is to inject hyaluronic acid. This blog post explains more about this topic.
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