Facial aesthetics

Skin analysis

A structured analysis assesses skin quality, volume distribution, expression, and facial proportions. From this comes a treatment plan that clearly frames sensible options, limits, and a suitable sequence.

Botulinum toxin

Botulinum toxin selectively reduces activity in chosen muscles and can soften expression lines. Dose and injection points are adapted to anatomy, expression, and the wish to keep a natural look.

Upper-lip movement and gummy smile

If a lot of gum shows when smiling because the upper lip is raised very strongly, assessment turns to muscle movement. For selected findings with a predominantly muscular cause we offer botulinum toxin to temporarily reduce the lift of the upper lip — off-label, time-limited. That does not change the gum line or skeletal overgrowth of the upper jaw. Preparation, dosage, benefits, risks, and alternatives are explained individually before treatment.

Teeth: gummy smile and gingival proportions → · OMFS: gingival and skeletal causes →

Hyaluronic acid & fillers

Fillers can replace lost volume, define contours, or harmonise proportions. We plan conservatively and consider tissue quality, vascular anatomy, and the face’s natural movement.

Skinbooster

Skinboosters place moisture-binding substances broadly into the skin. The aim is not more volume, but support for hydration, elasticity, and surface structure. Application is mesotherapeutic — via fine micro-injections into the skin.

Peptidyal

Peptidyal denotes a product family with different formulations for skin biorestructuring. Depending on the preparation, non-cross-linked hyaluronic acid, amino acids, and further components may be included. Composition, intended use, product status, injection plane, and suitability are checked and explained for the specific product used. This too is a form of mesotherapy.

Polynucleotides (PN/PDRN)

Polynucleotide preparations contain highly purified DNA fragments, depending on the product often derived from fish DNA, commonly salmon or trout. Colloquially this is sometimes called a ‘salmon sperm treatment’; medically that label is imprecise. This treatment also counts as mesotherapy, but — unlike many classic mesotherapy cocktails — uses highly purified DNA fragments rather than hyaluronic acid. Intradermal injection is offered to support skin quality, hydration, elasticity, and fine lines. Current evidence is promising but limited and heterogeneous. Product status, suitability, allergies, possible risks, and alternatives are assessed individually beforehand.

PRP autologous blood treatment

For PRP, blood is drawn and platelet-rich plasma prepared. The autologous preparation is offered to support selected skin-quality parameters. Systems, concentrations, and protocols differ; evidence is not equally strong for every goal. Indication, blood count, medication, risks, and alternatives are checked individually.

Thread tightening with CARA PDO threads

At MEDIKUSS we see thread treatment primarily as tissue support and tightening — not as a substitute for a surgical facelift. Suitable CARA PDO threads are placed in a defined subcutaneous plane according to findings. The aim is stabilisation where extra hyaluronic volume could act unfavourably or migrate. Subcutaneous fat is not increased; the tissue continuum is supported by mechanical guidance and subsequent remodelling. Thread type, plane, benefit, limits, and risks are set individually.

Eyelid tightening

Eyelid tightening (blepharoplasty) corrects excess eyelid skin and, when needed, deeper tissues such as fat pads. The upper lid, the lower lid, or both may be treated — the findings decide, not a standard package. The reason may be functional, for example when heavy lid skin narrows the visual field, or an aesthetic wish for a more open lid shape. Both require an examination.

Planning and incision follow function, the natural lid crease, symmetry, and individual facial features. As an OMFS practice we assess periorbital anatomy, soft tissue, and neighbouring regions; brow and forehead can influence lid form and are therefore included in the examination. The aim is a medically clear, inconspicuous correction — not a uniform “ideal lid”.

Social downtime is typically about five to seven days; suture removal usually falls in that period. Swelling and bruising can appear in the first days and recede at different speeds. Duration and course remain individual. This is an orientation from the courses we usually see, not a fixed healing promise.

OMFS: eyelid and facial surgery →

Mini & face lifting

A lift repositions descended tissue rather than merely tightening skin superficially. Extent and technique follow findings, tissue, and the desired change — from a limited mini-lift to a more comprehensive correction. Eyelid tightening and a facelift are different procedures; they are combined only when the findings justify it.

Social downtime is typically about five to seven days; suture removal falls in that period. This is an orientation, not a fixed healing promise.

OMFS: eyelid and facial surgery →