Skin

The largest organ of the human body is the skin. An unhealthy lifestyle (e.g. smoking) and daily external factors aggravate the wrinkling and can lead to premature skin ageing.

As the skin plays an important role in our own well-being I offer various skin rejuvenation treatments.

With skinbooster or biostimulation treatments great results can be achieved.

My range of treatments include removal of a small portion of the mole for biopsy purpose. The tissue is then sent to a pathology lab to be examined.

Scar corrections, hand rejuvenation, and various treatment methods in the field of sweat gland treatment (hyperhidrosis) complete the range of services.

Moles and skin cancer

Not all lesions must be removed! During a skin cancer screening sometimes suspicious moles are recommended by the physician to be removed due to safety reasons. I can offer the removal of these moles for biopsy purpose at a pathology lab. Usually the result of such a histology examination is already available in a week and will tell whether it concerns a benign or malignant change.

If a mole needs to be removed for aesthetic reasons, it is recommended to first carry out an examination of the lesion to make a reliable estimation of the risk potential.

In case of skin cancer, a distinction between different types such as basal cell carcinoma, squamous cell carcinoma and melanoma is made. Usually this diagnosis of skin cancer had already been confirmed by a dermatologist prior to your appointment at my practice.

If the lesion is very large or it is in the area of the face or hairy scalp or on body parts where the skin and subcutaneous tissues are not easily to be moved, we can thanks to plastic-surgical procedures and the finest suture techniques achieve a result with maximum inconspicuous results.

Almost all procedures can be performed under local anaesthetic. The following day after surgery work can presumably be resumed. However, it is recommend to restrict strenuous and physical activities until stitches are removed, 5-14 days after surgery.

Short summary procedure

Treatment duration: 15 – 90 minutes depending on diagnosis
Procedure: Outpatient
Anesthetic: Local, local with sedation or general
Resume work: 1 day
Resume sport activities after 5 – 14 days
Removal stitches after 5 – 14 days

Scar revision treatments

Every scar tells a story, they say. Even when the pain has been long forgotten, a scar remains and reminds us of a traumatic event in our life. Scars can result from e.g. surgeries, accidents or burns. The psychological impact of scars can be deeply distressing, not just because they are unsightly, but they can also restrict movement. If scars are very conspicuous on the body, they can be very bothersome and even cause pain. Aesthetic plastic procedures can correct the scarring in a healing and visual way and achieve a significant improvement.

For hypertrophic scars resulting shortly after a surgery or injury a conservative, non-surgical method, is advised. This involves certain massage techniques performed by the patients themselves in combination with scar-care creams and special silicone sheets. In the case of very pronounced and painful findings, treatment with steroids or polynucleotides, which are injected directly into the scar, may also be necessary. To loosen scarred adhesions, we can offer air infusion therapy, which is nearly painless. We are happy to combine this with polynucleotides for scars on the face, e.g. post acne.

In cases where a scar is old, mature or has a functional impairment surgical scar revision may be performed to reposition or excise it allowing the scar to be less obvious. For large scars or scars located on unfavourable parts of the body several sessions (serial excisions) are required. A minimum period of 6 weeks should be allowed between each session.

In principle scars cannot be made “invisible”, but depending on the type of a scar, a variety of different treatments may help to make them less visible and improve their appearance.

Please be aware that after surgery depending on size of the body no strenuous activities including sport should be undertaken up to 4 weeks. As scar revision surgery is usually performed under local anaesthetic and work can be resumed after one day. Exposure to sun and solariums should be avoided for 6 weeks or apply a sun protector with SPF 50+, as new scars can cause dark pigmentation.

Short summary procedure

Surgery duration: Depending on diagnosis
Anesthetic: Local, local with sedation or general
Resume work: 1- 2 days
Resume sport activities after 1-4 weeks
Specific aftercare instructions:
silicone sheets or gel, steroid injections, and sun protection with SPF 50+.
For men and women

Sweat treatment

Hyperhidrosis

Excessive sweating can occur in many different areas of the body and the condition is known as hyperhidrosis. When sweating is so extreme at times neither being hot nor doing exercises, it can be very distressing and disrupting all aspects of a person's life. Constantly changing clothes or freshening up is required to prevent body odor.

There are several treatment options:

Minimally invasive

For sweating under the arms I offer a treatment with Botulinum toxin type A (e.g.Botox ®) that is injected into the skin. After about a week a significant reduction in sweating occurs. The level of reduction depends on each individual. This effect lasts for four to six months and needs to be repeated.

Surgical

Alternatively, I also offer a treatment that permanently removes the sweat glands by scraping the tissue under the skin. This surgery may be performed either under local or general anaesthetic and eliminates the problem of excessive sweating in the long term.

Short summary procedure

Neurotoxins
Surgery duration: 30-45 minutes
Procedure: Outpatient
Anaesthetic: Topical cream
Resume work: Immediately after treatment
Results: 4-6 months

Sweat gland removal
Surgery duration: 60-90 minutes
Procedure: Outpatient
Anesthetic: Local or general
Resume sport activities after 1-2 weeks
Results: Permanent

Hand rejuvenation

"Show me your hands, and I'll tell you how old you are." Even if the face of a person looks so youthful, the hands show telltale signs of ageing. As we age, the skin of the backs of the hands loses more and more fat and makes the skin look transparent. With visible tendons and blood vessels, as well as fine lines, age spots and wrinkles, hands can ultimately show your real age. So what is the use of having a young look when your hands are thin, bony and wrinkled with age spots?

By using a combination of different procedures like biostimulation and hyaluronic acid treatment, as well as lift surgery on the backs of the hands, I can make your hands become more youthful corresponding the rest of your appearance.

Short summary procedure

Treatment duration: Depending on diagnosis
Procedure: Outpatient
Anesthetic: Depending on diagnosis
Resume work: Immediately after treatment