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ATOS Privatklinik München
Effnerstr. 38
81925 Munich
Phone: +49 (0) 89 / 20 4000 201/2
info@atos-aesthetic.de
Prof. Dr. med.
Charlotte Holm Mühlbauer
Prof. Dr. med. Wolfgang Mühlbauer
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The cosmetic form of botulinum toxin, often referred to by its product name BOTOX®, is a popular non-surgical injection that temporarily reduces or eliminates frown lines, forehead creases, crows feet near the eyes and thick bands in the neck. The toxin blocks the nerve impulses, temporarily paralyzing the muscles that cause wrinkles while giving the skin a smoother, more refreshed appearance. Studies have also suggested that BOTOX is effective in relieving migraine headaches, excessive sweating and muscle spasms in the neck and eyes. |
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The visible signs of facial aging occur over time as a result of sun exposure, heredity and life style.
One of the earliest signs of aging is a loss of facial fullness and the development of wrinkles. Softening of these facial lines and the restoration of volume and fullness in the face often can be achieved non-surgically with injectable fillers.
If you would like to restore facial contours, or reduce the appearance of lines and creases, injection therapy with soft tissue fillers may be right for you.
Injectable fillers can:
- Plump thin lips
- Enhance shallow contours
- Soften facial creases and wrinkles
- Improve the appearance of recessed scars
What it won't do:
Soft tissue augmentation does not stop the aging process. If you wish to change the elements of your face, surgery such as a facelift, brow lift or eye lift may be the answer.
Non-surgical rejuvenation treatments such as injectable fillers cannot achieve the same results, but may help delay the time at which a facelift becomes appropriate.
What are the different types of fillers?
Collagen is a natural protein that supports the skin. Injectable collagen formulas derived from human dermis include Cosmoderm® or Cosmoplast®. Zyderm® and Zyplast® are forms of bovine collagen that, unlike human derived collagen, require prior allergy testing. The results may last 2 to 4 months.
Hyaluronic Acid is a natural substance found in our bodies. It is well suited to plump thin lips and fill facial creases such as nasolabial folds. It may also be appropriate for some surface wrinkles and concave scars. The results may last 6 months or longer.
Human fat, harvested from your own body, can be reinjected to enhance facial fullness, fill deep creases and to build up shallow contours. Fat injection requires a more extensive procedure than other injectable fillers because it uses liposuction techniques to extract the fat prior to injection.
Treatment results last up to a year or more in some cases and are highly variable.
Procedural Steps
What happens during soft tissue augmentation?
Step 1. Your plastic surgeon will carefully evaluate your facial appearance and skin tone, and examine the areas of your face to be augmented with injectable fillers.
Step 2. Strategic points on your face may be marked as guides to the appropriate injection sites for the filler.
Step 3. The injection sites will be cleansed with an antibacterial agent and icing or a topical numbing agent may be offered to make more sensitive patients comfortable.
In some cases, the filler itself will contain an anesthetic agent. In other cases local anesthetic may be administered to the treatment site.
Step 4. Injection takes only a few moments per site and a few minutes for a course of treatment.
Step 5. Following injection, any markings will be cleansed and icing may be offered to alleviate any temporary, minor discomfort. Makeup may be carefully re-applied so long as care is taken not to apply pressure to the treatment area.
Filling wrinkles or recessed scars involves multiple injections. In some cases where deeper injection of fillers is required, a local anesthetic may be used prior to treatment.
Common sites for deeper tissue fillers are the nasolabial folds and marionette lines, or to enhance fullness in the cheeks.
Line Filling
Lip Augmentation
Soft tissue augmentation of the lips requires multiple injections to distribute the filler for enhanced lip fullness and to raise or define a cupid's bow or vermillion border.
Nasolabial Folds
An improved appearance is visible almost immediately, although minor swelling or bruising may appear at the injection sites.
With some fillers, a slightly "over-filled" appearance may be initially present. These conditions will resolve within a few hours, or at most a few days. The duration may be as long as a few weeks with injection of one's own harvested fat.
Choose a professional.
Although tissue augmentation is a quick, in-office procedure that can produce a marked improvement in restoring facial fullness and a more youthful appearance, effective and safe use requires a physician with specialized training and a thorough understanding of facial anatomy to recommend and inject an appropriate filler.
Choosing a plastic surgeon to treat your face with injectable fillers means that your treatment will be performed by someone who not only has training in injection therapy, but in all types of non-surgical and surgical facial rejuvenation.
My Recovery
The results of soft tissue augmentation using injectable fillers are apparent immediately. Your initial appearance after treatment with any filler may include:
- Mild swelling or bruising
- Temporary numbness or redness
- An "over-filled" appearance to treated areas
These conditions can be alleviated with topical icing and will improve within a matter of hours or just a few days. Where fat is the injected filler, these conditions may persist for a few weeks.
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Enhancing your appearance with skin rejuvenation and resurfacing
If you want to improve the appearance of your skin, skin rejuvenation or resurfacing may be right for you.
Skin rejuvenation can be achieved in a number of ways, ranging from laser, light and other energy-based treatments to chemical peels and other non-ablative methods. The result is a smoother, clearer and more youthful appearance to your skin.
Skin rejuvenation is a treatment to resurface your skin, or to improve the texture, clarity and overall appearance of your skin.
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