Hybrid Filler

What is Hybrid Filler?

Hybrid fillers are a combination of hyaluronic acid and biostimulators. These fillers provide both immediate visible results through volume enhancement and long-term benefits by stimulating collagen production in the skin. This means they not only smooth wrinkles but also improve skin texture and quality over time.

Applications of Hybrid Fillers:

  • Facial Contouring: They can enhance volume in areas such as the cheeks, chin, and jawline.
  • Wrinkle Treatment: Since hybrid fillers sustainably build the connective tissue structure, they also help improve wrinkle formation on the skin’s surface.
  • Skin Rejuvenation: By promoting natural collagen and elastin production, hybrid fillers contribute to overall skin quality improvement.

These fillers are suitable for both older patients with visible signs of aging, such as wrinkles and volume loss, and younger patients.

For younger patients, hybrid fillers are often used preventively to slow down the aging process and maintain skin volume at an early stage. Preventive application helps to prevent or minimize the first signs of aging. The amount of hyaluronic acid used over a lifetime is reduced from the first treatment since hyaluronic acid is mixed with calcium hydroxylapatite (Radiesse®).

For older patients, hybrid fillers are primarily used to restore lost volume. Their long-term effect through collagen stimulation makes them particularly beneficial, as they not only provide immediate visible results but also help regenerate the entire connective tissue structure sustainably. Radiesse – one of the key components of hybrid fillers – has been scientifically proven to stimulate collagen, elastin, and new blood vessel formation, enabling natural regeneration.

Areas of Application

Temples: The front and back temple areas are essential for a healthy appearance. Volume loss in this region can lead to tissue sagging, extending to the marionette lines.

Cheeks: When referring to the “cheeks,” both the midface under the eyes and the area in front of the ears may be included. Volume in the midface should never be overdone. Hybrid fillers in the lateral cheeks create a lifting effect.

Chin and Jawline (Jawline Contouring): Defining the chin and jawline is often called “jawline contouring.” This area is particularly popular among patients seeking a sharper transition between the neck and face.

Nasolabial Folds: These folds run from the sides of the nose to the corners of the mouth. Hybrid fillers can smooth these lines, giving the face a fresher appearance.

Marionette Lines: The lines extending downward from the corners of the mouth can be filled with hybrid fillers. However, if these lines are very pronounced, treatment of the upper facial thirds may be necessary, or in severe cases, a lifting procedure might be required.

Lips: Hybrid fillers must NOT be used for lip volume enhancement or contouring. Lip treatments, as well as tear trough correction, should only be performed with suitable hyaluronic acid fillers.

Dark Circles: Dark circles can result from pigmentation. In such cases, filler treatment is not appropriate. Hybrid fillers must never be used in the tear trough area.

Profhilo® Structura

Profhilo® Structura - The new era of aesthetic skin and tissue regeneration

What is Profhilo® Structura?

Profhilo® Structura is the latest innovation in the field of aesthetic medicine and has been specially developed to restore subcutaneous fat tissue. In contrast to conventional skin booster treatments, which mainly improve skin quality, Profhilo® Structura targets the deeper tissue layer to compensate for volume loss, tighten facial contours and firm skin structure.

The natural ageing process leads to a loss of fatty tissue over time, particularly in the mid-face and cheeks. This can lead to sunken facial features, loss of volume and a generally sagging skin structure. Profhilo® Structura offers a gentle and effective solution to counteract these changes.

How does Profhilo® Structura work?

Profhilo® Structura is based on a unique combination of high and low molecular weight hyaluronic acid (Hybrid Cooperative Complexes, HCC), which not only moisturizes, but also activates the stem cells of fat cells and stimulates the production of collagen and elastin.

Thanks to its special molecular structure, Profhilo® Structura ensures:

  • Regeneration of the subcutaneous fatty tissue – The loss of volume in the face is specifically compensated.
  • Improvement of skin elasticity – The skin becomes firmer and more resistant.
  • Hydration of the skin – Intensive moisturization for a fresher complexion.
  • Long-lasting effect – The treatment ensures natural results for several months.

The high fluidity of the product ensures even distribution in the tissue, achieving harmonious and natural results without artificial plumping.

Areas of application for Profhilo® Structura:

Profhilo® Structura is ideal for:

  • Face: treatment of sunken cheeks, loss of volume in the mid-face and sagging skin.
  • Temples: improving volume and reducing hollowness.
  • Jawline: restoring contours for a more defined profile.

This treatment is particularly suitable for patients who are looking for a gentle but effective solution to correct age-related tissue changes without resorting to invasive procedures such as fat transfer or surgical tightening.

Treatment procedure with Profhilo® Structura

The treatment is minimally invasive and is carried out on an outpatient basis in our practice.

  1. Consultation & planning
    Before treatment, our specialists will carry out a comprehensive analysis of your face. They will discuss which areas are to be treated and which treatment protocol is best suited to you.
  2. Injection technique
    Injections are made into the deeper layers of tissue (subcutaneous fat) using a fine cannula.
    The technique is individually adapted to the facial structure and the desired effect.
    The session lasts around 30 minutes and is virtually painless thanks to the blunt cannula.
  3. After the treatment
    Hardly any downtime – you can return to your everyday life immediately.
    Slight swelling or redness at the puncture sites is possible, but usually disappears within 24 hours.
    Optimal results are visible after around 4 weeks and continue to improve over the next few months.

Profhilo® Structura vs. classic Profhilo® - What's the difference?

Profhilo® Profhilo® Structura
Focused on skin quality Aims for tissue regeneration & volume enhancement
Works superficially in the dermis Acts deeper in the fat tissue
Treats moisture loss & skin laxity Treats volume loss & contour loss
Suitable for fine lines & overall skin rejuvenation Ideal for sunken cheeks, volume loss & redefined facial contours

These differences make Profhilo® Structura particularly suitable for patients who suffer from volume loss or want a gentle lift without classic fillers.

How many treatments are necessary?

Two sessions 30 days apart are recommended for optimum results. The first improvements are already visible after the first treatment and intensify further after the second session.

Experience & studies on Profhilo® Structura

Clinical studies show that:

  • 95% of patients report a visible improvement in volume and skin firmness.
  • The treatment is highly tolerable – with no unexpected side effects.
  • Facial volume is restored in a natural way, without the typical “plumped up” appearance of conventional fillers.

Safety and compatibility

  • High biological compatibility – free from chemical additives.
  • Gentle, non-invasive technique with minimal risk of swelling or redness.
  • Can be combined with other treatments such as laser or microneedling for even better results.

Why Profhilo® Structura at The Aesthetics?

  • Experience & expertise: Our team of experienced specialists ensures the best possible results.
  • Individual advice: Every patient receives a customized treatment.
  • High-quality products & latest technologies: We only use original Profhilo® Structura for maximum safety and effectiveness.

Profhilo® Structura

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Mia Femtech™

Mia Femtech™ - The future of breast aesthetics

The future of breast aesthetics is here – with a groundbreaking, minimally invasive technology that offers maximum safety, comfort and natural-looking results. Mia Femtech™ sets new standards in breast harmonization through an innovative method using injectable, biocompatible silicone implants. MIA stands for “Minimally Invasive Augmentation” – a minimally invasive reversible technique for breast augmentation via the armpit without incisions on the breast.

Advantages of Mia Femtech:

  • Minimal Downtime: Return to daily life within a few hours
  • No General Anesthesia: Procedure performed under local anesthesia or twilight sedation
  • Preserved Sensitivity: Protection of breast gland tissue and sensitive nerves
  • Intact Breast Tissue: No traditional intervention in the mammary gland
  • No Scars on the Breast: Breast gland remains untouched, access through the armpit

Procedure Process:

The breast is infiltrated with local anesthesia, similar to a liposuction procedure. This can also be done under light sedation upon request.

After local anesthesia, the channel for injecting the biocompatible diamond-shaped implant is prepared.

In the third step, a balloon is placed between the muscle and breast gland to expand the tissue, creating the implant pocket. The positioning is precisely determined while standing before the procedure.

With the patented technique, the implant is injected into the pocket without contact. This procedure is only possible with the special diamond-shaped implants. The nanotextured surface and super silicone make these implants highly flexible, enabling this technique.

The difference to a classic breast augmentation is that the diamond-shaped implants lift the breast centrally like a tent pole. Therefore, the risk of seeing the lateral edge of the implant is very low, although the location is “under the gland”. This technique has little to do with a classic breast augmentation under the gland (subglandular), as the connection between the gland and the muscle is not loosened. Translated with DeepL.com (free version)

The before-and-after result shows an enlargement of approximately 1-2 bra cup sizes, depending on the initial situation.

How does Mia Femtech™ work?

Mia Femtech™ uses a unique, innovative procedure to harmonize the breast in a gentle way. Biocompatible silicone implants with a special diamond shape are used to ensure maximum projection with minimal volume. This method allows for a discreet breast augmentation of up to two cup sizes – with a natural looking and feeling result.

Is the procedure really that quick?

Yes, the actual skin-to-skin treatment only takes 15-20 minutes. A shorter treatment time means less risk and faster recovery. The innovative technique and experience as a plastic surgeon make this efficient procedure possible, so you can feel comfortable and confident.

Will I feel anything during the procedure?

The Mia® procedure is performed under local anesthesia and, if desired, in twilight sleep – similar to a colonoscopy. This means that the procedure is painless and you are not fully conscious during it.

What distinguishes Mia Femtech™ from conventional breast augmentations?

Unlike traditional breast implants, Mia Femtech™ uses diamond-shaped silicone implants that are placed directly under the breast gland. For example, a Mia Implant of 195ml with a moderate profile corresponds to a classic 250ml high-profile implant. This allows the same level of enlargement with less volume and weight.

Other differences from traditional breast augmentation, which we continue to apply after thousands of successful procedures:

✔ No Incisions on the Breast: A specially developed high-tech device injects the silicone implant through the armpit.

✔ Tissue-Sparing: The breast gland remains intact. Unlike traditional subglandular breast augmentation, the breast gland is not separated from the muscle.

✔ Natural Breast Sensitivity Remains Intact: Since there are no surgical cuts in the breast, sensitivity is preserved.

✔ Quick Recovery: You can return to your usual activities the same day or the next day.

Is Mia Femtech™ the right solution for me?

This method is ideal for women who:

  • Want a discreet breast harmonization with natural and proportional results (max. 195ml volume). The diamond shape allows an augmentation comparable to the 240ml volume of conventional implants.
  • Do not want general anesthesia or long recovery times.
  • Are looking for an alternative to push-up bras or other tricks to achieve a beautiful cleavage.
  • Want to regain even more self-confidence after pregnancy, breastfeeding or age-related changes.
  • Are looking for a quick solution to their breast aesthetic that adapts to their lifestyle without significant downtime

Other important questions

Yes, the silicone implants are placed behind the mammary gland and therefore do not affect the ability to breastfeed. However, there are individual factors that can affect breastfeeding.

Yes, Mia Femtech™ implants do not interfere with breast examinations such as mammography or other imaging procedures.

Depending on the planning and size of the biocompatible silicone implants, the treatment costs €10,000 to €11,000 including all additional costs such as consultation and aftercare.

It is the most innovative treatment for breast harmonization and breast augmentation on the market. The patented technology is only performed in selected centers worldwide, as the plastic surgeons must have years of experience. Dr. Rolf Bartsch is the only MIA specialist in eastern Austria.

This minimally invasive procedure does not involve surgery on the breast tissue. The patented technology enables gentle shaping of the implant pocket using a balloon. As a result, the implant injected via the armpit can be gently removed again and the breast structures remain intact.

The implants are equipped with Zen® RFID technology, which enables easy tracking. This is a passive technology without a battery that does not cause any image artifacts during MRI scans. If required, the implant data can be retrieved securely from outside the breast.

MIA Femtech is performed under local anesthesia with minimal downtime. A breast lift, on the other hand, is a more extensive procedure, often involving implants. As the approach for a breast lift is via the breast, an additional scar in the armpit – as with MIA – would not make sense. A combination is therefore not recommended.

Before After Images

What is Mia®?

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Differences between Mia Femtech™ vs breast augmentation

 MIA FEMTECH™BREAST ENLARGEMENT
ANESTHESIALocal anesthesia or twilight sleepShort-term general anesthesia
ENLARGEMENT1-2 cup sizesMore than 2 cup sizes possible
PROCEDUREInjection of the silicone implantSurgical procedure
RECOVERY TIME1-2 days2-6 weeks
IMPLANT PLACEMENTUnder the glandUnder the muscle
COST€11,000€7,500-8,500
SCARSArmpitUnder-breast fold
IMPLANTSMOTIVA DIAMONDMOTIVA ROUND & ERGONOMIX

Disadvantages of Mia Femtech™?

Does a traditional breast augmentation via the inframammary fold or areola still have its justification, and what are the disadvantages of Mia Femtech?

Disadvantages of Breast Harmonization and Augmentation with Mia Femtech™:

Position Under the Gland: The position under the gland scientifically carries a higher risk for capsule formation, which is why Dr. Rolf Bartsch rarely uses this position in traditional breast augmentations. However, due to the nanotextured surface of all Motiva implants, capsule formation is very rare.

No Direct View for Implant Pocket Preparation: Typically, breast augmentations through the armpit are performed endoscopically to ensure proper hemostasis. The Mia Femtech procedure is designed to avoid cutting any blood vessels, thus preventing bleeding. Therefore, direct visualization is not necessary in this case.

Visible Scars in the Armpit: When the arm is raised, the scars may be visible. To minimize this risk, we offer a special scar healing procedure with amino acids, PRP, and laser. However, this risk exists and should be discussed beforehand.

A Follow-up Surgery Cannot Be Done Through the Armpit: Motiva will soon offer a way to remove or replace the implant through the same incision. However, in select cases, it may be necessary to make an incision in the inframammary fold years later. We ensure patients are informed about this possibility.

Limited Implant Size: Due to the special diamond shape, smaller and lighter implants can achieve the same result. A 195ml Mia Femtech diamond-shaped implant with a moderate profile is equivalent to a classic Ergonomix 2 implant with a high profile and about 250ml. Yes, the size is limited, but most of the patients we’ve operated on in the past 12 years preferred natural-looking results.

Mia Femtech Costs More: The development of this technique, along with the use of single-use kits and special implants, results in a noticeable price difference for us during procurement. However, if the patient is suitable for this technique, the additional costs are likely to be justified.

Mia Femtech Cannot Be Performed Under the Muscle: While implant placement under the muscle has many advantages, it is not possible with this technique. Therefore, traditional breast augmentation still holds significant value for us. Mia Femtech does not aim to replace a well-established technique, but instead offers an alternative for women who prefer breast harmonization without traditional surgery.

Myths about Mia Femtech™ that are NOT true:

MYTH 1: Skin incisions in the armpit heal more slowly.
The healing time for a scar is always 6 weeks, regardless of where it is placed on the body, whether in the armpit or elsewhere.

MYTH 2: Mia Femtech is just an expensive breast augmentation under the gland.
In a traditional augmentation, the breast tissue is surgically separated from the muscle with a scalpel or electrical needle, which compromises the stability between the structures. Mia Femtech preserves the structures, using slimmer implants that minimize visible implant edges along the breast.

MYTH 3: With the technique under the breast gland, you always get rippling. 
Rippling is less likely with Mia Femtech compared to traditional augmentations under the breast gland. Rippling generally depends on the consistency of the implants and the thickness of the tissue layer.

MYTH 4: Patients get sagging breasts faster.
In traditional breast augmentation under the gland, the stability between the breast and the muscle is disrupted, and larger, heavier implants are required, similar to Mia Femtech. Dr. Rolf Bartsch rarely uses the under-the-gland position in traditional augmentations for this reason. Mia Femtech preserves the connections between the breast gland and muscle, and the diamond-shaped implants are smaller and lighter.

MYTH 5: Mia Femtech is not precise.
The implant pocket is precisely defined while the patient is standing. The technique, as described, ensures that the planned position of the implant is followed exactly during the procedure. If this weren’t the case, no surgeon would choose to perform Mia Femtech.

MYTH 6: Mia Femtech is the same as a transaxillary breast augmentation.
This technique differs significantly from a traditional augmentation, as the breast gland is not separated from the underlying muscle, and the implant is not placed under the muscle. Additionally, the implants used in Mia Femtech are smaller, narrower, and have a different shape. The diamond shape allows for an enlargement directly under the breast gland, where the implant acts like a tent pole, providing a moderate enlargement and a natural result.

BioJuve™

Welcome to the BioJuve™ range - high-quality, natural products that enrich your life and value your body!

BioJuve™ relies on the power of nature to create products that are not only effective, but also in harmony with our environment. The philosophy is based on the conviction that the best solutions can often be found in nature. Therefore, only high-quality, organic ingredients are used to create products that are free from harmful chemicals, parabens or other questionable ingredients.

Discover the unique product line

– Biojuve Biome Support Complex 30ml
Start the day with a powerful formula designed to support and strengthen your skin’s natural balance.
€ 150,-

biojuve_01

– Biojuve Conditioning Cleanse 100ml
Gently and thoroughly cleanse your skin morning and night with the Conditioning Cleanse, a gentle non-foaming formula that removes impurities without drying out the skin.
€ 48,-

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– Biojuve Hydrating Barrier Cream Normal to Dry 50ml / Normal to Oily 50ml
The Barrier Creams offer your skin intensive moisture and protection during the day. Choose the variant that best suits your skin type for optimally nourished and balanced skin.
€ 79,-

biojuve_03

– Biojuve Living Biome Essentials Duo Serum 25ml + Activating Mist 50ml
This duo for evening use offers the best of both worlds:

1. a revitalizing serum that boosts the health of your skin by improving the microbiome
2. an invigorating activating spray that works like a switch to activate the living microbe technology in Living Biome Essentials Serum to hydrate and revitalize your skin.
€ 210,-

At BioJuve™, sustainability and environmental awareness are at the heart of everything we do. Ecological impact is minimized, be it through the use of environmentally friendly packaging or the support of sustainable cultivation methods.

Endolift®

Finally get rid of NASOLABIAL wrinkles & MARIONET wrinkles with ENDOLIFT®!

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Before & After Endolift®

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THE TREATMENT

ENDOLIFT® is a minimally invasive laser treatment that involves targeted heating of the subcutaneous connective tissue. This non-surgical treatment stimulates the regeneration of both the deep and superficial skin layers, tightens the skin, promotes the regression of connective tissue septa, stimulates collagen production and reduces excess fat. The practitioner inserts special micro-optical disposable fibers under the skin into the superficial subcutaneous layer. The treatment requires no incisions and is virtually painless.

THE CONSULTATION

The medical options are discussed together with your doctor. Risks, the course of treatment and the healing process afterwards will be discussed in detail. The consultation must take place at least 15 days before treatment.

ENDOLIFT® BASIC

Eufoton®-specific micro-optical FTF fibers (of different sizes, depending on the treatment area) are used for the ENDOLIFT® treatment. The FTF micro optical fibers act like an intradermal light path in the subcutaneous tissue and transmit the laser energy.
The wavelength of LASEmaR® 1500 (1470 nm) has an ideal effect on water and fat. This activates
This activates neocollagenesis and metabolic functions in the extracellular matrix, resulting in a tightening of the skin and connective tissue.
ENDOLIFT® does not require incisions or anesthesia. A small amount of anesthetic can be used to
can be used to allow the fiber to pass painlessly under the skin and to reduce any minor discomfort.

Advantages of the treatment:

  • no downtime
  • low pain
  • immediate results

ENDOLIFT® PLUS

To further improve the effect of ENDOLIFT®, we recommend simultaneous injections with
Radiesse®. In its diluted form, this filler promotes collagen formation without changing the volume

New formation of dermal tissue

  • Increase in collagen, elastin and proteoglycans
  • Improvement in skin thickness and elasticity

CONSENT
If further questions arise after the initial consultation, we will be happy to clarify these in a surgery consultation. The informed consent form must be signed 24 hours in advance. It contains two signatures: one signature with the date of the informed consent and one signature for consent.
There must be at least 14 days between these two signatures and consent can be given no later than the day before the procedure.

BEFORE THE PROCEDURE
You should stop taking medication containing acetylsalicylic acid (e.g. aspirin, ASA, etc.) 10 days before the planned procedure after consulting your doctor. Smoking reduces blood flow to the skin and delays wound healing. To avoid possible complications, you should stop smoking at least 2 weeks before the operation and refrain from smoking until 6 weeks after the procedure. Please do not smoke on the day of the procedure.
If there are any changes or inflammations in your face in the week before the procedure (conjunctivitis, styes, herpes on the face, etc.), please contact us so that we can postpone the procedure if necessary. 45 minutes before the procedure, it is advisable to take a painkiller such as ibuprofen. You will receive the prescription for this from us in advance.

AFTER THE PROCEDURE
On the day of the procedure, you should not engage in any physical activity and should rest. The treatment area usually feels tense and similar to sore muscles. You should apply your usual skin cream to the skin over the treatment area. The incision sites should also be treated with an antibiotic ointment twice a day for the first 2-3 days.
Minimal edema may rarely occur after the treatment.
As with all invasive procedures, swelling may occur after ENDOLIFT® treatments due to tissue irritation. We therefore recommend medical lymphatic drainage in the first 1-3 days after the procedure, as this reduces swelling and possible pain and positively supports the healing process. You can book this therapy at any time through our practice. The cost is €80 for 1 hour and €50 for a half-hour treatment.

THE RESULT
The result is immediately visible and lasts for a long time. They continue to improve in the months following the procedure as additional collagen builds up in the deep layers of the skin. You can achieve even better results with the combination of ENDOLIFT® and a Radiesse® treatment, as Radiesse® promotes the formation of new collagen.

RISKS AND DANGERS
ENDOLIFT® is an invasive laser procedure in which laser energy is delivered to the subcutaneous fatty tissue. Bruising and discomfort may persist for several days after the treatment. In principle, no prolonged downtime is to be expected after ENDOLIFT® treatment. As with all invasive methods, injury to blood vessels and nerves is possible but very unlikely. The subjective feeling of satisfaction with the procedure is very dependent on the initial situation.

Alma Hybrid™ Laser

What does the Alma Hybrid™ laser do?

The Alma Hybrid™ laser stands for top performance in aesthetic medicine and enables us to perform a wide range of aesthetic treatments – from skin rejuvenation to scar reduction. This allows us to offer you maximum comfort and impressive results.

Skin treatment with the Alma Hybrid™ is based on three key principles: first-class ablation for perfect resurfacing, maximum thermal depth effect to promote collagen synthesis and dermis regeneration, and extremely efficient transepidermal delivery of essential substances to the skin.

These basic principles of the Alma Hybrid™ treatment guarantee you precise control of the downtime, tailored to the individual needs of the patient.

Possible applications

Combining advanced ablative and thermal technologies with enhanced cosmeceutical delivery, this treatment achieves impressive results with minimal downtime. The unique scan pattern of CO2 and 1,570nm lasers tightens the skin, improves fine lines, wrinkles and removes UV-induced pigmentation. Impact ultrasound technology allows deep penetration of products for optimal results.

Costs | from € 690

OScar is the ultimate solution for the removal of a wide range of scars – from acne scars to injury and surgical scars. The innovative combination of CO2 and 1,570 nm wavelengths allows individual adjustment of parameters such as penetration depth, coagulation width and density. After treatment with Impact, the laser optimally penetrates the skin, enhanced by medical active ingredients to improve the overall results.

Costs | from € 450

Uneven skin tones and pigmentation spots are a thing of the past with the Alma Hybrid™ laser. The treatment helps to achieve an even skin tone.

Costs | from € 690

Before and After Pictures

Alma Hybrid™ Laser
Alma Hybrid™ Laser
Alma Hybrid™ Laser
Alma Hybrid™ Laser
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HyGrid™ | Tailor-made perfection

Reliable, precise and flexible: HyGrid™ combines the advantages of CO2 and 1570 nm lasers in one applicator. Adjusting the ratio of ablative to non-ablative pixels in a matrix enables customized treatment according to the individual requirements of each patient.

The simultaneous use of both laser wavelengths ensures maximum effectiveness, is suitable for various skin types and minimizes downtime due to a low ablation density.

2024-TAE-Alma-Laser-Grid

The successful combination of lasers

CO2 laser: The perfect combination of ablative, coagulative and thermal effect enables extremely efficient and highly precise focused or fractional laser treatments.

1570 nm laser: A non-ablative fiber laser that produces a thermal effect and creates coagulation channels to promote the synthesis of new dermis without penetrating the epidermis.

IMPACT: Through the micro-channels created by the CO2 laser, pharmaceuticals and cosmeceuticals are delivered transepidermally deep into the skin layers to achieve outstanding results.

Botox® | Botulinumtoxin

What is Botox®?

Botox® is a term that is widely used in the world of beauty and aesthetics. But what is Botox® actually? And how does it work?

Botox® is the colloquial name for botulinum toxin, a naturally occurring protein that is very popular in the medical and aesthetic industries. It is used in minimal amounts for cosmetic purposes to reduce wrinkles and fine lines. Botox works by temporarily inhibiting muscle contraction in the treated areas, resulting in smoother and more youthful skin.

Application areas | aesthetic

The most popular among our patients is the treatment with botulinum toxin in three zones. These zones include the classic expression lines such as frown lines, forehead wrinkles and crow’s feet.

Costs | from € 430,-

When treating the forehead, it is important to work with the correct dosage so that facial expressions are preserved. Deep wrinkles can be additionally injected with hyaluronic acid and thus reduced.

If the eyebrows are too deep and do not correspond to the individual ideal according to the facial analysis, they can be lifted with a simple stitch. Especially the loss of volume in the forehead with age causes the eyebrows to move downwards. In such cases, treatment with hyaluronic acid fillers can be useful.

Costs | from € 250,-

These wrinkles are usually caused by the loss of elastic fibers, intense laughter and decreased water balance.

Crow’s feet are the wrinkles to the right and left of the eyes. Botulinum toxin treatment focuses on maintaining the sympathetic smile lines and smoothing only the deeper wrinkles above the cheeks.

Costs | from € 250,-

Treatment of the frown line is one of the most common areas for injections in the upper third of the face. A very common wish of our patients is to have more kindness conjured back into their face and to look a little fresher.

Costs | from € 250,-

If too much gum shows when laughing, in that the lips rotate too far upwards, this can be treated gently and easily by reducing the rotational force of the lip with Botox.

Costs | from € 250,-

Hyaluronic acid is used to create beautiful and full lips. However, if the upper lip is considered too narrow, this can be easily and naturally corrected with a combination of hyaluronic acid and botulinum toxin. On social media, this technique is referred to as “LipFlip,” but we have taken it further. By using blunt needles, also called cannulas, we treat the lips without leaving major bruising. This allows you to quickly return to your daily routine.

Costs | from € 450,- Hyaluronic acid filler included

In the case of excessive stress, for example due to teeth grinding or frequent chewing of gum, the masseter can become excessively pronounced and become visible to the outside as an enlarged jaw area. This leads to a facial shape that is perceived as “angular”, especially by women as too “masculine”.

Facial Slimming aims to achieve this visual narrowing of the face.

Costs | from € 400,-

Application areas | medical

In the right form of migraine, we achieve almost complete freedom from pain through the use of botulinum toxin. At targeted pain points, precisely the muscles that exert pressure on the nerves in migraine patients are relaxed.

As a result, the intensity of attacks as well as the frequency of attacks can be treated in over 75% of patients. As experts in injections, we take the time to decide which therapy is right for you and your chances of going through the day pain-free. In more than 10 years we have successfully treated countless patients.

Costs | from € 450,-

Botulinum toxin can provide relief for excessive sweating – it inhibits sweat production. Injected into the armpit, it temporarily calms the muscles of our sweat glands. This has no effect on heat regulation, since only 5% of sweat glands are located in the armpits. The effect wears off after a few months. You are free of sweat after 5-7 days; the Botox treatment takes only a few minutes for months of freedom from sweat.

Costs | from € 600,-

The effect of Botox®

About 3-5 days after the treatment the effect unfolds. The result usually remains stable for 3-5 months. About half a year after the treatment, the drug has completely disappeared from the body.

If necessary, the treatment can be repeated at intervals of 3-6 months.

2309_TAE-Grafik-Botox-Wirkungskurve-V1-EN

Things to know

Dilution: Dilution may result in a lower dose and thus a less intense effect. The duration of effect may be reduced as a result.

Technique: Since botulinum toxin can only act directly on the muscle, the correct technique for the injection is essential. If, for example, product is delivered in fatty tissue, the desired effect may not be achieved.

Product: An effect for more than 4-5 months is not realistic, we warn against products with complex proteins. That is why we use the brand Bocouture®.

Animal testing information

Vorher Nachher Bilder

Botox
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Botox Masseter Facial Slimming
Botox Forehead wrinkles
Botox Forehead wrinkles
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Filler | Hyaluronic acid

What is hyaluronic acid filler?

Hyaluronic acid is especially known for its remarkable properties in the treatment of wrinkles. It is the most tolerable filler because the active ingredient is naturally present in the body.

Hyaluronic acid fillers can be used to restore lost facial volume and target static wrinkles through direct injection. In cases of advanced volume loss, highly cross-linked hyaluronic acid preparations are injected into deeper tissue layers to build up new volume.

Application areas

A frequent application area of hyaluronic acid is the lips. Due to its extreme dynamics, the product is suitable not only for smoothing small wrinkles, but also for balancing asymmetries and emphasizing the lip lines. Volume filling gives the lips fullness and femininity. The proportion ratio of the upper lip to the lower lip (1:1.6) and the line from the nose to the tip of the chin must not be exceeded. We have been achieving reliable results with Belotero® fillers for over 10 years.

Before/after photos 
Costs | from € 390,-

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The nose has a massive influence on the aesthetic shape of the face and personal perception. Many patients would like to have a straight nose, but without surgical intervention. In addition to surgical nose corrections, there is also the possibility of correcting the nose through the use of fillers. “Liquid Nose” is the name given to the non-surgical shaping of the nose to correct nasal bumps and to raise the tip of the nose through the use of fillers.

By injecting the nose in the area of the bridge of the nose or the tip of the nose, an immediate and harmonious shaping of the nose can be achieved. A nasal hump can be temporarily removed or reduced by the lamination, and a deep-set nasal tip can be lifted.

Before/after photos
Costs | from € 500,-

As we age, the shape and contour of our face changes. The contour of our face becomes softer and is no longer clearly defined. The goal of Jawline Contouring is to create a sharp contour between the lower jaw and neck. This defined lower jawline is considered a symbol of youth.

Before/after photos 
More informations about Texas Face 
Costs | from € 850,-

The muscles of the face cause the wrinkles on the forehead to appear. Especially when frowning, they become more visible over time. A combination therapy of Botox (botulinum toxin) and hyaluronic acid achieves beautiful results here. The wrinkles can be corrected naturally through the injection. The look appears clearer and softer. Due to loss of volume at the forehead, the eyebrow also sinks down. Thus, treatment with fillers on the forehead can also lift the eyebrow.

Costs | from € 650,-

These wrinkles appear on the right and left below the nose and are particularly prominent with dynamic facial expressions. Especially the loss of volume in the midface causes the nasolabial fold to become more pronounced with age. Injecting hyaluronic acid naturally softens the wrinkles and makes the face look softer. Often, the treatment of the wrinkle directly is only possible in combination with a treatment of the midface to achieve a natural result. A face should never appear overfilled or, as they say, “sprayed on”.

Costs | from € 390,-

Hyaluronic acid can be used successfully and naturally around the sensitive eye area. Wrinkles under the eyes, dark circles and dark circles can be treated well with it. It is important to place the right product at the right depth and with the right technique. In addition to knowledge of the anatomy, a precise analysis is also important.

Costs | from € 550,-

Vorher Nachher Bilder

Filler in Nose | Liquid Nose
Filler Nose
Liquid Nose
Liquid Nose
Filler in cheekbone, jaw angle and lips
Nose treatment
Lip injection
Hyaluron & Ultrasound
Hyaluron injection
Filler against chin dimples
Hyaluron injection against dark circles
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The treatment

In the course of our initial consultation, we define your desired result together with you and put it in relation to what is actually feasible. It is of great importance to provide you with realistic expectations, based on your individual physical conditions.

Subsequently, we will develop your treatment plan for you, which may include the combination of different techniques such as laser, filler or botulinum toxin, if necessary.

When using hyaluronic acid fillers, the main focus is on restoring facial volume. As this volume is lost with age, we replace it with an appropriate filler, which may vary in consistency (thin/thick) depending on the treatment area and the desired intensity of the result.

Radiesse®: the revolution in filler treatment

Radiesse®, a filler based on calcium hydroxyapatite (CaHA), is often used in beauty medicine to effectively plump up deep wrinkles. It acts not only as an aesthetic solution to plump up wrinkles, but also as a promoter of the body’s own collagen production in the body.

The rejuvenation achieved extends far beyond the treatment itself, producing a lasting improvement in the skin’s structure and underlying tissues. Even sagging areas of the chin and cheeks can be effectively sculpted with Radiesse, helping patients regain their youthful radiance.

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Botox against frown lines

What is Botox? 

Botulinum toxin is a drug that gently reduces the activity of certain muscles by injection to counteract and prevent age-related changes. Colloquially, one speaks of “Botox”, which is a brand name for botulinum toxin. In addition to “Botox”, there are products from different manufacturers that have different names. Botox, Bocouture, Dysport, Azzalure, Netybo, Vistabel, and some more.

The effect: the reflection in the mirror shows a rejuvenated, refreshed and more positive appearance. In addition, it has also been proven in studies that through the improved appearance, through a positive feedback with our fellow men, for example, depression is positively influenced.

Doctors have been working with botulinum toxin (Botox, BTX) in medicine for decades. This is not a neurotoxin, as is often erroneously reported, but a drug. As is known with all medicines, the dose makes the poison.

The treatment of the frown line is one of the most common areas of injections in the upper third of the face. A very common wish of our patients is to have more kindness conjured back into their face and look a little fresher. The frown line is formed by a total of 3 muscles that form both a horizontal or vertical wrinkle. In whichever direction the frown lines are formed, we always perceive them as negative due to genetics.

The aim of Botox treatment is to prevent the formation of wrinkles and to reduce the existing frown lines by reducing the range of motion of the 3 muscles.

Would you like to have your frown lines injected?

First, Dr. Bartsch will assess whether the wrinkle is static or dynamic and analyze the degree of expression (grade 0-4). For wrinkles caused by dynamics, the cause must be treated. Botulinum toxin leads to a calming of the muscles, this calming leads to less movement and thus to fewer wrinkles. First, the muscle should always be calmed by means of Botox, only then can it be evaluated whether hyaluronic acid can also be injected to fill an existing deep wrinkle.

Grade classification of the frown line

There are different injection points, which are adapted to the individual expression of the musculature. After a treatment with botulinum toxin, slightly reddened injection points and a small elevation due to the injected liquid are seen for a short time, which disappear after 30 minutes. The treatment of frown lines is performed on an outpatient basis and takes only a few minutes.

Wirkungskurve

The “”t is not immediately visible, unlike fillers. The effect starts about 2-5 days after the treatment and lasts between 3 and 6 months – depending on the region, the amount of Botox used, the individual strength of the muscles and especially the expectations each person has. The curve shown shows why some people feel that the effect is diminishing after 2 months. After 2 months the effect is about 80% and therefore the area is no longer completely blocked.

We recommend to repeat the treatment in intervals of 3-6 months according to personal needs.

What are the risks of an injection in the frown line?

If Botox is injected too much or too deep, it can cause a drooping eyelid or make the face look too petrified. Such undesirable reactions caused by botulinum toxin treatment disappear on their own after a few weeks or months.

Facts about botulinum toxin:

Excessive dilution can result in a lower dose and thus less effect. The duration of effect is often reduced as a result.
Technique is important. Botulinum toxin can only work on the muscle. If half of it has landed in the fatty tissue, the effect cannot last long.
An effect for more than 4-5 months is not realistic – caution is advised with products containing complex proteins, as the effect can diminish with repeated use – we use the pure, active ingredient Bocouture® from Merz.