Wrinkle treatment – a fresh expression without freezing your facial expressions

Not every wrinkle needs surgery. Many lines on the face are caused by the movement of the facial muscles – when laughing, frowning or blinking. These expression lines can be smoothed effectively and gently with an injection treatment.

Which wrinkles are suitable

Whether treatment makes sense depends on the type of wrinkle. Expression lines are well suited, for example:

• the lines between the eyebrows (“frown lines”)
• horizontal forehead lines
• fine lines at the outer corner of the eye (“crow’s feet”)
• certain expression lines around the mouth

For static wrinkles that are visible even at rest – such as pronounced nasolabial folds – I rely on other principles of action, for example fillers or, in the case of advanced tissue loss, a facelift.

How the treatment works

In the injection treatment, an active substance is injected in very small amounts specifically into individual muscles. It temporarily inhibits signal transmission from the nerve to the muscle; the muscle relaxes, and the skin above it smooths out.

For me, one effect is crucial: a refreshed, positive expression – without freezing your facial expressions or your personal look. This requires specialist knowledge. Only someone who knows anatomy and dosage precisely can achieve a pleasing, natural result. The treatment is considered low-risk, provided the doctor has sound knowledge of anatomy and is familiar with the specific mode of action of the preparation.

How safe is it?

The amounts used in aesthetics are small. When applied professionally, the active substance remains in the treated area and does not spread uncontrollably through the body. With regular treatment, the effect lasts somewhat longer over time in some people.

Where the limits lie

The treatment works on wrinkles caused by muscle movement. It hardly changes wrinkles caused by loss of volume or slack skin – injectables with hyaluronic acid or your own fat tend to help more here. Caution is advised on the lips, because speech can be affected. Deep, etched forehead lines often benefit from a combination of both methods.

More than wrinkles: excessive sweating

The same mechanism of action also helps with excessive sweating, especially in the armpits. The sweat glands are temporarily “shut down”; one treatment is often sufficient for many months.

Your appointment in brief

Duration	usually 10 to 30 minutes
Anesthesia	generally not necessary; topical anesthesia on request
Onset of effect	after a few days, full effect after about two weeks
Afterwards	socially presentable immediately; no sports, no sauna for 24 hours

The process

1. Consultation I look at your facial expressions in motion and at rest and explain which wrinkles can be treated.
2. Treatment The injection is given with very fine needles, is uncomplicated and largely painless. It takes about 15 minutes.
3. Afterwards You can return to your everyday commitments immediately.
4. Effect The smoothing effect begins after about three to five days.
5. Follow-up If needed, we see each other for a check-up after about two weeks.

How long the effect lasts

The wrinkle-smoothing effect generally lasts between four and six months. After that, the body breaks down the active substance, and the muscles work as before again. There is nothing against treating again once the effect has worn off.

Risks and contraindications

Side effects are rare and usually temporary: small bruises at the injection site, mild headaches or – very rarely – a temporarily drooping eyelid or an asymmetry. Treatment is not given, among other cases, during pregnancy and breastfeeding or in certain neuromuscular disorders. In the preliminary consultation, we clarify your medical history and medications.

Wrinkle treatment: the process step by step
Preparation, the day of treatment and healing – with illustrations

Frequently asked questions