Wrinkles

Basically, two types of wrinkles must be discerned: Those wrinkles caused by volume deficits and sagging or continuous folding of skin are called STATIC WRINKLES. Those caused by action of the underlying mimic muscle are called DYNAMIC WRINKLES.

DYNAMIC WRINKLES that exist untreated for prolonged periods of time gain an additional STATIC COMPONENT, so that even with no action of the underlying muscle the fold is present due to a thinning of the skin.

Treatment of facial folds adresses these basic facts and therefore a careful pre-treatment analysis is the clue for effective wrinkle treatment. To make a long story short: DYNAMIC WRINKLES show excellent response to BOTOX-COSMETICS ® (VISTABEL®). STATIC WRINKLES must be filled with a carefully chosen filler. Deep volume deficits may be adressed with a filler or with fat grafts.

VISTABEL® for Wrinkles / BOTOX® for Hyperhidrosis

Botulinumtoxin is the chemical content of VISTABEL® and BOTOX® BOTOX-COSMETICS® is brand name used in the US for the product named VISTABEL® in most of Europe. The contents are identical from a chemical point of view. The above named products only differ in the size

Fat grafting

Fat grafting: Forum Klinik Köln (Cologne). Fat grafting is performed to the standards of Sidney Coleman who (re) invented and refined the technique of fat grafting. Basically, fat grafting is a small operation. Fat must be harvested, e.g. at the inner side of the knees, prepared and purified and subsequently injected to the recipient site with a meticulous technique. Ideally the grafted fat cells are all oxygenated by vital tissue until they are all incorporated.

Wrinkle treatment with Fillers

Wrinkle Treatment with Fillers: Forum Klinik Köln (Cologne). Basically we have two types of filler products at hand: Resorbable (non-permanent fillers) and the permanent fillers.

We discourage the use of so called permanent fillers, having seen and operated legions of patients with adverse reactions, such as permanent reddening and, worse, granuloma formation. Even though not all patients with permanent fillers must necessarily develop granulomas, the risk is always there.

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