Skin resurfacing with fractional CO²  skin renewal laser

One of the most effective methods of treating signs of aging of the skin.

• Skin firming
• Wrinkles and fine lines
• Pigment spots
• Scars (e.g. acne scars, surgical scars, burn scars)
• Structural irregularities of the skin
• Sun damage (solar / actinic elastosis and keratosis)

With increasing age, the quality and elasticity of the skin deteriorate, resulting in wrinkles, pigment spots, and structural irregularities. An additional loss of volume in the face also contributes to an older appearance.

Skin aging is determined by its genetic constitution, but external factors such as smoking, excessive sunbathing, and poor nutrition also accelerate the formation of wrinkles.

Fractional CO2 laser treatment is one of the most effective methods to reduce wrinkles and fine lines and to treat slack skin.

With this method, the uppermost layers of the skin are first removed (vaporised) by the release of therapeutic energy to the skin and the skin connective tissue is tightened and then the formation of new collagen is stimulated by the resulting warming.

Removing the upper skin layers as a therapeutic alternative to a surgical facelift.

Although the laser treatment for skin rejuvenation is usually performed on the face, it is a procedure that can be applied to the entire body.

• Reduction of skin sagging
• Reduction of fine wrinkles and lines
• Improvement of skin firmness, skin texture
• Pore size reduction

In addition, it improves the appearance of sun-damaged skin and the skin is given a healthy appearance.

Since fractional skin resurfacing is associated with minor discomfort and minimal healing time, this method is a real alternative to a surgical face lift. This method keeps its promise to soothe the flaws on your skin and promote the regeneration of collagen, restoring your skin’s youthful appearance in terms of texture, tone, and colour.

Which skin conditions can be improved by CO² laser treatment?

• Reduces fine lines and wrinkles on the face
• Gives the skin a firmer and smoother appearance
• Reduces scars
• Reduces sun damage such as brown spots
• Reduces skin stains and ensures a more even skin tone
• Reduces pigmented and vascular skin symptoms

The result depends on age, degree of sun damage, and skin type. This treatment shows a clear rejuvenation of the skin after just one session.

The sensation of pain or other ailments is of a different intensity in each person. Local anaesthetic measures keep potential pain as low as possible. The entire area to be treated can be anaesthetised by an additional nerve blockade.

After the treatment, you may experience swelling and redness for a few days. In most cases, these symptoms subside within three weeks. During this period – with the exception of the first few days after the treatment – you can apply makeup to cover the redness.

After only a few days, your skin looks smoother and has a more even skin tone. Your skin will improve over a period of six to nine months as old collagen is continuously broken down and replaced with new collagen.

Deep scars and/or wrinkles may require multiple treatments. The number of treatments also depends on your own expectations and can be repeated after only a few months.

In addition to the numerous positive effects of the sun on body and soul, UV rays are also the number one skin aging factor.
They are responsible for numerous UV-induced skin damage problems such as pigment spots, actinic keractoses, squamous cell carcinomas, and melanomas.

Pigment spots are caused by UV-induced overproduction of melanin. This leads to flat, light brown to black spots in various shapes and sizes on your skin.

Actinic keratosis has become a widespread disease in Europe.

15% of all men and 6% of all women are affected. Long-term UV exposure, especially on areas exposed to strong sunlight such as the nose, ears, a bald head, etc., causes cornifications on the skin which can develop into invasive plate-epithelial carcinoma in 10% of cases.

Photodynamic therapy is an innovative and highly effective treatment option.

Bei der Photodynamischen Therapie (PDT) handelt es sich um eine nicht invasive Behandlungsmethode UV induzierter Schäden der Haut. Dabei wird eine lichtaktive Substanz auf die betroffenen Hautstellen aufgetragen. Diese wird vor allem von den erkrankten und lichtgeschädigten Hautzellen aufgenommen.

Durch die Interaktion der lichtaktiven Substanz mit Tageslicht werden die lichtgeschädigten Hautzellen zum Absterben gebracht. Das behandelte Areal erscheint nach der Therapie gerötet und leicht geschwollen. Ein anfängliches Hautbrennen klingt innerhalb kurzer Zeit ab. In den darauffolgenden Tagen kommt es zu einer Verkrustung, da die abgestorbenen kranken Hautzellen abgestoßen werden. Die individuelle Reaktion ist abhängig von der Anzahl der kranken Zellen, die durch die PDT zerstört wurden und kann in schweren Fällen auch kurzzeitig zu Schüttelfrost und Fiebergefühl führen. Die Lichtaktive Substanz wird ausschließlich von den sonnengeschädigten Zellen aufgenommen. Die gesunden Zellen bleiben erhalten.

Das kosmetische Ergebnis ist eine deutliche Reduzierung der Sonnenschäden wie Pigmentflecken und aktinischen Keratosen. Als positiver Nebeneffekt kommt es zusätzlich zu einer Hautstraffung durch Kollagenneubildung und Reduzierung kleiner Fältchen.

HYPERHIDROSIS (excessive sweating)
Hyperhidrosis is the medical term for pathological increased sweating. Some people sweat relatively heavily, which can either be localised (e.g. on the feet) or on the whole body.

Sweating is a natural and necessary process in humans. Sweating regulates our body temperature and harmful substances are excreted from the body. Humans have about 2 million sweat glands that occur everywhere in the skin. They are particularly numerous in the palms and soles of the feet, armpits, and forehead.
Sweat glands are controlled by the autonomic nervous system. When sweating, the nerve endings send impulses to the sweat glands so that they form sweat and release it via fine channels to the skin surface. The amount of normal sweat production varies from person to person.

In the case of hyperhidrosis, the amount of sweat produced goes far beyond the normal level and the affected patients suffer considerably.

Compared to previous methods such as sweat gland suction or foot and hand baths that work with direct current, today Botox injections are administered that are significantly more effective and involve less risk of complications.

Botulinum toxin inhibits the functional supply of the sweat glands in the armpits, palms, and soles. This can greatly reduce sweat production.

Treating hyperhidrosis with Botox injections is suitable for everyone and can be applied practically anywhere on the body – including the palms, soles of the feet, head, and back. However, treatments are most frequently carried out in the armpit area or armpits.

The effect lasts for about four to six months. We recommend repeating the treatment two to three times a year. The reason for this is that after a few months new nerve endings grow in the sweat glands and sweat production begins to increase again.

BOTOX FOR MIGRAINES
Migraines are a neurological disease affecting around ten percent of the population. Severe headaches accompanied by increased sensitivity to light, nausea, and noise are indicators of a migraine. Migraines affect more women than men and the 25-45 age group is at the highest risk.

In most cases, migraines are treated with traditional headache medication. Sometimes acupuncture, yoga, and autogenic training can relieve patients’ discomfort.

Botox is not a remedy for acute treatment, but a pain prophylaxis. Treating migraines with Botox is considered a preventive treatment, the efficacy of which is now proven. In addition to chronic migraines, it is also possible to reduce chronic headaches (usually caused by medication overuse) with Botox.

Studies have shown that there is no efficacy in periodic headaches and therefore Botox treatment is foreseeable. Treating migraines and chronic headaches with Botox has been most successful in patients for whom conventional therapy methods provide little or no pain relief.
Botox for migraines in particular works by reducing sensitivity to pain. With Botox, the average headache duration can be reduced and the intensity of migraine attacks and their duration is also reduced.
After detailed information about your migraine pain in terms of intensity and duration, for which the starting point of the pain is especially essential, the treatment is administered on well-defined trigger points (exit points of nerves) in the area of ​​the temples, the back of the head, neck, and forehead.
Depending on the dose and indication, the first successes of a treatment can be seen approximately 10 to 14 days after the start of treatment. It can be assumed that the effect lasts about three to six months, whereby the duration of action can be longer with increasing duration of therapy.

BACK OF HAND LIFTING

Using a blunt cannula, the latest locally anesthetic-containing Dermafiller from Vycross technology from Allergan is injected completely painlessly into the folds on the back of the hand. Due to the unique combination of long and short chain hyaluronic acid molecules, this filler lasts for up to 12 months, leaving no bruising or swelling. As a local ambassador of the company Allergan, Dr. Hoffmann is one of the first users of this Dermafiller.

MICRO-DERMABRASION

With this non-invasive superficial peeling method, the surface skin cells are radiated by means of diamond microcrystals, the skin surface becomes velvety, and  age spots  and light  sun damage  on the hands are reduced.

LASER THERAPY
1. Pulsed Light Flash Therapy – Intense Pulsed Light (IPL): the first signs of skin aging in the hand can be reduced. The texture and thickness of the skin are achieved by collagen regeneration. Multiple sessions are necessary.
2. CO2 laser: The uppermost skin layer is treated specifically and age spots disappear. Only one treatment is needed but convalescence takes longer. Direct sunlight and tanning beds must be avoided for some time.
3. “Broken capillaries” and couperose on the back of the hand can be treated very well with the diode laser.

Those who constantly have damp hands know how stressful this is. People with sweaty hands do not like to shake hands with others. The very thought of shaking hands causes psychogenic heavy sweating of the palms.

Treatment with botulinum toxin via microinjections causes sweaty hands to dry out.

MESOGLOW PEELING

A combination of a chemical peel and mesotherapy. After gentle exfoliation tailored to the individual needs of the skin, active ingredients such as hyaluronic acid, vitamins, trace elements, and amino acids are injected directly into the upper layers of the skin using a meso pistol. This not only delays the skin’s natural aging processes, but effectively treats them. The skin becomes more youthful and tightens up. For treating tired skin on the face, neck, chest area, and back of the hand.