Tag: aesthetic medicine

Because of its lack of appropriate methods, body skin tightening was once aesthetic medicine’s poor relation. Now there are two extremely effective technologies that can be used to tighten and smooth the tissues.

Renuvion – plasma energy for lasting firm skin

Renuvion, a process based on helium plasma with the efficiency of highly focused energy, is still very new. The Rosenpark Klinik is the first clinic in Germany and one of the first in Europe to use this method. It can be applied to tighten sagging skin on the legs, arms, buttocks, back or neck and décolleté in a very unique way. The dual thermal effect produced tightens the tissue so gently that the risk of side effects is very low in comparison with other procedures such as laser. Why? Plasma technology allows the connective tissue to be heated precisely and then immediately cooled back to skin temperature.

Local anesthesia and small incisions

Renuvion can be performed as a stand-alone treatment or, if necessary, directly after liposuction. Immediately after liposuction, the 4 mm thin handpiece is inserted into the same mini incisions made for the liposuction cannula. This means that no additional incisions are required. To ensure that the procedure is painless, the area to be treated is numbed using local tumescent anesthesia in the same way as with liposuction. Treatment with the Renuvion handpiece is fan shaped. The surgeon moves the device in opposite directions at one centimeter per second. The helium plasma beam penetrates the entire tissue, tightens it directly under the skin and stimulates the formation of new collagen. Four to six passes are necessary, requiring 20 to 45 minutes. But then it’s done. Only one intervention is necessary for a lasting result.

Potential immediate effect

In many cases, the effect can already be seen immediately after treatment. Significant improvement and smoothing of the skin occurs within the next six months which is the time it takes for new collagen to form. The adhesion of the tissue stimulated by the procedure ensures optimized wound healing and tightening of the tissues in all layers. In the first few days after treatment, slight wound pain, similar to that of aching muscles, is possible. Otherwise, the patient feels fit again right away, without significant downtime. If Renuvion is performed as part of a liposuction, one should plan three to four days of rest. Although there are no physical restrictions, wearing a compression garment is essential for about two to four weeks.

BodyTite – Radio Frequency plus Liposuction in one

BodyTite from Invasix , a technology designed to tighten the skin while eliminating fat deposits and cellulite, combines the advantages of radiofrequency skin tightening and classic liposuction.in a single procedure. It can be applied to almost every part of the body: BodyTite tightens upper arms, neck, thighs, stomach, lateral back and bottom. It is also used in body shaping and liposuction of the arms, back, stomach, thighs, hips, inner thighs and double chin. Cellulite can thus be removed, and lipedema reduced. Dr. Gerhard Sattler, medical director of the Rosenpark Clinic says: “BodyTite is the ideal procedure for the treatment of sagging skin over large areas, such as after severe weight loss or pregnancy.

Heat liquefies the fat

In the BodyTite procedure, a cannula equipped with an electrode is inserted into the fat layer directly under the skin. The electrode emits radio waves which generate heat in the fat and subcutaneous tissue. The effect is twofold: 1. the tightening of the connective tissue suspension of the skin. 2. the liquefaction of fat, which is then removed through the cannula. During the procedure, a further electrode on the outside controls the temperature in the subcutaneous tissue to prevent it from overheating. Local tumescent local anesthesia is also used here whereby large quantities of highly diluted anesthetic solution are injected into the tissue. The advantage is that the patient is alert throughout the procedure and able to follow the doctor’s instructions. For example, he can turn around, stand up to check symmetry or tighten individual muscles. The basic tension of the muscles makes the body silhouette easier for the surgeon to see.

Home after the operation

The procedure is performed on an outpatient basis and physical restrictions are not to be expected. However, this method also requires the patient to wear a compression garment for two to four weeks after the treatment which is how long the healing process usually lasts. A single BodyTite application is enough.


Sponsered by Rosenpark Klinik  
Leading pic: @upo_n_co

Customized or bespoke are THE keywords when it comes to something tailored specifically to a person. To explain why tailor-made skin care actually does make sense, Dr. Gerhard Sattler, founder and Medical Director of the Bellari Institute and the Rosenpark Klinik Darmstadt, uses the example of SkinCeuticals CUSTOM D.O.S.E., a machine which produces a personalized skin serum on site.

Does customized skincare make sense even if one doesn’t have problem skin?

I think this is a question of personal requirements. Prevention always plays a role in taking care of my skin, even if it is healthy. In this respect, personalized care is also helpful for those consumers who don’t have problem skin. After all, it contains not only medicinal substances, but skin nourishing ingredients which give support to the stability and health of the skin. What is special about the new SkinCeuticals product is the quality of how it is prepared. The machine is located here in the salesroom at the Bellari Medical Beauty practice and, in just a few minutes, produces a serum under highly sterile conditions, just as if it came from a laboratory. I find that remarkable and highly professional.

What parameters does the machine measure?

Since every skin has individual needs and problem zones, a precise anamnesis is essential. This is obtained by means of a personal conversation and a tablet-supported skin analysis which take place in advance. Based on the programme’s questions, the patient’s objectives are established, and problem areas noted and assessed. The SkinScope from SkinCeuticals is also used. By means of a special UV light, this reveals “weak points” in the skin such as hyperpigmentation, couperose, etc., which are not yet visible to the naked eye. The formulation is then determined using a tablet after which CUSTOM D.O.S.E (and this is what makes it special) combines the appropriate ingredients for the patient. Not all active ingredients can be combined, nor can an infinite number be included in one serum. Based on the answers, the system recognizes exactly which ingredient is the correct one, for example to minimize redness. Since each substance can have several properties, this depends exactly on the combination. The system automatically compiles the optimal dosage and mixes the serum individually right in front of the patient.

Who carries out the anamnesis with the patient?

The beauty of the Bellari concept is the combination of professional cosmetics and aesthetic medicine at one location. Our customers and patients receive precise information from our beauticians and doctors as to the skincare best for them, whether it be prophylactic or to improve the appearance of their skin. Medical treatments are always advised and carried out by a doctor who makes an individual recommendation. The patient is then familiarized with the latest possibilities and technologies, such as CUSTOM D.O.S.E.

The individual serum can contain up to 12 active substances. What are these?

The serum has two possible constituents which form its basis and are carriers for the highly concentrated active substances (so-called boosters). Depending on the type of skin, we recommend a hydroalcoholic, viscous base or a light, creamy emulsion base. To this, the respective boosters are added: For exfoliation, these are AHAs (glycolic, lactic and phytic acids), which support the natural exfoliation of the skin and remove dry, pale skin flakes. H+H (Hepes and Hydrovance) refine the complexion and moisturize the skin. LI+M (liquorice root and mulberry extract) have a brightening effect. They promote an even skin appearance and minimize hyperpigmentation as well as dark spots. Another brightener is SYM (SymWhite). PXN or RET is then added to improve the skin: Pro-Xylane™ (PXN) supports the skin’s protein matrix and improves firmness. Retinol (RET in 0.1%, 0.3% and 0.5%) provides a smooth complexion, stimulates cell regeneration and improves the appearance of fine lines and wrinkles. Since not every patient can tolerate Retinol, medical advice is extremely important here.

Why is there only one serum and not an entire care line?

Sometimes less is more. The serum is mixed with the exact active ingredients that the skin needs in its current condition, and in a particularly high concentration. Of course, it can be integrated into the usual skincare routine or supplemented with other products. For example, some CUSTOM D.O.S.E. combinations should only be used in the evening. Since the skin also needs care in the morning, the usual products or, if necessary, a new product that is better adapted to the skin can be used.

What is possible in skin analysis today?

Much more than ever before. In the past, dermatologists were only able use their eyes and hands for a skin anamnesis. Of course, there have long been useful analytical devices such as the dermatoscope for the detection of skin cancer. But with the SkinScope and the use of UV light, we can detect skin problems such as hyperpigmentation, freckles, sallow complexion, stubborn dark spots and the first signs of aging such as lines and wrinkles long before they become apparent. The logical consequence is that technologies are developed that provide a tailor-made skincare solution for the patient. For those of us in aesthetic medicine, this is another key element in attaining optimized results.


Sponsered by Bellari

Decreasing volume causes the face to sag. The once narrow, defined chin area becomes wider and slack. Aesthetic goal: to rebuild facial harmony.

From about the age of 25, gravity begins to constantly pull on the contours of the body. The aging process in the face becomes particularly clear when the so-called triangle of beauty is reversed. The youthful face has high cheekbones with full cheeks and a well-defined contour with a narrow chin where the imaginary triangle converges. When skin density and volume distribution change, the triangle is turned upside down. The broader part now lies in the lower area of the face with a widened, slacker chin contour and a sagging cheek area. The overall impression is often seen as sad and stressed.

Unjustly neglected

“It is quite normal that during our aging process not only the tissue sags, but bone substance is lost as well. This gradually changes the shape of the face and, in particular, the chin and jaw area suffer from the aging process. The reconstruction of this area to attain facial harmony was unduly neglected in aesthetic medicine for years,” confirms Dr. Gerhard Sattler, co-founder of the Bellari Institutes and Medical Director of the Rosenpark Klinik.

Deep Tissue build-up

To rebuild the chin and jaw area special fillers or, more precisely, injectable implants such as the new Juvéderm Volux, are required, which can be inserted deeper into the tissue. In contrast to superficial hyaluronic acid injections to combat wrinkles and fine lines, the tissue must be built up from below. The Vycross technology was developed for this purpose. It combines hyaluronic acid molecules of low and high molecular weight to form a tightly cross-linked gel. In the skin, this implant has a long duration of action and low water absorption. In this way, the effect is maintained for up to 24 months.

Determination of width

In the treatment of the chin, a series of injections is first placed directly on the mentum, the bone at the chin. Five to seven injection points are required for this width determination. Subsequently, three to five points of volume are injected into the chin (pogonion), directly under the muscle. First of all, the chin is extended and its width determined, then the volume or the actual chin is formed. The fold above the chin can also be optimally compensated with Volux. Since Volux is combined with the anesthetic Lidocaine, the patient feels almost nothing from the injection. A slight reddening and some swelling may occur, but these can be easily concealed. Except in special cases, such as a genetically caused strongly receding chin for example, a single treatment is enough.

Chewing makes the muscles grow

A jaw area which is optically too wide can be caused by genetic predisposition or by a shift in volume due to gravity and the loss of support structures in the cheek region. But a widening by an overactive chewing muscle can be the cause of so-called sagging cheeks as well. How can the muscle (masseter) grow in this way? There are several possible causes: predisposition and excessive strain due to nocturnal grinding of the teeth as well as jaw clenching play a definite role, as does the over-consumption of chewing gum. The lower jaw and face then appear wider and more angular than would normally be the case.

Shaping with Botulinum

Botulinum is used to slim down the masseter muscle and prevent it from overly. Three to four punctures directly into the muscle are enough and the effect occurs after about seven weeks. Since the muscle is not exercised as much, it slowly loses substance and the volume decreases. However, it can take up to four weeks for the face to look narrower, especially at the back of the lower jaw. If the effect is to be permanent, it is advisable to repeat the injection every six months. Another advantage: nightly teeth grinding (bruxism) can be treated in the same way.

Sponsored by Bellari

Yes, a new device from the USA can develop the muscles without any sweat-inducing training.

A flat stomach and a firm bottom are at the top of most people’s wish list for the body, be it women or men. But these require years of exercise, a lot of stamina and countless sit ups and squats. Emusculpt, a new device from the USA based on electromagnetic waves, now makes this goal much easier to achieve. The effect of a 30-minute session is comparable to that of 20,000 sit-ups or the same amount of squats. This comparison is, however, misleading since such training would be physically impossible in a fitness studio. Whereas sit-ups use about 40 percent of the muscles, Emsculpt works on 100 percent. “In general, the device is recommended for those body-savvy people who want an extra push in addition to normal training,” says Dr. Sonja Sattler, Medical Director of the Bellari Institute.

How does Emsculpt work?

Unlike conventional EMS devices (electromyostimulation), it does not work with electrical impulses, but with Emusculpt. These penetrate deeper into the tissue and thus ensure a much more effective result. The generation of an electromagnetic field stimulates the muscle groups to thousands of contractions. The muscles are shaken up, so to speak. In this way, the muscle mass in the desired body zones can be increased significantly and very quickly. An additional plus in the abdominal area: a decrease in fatty deposits. This is because the turbo activity of the muscles overstimulates the fat metabolism and permanently breaks down local fat cells. Dr. Sattler: “For me, however, the clear focus here is on muscle mass and not on the pleasant side effect of fat reduction”.

What happens during the treatment?

One relaxes comfortably on the couch and the flat, impulse-emitting handpiece is strapped to the area to be treated. As soon as the intensity is fixed, ideally at 100, the device starts to work. At first one feels a strong contraction which, within the next 30 minutes, develops into a firm hold and causes the target region to freeze for a few seconds at a time. It is intermittently interrupted by the so-called “relaxing tapping”. The individually adjustable intensity ensures that the treatment is as pleasant as possible, even for pain-sensitive patients.

Is it painful?

Depending on the intensity, it may feel slightly unpleasant, but never painful. After completion of the treatment, one is immediately fit again and can go about everyday life without any restrictions. The muscles do not feel tired or stressed afterwards.

How many sessions are required?

For an optimal result, a total of three to four sessions should be performed at intervals of two to three days. Each session lasts about 30 minutes. The maximum effect is usually achieved after 6 to 8 weeks.

Does it work for everyone?

Experience has shown that some people appear to react more quickly than others. A patient who already had strong abdominal muscles told us that she noticed a positive effect on her long-term back problems after just one treatment. Conversely, another patient reported that she was only able to notice a real difference after a few applications. Still others said that they completed all sessions without much effect. But a week later, overnight so to speak, the stomach was flat with well-defined muscles.

Sponsored by Bellari

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