Skin Rejuvenation

Face styling is a wide-ranging generic term for the many possible corrections to the facial area offered by modern surgery. The most frequently desired operations in the field of face styling are the correction of folds and wrinkles on an outpatient basis. In a number of cases, these operations are undertaken as initial therapy, and in others as a supplement to other operations which have already been completed.

Face and skin

A face lift operation has many variants and surgical possibilities and is often only necessary on a partial basis. In some cases, for a forehead lift, a lid tightening also makes sense. Lip corrections or corrections to the cheek, chin or nose are other partial areas of face styling. Injections for wrinkle smoothing are often sufficient as supplementary therapy and no further operational intervention is then necessary.

An experienced surgeon recognizes irregularities and combines the many treatment methods in order to achieve a harmonious result.

In principle, an in-depth advisory talk is necessary, in which the possibilities and combinations of treatment methods are discussed. Within the context of this conversation, the surgeon constructs a precise analysis of the face. The length of the operation and the methods of anaesthesia are dependent on the complexity of the operation and differ from individual to individual. Healing periods are also specific to the individual and depend on the type of operation.

Some minor operations can be treated on an outpatient basis. For more extensive operations, a stay at the clinic and medical supervision during the recovery phase are required.

Botox

Botox is the abbreviation for botulinum toxin, which in the last few years has become a favourite among all women who suffer from facial wrinkling. The medicine has been applied very successfully to eye wrinkles and forehead and mouth folds. The substance is injected into the affected region and only takes a few minutes. The effect develops slowly and produces meaningful changes day-by-day, beginning after 2-3 days and reaching an optimal result after 5-10 days. The treatment can be repeated after 5-10 months.

Botox operates at the interface between neurons and muscle cells, inhibiting transmission and hence the contractions of the affected muscles which are responsible for the wrinkling. The impact of these muscle contractions are particularly recognisable for wrinkles which arise through frowning.

In the meantime, within the group of botulinum toxins, two new medicines have been applied. One of these two substances has a lower protein content which significantly reduces the danger of allergy. Treatment with Botox at regular intervals with a timely start can preserve a youthful and fresh look for more than ten years, and postpone a planned face lift by many years.

To date, botulinum toxins have been extensively researched, not only with regard to their mode of action but also with regard to possible side effects and may definitely be applied on a permanent basis. This therapeutic possibility against facial wrinkling has already been used very successfully for many years on both men and women.

Wrinkle injections

With increasing age, the skin loses moisture, thereby becoming less elastic. Small wrinkles initially form which, if no measures are taken, become increasingly deep, and accompanied by other small wrinkles. For wrinkling, mimic wrinkles are distinguished from orthostatic wrinkles.

Mimic wrinkles arise through contractions of the facial musculature, Folds on the forehead are very common, as are the so-called laughter lines around the mouth and eyes.

Orthostatic folds are a consequence of skin ageing and arise through the gravity which is a consequence of the ageing process. The fatty tissue in the subcutaneous layer sags and wrinkles form.

By virtue of extensively researched therapies, it is possible to remove mimic wrinkles and arrest orthostatic wrinkle formation in timely fashion through injections.

Botox treatment is the best known method of wrinkle injection. Alternatively, treatment with hyaluronic acid or collagen is possible. Own fat injection is a highly effective and gentle form of therapy. In this method, the patient’s own living fat cells are removed from a problem area under local anaesthesia and under a further local anaesthetic are injected under the skin of the regions affected by wrinkling using the finest needles. The injected fat cells remain alive through connection with blood vessels. The face works again in a fresh and youthful way. An own fat injection operation lasts for around one hour. On average, the healing phase lasts for one week.

As in the case of a face lift, this method can postpone a surgical operation for many years.

Own fat injection

Lifting without a scalpel:
A tired facial expression not only arises due to drooping parts of the skin (in this case, a surgical facelift is necessary) but in particular through the sagging of fatty tissues in the face.

By virtue of highly developed techniques, it is now possible to obtain one’s own living fat cells with gentle tumescent local anaesthesia (TLA) from a problem zone and to separate them from other tissues through centrifuging.

These living fat cells are reinjected under the skin or into the fatty and muscular tissues with the finest needles and a local anaesthetic or in twilight sleep. In this way, a three-dimensional crosswise grid arises in the various tissue layers.

Through their connection to blood vessels, the fat cells remain alive. This leads to the steady build-up of the body’s own material and restores a youthful and fresh appearance to the face.

In planning the operation, the current appearance is compared with photographs of earlier years, in order to recognize the nature of the loss of youthful appearance on an individual basis.

The operation lasts for around an hour.

With effective cooling and limited facial expression, you will be socially presentable again after one week.

Through this gentle method, it is possible to avoid possible surgical risks of a facelift with the corresponding possibilities of complication.

Chemical Peeling

Chemical Peeling is another alternative to Dermabrasion. It improves the surface of the skin for minor irregularities such as scars, blemishes and fine wrinkles. It is usually used for facial treatments but may also be applied to the neck and cleavage.

For this purpose, a chemical substance is applied and the skin peels. Various substances are used, notably fruit acids since this method is very mild. Trichloroacetic acid is more effective. By applying the substance, the upper skin layer is corroded and the skin is obliged to regenerate itself. A delicate upper skin layer grows back with a visibly more beautiful skin structure.

Chemical peeling is well suited to compensating fine wrinkles and dry skin areas, eradicating minor acne and removing superficial pigment blemishes. The chemical peeling process is individual by choice of substance, which depends not only on the skin irregularities to be removed but also on the number of treatments.

After treatment, the skin is treated with a special ointment which accelerates the healing process and prevents infection. The appointment must be applied until the skin is completely healed. Direct exposure to some of the treated skin must be avoided at all costs and the use of a sun protection cream with a high sun protection factor of 20 to 30 is imperative for a total of three month

Laser technology

Laser technology is a methodology used in the area of skin smoothing and is more costly, but gentle and can be used over the entire face.

If the entire face is treated, the intervention takes place under general anaesthetic. An experienced anaesthetist monitors the patient during the operation. After a complete facial treatment under a general anaesthetic, a stay as an inpatient is necessary for the monitoring of the healing process.

If only particular parts of the skin are treated, the operation may be carried out under local anaesthetic on an outpatient basis.

For laser treatment, prior preparation is necessary, which must be initiated four weeks before the operation. During this period, the areas of the skin to be treated are premedicated with special ointments on a daily basis.

On the day of the operation, they are then removed by laser. In order to support the healing phase, an ointment is spread on and a film applied which may be removed after several days.

During the healing phase, the patient may not smoke or consume alcohol. It is imperative to avoid direct exposure to sunlight and during the first weeks after the operation, the skin must be protected with a special cream with a sun protection factor, since during the initial phase, it is still very sensitive.

The result is nevertheless worth the effort: a durably beautiful and smooth skin which is free from irregularities, scarring and blemishes.

English