Welcome

Every human emotion, movement and facial expression are the result of interaction of many tiny structural components that define our identity and our appearance. Due to my wide experience I can detect slight disbalances in order to bring them together again.

Our clinic offers the latest and safest methods and techniques in the field of plastic and aesthetic surgery. That’s why I pay so much attention to comprehensive, individual counselling, which helps to outline pricesely all the benefits, limits and risks.

Face Lifting

Face lift and neck lift is the top of the aesthetic plastic surgery. Accurate knowledge of anatomy and perfect three-dimensional thinking, as well as many years of experience in the field of surgery are the main requirements for this intervention.

Face is a mirror of the personality and is crucial for human identity. Therefore, result of the operation should be harmonious and consistent, to emphasize the individuality of the person, without changing it

Men's Aesthetic

Today men have healthy nutrition, go to the gym and pay a lot of attantion to their appearance.
However, men’s body and skin differ greatly from women’s.
We consider these factors by using specially adapted technologies and treatments, in some cases based on the results of our own researches, in order to achieve best results in the male body.

Rekonstruktiv

Burn surgery, hand surgery, reconstructive and aesthetic surgery all together form 4 pillars of the plastic surgery. Their aim is to restore or improve the shape of the body and significantly impaired functions of the organism.

Some interventions are performed only for aesthetic purposes, others to improve function or for both reasons. Detailed knowledge of human anatomy and long surgical experience are the background for such interventions. That is why reconstructions require personal interview, physical examination and the development of a clear treatment plan.

for her for him
  • Duration of the procedure: upper lid lift 30 minutes per eyelid,
    lower lid lift 45 minutes per eyelid
  • Type of anaesthesia: local anaesthetic, possibly with a mild sedative
  • Outpatient treatment
  • Presentable with sunglasses after 3 days, without sunglasses after one week (i.e. after suture removal)

Indication

Droopy eyelids or excess skin on the upper lids, puffy lower eyelid "bags", periorbital dark circles, wrinkles of the lower eyelids.

Operation

The excess skin on the upper eyelid is measured precisely. It is removed along with a narrow strip of muscle. In addition, apparent fatty tissue at the inner margin of the eye is removed. The incision runs along the natural crease of the eyelid so that it will be practically invisible later.
A lower lid lift can be carried out by means of an incision along the edge of the lower lid or in the mucous lining. The bulging fatty tissue that causes lower eyelid puffiness is positioned back into place and the excess skin is removed.
It is often advisable to combine an upper and a lower eyelift.

After the operation:

  • Cool the eye area
  • Keep your head raised in order to reduce swelling
  • Sutures are removed after 5 – 7 days
  • Avoid strenuous activities such as sports for 4 weeks
  • Duration of the procedure: from 1 to 3 hours depending on the preoperative findings
  • Type of anaesthesia: general anaesthetic, only minor corrections are carried out using local anaesthetic
  • Outpatient treatment: possibly with medical supervision in a hotel during the first night
  • Presentable after about 10 days

Indication:

Deformations of the nose (congenital or due to injury)
Reshaping of crooked noses, dorsal humps, saddleback deformities, nose tips, rhinophyma (ruddy, bulbous noses)

Operation:

The operation is individually planned and carried out on the basis of our findings. The procedure is carried out either from inside the nose – so that there will be no visible external scars – or from the columella of the nose (leaving a slightly visible scar).

After the operation:

  • Cool the nose area
  • Keep your head raised to reduce swelling
  • Sutures (if needed) are removed after 5 – 7 days
  • Avoid strenuous activities such as sports for 4 weeks
  • Duration of the procedure: about 2 hours, depending on the preoperative findings
  • Type of anaesthesia: general anaesthetic for small children, otherwise local anaesthetic
  • Outpatient treatment
  • Presentable after about 2 weeks

Indication:

Malposition or malformation of the outer ears is usually congenital. This can have an adverse effect on a person’s appearance and cause considerable psychological stress. A person’s ears reach their final form and position by the age of 5, which means that corrective surgery is possible as of then.

Operation:

For the sake of symmetry it is usually wise to operate on both ears. The incision is made at the back of the ears so that there will be no visible scar.

The cartilage at the back of the ears is partially thinned to make it easier to shape. The thinned cartilage is then sculpted and held in the desired shape using non-removable sutures. An additional suture can correct the rotation of the ear if necessary. The position, shape and size of the outer ears can be permanently changed in this way.

After the operation:

  • The head is wrapped in a bandage for 4 days
  • This is replaced by a thinner headband to be worn day and night for 2 weeks
  • A headband is to be worn at night only for 2 more weeks
  • The non-permanent sutures are removed after 8 – 10 days
  • Avoid strenuous activities such as sports for 6 weeks
  • Duration of the procedure: from 2 to 6 hours depending on the preoperative findings
  • Type of anaesthesia: local anaesthetic plus a mild sedative, or general anaesthetic
  • Outpatient treatment with medical supervision during the first night
  • Presentable after about 10 days

Indication:

Changes in the distribution of subcutaneous fatty tissue, subsequent sagging of the soft tissues of the face, formation of deep nasolabial folds (between cheeks and nose), and the development of saggy jowls.
Flattening out of the facial contours
Excess skin and wrinkles
Changes in the distribution of subcutaneous fat
The primary objective is to give the face a fresh, youthful appearance while retaining a natural expression and the person’s individual aura.

Operation:

The facelift incision is hidden at the edge of the cartilage at the front of the ears, runs around the earlobes, behind the back of the ears and into the hair at the back of the head. After tightening of the SMAS, a thin layer of fibrous connective tissue directly underneath the facial skin, excess skin is removed. The skin is stretched only slightly so that there will be little pull on the sutures. That allows for a better for the healing process and results in almost invisible scars.

For a so called S-lift, a very short incision is made in order to lift only the skin and the underlying tissue of the cheek region. In my modification of the ‘lipo-facelift’, excess fat of the face and neck is removed by suction and areas of the face which have lost their subcutaneous bulk are augmented with autologous fat. This produces a perfect balance of skin-tightening, SMAS-lifting and correction of the maldistribution of subcutaneous fat due to aging. The patient’s own fatty tissue is not only a filler but, as bioactive autogenous tissue, it improves the blood flow and contains stem cells that enhance the skin quality.

This elegant procedure is playing an increasingly important role in my very contemporary methods of facial surgery.

After the operation:

  • Cool the facial area
  • Keep your head raised in order to reduce swelling and prevent bruising
  • You may apply make-up after about 5 days
  • You may wash your hair after 4 days
  • You may dye or colour your hair after 4 weeks
  • Sutures are removed after 10 – 14 days
  • Post-surgical wound care (with scar massage und possibly self-adhesive silicone pads) begins after suture removal
  • Avoid strenuous activities such as sports for 6 weeks
“Soft” lifting of face

In contrast to traditional facelift, which guarantees long-term success, currently exists several its “light” versions that are less invasive.

Extensive advanced researches on adipose tissue, stem cells of the organism and growth factors, in particular, show that administration of prepared adipose tissue causes revitalization, improvement in blood circulation and restores the treated tissue.

Very successful researches in this area are being conducted over the years in the Plastic, Hand and Reconstructive Surgery Centre at the University Clinic of Aachen, which is evidenced by numerous publications, lectures and awards.

  • Duration of treatment: Depending on examination results - 1-2 hours
  • Type of anesthesia: local anesthesia
  • Outpatient treatment
  • Return to the normal rhythm of life in about 3 days

Indications:

  • loss of subcutaneous tissue volume
  • loss of skin elasticity
  • “exhausted” skin structure
  • “shrinking” of tissue

Operation:

In the course of a mild surgery for liposuction a small amount of fat cells is removed using very thin needles. These cells are immediately processed and finally introduced into the treated area. Skin incision is not required.

It is impossible to reliably predict the results, since the introduced body adipose tissue can be fully absorbed. Thus, several procedures are sometimes required.

After operation:

  • Local cooling
  • Elevated position of the head in order to avoid swelling and bruising
  • Using makeup – in about 2 days
  • Shampooing - within 2 days

Concentrate of autologous blood (A-PRP) in low doses (up to 20 ml) is prepared the way that only blood plasma with platelets and growth hormones is retained.

Concentrate of autologous blood (A-PRP) is ready for use during 10 minutes.

Make small punctures with a needle under the visible layer of the epidermis, or - to create volume - a needle is inserted directly under the wrinkle. Depending on the indication, the number of punctures may vary.

Concentrated platelets control the regeneration process in the skin, and stimulate connective tissue.

It is possible to combine with mesotherapy.

  • Duration of treatment: Depending on examination results - 1-2 hours
  • Type of anesthesia: without anesthesia or local anesthesia
  • Outpatient treatment
  • Return to the normal rhythm of life - in about several hours
  • It is recommended to repeat the procedure - 3-6 courses of PRP-plazmolifting with an interval of 4 - 6 weeks
  • Sustained effect for more than 18 months

Indications

  • Fine wrinkles formation
  • Exhausted, uneven skin
  • Dark circles around the eyes
  • Striae
  • Postacne scars
  • Alopecia

After operation

  • Local cooling
  • >Elevated position of the head in order to avoid swelling and bruising
  • Using makeup – in about 1 day
  • Shampooing - within 1 day
  • Duration of the procedure: 1 or 2 hours depending on the preoperative findings
  • Type of anaesthesia: local anaesthetic plus a light sedative, or general anaesthetic
  • Outpatient treatment with medical supervision during the first night
  • Presentable after about a week

Indication:

This operation is usually carried out in combination with a lower facelift. A saggy neck is often the first clearly visible sign of the aging face. Lifting the neck area is an effective way of restoring contours and smoothening the skin.

Operation:

The incision runs the same way as for a lower facelift: hidden along the edge of the cartilage at the front of the ears, around the earlobes, along the back of the ears and into the hair at the back of the head. After the thin sheet-like muscle directly under the skin of the neck (platysma) has been pulled back, the skin is lightly stretched.

Especially patients who are overweight and who have lost contours between the chin and the neckline are advised to have liposuction as well.

After the operation:

  • Cool the neck region
  • Keep your head raised to reduce swelling
  • You may wash your hair after 4 days
  • Sutures are removed after 10 – 14 days
  • Post-surgical wound care (with scar massage und possibly self-adhesive silicone pads) begins after suture removal
  • Avoid strenuous activities such as sports for 6 weeks
  • Duration of the procedure: 3 – 4 hours depending on the preoperative findings
  • Type of anaesthesia: general anaesthetic
  • Outpatient treatment with medical supervision during the first night
  • Resumption of light physical activities after about 3 weeks

Indication:

A weakened abdominal wall after pregnancy, with stretch marks, usually combined with diastasis of the vertical abdominal muscles, in extreme cases leading to a ventral hernia

A flabby apron of hanging abdominal skin after weight loss

Undesirable scarring in the lower abdomen as a result of an operation or a caesarean section

Operation:

Following a horizontal incision above the pubic hair, the excess skin and the fatty tissue of the lower abdomen are removed. The skin and subcutaneous fat of the abdominal wall is raised up to the breastbone in the midline. The abdominal muscles that have come apart are sutured together so that the waistline becomes defined again. Weak areas of the abdominal wall are stabilized, where necessary, by means of special suturing techniques.

The belly button is then moved to its new location so that the proportions look right. We take great care to have the belly button look perfectly natural by shaping a small funnel for it and hiding the scar in the depths of the funnel.

If the person has a significant subcutaneous depots or a very thick abdominal wall, liposuction is carried out at the same time.

The incision is made in such a way that there will be as little visible scarring as possible and the scar will be hidden under normal swimwear. Stretch marks resulting from pregnancy can be greatly improved thanks to a special technique of injecting the patient’s own fat along with stem cells.

After the operation:

  • Wear a support garment around your abdomen for 3 months
  • Sutures are removed after 2 – 3 weeks
  • Post-surgical wound care (with scar massage und possibly self-adhesive silicone pads) begins after suture removal
  • Light physical activities after about 3 days, resumption of normal activities after 3 months
  • Avoid strenuous activities such as sports (particularly those using the abdominal muscles) for 3 months
  • Duration of the procedure: varies according to the extent of the operation (from 1 to 5 hours)
  • Type of anaesthesia: general anaesthetic or local anaesthetic
  • Outpatient treatment possibly with medical supervision during the first night

Indication:

Isolated deposits of fat which do not disappear even after strict dieting or targeted physical exercise

Irregular contours after lifting procedures

Fat distribution disorders that can be treated by liposuction: This applies to all parts of the body – especially the hips (e.g. ‘love handles’) the buttocks, thighs, knees, abdomen, breast/chest (e.g. gynaecomastia in men), upper arms, face and neck

Operation:

For liposuction of the face/neck area the incision runs the same way as for a lower facelift: hidden along the edge of the cartilage at the front of the ears, around the earlobes, along the back of the ears and into the hair at the back of the head. After the thin plate-like muscle directly under the skin of the neck (platysma) has been tightened, the skin is lightly stretched.

Especially patients who are overweight and who have lost the contours between chin and neck are advised to have liposuction as well.
 

After the operation:

  • Wear a special support bandage for 2 weeks
  • Wear a support garment for 3 months
  • Sutures are removed after 10 – 14 days
  • Post-surgical wound care (with scar massage) begins after suture removal or after removal of the support bandage
  • Avoid strenuous activities for 2 weeks
  • Avoid sports for 4 – 6 weeks
  • Avoid sunburns or tanning beds for 6 months (or protect the scars with sunscreen lotion)
  • Post-surgical diet: The fatty cells that have been removed do not grow back, but improper food intake could cause the remaining fat cells to enlarge
  • Duration of the procedure: 1 – 2 hours per arm depending on the preoperative findings
  • Type of anaesthesia: local anaesthetic plus a sedative, or general anaesthetic
  • Outpatient treatment

Indication:

Saggy upper arms with excess skin, caused by a loss of tissue elasticity due to aging or weight loss.

Operation:

In less pronounced cases only a small incision is made in the armpits to pull back and remove the excess tissue of the adjacent upper arms. In more severe cases an S-shaped incision runs from the armpits to just above the elbow. The scars lie hidden on the inside of the upper arms. After removal of the excess skin and the subcutaneous tissue below it, the upper arm is tightened and reshaped.

After the operation:

  • Sutures are removed after 2 weeks
  • Post-surgical wound care (with scar massage und possibly self-adhesive silicone pads) begins after suture removal
  • Wear a support garment for 3 months
  • Avoid physical activities that strain your arms (especially raising your arms) for 3 weeks
  • Avoid sports involving the upper arms for 3 months
  • Duration of the procedure: 1 – 2 hours per leg depending on the preoperative findings
  • Type of anaesthesia: general anaesthetic
  • Outpatient treatment

Indication:

Saggy tissue and excess skin in the thigh area – especially on the inner side – caused by a loss of elasticity due to aging or weight loss. So-called ‘saddle bags’ require liposuction.

Operation:

In less pronounced cases only a short crescent-shaped incision is required along the groins to the buttocks. This ensures that the scars will be hidden under normal swimwear. In cases with more excess tissue, the incision runs from the groins down to about the middle of the inner thighs to permit a tightening of the tissue of the adjacent areas. In more pronounced cases, an S-shaped incision runs from the groins along the inner thighs down to just above the knee joint. The scars lie hidden along the inner side of the thighs. After the excess skin and subcutaneous tissue have been removed, the thighs are tightened and contoured.

It is often advisable to have liposuction as well to achieve a more harmonious result.

After the operation:

  • Sutures are removed after 2 weeks
  • Post-surgical wound care (with scar massage und possibly self-adhesive silicone pads) begins after suture removal
  • Wear a support garment for 3 months
  • Avoid strenuous activities (such as long walks) for 4 weeks
  • Avoid sports involving the use of your legs for 3 months
  • treatment time depends on the presented situation: 4-6 hours
  • anaesthesia: full anaesthesia
  • in-patient only
  • light physical exertion after approx. 3 weeks

Indication:

After undergoing massive weight loss, the skin often does not contract and instead hangs down in large folds, "apron-like", which can increase with sport, massage or further fasting. The desired weight should be achieved and held for at least 6 months.

Operation:

Instead of in single steps, the abdominal thummy tuck, the bottom lift and the thigh lift are operated in one sitting. During the operation the skin and the underlying tissue is lifted. The advantage of this method is that only one continued scar is formed and thus the optical result appears inapparent and smooth.

Post OP:

  • compression suite for body and legs for 3 months
  • suture removal after 2-3 weeks
  • begin with the scar treatment (scar massage and possible application of silicon plates) after removal of the sutures
  • light physical exertion after 3 weeks, full exertion after 3 months
  • no sports for 3 months
  • Duration of treatment on both sides about 2 hours
  • Anesthesia: local anesthetic
  • Outpatient treatment
  • Little physical stress for a week

Indication:

Approximately 1-2% of people in Germany suffering from the disease hyperhidrosis, in which the body produces excessive and uncontrollable regardless of heat or cold, day or year a lot of sweat. Strong odors and visible discoloration of clothes are unwanted side effects. Before a surgical removal of the sweat glands is performed, it should first be attempted to exhaust all possibilities conservative.

Surgery:

Subcutaneous Schweißdrüsensaugkürettage: underarm hyperhidrosis can be eliminated by sucking the sweat after injection of liquid. The success depends on how much gland may be removed. The effect can wear off after a few years, because the nerve endings partially achieve the remaining sweat

After the procedure:

slight physical strain after about a week, full weight-bearing after 3 weeks
Avoiding sporting activities (especially with the use of arms) 1 month

  • Duration of the procedure: 3 – 4 hours depending on the preoperative findings
  • Type of anaesthesia: general anaesthetic
  • Outpatient treatment with medical supervision during the first night, in-patient treatment in more severe cases or for patients at particular risk

Indication:

Large, over-sized, fully developed breasts, which are usually saggy as well
Differences in breast sizes (asymmetry)
Breasts with sagging skin (due to pregnancy, weight loss, age)

Often breast reduction is accompanied by a breast lifting.

Operation:

Before the operation, patient and doctor plan the optimal size of the breasts according to the patient’s wishes, taking into consideration the original shape and size of the breasts.

In order to reduce breast size, some part of the breast and fatty tissue as well as excess skin are removed. Usually a breast lift is performed at the same time, remodelling the breast tissue and raising the nipples. Ideally the height of the nipple position should be at approximately the middle of the upper arms. The areola, which is usually over-sized as well, is reduced to about 4 cm in diameter.

The method used for breast reduction varies depending on the preoperative situation. The foremost objective is to create symmetrical, round, smaller and firmer breasts by means of an incision that will produce minimally visible scars. For medium-large breasts the incision runs around the areola and then vertically down in the midline of the breast to the inframmary fold. (Lejour technique). For considerably larger breasts Professor Pallua has developed an L-form technique that ensures an unscarred cleavage.

After the operation:

  • Sutures are removed after 2 weeks
  • Wear a support bra for 3 months
  • Post-surgical wound care (with scar massage und possibly self-adhesive silicone pads) begins after suture removal
  • Avoid physical strain (especially raising your arms) for 3 weeks
  • Avoid sports involving your arms for 2 – 3 months
  • Duration of the procedure: 1 –1,5 hours
  • Type of anaesthesia: general anaesthetic
  • Outpatient treatment with medical supervision during the first night

Indication:

Under-developed, deformed, or asymmetrical breasts are often congenital and cause many women considerable suffering due to their appearance and their lack of feminine proportions.

Sagging breasts caused by pregnancy, nursing or weight loss can also be improved by means of silicone implants in combination with breast lifting.

In case of breast tissue removal because of diseases (e.g. cancer), reconstruction with an implant can create a breast shape which again matches the healthy one on the other side.

Implants:

The most suitable implant in terms of filling, shape and size is determined before the operation in a personal consultation which includes a demonstration.

We exclusively use implants of the highest quality that bear all of the required quality seals.

Operation:

Before the operation, patient and doctor plan the optimal size of the breasts according to the patient’s wishes, taking into consideration the original shape and size of the breasts.

Various approaches – insertion through the inframammary fold below the breasts or at the areola – reduce scarring to a minimum. Depending on the thickness of the subcutaneous tissue, the implant is inserted in a pocket under the breast gland or, in the case of very slim patients, under the pectoral muscle, then positioned and secured.

For patients with extremely saggy breast tissue a breast lift should be performed as well.

After the operation:

  • Sutures are removed after 2 weeks
  • Wear a bandage (‘Stuttgarter Gürtel’) for at least 2 weeks
  • Wear a support bra for 3 months
  • Post-surgical wound care (with scar massage und possibly self-adhesive silicone pads) begins after suture removal
  • Avoid physical strain (especially raising your arms) for 3 weeks
  • Avoid sports involving the use of your arms for 3 months

Alternatives:

For patients who want a breast enlargement without the use of a silicone implant, we offer lipofilling of the breasts. In this procedure, the patient's own expendable body fat is harvested and transferred to their breasts. This method can be supported by means of an external vacuum pump system worn mainly at night for 3 to 6 weeks before the fat transfer. The results are excellent and long-lasting. A further alternative for breast enlargement without implants involves augmentation with a specially formulated hyaluronic acid.

Breast augmentation using hyaluronic acid

Breast augmentation using a specially designed gel based on hyaluronic acid is considered risk-free and especially gentle. Specially designed hyaluronic acid is gel-like tissue filler, which can stay for a very long time in the body due to its good tolerability. This material has a very high concordance with the own hyaluronic acid in the body. The gel is administered directly to the desired location, creating a long-lasting volume. Using this method, you can mould breasts and increase it by approximately one cup size. Despite the long-term effect, such an operation must be repeated at regular intervals to maintain a constant result.

Breast augmentation by autologous fat

In case of breast augmentation with autologous fat the latter is retrieved from the body and then injected directly under the skin of the chest (via injection).

Processed stem cells of autologous fat enhance new blood vessels formation and improve integration of injected volume in the tissue. Thus it is possible to achieve a stable and reliable volume. This method is mainly used to increase small volume of breast and for modeling asymmetrical, pendulous breasts. Since the administered material can be partially resorbed by the body, it may require several sessions. Pre-stretching of the skin with the help of BRAVA is optional.

This method has a great advantage, since it is performed with natural material, and methods of breast cancer imaging do not yield false results.

  • Duration of the procedure: 2 – 3 hours depending on the preoperative findings
  • Type of anaesthesia: general anaesthetic
  • Outpatient treatment with medical supervision during the first night, in-patient treatment in more severe cases and for patients at particular risk

Indication:

Pregnancy, weight loss or aging can lead to sagging and a loss of elasticity in the breast tissue. When the breasts droop the position of the nipples also changes. 
In cases of great volume loss, it is advisable to insert an implant as well in order to ensure a beautiful, lasting contour.

Operation:

Ideally the height of the nipple position should be at approximately the middle of the upper arms. Before the operation, patient and doctor plan the optimal size of the breasts according to the patient’s wishes, taking into consideration the original shape and size of the breasts.

During the breast lift the saggy breast tissue is remodelled and raised together with the nipples. The areola, which is usually over-sized as well, must normally be reduced to about 4 cm in diameter. The method of breast-lift chosen varies depending on the preoperative findings.

The foremost objective is to create symmetrical, round, firm breasts by means of an incision that will produce minimally visible scars. For relatively small breasts the incision merely runs around the areola. (Benelli technique), for relatively large breasts the incision runs around the areola and then vertically down the midline of the breast to the inframammary fold (Lejour technique). For really large breasts Professor Pallua has developed an L-form technique that ensures an unscarred cleavage. (See the section above).

For patients without sufficient breast tissue a breast enlargement is performed out using a silicone implant.

After the operation:

  • Sutures are removed after 2 weeks
  • Wear a support bra for 3 months
  • Post-surgical wound care (with scar massage und possibly self-adhesive silicone pads) begins after suture removal
  • Avoid physical strain (especially raising your arms) for 3 weeks
  • Avoid sports involving the use of your arms for 2 – 3 months
  • Duration of the procedure: 30 minutes to 2 hours depending on the area to be treated
  • Type of anaesthesia: local anaesthetic, possibly with sedation 
  • Outpatient treatment
  • Presentable after about a week

Indication:

  • Deep nasolabial folds, i.e. creases that run from the sides of the nose to the corners of the mouth
  • Frown lines (glabellar lines) between the eyebrows 
  • A furrowed brow
  • Hollow temples
  • Periorbital dark rings 
  • Crow’s feet
  • Wrinkled upper lips
  • Augmentation of the upper and lower lips (fuller lips)
  • Marionette lines, sneer lines, (sagging corners of the mouth)
  • All problems arising from a decrease in subcutaneous fatty tissue (e.g. hollow cheeks after HIV treatment, scars from injuries, burns, operations, or radiation treatment etc.)
  • Breast enlargement for women, preferably in combination with the Brava System (See also section on Breast Enlargement) 
  • Pudendal labial augmentation

Operation:

Autologous fat is taken for example, from the patient’s own abdominal wall, buttocks or thighs as in liposuction. The fatty tissue which has been removed is then refined in a process we have specially adapted (a modification of the Coleman process). This processed fat from the patient’s own body is rich in stem cells and is re-injected using fine cannula.

The advantages of this treatment are that a larger area can be infiltrated. The stem cells increase the thickness of the skin and thereby smooth out the wrinkles. In addition, blood circulation is improved by the growth factors in the fat transplant, creating a fresh, rosy skin colour. The effects of an autologous fat injection usually last considerably longer than those of artificial fillers, since a considerable number of the re-injected fat cells are engrafted.

After the operation:

  • Cool the area
  • Wear a compression garment for 4 weeks
  • Avoid make-up for 4 days
  • Avoid strenuous activity such as sports for 4 weeks

Muscle activity naturally causes creasing and wrinkles are the result of many years of an individual’s characteristic facial gestures. When muscle tension becomes too pronounced, it can lead to bothersome, unwanted wrinkles.

  • Duration of the procedure: about 20 minutes
  • Type of anaesthesia: local anaesthetic using a cream
  • Outpatient treatment
  • Presentable immediately

Effects:

Botulinum toxin is a bacterial protein that is produced naturally. Upon injection a muscle by a medical expert, it directly blocks the local motor nerve impulse, preventing the muscle from contracting as usual. Other nerval functions, such as feeling and touch are not affected.

The effects are noticeable within 3 to 5 days and normally last for about 3 to 6 months. It is advisable to repeat the treatment at that point. As the muscle weakens, the length of the intervals between treatments steadily increases.

Indication:

  • Frown lines (glabellar lines) between the eyebrows
  • A furrowed brow
  • Crow’s feet
  • Downturned corners of the mouth
  • Neck creases

Treatment:

After the application of a pain-relieving cream, botulinum toxin (e.g. Dysport®, Botox®) Markennamen belassen?  is injected into the desired areas with a very fine syringe. The procedure is practically painless. Afterwards, in order to prevent bleeding and swelling, the area is briefly cooled.

After the treatment:

  • Cool the area lightly
  • You may apply make-up after 2 hours
  • Avoid lying down for 4 – 5 hours
  • Do not participate in sports on the day of the treatment

In the case of permanent fillers, non-biological products are utilized, which generally are not resorbed from the body, so that they can  forever remain where they have been instilled.

Patients often ask about these infiltrations, because the idea of having only one treatment forever is tempting.

In spite of this advantage, fillers are used today increasingly cautiously due to serious side effects which could occur, such as inflammation and  "ABSTOß" reactions which cause granulation and scarring. These reactions can even occur years later and the altered filler substance is almost impossible to completely remove.

On request we offer "Aquamid" in our clinic, which is a soft, good modelbar filler with which we have had the best experience with thus far.

  • treatment time: approx. 30 minutes
  • anaesthetic used: local creme
  • ambulant treatment
  • down time: 1-2 days

Indication:

  • wrinkles and scars
  • conturing and filling certain facial parts (for example: too thin or aged, wrinkled lips, deep folds between the nose and mouth, "angry" forehead wrinkles)

Treatment:

After a pain reducing creme is applied to the facial area, the permanent filler is infiltrated with a very thin needle to achieve the desired effect. The treatment is practically painless. Afterwards, in order to avoid swelling and bruising, the facial area is cooled.

Directly after the treatment the infiltrated material does not immediately attach itself  to the natural facial tissue, so that these treated areas must be fixated for a while and shouldn't be moved.

Hyaluronic acid is a substance that can be found in all living organisms.

It is capable of binding enormous quantities of water (up to six litres of water per gram).

Depending on the formulation of the hyaluronic acid, the effects may last for 6 – 12 months. Designed for specific applications, various products with gel particles of different sizes are available.

For cosmetic applications hyaluronic acid is available in the form of synthetic products, i.e. not of animal origin and therefore free of allergens, germs and impurities: Belotero®, Softline®, Softline Max®, Surgiderm®, Prevelle®, Puragen®, Restylane®, Restylane Fine Lines® , Perlane® und Hylaform® - Markennamen belassen?.

These implants do not require an allergy test.

Which filler is best for you will be decided during your personal consultation.

  • Duration of the procedure: about 30 minutes depending on the diagnosis
  • Type of anaesthesia: local anaesthetic using a cream
  • Outpatient treatment
  • Presentable immediately

Effects:

The injected hyaluronic acid counteracts the loss of volume due to aging. With its own volume and the large quantity of water that it can bind, it pads the wrinkles or creases from underneath, making them less and less visible.

Hyaluronic acid rejuvenates and revitalizes the skin but will be absorbed it after a while. Many patients decide to have a refresher about 6 – 12 months after their first treatment. Repeat treatments are no problem and can be carried out as often as desired. Neither is there a problem if different products are used.

Indication:

  • Frown lines
  • A furrowed brow
  • Crow’s feet
  • Downturned corners of the mouth
  • Any irregular contours

Treatment:

After the application of a pain-relieving cream the filler is injected into the area to be treated by means of a very fine syringe. Afterwards the area is cooled briefly to prevent bleeding or bruising.

After the treatment:

  • Cool the area
  • You may apply make-up after 2 hours
  • Avoid participating in sports on the day of the treatment

Mesotherapy is a form of treatment based on complementary medicine. It was developed around 1960 by the French doctor Michel Pistor. It contains elements of acupuncture and neural therapy. This method of enhancing skin texture has been improved and is now becoming ever more established in the field of aesthetic surgery.

As years pass, skin loses its resilience, elasticity, colour and sheen. Cosmetic mesotherapy is a form of treatment that biologically reverses the effects of aging.

Tiny microinjections of balanced organic substances, especially hyaluronic acid and vitamins revitalize the skin.

By means of a special injection gun a cocktail of 55 ingredients is injected into the middle layer of the skin, the mesoderm, to provide it with rejuvenating care. In addition, the tingling pinpricks of the mini-injections induce the natural skin tension.

It is no problem to combine mesotherapy with any other forms of therapeutic cosmetic treatment.

  • Duration of the procedure: about an hour, depending on the areas to be treated
  • Type of anaesthesia: none, local anaesthetic using a cream if desired 
  • Outpatient treatment
  • Presentable immediately

Indication:

  • Facial wrinkles, cleavage wrinkles
  • Cellulite
  • Inelastic, stretched connective tissue
  • To stimulate blood or lymph circulation
  • "Tired", saggy skin

Treatment:

The substances are inserted underneath the skin by means of a special injection gun. The process causes little pain. If desired, a pain-relieving cream can be applied to the area 15 minutes before the treatment begins.

The treatment is repeated three to five times on a monthly basis until the desired rejuvenating effects and firmness of the skin are achieved. A refresher about 6 months after completion of the treatment is advisable.

Each session leaves the skin with a more even colour and more glowing.

After the treatment:

  • Cool the area slightly
  • You may apply make-up after 2 hours
  • Do not use a sauna, a tanning bed or expose yourself to direct sunlight or extreme cold for a week
  • Do not use a manual peeling for a week
  • Duration of the procedure: upper lid lift 30 minutes per eyelid,
    lower lid lift 45 minutes per eyelid
  • Type of anaesthesia: local anaesthetic, possibly with a mild sedative
  • Outpatient treatment
  • Presentable with sunglasses after 3 days, without sunglasses after one week (i.e. after suture removal)

Indication

Droopy eyelids or excess skin on the upper lids, puffy lower eyelid "bags", periorbital dark circles, wrinkles of the lower eyelids.

Operation

The excess skin on the upper eyelid is measured precisely. It is removed along with a narrow strip of muscle. In addition, apparent fatty tissue at the inner margin of the eye is removed. The incision runs along the natural crease of the eyelid so that it will be practically invisible later.
A lower lid lift can be carried out by means of an incision along the edge of the lower lid or in the mucous lining. The bulging fatty tissue that causes lower eyelid puffiness is positioned back into place and the excess skin is removed.
It is often advisable to combine an upper and a lower eyelift.

After the operation:

  • Cool the eye area
  • Keep your head raised in order to reduce swelling
  • Sutures are removed after 5 – 7 days
  • Avoid strenuous activities such as sports for 4 weeks
  • Duration of the procedure: from 1 to 3 hours depending on the preoperative findings
  • Type of anaesthesia: general anaesthetic, only minor corrections are carried out using local anaesthetic
  • Outpatient treatment: possibly with medical supervision in a hotel during the first night
  • Presentable after about 10 days

Indication:

Deformations of the nose (congenital or due to injury)
Reshaping of crooked noses, dorsal humps, saddleback deformities, nose tips, rhinophyma (ruddy, bulbous noses)

Operation:

The operation is individually planned and carried out on the basis of our findings. The procedure is carried out either from inside the nose – so that there will be no visible external scars – or from the columella of the nose (leaving a slightly visible scar).

After the operation:

  • Cool the nose area
  • Keep your head raised to reduce swelling
  • Sutures (if needed) are removed after 5 – 7 days
  • Avoid strenuous activities such as sports for 4 weeks
  • Duration of the procedure: about 2 hours, depending on the preoperative findings
  • Type of anaesthesia: general anaesthetic for small children, otherwise local anaesthetic
  • Outpatient treatment
  • Presentable after about 2 weeks

Indication:

Malposition or malformation of the outer ears is usually congenital. This can have an adverse effect on a person’s appearance and cause considerable psychological stress. A person’s ears reach their final form and position by the age of 5, which means that corrective surgery is possible as of then.

Operation:

For the sake of symmetry it is usually wise to operate on both ears. The incision is made at the back of the ears so that there will be no visible scar.

The cartilage at the back of the ears is partially thinned to make it easier to shape. The thinned cartilage is then sculpted and held in the desired shape using non-removable sutures. An additional suture can correct the rotation of the ear if necessary. The position, shape and size of the outer ears can be permanently changed in this way.

After the operation:

  • The head is wrapped in a bandage for 4 days
  • This is replaced by a thinner headband to be worn day and night for 2 weeks
  • A headband is to be worn at night only for 2 more weeks
  • The non-permanent sutures are removed after 8 – 10 days
  • Avoid strenuous activities such as sports for 6 weeks
  • Duration of the procedure: from 2 to 6 hours depending on the preoperative findings
  • Type of anaesthesia: local anaesthetic plus a mild sedative, or general anaesthetic
  • Outpatient treatment with medical supervision during the first night
  • Presentable after about 10 days

Indication:

Changes in the distribution of subcutaneous fatty tissue, subsequent sagging of the soft tissues of the face, formation of deep nasolabial folds (between cheeks and nose), and the development of saggy jowls.
Flattening out of the facial contours
Excess skin and wrinkles
Changes in the distribution of subcutaneous fat
The primary objective is to give the face a fresh, youthful appearance while retaining a natural expression and the person’s individual aura.

Operation:

The facelift incision is hidden at the edge of the cartilage at the front of the ears, runs around the earlobes, behind the back of the ears and into the hair at the back of the head. After tightening of the SMAS, a thin layer of fibrous connective tissue directly underneath the facial skin, excess skin is removed. The skin is stretched only slightly so that there will be little pull on the sutures. That allows for a better for the healing process and results in almost invisible scars.

For a so called S-lift, a very short incision is made in order to lift only the skin and the underlying tissue of the cheek region. In my modification of the ‘lipo-facelift’, excess fat of the face and neck is removed by suction and areas of the face which have lost their subcutaneous bulk are augmented with autologous fat. This produces a perfect balance of skin-tightening, SMAS-lifting and correction of the maldistribution of subcutaneous fat due to aging. The patient’s own fatty tissue is not only a filler but, as bioactive autogenous tissue, it improves the blood flow and contains stem cells that enhance the skin quality.

This elegant procedure is playing an increasingly important role in my very contemporary methods of facial surgery.

After the operation:

  • Cool the facial area
  • Keep your head raised in order to reduce swelling and prevent bruising
  • You may apply make-up after about 5 days
  • You may wash your hair after 4 days
  • You may dye or colour your hair after 4 weeks
  • Sutures are removed after 10 – 14 days
  • Post-surgical wound care (with scar massage und possibly self-adhesive silicone pads) begins after suture removal
  • Avoid strenuous activities such as sports for 6 weeks
“Soft” lifting of face

In contrast to traditional facelift, which guarantees long-term success, currently exists several its “light” versions that are less invasive.

Extensive advanced researches on adipose tissue, stem cells of the organism and growth factors, in particular, show that administration of prepared adipose tissue causes revitalization, improvement in blood circulation and restores the treated tissue.

Very successful researches in this area are being conducted over the years in the Plastic, Hand and Reconstructive Surgery Centre at the University Clinic of Aachen, which is evidenced by numerous publications, lectures and awards.

  • Duration of treatment: Depending on examination results - 1-2 hours
  • Type of anesthesia: local anesthesia
  • Outpatient treatment
  • Return to the normal rhythm of life in about 3 days

Indications:

  • loss of subcutaneous tissue volume
  • loss of skin elasticity
  • “exhausted” skin structure
  • “shrinking” of tissue

Operation:

In the course of a mild surgery for liposuction a small amount of fat cells is removed using very thin needles. These cells are immediately processed and finally introduced into the treated area. Skin incision is not required.

It is impossible to reliably predict the results, since the introduced body adipose tissue can be fully absorbed. Thus, several procedures are sometimes required.

After operation:

  • Local cooling
  • Elevated position of the head in order to avoid swelling and bruising
  • Using makeup – in about 2 days
  • Shampooing - within 2 days
  • Concentrate of autologous blood (A-PRP) in low doses (up to 20 ml) is prepared the way that only blood plasma with platelets and growth hormones is retained.

    Concentrate of autologous blood (A-PRP) is ready for use during 10 minutes.

    Make small punctures with a needle under the visible layer of the epidermis, or - to create volume - a needle is inserted directly under the wrinkle. Depending on the indication, the number of punctures may vary.

    Concentrated platelets control the regeneration process in the skin, and stimulate connective tissue.

    It is possible to combine with mesotherapy.

  • Duration of treatment: Depending on examination results - 1-2 hours
  • Type of anesthesia: without anesthesia or local anesthesia
  • Outpatient treatment
  • Return to the normal rhythm of life - in about several hours
  • It is recommended to repeat the procedure - 3-6 courses of PRP-plazmolifting with an interval of 4 - 6 weeks
  • Sustained effect for more than 18 months

Indications

  • Fine wrinkles formation
  • Exhausted, uneven skin
  • Dark circles around the eyes
  • Striae
  • Postacne scars
  • Alopecia

After operation

  • Local cooling
  • Elevated position of the head in order to avoid swelling and bruising
  • Using makeup – in about 1 day
  • Shampooing - within 1 day
  • Duration of the procedure: 1 or 2 hours depending on the preoperative findings
  • Type of anaesthesia: local anaesthetic plus a light sedative, or general anaesthetic
  • Outpatient treatment with medical supervision during the first night
  • Presentable after about a week

Indication:

This operation is usually carried out in combination with a lower facelift. A saggy neck is often the first clearly visible sign of the aging face. Lifting the neck area is an effective way of restoring contours and smoothening the skin.

Operation:

The incision runs the same way as for a lower facelift: hidden along the edge of the cartilage at the front of the ears, around the earlobes, along the back of the ears and into the hair at the back of the head. After the thin sheet-like muscle directly under the skin of the neck (platysma) has been pulled back, the skin is lightly stretched.

Especially patients who are overweight and who have lost contours between the chin and the neckline are advised to have liposuction as well.

After the operation:

  • Cool the neck region
  • Keep your head raised to reduce swelling
  • You may wash your hair after 4 days
  • Sutures are removed after 10 – 14 days
  • Post-surgical wound care (with scar massage und possibly self-adhesive silicone pads) begins after suture removal
  • Avoid strenuous activities such as sports for 6 weeks
  • Duration of the procedure: 3 – 4 hours depending on the preoperative findings
  • Type of anaesthesia: general anaesthetic
  • Outpatient treatment with medical supervision during the first night
  • Resumption of light physical activities after about 3 weeks

Indication:

A weakened abdominal wall, usually combined with diastasis of the vertical abdominal muscles, in extreme cases leading to a ventral hernia.

A flabby apron of hanging abdominal skin after weight loss.

Undesirable scarring in the lower abdomen as a result of an operation.

Operation:

Following a horizontal incision above the pubic hair, the excess skin and the fatty tissue of the lower abdomen are removed. The skin and subcutaneous fat of the abdominal wall is raised up to the breastbone in the midline. The abdominal muscles that have come apart are sutured together so that the waistline becomes defined again. Weak areas of the abdominal wall are stabilized, where necessary, by means of special suturing techniques.

The belly button is then moved to its new location so that the proportions look right. We take great care to have the belly button look perfectly natural by shaping a small funnel for it and hiding the scar in the depths of the funnel.

If the person has a significant subcutaneous depots or a very thick abdominal wall, liposuction is carried out at the same time.

The incision is made in such a way that there will be as little visible scarring as possible and the scar will be hidden under normal swimwear. Stretch marks resulting from pregnancy can be greatly improved thanks to a special technique of injecting the patient’s own fat along with stem cells.

After the operation:

  • Wear a support garment around your abdomen for 3 months
  • Sutures are removed after 2 – 3 weeks
  • Post-surgical wound care (with scar massage und possibly self-adhesive silicone pads) begins after suture removal
  • Light physical activities after about 3 days, resumption of normal activities after 3 months
  • Avoid strenuous activities such as sports (particularly those using the abdominal muscles) for 3 months
  • Duration of the procedure: varies according to the extent of the operation (from 1 to 5 hours)
  • Type of anaesthesia: general anaesthetic or local anaesthetic
  • Outpatient treatment possibly with medical supervision during the first night

Indication:

Isolated deposits of fat which do not disappear even after strict dieting or targeted physical exercise

Irregular contours after lifting procedures

Fat distribution disorders that can be treated by liposuction: This applies to all parts of the body – especially the hips (e.g. ‘love handles’) the buttocks, thighs, knees, abdomen, breast/chest (e.g. gynaecomastia in men), upper arms, face and neck

Operation:

For liposuction of the face/neck area the incision runs the same way as for a lower facelift: hidden along the edge of the cartilage at the front of the ears, around the earlobes, along the back of the ears and into the hair at the back of the head. After the thin plate-like muscle directly under the skin of the neck (platysma) has been tightened, the skin is lightly stretched.

Especially patients who are overweight and who have lost the contours between chin and neck are advised to have liposuction as well.
 

After the operation:

  • Wear a special support bandage for 2 weeks
  • Wear a support garment for 3 months
  • Sutures are removed after 10 – 14 days
  • Post-surgical wound care (with scar massage) begins after suture removal or after removal of the support bandage
  • Avoid strenuous activities for 2 weeks
  • Avoid sports for 4 – 6 weeks
  • Avoid sunburns or tanning beds for 6 months (or protect the scars with sunscreen lotion)
  • Post-surgical diet: The fatty cells that have been removed do not grow back, but improper food intake could cause the remaining fat cells to enlarge
  • Duration of the procedure: 1 – 2 hours per arm depending on the preoperative findings
  • Type of anaesthesia: local anaesthetic plus a sedative, or general anaesthetic
  • Outpatient treatment
  • Indication:

    Saggy upper arms with excess skin, caused by a loss of tissue elasticity due to aging or weight loss.

    Operation:

    In less pronounced cases only a small incision is made in the armpits to pull back and remove the excess tissue of the adjacent upper arms. In more severe cases an S-shaped incision runs from the armpits to just above the elbow. The scars lie hidden on the inside of the upper arms. After removal of the excess skin and the subcutaneous tissue below it, the upper arm is tightened and reshaped.

    After the operation:

  • Sutures are removed after 2 weeks
  • Post-surgical wound care (with scar massage und possibly self-adhesive silicone pads) begins after suture removal
  • Wear a support garment for 3 months
  • Avoid physical activities that strain your arms (especially raising your arms) for 3 weeks
  • Avoid sports involving the upper arms for 3 months
  • Duration of the procedure: 1 – 2 hours per leg depending on the preoperative findings
  • Type of anaesthesia: general anaesthetic
  • Outpatient treatment

Indication:

Saggy tissue and excess skin in the thigh area – especially on the inner side – caused by a loss of elasticity due to aging or weight loss. So-called ‘saddle bags’ require liposuction.

Operation:

In less pronounced cases only a short crescent-shaped incision is required along the groins to the buttocks. This ensures that the scars will be hidden under normal swimwear. In cases with more excess tissue, the incision runs from the groins down to about the middle of the inner thighs to permit a tightening of the tissue of the adjacent areas. In more pronounced cases, an S-shaped incision runs from the groins along the inner thighs down to just above the knee joint. The scars lie hidden along the inner side of the thighs. After the excess skin and subcutaneous tissue have been removed, the thighs are tightened and contoured.

It is often advisable to have liposuction as well to achieve a more harmonious result.

After the operation:

  • Sutures are removed after 2 weeks
  • Post-surgical wound care (with scar massage und possibly self-adhesive silicone pads) begins after suture removal
  • Wear a support garment for 3 months
  • Avoid strenuous activities (such as long walks) for 4 weeks
  • Avoid sports involving the use of your legs for 3 months
  • treatment time depends on the presented situation: 4-6 hours
  • anaesthesia: full anaesthesia
  • in-patient only
  • light physical exertion after approx. 3 weeks

Indication:

After undergoing massive weight loss, the skin often does not contract and instead hangs down in large folds, "apron-like", which can increase with sport, massage or further fasting. The desired weight should be achieved and held for at least 6 months.

Operation:

Instead of in single steps, the abdominal thummy tuck, the bottom lift and the thigh lift are operated in one sitting. During the operation the skin and the underlying tissue is lifted. The advantage of this method is that only one continued scar is formed and thus the optical result appears inapparent and smooth.

Post OP:

  • compression suite for body and legs for 3 months
  • suture removal after 2-3 weeks
  • begin with the scar treatment (scar massage and possible application of silicon plates) after removal of the sutures
  • light physical exertion after 3 weeks, full exertion after 3 months
  • no sports for 3 months
  • Duration of treatment on both sides about 2 hours
  • Anesthesia: local anesthetic
  • Outpatient treatment
  • Little physical stress for a week

Indication:

Approximately 1-2% of people in Germany suffering from the disease hyperhidrosis, in which the body produces excessive and uncontrollable regardless of heat or cold, day or year a lot of sweat. Strong odors and visible discoloration of clothes are unwanted side effects. Before a surgical removal of the sweat glands is performed, it should first be attempted to exhaust all possibilities conservative.

Surgery:

Subcutaneous Schweißdrüsensaugkürettage: underarm hyperhidrosis can be eliminated by sucking the sweat after injection of liquid. The success depends on how much gland may be removed. The effect can wear off after a few years, because the nerve endings partially achieve the remaining sweat

After the procedure:

slight physical strain after about a week, full weight-bearing after 3 weeks
Avoiding sporting activities (especially with the use of arms) 1 month

  • Treatment time: dependent on presented situation, between 1-4 hours
  • Anesthesia: local
  • On request also possible in general anesthesia

Indication

Fordyce spots are 2-3mm sized ectopic sebaceous glands. These benign skin developments often manifest on the male genital, often also near the facial lips and can pose esthetic disturbance as well as itching. They are not pathological, but offensive in appearance.

Until now a vast array of therapeutic options such as laser therapy, ointment therapy or with cauterization techniques have been offered. The patients have not often been satisfied with the results.

We offer a special micro- punch therapy as treatment for Fordyce spots. Prof. Pallua developed this technique in 2003 and it has been used since then with huge success.

Operation:

By the operation the single, 2-3mm Fordyce spots are punched out with a micro-punch scalpel. Additionally, the underlying skin with the gland tissue is removed. The wounds are then closed with a very fine, microscopic suture in order to discourage annoying scarring. This way a reoccuring can be definitely avoided.

Post OP:

  • Suture removal after 7-10 days
  • After suture removal a special anti-scarring ointment
  • No extensive physical exertion for 2 weeks
  • Treatment time dependent upon situation presented: 2 hours
  • Anasthesia: general anasthesia
  • Out-patient treatment by request professional monitoring in the first post-OP night
  • Light physical exertion after approx. 3 weeks

Indication:

Congenital or resulting through hormonal illnesses, also for example through taking special medications or anabolic agents, which can cause an increase in optically disturbing male breast tissue. In addition itching and tension can occur.

Before an OP differential diagnostic procedures from specialists should be initiated inorder to find the medical cause (for example, urologists, pediatricians, endocrinologists)

Operation:

Depending on the degree of the male breast, either a vacuum suction or a surgical procedure is necessary. Through a small cut on the under side of the mamille, the excess fatty tissue and breast tissue is removed and the skin smoothed flat. A visible scar does not appear as a rule.

Post OP:

  • Compression bodice for 2-3 months
  • Suture removal after 2 weeks
  • Light physcial exertion after approx. 3 weeks
  • Full exertion after 3 months
  • Avoid sports activity ( especially with the breast muscles ) for 3 months
  • Duration of the procedure: 30 minutes to 2 hours depending on the area to be treated
  • Type of anaesthesia: local anaesthetic, possibly with sedation 
  • Outpatient treatment
  • Presentable after about a week

Indication:

  • Deep nasolabial folds, i.e. creases that run from the sides of the nose to the corners of the mouth
  • Frown lines (glabellar lines) between the eyebrows
  • A furrowed brow
  • Hollow temples
  • Periorbital dark rings
  • Crow’s feet
  • Augmentation of the upper and lower lips (fuller lips)
  • Marionette lines, sneer lines, (sagging corners of the mouth)
  • All problems arising from a decrease in subcutaneous fatty tissue (e.g. hollow cheeks after HIV treatment, scars from injuries, burns, operations, or radiation treatment etc.)
  • Penis thickening

Operation:

Autologous fat is taken for example, from the patient’s own abdominal wall, buttocks or thighs as in liposuction. The fatty tissue which has been removed is then refined in a process we have specially adapted (a modification of the Coleman process). This processed fat from the patient’s own body is rich in stem cells and is re-injected using fine cannula.

The advantages of this treatment are that a larger area can be infiltrated. The stem cells increase the thickness of the skin and thereby smooth out the wrinkles. In addition, blood circulation is improved by the growth factors in the fat transplant, creating a fresh, rosy skin colour. The effects of an autologous fat injection usually last considerably longer than those of artificial fillers, since a considerable number of the re-injected fat cells are engrafted.

After the operation:

  • Cool the area
  • Wear a compression garment for 4 weeks
  • Avoid make-up for 4 days
  • Avoid strenuous activity such as sports for 4 weeks

Muscle activity naturally causes creasing and wrinkles are the result of many years of an individual’s characteristic facial gestures. When muscle tension becomes too pronounced, it can lead to bothersome, unwanted wrinkles.

  • Duration of the procedure: about 20 minutes
  • Type of anaesthesia: local anaesthetic using a cream
  • Outpatient treatment
  • Presentable immediately

Effects:

Botulinum toxin is a bacterial protein that is produced naturally. Upon injection a muscle by a medical expert, it directly blocks the local motor nerve impulse, preventing the muscle from contracting as usual. Other nerval functions, such as feeling and touch are not affected.

The effects are noticeable within 3 to 5 days and normally last for about 3 to 6 months. It is advisable to repeat the treatment at that point. As the muscle weakens, the length of the intervals between treatments steadily increases.

Indication:

  • Frown lines (glabellar lines) between the eyebrows
  • A furrowed brow
  • Crow’s feet
  • Downturned corners of the mouth
  • Neck creases

Treatment:

After the application of a pain-relieving cream, botulinum toxin (e.g. Dysport®, Botox®) Markennamen belassen?  is injected into the desired areas with a very fine syringe. The procedure is practically painless. Afterwards, in order to prevent bleeding and swelling, the area is briefly cooled.

After the treatment:

  • Cool the area lightly
  • You may apply make-up after 2 hours
  • Avoid lying down for 4 – 5 hours
  • Do not participate in sports on the day of the treatment

In the case of permanent fillers, non-biological products are utilized, which generally are not resorbed from the body, so that they can  forever remain where they have been instilled.

Patients often ask about these infiltrations, because the idea of having only one treatment forever is tempting.

In spite of this advantage, fillers are used today increasingly cautiously due to serious side effects which could occur, such as inflammation and  "ABSTOß" reactions which cause granulation and scarring. These reactions can even occur years later and the altered filler substance is almost impossible to completely remove.

On request we offer "Aquamid" in our clinic, which is a soft, good modelbar filler with which we have had the best experience with thus far.

  • treatment time: approx. 30 minutes
  • anaesthetic used: local creme
  • ambulant treatment
  • down time: 1-2 days

Indication:

  • wrinkles and scars
  • conturing and filling certain facial parts (for example: too thin or aged, wrinkled lips, deep folds between the nose and mouth, "angry" forehead wrinkles)

Treatment:

After a pain reducing creme is applied to the facial area, the permanent filler is infiltrated with a very thin needle to achieve the desired effect. The treatment is practically painless. Afterwards, in order to avoid swelling and bruising, the facial area is cooled.

Directly after the treatment the infiltrated material does not immediately attach itself  to the natural facial tissue, so that these treated areas must be fixated for a while and shouldn't be moved.

Hyaluronic acid is a substance that can be found in all living organisms.

It is capable of binding enormous quantities of water (up to six litres of water per gram).

Depending on the formulation of the hyaluronic acid, the effects may last for 6 – 12 months. Designed for specific applications, various products with gel particles of different sizes are available.

For cosmetic applications hyaluronic acid is available in the form of synthetic products, i.e. not of animal origin and therefore free of allergens, germs and impurities: Belotero®, Softline®, Softline Max®, Surgiderm®, Prevelle®, Puragen®, Restylane®, Restylane Fine Lines® , Perlane® und Hylaform® - Markennamen belassen?.

These implants do not require an allergy test.

Which filler is best for you will be decided during your personal consultation.

  • Duration of the procedure: about 30 minutes depending on the diagnosis
  • Type of anaesthesia: local anaesthetic using a cream
  • Outpatient treatment
  • Presentable immediately

Effects:

The injected hyaluronic acid counteracts the loss of volume due to aging. With its own volume and the large quantity of water that it can bind, it pads the wrinkles or creases from underneath, making them less and less visible.

Hyaluronic acid rejuvenates and revitalizes the skin but will be absorbed it after a while. Many patients decide to have a refresher about 6 – 12 months after their first treatment. Repeat treatments are no problem and can be carried out as often as desired. Neither is there a problem if different products are used.

Indication:

  • Frown lines
  • A furrowed brow
  • Crow’s feet
  • Downturned corners of the mouth
  • Any irregular contours

Treatment:

After the application of a pain-relieving cream the filler is injected into the area to be treated by means of a very fine syringe. Afterwards the area is cooled briefly to prevent bleeding or bruising.

After the treatment:

  • Cool the area
  • You may apply make-up after 2 hours
  • Avoid participating in sports on the day of the treatment

Mesotherapy is a form of treatment based on complementary medicine. It was developed around 1960 by the French doctor Michel Pistor. It contains elements of acupuncture and neural therapy. This method of enhancing skin texture has been improved and is now becoming ever more established in the field of aesthetic surgery.

As years pass, skin loses its resilience, elasticity, colour and sheen. Cosmetic mesotherapy is a form of treatment that biologically reverses the effects of aging.

Tiny microinjections of balanced organic substances, especially hyaluronic acid and vitamins revitalize the skin.

By means of a special injection gun a cocktail of 55 ingredients is injected into the middle layer of the skin, the mesoderm, to provide it with rejuvenating care. In addition, the tingling pinpricks of the mini-injections induce the natural skin tension.

It is no problem to combine mesotherapy with any other forms of therapeutic cosmetic treatment.

  • Duration of the procedure: about an hour, depending on the areas to be treated
  • Type of anaesthesia: none, local anaesthetic using a cream if desired 
  • Outpatient treatment
  • Presentable immediately

Indication:

  • Facial wrinkles, cleavage wrinkles
  • Cellulite
  • Inelastic, stretched connective tissue
  • To stimulate blood or lymph circulation
  • "Tired", saggy skin

Treatment:

The substances are inserted underneath the skin by means of a special injection gun. The process causes little pain. If desired, a pain-relieving cream can be applied to the area 15 minutes before the treatment begins.

The treatment is repeated three to five times on a monthly basis until the desired rejuvenating effects and firmness of the skin are achieved. A refresher about 6 months after completion of the treatment is advisable.

Each session leaves the skin with a more even colour and more glowing.

After the treatment:

  • Cool the area slightly
  • You may apply make-up after 2 hours
  • Do not use a sauna, a tanning bed or expose yourself to direct sunlight or extreme cold for a week
  • Do not use a manual peeling for a week

Clinic

N. Pallua, M.D., Ph.D., was born in Bruneck (South Tyrol, Italy). Professor Pallua is a Full Professor und Director of the Department for Plastic-, Reconstructive-, Hand- and Burn Surgery at the University Hospital of Aachen (RWTH) since 1997.

In 2003 he was appointed Honorary Professor of the Surgical Hospital of Nanjing/China and in 2005 as Honorary Director for Plastic Surgery at the Traditional Chinese Medicine Hospital in Yixing/China.

In 2008 he was appointed Honorary Professor of the Rumanian Association of Plastic Surgeons.

Professor Pallua has published multiple scientific and clinical papers and is a reviewer of numerous international medical journals. He is also a member of the most important and renowned associations, societies and federations.

Experience

Norbert Pallua, MD, PhD was born in Bruneck in South Tyrol, Italy.

After completing his medical studies and obtaining his doctorate from the University of Vienna, Austria, Professor Pallua took his state exams and received his licence to practice medicine from the University of Bologna in Italy.

He continued his training at the Freie Universität (FU) in Berlin, specializing in general surgery, and then at the Medizinische Hochschule (MHH) in Hannover, where he specialized in plastic and aesthetic surgery, obtaining additional qualifications in hand surgery.

In Hannover, he was also awarded the right to teach plastic surgery academically by the Medizinische Hochschule (Habilitation and venia legendi).

In 1996 he successfully took the European Board of Plastic, Reconstructive and Aesthetic Surgery exams and became a Fellow of EBOPRAS.

Since 1997 Prof. Pallua has been a full Professor at the medical faculty of the Rheinisch-Westfälische Technische Hochschule (RWTH) in Aachen (a member of the Excellence Initiative among German Universities) and the Director of the Department of Plastic, Hand and Burn Surgery at the University Hospital.

He is certified by the North-Rhine Medical Association (Ärztekammer Nordrhein) as a fully qualified trainer of plastic surgery and hand surgery.

In 2003 he became Honorary Professor und Honorary Director of the Surgical Department of the Hospital for Traditional Chinese Medicine in Nanjing, China and in 2005 he was made Honorary Director for life of the Department of Plastic Surgery at the Hospital for Traditional Chinese Medicine in Yixing near Shanghai, China.

In 2008 he was appointed Honorary Professor by the Romanian Association of Plastic Surgeons.

Professor Pallua is the author of a multitude of medical and research publications and a reviewer for many international scientific journals.  He is a member of the most important and renowned national and international specialist associations.  He is on the board of many of them: the European Board of Plastic, Reconstructive and Aesthetic Surgery (EBOPRAS), the Union of European Medical Specialists (UEMS), the International Confederation for Plastic, Reconstructive and Aesthetic Surgery (IPRAS), the European Association of Societies of Aesthetic Plastic Surgery (EASAPS), and the European Society of Plastic, Reconstructive and Aesthetic Surgery (ESPRAS).

He is the chairman of the Education Subcommittee of EBOPRAS and was re-elected as President of EASAPS in Paris in January 2011. He is the chairman of the committee for the standardization of Aesthetic Plastic Surgery at the Deutsches Institut für Normung e.V. (DIN) in Berlin und the German representative on the committee for Aesthetic Surgery Services at the European Committee for Standardization (CEN).

He specializes particularly in aesthetic and reconstructive surgery of the head and neck. He has developed a new method that makes it possible to reconstruct large areas of the face and neck after tumour operations and severe burns.

One of his special concerns is Paulinchen, Initiative für brandverletzte Kinder e.V., an organization for children with burn injuries that he has sponsored and worked for on an honorary basis for years.

Quality

The University Hospital of the RWTH in Aachen carries out its work regardless of the social class, cultural background or religious affiliation of its patients. Our goals are to satisfy our patients and improve the quality of life of those entrusted to our care.

The way to excellent medical treatment lies in well-trained, highly motivated staff in every field, with good, frequent communication and close interdisciplinary collaboration.

The University Hospital in Aachen offers maximal medical care. All of the facilities needed for optimal patient care are available on location and around the clock.

Norbert Pallua, MD, PhD has been the Director of the Department of Plastic, Hand and Burn Surgery since 1997.

In 2003 his department was the first and until today the only Plastic Surgery unit in Germany to be accredited as a training centre by the European Board of Plastic Reconstructive and Aesthetic Surgery (EBOPRAS) of the Union of European Medical Societies (UEMS).

Professor Pallua is an active board member of many specialist associations and is often invited to national and international conferences as a speaker or course instructor. This keeps him up to date on the latest research findings and practice methods. The knowledge he acquires in this way is applied daily in the work carried out in his department.

His long years of experience, his precision, and his meticulous approach, combined with modern surgical methods performed in accordance with the strictest of hygienic standards, produce prime results.

Philosophy

  • "I have the simplest of tastes. I am always satisfied with the best." 
    Oscar Wilde

The human body image stems from the interaction and harmony of a great number of details.

Plastic surgery offers countless ways of changing the overall impression by means of minor or major alterations.

Good craftsmanship is an essential prerequisite but, nevertheless, in order to achieve optimal results more is required.

Of crucial importance are the operating surgeon’s ‘aesthetic eye’ (What effect will the planned operation have on the patient’s future appearance?), his psychological sensitivity, and the individual care he can offer the patient. My long years of experience have taught me that not everything the patients ask for is possible or wise.

It is my ambition and my personal concern to achieve excellent, long-lasting results that will permanently improve my patients’ appearance and charisma, making them look more attractive, relaxed, energetic, and giving them a better quality of life as a result. Optimal results require individual, tailor-made treatment strategies. My philosophy is as follows: My patient must identify with his/her body and feel at ease and satisfied in it.

Consultation

The consultation is the first important step if you are thinking about an operation. A relationship based on mutual trust between you and your doctor is indispensable.

We take a lot of time to listen to your questions and requests, to discuss your concerns and to set up a personal treatment concept based on your own needs. This counselling appointment is of utmost importance because we can only determine the appropriate method of treatment for you to attain the best results after a personal consultation and a thorough evaluation.

It is necessary to discuss the risks or possible complications involved in the operation and what can be done should they occur.

  • Before the Operation

To improve healing it is advisable not to smoke – or at least to reduce your smoking to a minimum – and not to take any anticoagulants (blood thinners such as aspirin, non-steroid anti-inflammatory drugs, large amounts of vitamin C, etc.) for two weeks before and two weeks after the operation.

  • Prices

The precise cost can only be determined after a detailed personal consultation and a thorough examination.

All prices are calculated on the basis of the physician fee ordinance (GOÄ / Gebührenordnung für Ärzte).

Ask us. We will be happy to advise you.

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I travelled around the globe to get rid off my fordyce spots. Prof. Pallua was really the best, I didn’t have any pain, there was no scaring and I left the hospital after 6 hours. I would always come back for treatment. 
Herrn Prof. Pallua, Herrn Dr. Hertelendy und dem ganzen Team der plastischen Chirurgie möchte ich hiermit von Herzen für die hochprofessionelle und einfühlsame Behandlung danken. Trotz der Diagnose malignes Melanom und den damit verbundenen Ängsten fühlte ich mich immer gut aufgehoben. Danke, dass es solche Ärzte gibt!
Vor drei Monaten lies ich meine Schlupflider operieren: Endlich keine müden Augen mehr, keine Schwellungen, ich kann mich wieder schminken und sehe die Welt wieder anders und vorallem frisch. Super Arbeit!
Ein Jahr lang plagte ich mich mit den Gedanken, mir ein Facelift machen zu lassen. Ich war bei mehreren Ärzten vorstellig, letztendlich war die Auszeichnung im Focus ausschlaggebend. Die Anfahrt nach Aachen war etwas lang und für mich aus dem süddeutschen Raum aufwändig und das Klinikum trug anfänglich nicht dazu bei, mir die Ängste zu nehmen. Ich hatte noch nie so ein gewaltiges Gebäude als Krankenhaus gesehen. Prof Pallua war von Anfang an sehr vertrauenenserweckend und ich er nahm mir viele meiner Sorgen durch eine ausführliche und offene Beratung ab. Die Operation lief gut, auch die Nachbehandlung war sehr professionell. Im Anschluss an die Operation bereute ich mindestens 6 Wochen meine Entscheidung, irgendwie stand ich nicht zu mir selbst. Jetzt ein Jahr nach dem Eingriff kann ich nur immer wieder betonen, dass meine Entscheidung goldrichtig war. Nicht ein einziges Mal wurde ich angesprochen, dass ich verändert aussehe, aber täglich höre ich Komplimente wie frisch, jung und erholt ich auftrete. Ich bin stolz auf mein Gesicht, meine wieder gewonnenen Konturen, auf meinen straffen Hals. Mehr gibt es dazu nicht zu sagen. 

FAQ

Why is it recommended to minimize the number of cigarettes smoked before the operation or even to stop smoking?

Within 2-3 weeks before the date of the operation smokers should drastically reduce the number of cigarettes smoked, or even stop smoking in order to avoid the risk of violations of the wound healing process. Nicotine constricts blood vessels, thus reducing tissue blood supply.

Is it necessary to pre-prepare the skin?

Prior to surgery take care of the corresponding region of the skin, using special products for skin care. This will increase metabolism in the skin and activate the process of regeneration.

What does “socially acceptable” mean? For which period I will “fall of” normal rhythm of life?

The concept of “socially acceptable” is used when a disinterested third party cannot make conclusions about the performance of an esthetic intervention based on evidencing signs, for example, such as bruising, swelling, or etc. Obviously, intervention on the face area is more important in terms of returning to everyday life than intervention in order to change body shapes.

Is it possible to take all medications as usual?

Administration of blood thinners should be discontinued during three weeks prior to the surgery or your primary care physician should replace them with another drug. In addition, you must  consider the blood-thinning effect of certain vitamins or green tea.

From what age is possible to conduct cosmetic manipulation?

At the age less than 18 years cosmetic manipulations should not be performed. Usually, they are declined in accordance with the provisions of the statute of professional associations. An exception to this rule is the correction of malformations, such as in the breast area or the shape of the ears.

Is surgeon responsible for causing harm?

The surgeon is legally obliged to arrange liability insurance for causing harm to third parties. Prepared insurance should be available for awareness of the general public.

Is it permitted to show photos “before” and “after”?

Since 01.04.2006, in accordance with the provisions of the new law on pharmaceuticals photos “before” and “after” plastic surgery are not allowed to be shown.

When is it allowed to take sunbathes, swim, and visit the sauna again?

For at least 3 months after the surgery you have to protect surgery area from UV-rays. Otherwise, dark scars or dark spots may occur. Chlorinated water can cause discoloration and permanent whitening (the skin). You should avoid visiting sauna for two to three months, depending on the type of surgery. Significantly enhanced susceptibility to postoperative edema occurrence is further exacerbated by the heat of sauna.

What kind of breast implants are used, what certificates they have?

Only high quality products from leading manufacturers are used.

What is plastic surgery? Does ordinary health insurance cover the costs?

Plastic surgery means plastic surgery, which is performed without any medical indications for esthetic reasons, to improve an appearance. This means that it is carried out on the body without any disease present. These interventions are not covered by health insurance, and are subject to VAT. Usually, they are not subject to tax deduction.

How does smoking influence healing process after surgery?

Smoking causes vasoconstriction and reduces the blood supply. For healing the tissue requires active blood supply. Thus, at reduced blood supply wound healing is delayed. This can lead to abnormal healing process and visible scar formation.

Is Fordyce’s disease contagious?

No. This means marked increase of sebaceous glands, which are perceived as „disturbing“.

Is it possible to treat Fordyce’s disease using laser?

Enlarged sebaceous glands are located in derma. Therefore, the initial laser treatment is not promising. Long-lasting effect is achieved only by removing these glands with the help of microtweezers.

Fordyce’s disease can also affect the lips, so, is it possible to remove it at this location?

These sebaceous glands are often located in the red border of lips. If they cause any discomfort or are conspicuous, they can also be removed with microtweezers.

Does treatment of Fordyce’s disease affect sensitivity of penis or mouth?

No, the sensitivity is completely preserved.

Is it possible to use aspirated fat for other purposes?

Due to the fact that aspirated fat consists of adipose and stem cells, it is perfect for further use, for instance as a filler or, for example, for breast augmentation. In addition, adipose tissue contains factors which stimulate blood circulation, thereby improving blood flow to the skin and the complexion becomes more fresh and youthful.

Is it possible to independently drive home by car after the surgery?

Do not drive and do not get home on your own, ask somebody to bear company for you. The drugs used may have a negative impact on your ability to drive.

Do scars remain after a facelift?

“Hidden” incisions at classical facelift are made in the front and rear boundaries of the ear with an extension to the scalp area. After an optimal wound healing minimal scars are inconspicuous.

Is it necessary to wear a plaster splint after rhinoplasty?

Depending on the size of rhinoplasty, an adhesive bandage or plaster splint are applied. When correcting nasal bone carcass the splint is worn for 10 days.

When it is possible to have sex again?

It always depends on the type and location of the plastic and surgical intervention. Usually, you can have sex after the completion of scarring process and the removal of the sutures.

When it is possible to evaluate the final result of the operation?

Depending on the type of plastic and surgical intervention it is expected to observe final results with normal wound healing process after three to six months.

Is it advisable to use lymphatic drainage procedure after the intervention?

Certainly it is, because due to this special procedure lymph drainage and distribution are improved.

Does liposuction help against cellulite?

Liposuction can help against cellulite. Adipose cells are removed, and connective tissue layer may become smooth, pinchers decrease or completely disappear.

Are there any alternative methods of treatment of stretch marks after pregnancy or striae?

Lipofilling is an innovative approach, when one’s own adipose cells containing stem cells restore stretched skin defects.

Is it possible to remove permanent filler?

Depending on the depth of penetration and the drug, permanent filler can be removed completely or almost completely.

How soon can I return to work after a breast lift?

Usually, after a week you will be able to return to work. Intensive physical work should be avoided for at least 8 weeks.

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