Aesthetic medicine

What is HIFU?
HIFU is a new, non-invasive procedure for tightening the skin in the face, neck and décolleté areas through high-intensity focused ultrasound. With this technology, the ultrasound waves penetrate deep into the skin and stimulate the production of collagen and elastin. This boosts and accelerates the body’s natural healing processes, and helps to lift and tighten loose or sagging skin.

How does it work?
The same probe is then used to deliver focused ultrasound waves that stimulate collagen production. As a result, the skin becomes gradually firmer and tighter, with a natural lifting effect.

Several areas, such as face, neck and décolleté, can be treated in a single session, which can last from 45 to 60 minutes. HIFU is a non-invasive procedure, and as such it requires no downtime. While it is generally painless, discomfort may vary from person to person.
You might notice some minor redness after the treatment. The first results are seen two or three months after the procedure, but it can take up to six months before you can appreciate the final result, which is long-lasting.

Possible applications:

• Face sculpting
• Reduction of wrinkles
• Non-surgical face lift
• Cheek lift
• Eyebrow lift
• Smoothing out frown lines  
• Smoothing nasolabial folds
• Double chin reduction
• Neck tightening
• Reduction of undereye bags
• Décolleté tightening
• Reduction of cellulite
• Post-liposuction smoothing treatment

A safe, effective and scalpel-free way to remove fat deposits

Fat cells are particularly susceptible to cold damage. Cryolipolysis is a body-sculpting technology that exploits this sensitivity to target localised fat deposits and remove them in a non-surgical way.
Cryolipolysis devices feature ergonomic applicators, which create a vacuum on the area to be treated and cool it down to temperatures of up to -10 degrees Celsius for around 70 minutes. The surrounding skin is covered with a special cloth for cold protection, ensuring that the controlled freezing only targets the areas of concern. When the fat cells are frozen, the immune system detects the damage and starts to destroy them, and the liver breaks down the lipids released from this process in the same way as it would break down dietary fats. It takes two to three months for all the damaged fat cells to be eliminated, at which point the fat deposits are visibly reduced.

Possible applications:
Cryolipolysis is a gentle fat-reduction technology that can be used to treat almost all body areas, including the face area. In terms of results, it shows a high satisfaction score especially among patients who are of normal weight or are moderately overweight, while it is not a suitable option for general weight reduction.

What is special about the new Coolshaping device?
Besides offering high levels of quality and safety, this cutting-edge device allows four different body areas to be treated simultaneously. Unlike other Cool-Tech devices, it is based on an exclusive 360-degree cooling concept: its nine ergonomic applicators are covered in cooling plates that can be adjusted to homogeneously treat any body area, enabling record-time body sculpting and exceptional results.

Is cryolipolysis safe?
The procedure is pain-free and generally safe. Possible side effects include occasional bruising, redness, slight swelling or tissue hardening as well as temporary numbness and sensitivity, but these usually disappear in a few days.
Results are permanent and become visible after around six weeks, with a fat volume loss of around 30% per session.

Laser- a magical tool in medicine

Laser technology has revolutionised the possibility of dermatological treatment in recent decades. Today, many skin problems/skin diseases can be treated gently and permanently using different laser systems.

What can be treated?

• Vessels of any kind and depth, e.g. couperosis of the cheek/nose
• Spider veins, especially on the legs
• Pigmentation of the skin such as age spots on the hands or face
• Superficial skin rejuvenation through collagen formation
• Skin revitalisation treatment
• Acne treatment and acne scars
• Rosacea treatment (rose nose)

Procedure of the treatment:

• Depending on the findings, between 0.5-40 min.
• Anaesthesia: not necessary
• Able to socialise: Immediately after the treatment. However, small reddening and irritation of the skin, as well as small swellings may occur
• Result: depending on the findings, visible changes after one treatment, follow-up treatments are usually necessary

What should be observed after a laser treatment?

• Avoid peelings for 1-2 weeks
• Apply sunscreen with a high SPF and avoid intensive sun exposure.

The first step to beautiful skin

Choosing the ideal application for oneself from the numerous offers is not so easy. This makes it clear how important it is to have good, individual advice from a doctor or a well-trained member of staff. The basis of a serious consultation is always a thorough analysis of the skin.

At the Medical Centre, we are supported in this by the Observ 520; a professional skin analysis device that uses fluorescence technology to reveal skin problems even more clearly and with greater contrast than conventional technologies. This completely painless examination, which can be used on anyone, specifically assesses skin texture and surface. Impurities, large-pored and pigmented skin areas are perfectly displayed. Signs of skin ageing such as wrinkles due to dryness, sagging areas and irregularities are also detected and their degree assessed using the Glogau scale. In addition to these already visible skin damages
and deficiencies, this technique can also be used to identify future skin problems that are not yet visible.

Based on the findings of this analysis, an individual treatment and care plan can then be developed together. Medical treatments such as mechanical or chemical peels to improve the surface of the skin or the various methods for skin rejuvenation, such as mesotherapy, mesoeclat lifting, microneedling or vampire lifting can then be used in a targeted manner.

Our secret weapon: needle-free mesotherapy

Electroporation is a non-invasive, needle-free and therefore gentle method of skin rejuvenation.
Using the "IonwaveTM technology", tiny channels are created in the skin for a short time with the help of an electric field. At this precise moment, an impulse-giving field transports high-quality active ingredients specifically into the deep layers of the skin.

Through the pore-opening process of electroporation, active ingredients can penetrate the skin for the first time - without damaging the skin - in larger quantities and higher molecular weights, which otherwise, due to the protective function of the skin, cannot or can hardly pass through the upper barrier layer.

Hyaluronic acid, antioxidants and/or vitamins can thus reach the deep layers of the skin in a targeted manner.
Even better results can be achieved if a mechanical peeling or a gentle fruit acid peeling is carried out beforehand to reduce the skin resistance.

Effective lifting with immediate effect / "The Hollywood Lift".

Because this method provides immediately visible results, it is rightly also called lifting with immediate effect.

The facial expression remains, wrinkles and a sallow complexion disappear after just a few minutes. If necessary, the skin can be made up immediately after the treatment. A solution of different acids gently causes an intensive peeling effect in the skin. This prepares the skin for the subsequent absorption of active ingredients. The cocktail of active ingredients applied afterwards serves as cell nourishment and leads to a vitalisation of the skin in a very short time.

The mesoéclat cream for use at home enhances the effect of the lifting treatment. It is important to use a sun protection cream every day.

Suitable for:

• the first signs of skin ageing
• also on the neck and décolleté
• against dull and tired skin
• ideal against wrinkles around the eyes and lips

Procedure of the treatment:

• Anaesthetic: none necessary
• Duration of treatment: approx. 60 minutes
• Aftercare: special skin care, high sun protection (SPF 50)
• Socially acceptable: directly after treatment, make-up can be applied immediately
• Result: Just one treatment freshens up the complexion, refines the skin texture and makes wrinkles caused by dryness disappear.
• Course of treatment: 5 treatments at 10-day intervals
• Risks: none

Bio-remodelling with Profhilo
Lifting effect and moisture boost without surgery

The extraordinary composition makes Profhilo a unique and unprecedented preparation. It is a hybrid molecule of high and low molecular hyaluronic acid without any other additives. This highly pure hyaluronic acid floods the skin from the inside due to a strong water-attracting effect, which immediately creates a strong lifting effect. In addition, the body's own hyaluronic acid production is stimulated and collagen and elastin formation is supported.

Unlike conventional fillers, Profhilo does not act selectively. By injecting it at five predefined points - so-called bioaesthetic points (BAP) - on each side, this hyaluronic acid distributes itself in the tissue in a very short time. In this way, the entire facial skin is evenly moisturised and smoothed from the inside, so that dryness disappears and the skin texture is improved. The immediate effect is particularly noticeable in wrinkles, as these are filled from the inside thanks to the special moisture-binding effect. The long-lasting smoothing effect ensures a fresh and natural radiance. Very good results can also be achieved with this technique on the neck and sagging skin on the upper arm (so-called angled arms)."

Advantages of bio-remodelling:
The major advantages of this treatment are its high biological activity, good distribution in the tissue and, above all, its long durability. The non-existent downtime also plays a very positive role.

Suitable for:

• dehydrated, sagging skin due to lack of volume
• tired and sallow skin
• wrinkles

Procedure of the treatment:

• Anaesthesia: none necessary
• Treatment time: approx. 30 minutes
• Aftercare: day and night care
• Ready for socialising: directly after treatment
• Result: A freshness effect is already noticeable directly after the treatment - the final result in the form of a generally improved skin quality is then formed over the next few weeks.
• Risks: Due to the absence of additives, Profhilo is considered to be very well tolerated. Nevertheless, in rare cases, slight redness, swelling or bruising may occur after the treatment.

With your own blood to youthfully fresh skin

The vampire lift (PRP therapy) is a relatively new, particularly gentle form of skin tightening that does not require any surgery or synthetic agents.

In vampire lifting, the patient's own specially prepared blood, Platelet Rich Plasma (PRP), is used. This contains a particularly high concentration of platelets. The serum also contains white blood cells, growth factors, stem cells and proteins. The blood concentrate is
under the skin with the help of tiny needles (microneedling). If the autologous blood were massaged in without pre-treatment, the treatment would have no consequences because the ingredients cannot penetrate the skin.

This treatment leads to a significantly improved skin appearance, smoothed expression lines, as well as to an active regeneration of the skin through the new formation of the skin components collagen and elastin. In the long term, the skin gains elasticity and freshness. The pain of the therapy is well tolerated, a light pain treatment with paracetamol may be applied. The application of an anaesthetic cream is also recommended. After the vampire lift, the skin is still red at first. To avoid swelling and bruising, the treated areas are cooled.

Immediately after the treatment you will notice a slight tightening of the skin. In the days and weeks that follow, the growth factors unfold their biological effect. The success of each treatment is strongest after a few weeks and lasts up to 18 months. Refreshing the vampire lift once a year stabilises the success.

The positive effect of increased cell growth not only benefits the facial skin, the skin of the décolleté or the hands, but is also used for hair loss and to reduce scar tissue and acne scars.

Suitable for:

• improving the skin's appearance and smoothing wrinkles by building up volume
• on the face / neck and décolleté
• on the back of the hand
• pregnancy / stretch marks

Procedure of the treatment:

• Anaesthesia: locally with an anaesthetic cream.
• Duration of treatment: approx. 60 minutes
• Socially acceptable: to avoid swelling and bruising, the treated areas are cooled. Then you can immediately return to your usual activities.
• Aftercare: avoid hot baths, acidic cosmetics or face masks. Avoid direct sunlight or solarium for 1 week; exercise after about 3 days.
• Result: visible after about one week. The treatment is most successful after a few weeks and lasts up to 18 months.
• Risks: very low risk; no allergic reactions. Minor bruising, redness and swelling are rarely possible.
• Particularly important: no blood-thinning medication such as ASA, aspirin or Marcumar or anti-inflammatory drugs such as ibuprofen should be taken for 14 days before the treatment.

The extremely gentle method for skin beautification

Blemishes such as scars, uneven skin or pigmentation disorders can be very stressful in the long run. Especially irregularities in the face can hardly be properly concealed. Even the constant covering up with make-up is not a satisfactory solution for most of those affected. On the contrary, it can irritate the skin even more. One way to improve the skin's appearance in the long term is to use various peeling methods that remove the upper layers of skin in a controlled manner.

Microdermabrasion is a mechanical peeling with an anti-aging effect.

For this gentle form of skin abrasion, a polishing device with fine diamond attachments is used. The device works without chemical agents solely through mechanical action. Only the top layer of skin is treated so that there is no risk of injury to the surrounding tissue. Dead skin particles are removed, the pores are opened and irregularities are removed. Among other things, this results in skin care products being better absorbed by the skin. At the same time, the procedure stimulates blood circulation, cell renewal and collagen formation in the skin. In a way, microdermabrasion offers a natural anti-aging effect in addition to the superficial improvement of the skin's appearance.

As medical microdermabrasion is more profound, an analysis of the skin must always take place before the treatment in order to exclude possible contraindications. This can only be done by a doctor.

At the Medical Centre, microdermabrasion is performed by a specially trained staff member under medical supervision.

Suitable for:

• Small wrinkles
• Pigmentation spots
• Age spots
• Unevenness
• Keratoses
• Scars
• Acne scars

Procedure of the treatment:

• Anaesthesia: none necessary
• Duration of treatment: approx. 60 -90 minutes
• Aftercare: special skin care, high sun protection (SPF 50)
• Ready for socialising: directly after treatment
• Results: visible directly after the first treatment
• Risks: minor/reddening, slight scaling or crusting possible

The peeling cure

A chemical peel penetrates the skin and causes the skin layers to peel away. This removes skin impurities. The excess, dead skin cells are often responsible for a sallow complexion. After exfoliation, your skin feels smooth and is more receptive to subsequent skin care products or electroporation. Another effect of the peel is that once the dead skin cells have been removed, the younger cells that follow can more easily reach the surface of the skin. The skin becomes more cohesive and the pores are refined. At the same time, the water retention of the skin is increased, keratoses (cornifications) of the skin are reduced and the surface structure of the skin is improved. The cosmetic result is fresh and vital skin.

Suitable for:

• dull/pale complexion, small wrinkles
• dry, flaky or rough skin
• age spots, sun damage
• Pigmentation disorders
• Acne and acne scars
• Rosacea

Procedure of the treatment:

• Anaesthetic: none necessary
• Duration of treatment: approx. 60 - 90 minutes
• Aftercare: you should care for the skin even more intensively in the morning and evening, especially pay attention to the moisture content and UV protection.
• Socially acceptable: directly after the treatment
• Results: visible immediately after treatment, peelings can be used again and again without any problems, the effects can be intensified by successive sessions.
• Risks: extremely low - possibly slight flaking

Smooth skin by activating our self-healing powers
Fractional microneedling with radiofrequency is an innovative, low-pain method that gently provides visibly younger and firmer skin. The ultra-modern technology is a further development of medical needling with the skin roller or the DermaPen. The effect has been scientifically proven.

Two already proven therapeutic approaches are used simultaneously: needling and radiofrequency. The tissue reacts with complex regeneration and repair mechanisms to the penetration of the extremely fine needles and the simultaneous thermal effect of the radio frequency. A targeted stimulation of neocollagenesis (new production of collagen), the release of growth factors and a comprehensive remodelling of the tissue, so that even scar tissue can be repaired. "Old" collagen structures can be replaced by a renewed "collagen network".

Fractional microneedling is our No. 1 treatment for: - Skin refinement and tightening of sagging skin, especially around the eyes and in the upper lip region; but also on the inner thighs, abdomen, knees, upper arms - wrinkle reduction - also in otherwise often resistant areas such as the mouth, neck and décolleté. Correction of acne, chicken pox, burn or surgical scars - Treatment of stretch marks and pregnancy marks

As the regeneration of the skin, as well as the build-up of connective tissue and the skin's own collagen, takes several weeks, the results become visible from about 4 to 8 weeks after the application. The final result of an application can usually be seen after approx. 10 -12 weeks. As an anti-aging measure, 1-2 sessions are usually quite sufficient. Even for acne scars, in some cases, if the scars are not too deep, 1-2 applications can be sufficient. Depending on skin type and skin condition, at intervals of 4-8 weeks.

Suitable for:

• Wrinkle treatment
• Pregnancy and stretch marks (striae)
• Firming

Procedure of the treatment:

• Anaesthetic: local anaesthetic cream
• Treatment duration: approx. 20 - 40 minutes
• Aftercare: Strongly regenerative skin care; high sun protection (SPF 50) - Avoid: strong sun exposure, solarium and sauna, the use of essential oils and aggressive peeling products, high doses of anti-inflammatory medication
• Fit for socialising: 1-2 hours after treatment
• Result: first results from about 4 to 8 weeks. The final result of an application is usually seen after about 10-12 weeks.
• Risks: low-risk and very well tolerated - redness, as well as slight swelling of the skin, disappear completely within a few hours, depending on the sensitivity of the skin.

With Botox injections against age and expression lines

Wrinkles increasingly appear as part of the ageing of the face. A distinction must be made between wrinkles caused by facial expression and those caused by gravity or a loss of elasticity in the skin. Mimic wrinkles occur where our facial muscles work more as part of a facial expression, straining the skin in the process.

This is the case, for example, with forehead wrinkles or frown lines. The constant movements in this area cause the collagen fibres to break and wrinkles to form. At first, these wrinkles are only visible when the muscles move, but later they are also visible at rest - so-called static wrinkles.
The wrinkles that appear in the lower region of the face are usually caused by a loss of elasticity of the skin and, in old age, also by a loss of volume.

Expression lines can be treated very well by injecting botulinum toxin. This is an active substance that selectively acts on the signal transmission of the nerves to the facial muscles and leads to a relaxation of the treated muscle parts. The active ingredient must be injected in precise doses into the muscles involved in the region.

The smoothing effect then usually begins after 2 days; after about 10 days the effect is fully pronounced. Non-mimic wrinkles, i.e. static wrinkles and wrinkles in the lower half of the face caused by a loss of volume, are best treated with so-called fillers, which are usually based on hyaluronic acid.

Suitable for:

• Forehead wrinkles
• frown lines
• Laugh lines (crow's feet)

Procedure of the treatment:

• Anaesthesia: none necessary
• Duration of treatment: approx. 15 - 20 minutes
• Aftercare: Avoid strong sunlight and solarium for a few days.
• Socially acceptable: directly after treatment
• Result: full effect after approx. 10 days. This lasts for 4-6 months. If the treatment with Botox is repeated regularly, the wrinkle smoothing effect can be maintained for many years. With repeated use, it is also observed that regions with more pronounced wrinkles recover and improve their appearance in the long term.
• Risks: Minor bleeding and swelling are possible. However, these usually disappear quickly.

With hyaluron against loss of volume and contour of the skin and improvement of skin quality.

Natural skin ageing affects everyone. In the course of life, the facial skin loses its supportive cushion of collagen and elastin. Moisturising substances such as hyaluronic acid and proteins diminish and gravity causes wrinkles to form.
The signs of ageing can be treated effectively and gently with hyaluronic acid fillers and other fillers (also called derma fillers).
With hyaluronic acid injections, loss of volume and contour of the skin can be gently remedied. The affected areas are treated with a fine injection needle.
In some cases, fine blunt cannulas are used. The wrinkle injections are performed under local anaesthesia so that the patient does not feel any pain. The
The result of the aesthetic treatment is visible immediately. The final result can be expected in about 3-4 weeks.

Suitable for:

• Nasolabial wrinkles
• Lips and mouth
• Cheeks and chin
• Tear trough
• Hands

Procedure of the treatment:

• Anaesthesia: usually necessary
• Duration of treatment: 30-45 minutes
• After the treatment: Avoid sports, sauna visits and sunbathing for one to two days after the treatment. Cooling of the treated areas is recommended, e.g. with a cool pack.
• Fit for socialising: usually immediately after the treatment.
• Results: usually immediate. The final result can be expected within 3-4 weeks.
• Duration of effect: Depending on the indication and the preparation used, up to 18 months. Depending on the preparation, follow-up treatment or correction may be necessary.
• Risks: Minor bleeding and swelling are possible. However, these usually disappear quickly. Hyaluronic acid treatment is safe and harmless in the hands of a specialist and when quality products are used.

Laser - The gold standard for vascular changes

Due to its symptoms, couperosis is more of a cosmetic than a health problem for those affected. Typically, fine veins shimmer through the skin. Couperosis usually only affects the skin on the face, rarely also the skin on the neck or décolleté.

Characteristic are:

• Redness in the cheeks and nose area
• Visible veins that shimmer through the skin in a bluish or reddish colour
• Generally sensitive skin with a tendency to dryness.

The symptoms of couperosis are not dangerous to health; however, they can be psychologically very stressful for those affected. It can also occur as a preliminary stage of rosacea, in which further, mostly inflammatory changes (papules/pustules) occur in the following.

No curative therapy options!
To improve the skin's appearance, special peelings are used in addition to the general recommendations (avoidance of trigger factors, proper skin care). The very disturbing veins are removed in a gentle way and extremely successfully with the laser. In our Medical Centre, a special powerful diode laser with a wavelength of 532 nm (green laser) is used for this purpose. These local measures are supported by a stage-appropriate drug therapy. Our doctors will be happy to advise you.

Suitable for:

• Couperose and spider nevi
• rosacea
• small haemangiomas, certain port-wine stains

Procedure of the treatment:

• Anaesthesia: none necessary
• Aftercare: Intensive sun exposure before and after the treatment should be avoided. It is also advisable to avoid saunas for about 14 days after the treatment, as high temperatures can affect the results. If intensive sun exposure is unavoidable, sun protection with a high SPF is recommended.
• Socially acceptable: directly after the treatment
• Result: The treatment effect is visible immediately. Usually 1, maximum 2 sessions are sufficient to remove the veins completely.
• Risks: low. Occasionally, however, small crusts may appear, which fall off by themselves after a few days.

Botox stops excessive sweating in the armpit region

Everyone sweats. Sweating is vital; it serves to keep the body temperature constant. But sometimes it can be too much of a good thing. Excessive sweating (hyperhidrosis) is a widespread problem and can become a great psychosocial burden for those affected.

Treatment of hyperhidrosis in the armpit region
Herbal remedies, e.g. sage extracts, are usually insufficient. The effect of anti-perspirants is also often insufficient. In addition, they usually contain aluminium compounds, which are increasingly suspected of playing a role in the development of Alzheimer's disease or breast cancer.

Botulinum toxin A injections
Botox treatment has proven to be extremely effective against excessive sweating, especially in the armpit region, when used correctly by a doctor. This method is almost painless and well tolerated. The extremely diluted active ingredient is injected into the armpit in several tiny portions through very fine needles. The effect is developed directly on the sweat glands by the botulinum toxin specifically blocking the nerve impulses for sweat secretion. Other nerve functions are not affected in their activity. The extent of the area to be treated is marked beforehand by the so-called "sweat test according to Minor".

When does the effect occur and how long does it last?
Approximately one week after application, the medication takes effect and helps the sufferer to be pleasantly "sweat-free" for 12 -18 months.

Laser treatment for permanent hair removal

A permanently beautiful and smooth skin without annoying stubble is the wish of many who come to us at the Medical Centre. On the face or other parts of the body where hair is not desired, it is not only a cosmetic problem, but often also a psychological one. Legs, bikini area, armpits and upper lip are typical problem areas for women. Men, on the other hand, are often bothered by pronounced back hair.

Epilation with the help of wax, tweezers, electric devices and especially simple shaving is not permanent, sometimes painful and time-consuming. It is often associated with unpleasant side effects, such as ingrown hairs, pustules and irritated skin areas.
According to current medical knowledge, laser epilation is the only method to get rid of unwanted hair and hairs permanently, with little pain and without side effects.

Definitive epilation at the Medical Center Quellenhof with the Primelase HR The laser emits light of one or more specific wavelengths. The energy transported with the light can destroy the growth zone of the hair root, the hair follicle. However, this is only possible for hairs that are in the process of growing. To explain: every hair goes through three phases; growth phase, transition phase and rest phase. Since never all hairs of the body region to be treated
the same time, several sessions are necessary to treat all the hair follicles.
are necessary to destroy all hair follicles.

Suitable for:

• any skin type
• any hair colour
• any hair thickness

Procedure of the treatment:

• Anaesthesia: none necessary
• Duration of treatment: depending on body region from 5 - 30 minutes
• Aftercare: on the day of the treatment, solarium and sun exposure should be avoided. We recommend sun protection with SPF 50+.
• Socially acceptable: directly after the treatment
• Results: visible results already after 1 session, excellent results can be expected after 4-7 sessions. The frequency of treatment depends on the area of the body, the hair colour and density, and the intensity of hair growth. Every person has the ability to grow new hair roots, even after laser hair removal. With an annual "touch-up", the hair-free result can be maintained.
• Risks: almost painless, practically no skin irritations, no burns, no scars.

Spider veins are dilated blood vessels that become visible through the skin. The heat produced by the laser device coagulates the blood contained in spider veins, causing vessel walls to collapse. The damaged vessels are ultimately destroyed by the body and spider veins disappear.