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Fillers and Injections

Skin ageing is inevitable – and it starts in early adulthood. The most important factor is sun exposure.  The earliest signs are fine wrinkles, which become more pronounced with time.

Skin ageing is inevitable – and it starts in early adulthood. The most important factor is sun exposure.  The earliest signs are fine wrinkles, which become more pronounced with time. A further consequence is a relaxation of skin structures, which causes deeper lines and ultimately sagging. The activity of facial muscles can aggravate such lines. Another mechanism is the loss of tissue volume, which leads in combination with the structural skin changes to deep folds. 
 
A good example are skin damage and volume loss of the lips, which lead to the classical thin `old ´ mouth.  
 
Dr Blaschke offers an array of options, which include injections (eg Hyaluronic Acid) and skin treatment or stimulation. If muscular activity is the cause like on the forehead, Botulinum Toxin is the obvious choice. Emaciated faces (by ageing, excessive training, disease) are refilled with fat or more solid implants. For the repair of soft tissue defects on the extremities fat is again the obvious choice.
 
 
The Procedure
 
Botulinum Toxin infiltration, Hyaluronic Acid injection and dermis stimulation are outpatient therapies, which Dr. Blaschke performs regularly in his rooms. Fat transfer is done under local anaesthesia and sedation, solid implants will be inserted under general anaesthesia.
 
Botulinum Toxin takes about 3 - 4 days to have an effect, which will normally last around 4 - 6 months. Hyaluronic Acid will be metabolized depending on viscosity, structure and site within 3 - 12 months. Fat can last far longer but has to settle properly in the recipient site. Fat injection can lead to several days of bruising, whereas the other substances  show very little side effects.
 
 
Surgeon's Remarks
 
Botulinum Toxin has become a fashion drug, administered by medical practitioners without special qualifications and even by beauticians. It is easily forgotten that one deals with a highly toxic substance, which has to be used under the precautions it deserves.

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