Botox and Filler

Aging of the skin is a continuous biological process. The first slight changes appear from the age of 25 onwards. The characteristic wrinkling effect is a result of the continuous decline in the skin’s moisture content, the remission of subcutaneous fat tissue and the degradation of collagenous and elastic fibers. Mark Twain has describes this phenomenon as follows: “Time can heal wounds, but is a miserable beautician.“

However no-one really wishes to look old, and so scientists have addressed this topic and have actually developed a method, which can prolong the aging process of the skin. Amongst other things, Botox can be injected to eliminate wrinkles. Further areas of application are migraines, muscular disorders, facial cramps, torticollis (wryneck) and excessive perspiration.

For this, botulinumtoxin is used, a bacterial substance. Injected into the muscle it specifically prevents the release of the neurotransmitter acetylcholin. As a result, the muscle concerned is unable to flex as it normally would. Other neural functions, such as the senses of feel or taste, remain unaffected.

The effect of botox builds up slowly and reaches its climax within 2-10 days. After about 3-6 months the effect slowly wears off again, letting the muscle function normally.

Side effects can be temporary muscular weakness, local pain, a dry mouth and small

haematomas. Also the facial expressions may be affected. However, no long-term side effects are known.


We utilise the so called titration method. At first only a small amount is injected. At two-to-four week intervals, this amount is increased.

It is about 80-90% certain that the treatment is going to be successful.

Recently another possibility has been developed - the filler-variation, which is used when Botox proves inadequate. Hyaluronic acid is indicated to fill lines and wrinkles of the face and neck. Some of the Fillers also contain a local anaesthetic, making the treatment more comfortable. Its effects last for about 12 months and it is a good alternative to an operation.

Herr Klauke is our specialized doctor for these treatments.



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