Author: Margit Rüdiger

Does more than just smooth wrinkles Dermatologist Dr. Birgit Buxmeyer has been a member of the Rosenpark Klinik team since 1999. In addition to specializing in surgical procedures such as liposuction and eyelid lifting, she has gained an additional qualification in Anti-Aging. At Bellari she is responsible for treatments with botulinum, hyaluronic acid, laser and ultherapy. In this C&C interview, Dr. Buxmeyer explains why hyaluronic acid is today’s material of choice in the treatment of wrinkles as well as facial skin and contour optimization: What can one do with hyaluronic acid? These days, quite a lot! The material has become extremely versatile and the range of products is extensive. Finer lines can be smoothed, and medium-depth wrinkles lifted, or the volume augmented for better moisture penetration of the skin and contour improvement. Hyaluronic acid is degradable in the tissues and, since it is now exclusively synthetically-produced, is very well tolerated. In the past, it was commonly extracted from cockscomb. What are the uses of hyaluronic acid? Thin hyaluronic acid, i.e. hyaluronic acid with little or no cross-linking, is suitable for skin surfaces in order to improve moisture penetration. It practically melts in the tissues and is a moisture booster. The thick variant provides volume, for example to hollow areas of the face. The effect is almost as good as when own fat is used. If the patient is very slim with no body fat at all, hyaluronic acid is the best alternative. Nowadays, it can even be used to treat the thin skin of the lower eyelid (Volbella by Allergan), which was not possible before. Which corrections do women ask for most frequently? The patients are not yet as advanced as the practitioners. Many still want to have the nasolabial folds injected. This is an antiquated method, dating back to over 15 years ago. Today the areas adjacent and corresponding to the nasolabial fold are treated. If one repeatedly injects the crease itself, over time, a sort of monkey’s nose is the result. This is because, due to age, the surrounding areas become more sunken. This must first be explained to the patients. Young women often have their tear ducts treated because they look tired. In somewhat older patients it is the cheek and temple region. This is due to the fact that not only the fatty tissue shrinks and shifts with age – the bone structure recedes as well. Often something is missing at the jaw angle, which causes the so-called marionette or Merkel wrinkles.… weiterlesen

Dr. Leonard Nenad Josipovic on enlargements, reductions and his passion In addition to the female breast’s biological task of nursing infants it is, from an aesthetic point of view, seen as the pure symbol of femininity as well. With this background it is easy for me to understand why women undergo breast surgery to meet their own personal aesthetic standards, especially in cases where there is breast malformation. Symmetry disorders due to different shapes and sizes of the breasts can be pronounced enough to cause a high level of suffering, not only of a psychological nature, but often with physical consequences as well. Breasts which have different sizes or those that are, in general, too large can result in considerable impairment in spinal column mobility. Over the course of the years, signs of wear and tear become more pronounced. Silicone implants of the 4th generation In addition to new minimally invasive methods for breast lifting and reduction such as liposuction or the transfer of autologous (own) fat for breast shaping, the use of silicone implants remains the gold standard for breast enlargement. The implants of the so-called 4th generation consist of a silicone gel that cannot leak. They are also equipped with a memory function which means that no matter how strongly they may be twisted, they always return to their original position. Some women still fear that implants could burst if they are subjected to too much pressure, such as a fall directly on the chest. However, tests have been carried out in which the weight of a truck was rolled over the implants without them bursting. The trend towards naturalness The era in which obviously operated breasts à la Pamela Anderson were in demand is fortunately over. Today’s patient usually wants a completely normal and natural-looking result. While in the past much larger implants were used, the trend is now towards a more normal size. Whereas the volume used to be around 800ml, the choice now usually falls on 250 ml to 300 ml per side. In general, women in Germany want the breasts to look natural. It shouldn’t be obvious at first glance that they have undergone surgery. Breast corrections after pregnancy Most women come to us at the Rosenpark Klinik for a make-over after childbirth when breast volume has been lost due to pregnancy and breastfeeding. In such cases, a normal implant enlargement is often not enough, and the desired result can only be achieved by additional tightening of the breast.… weiterlesen

The new equation of aesthetic medicine It works! The combination of two modern procedures, Silhouette threads  and Ultherapy ultrasound tightens and repositions the tissue. Dr. Negin Pakravesh is an expert in aesthetic dermatology and skin surgery. Since her primary focus is on anti-aging treatments, she is just the right person to answer all of our questions about this innovative treatment. What is the benefit of the combination of Ultherapy treatment and thread insertion, the latest anti-aging method offered by Bellari? We work at different levels so that the procedures are synergistic and complement each other optimally. The more skin layers that are stimulated, the better the result and the greater the lifting effect. Ultherapy works through micro-focused ultrasound energy at a depth of up to 4.5 millimeters and triggers a stimulation of the body’s own collagen formation. Thread lifting, by means of Silhouette threads, offers us a repositioning of the tissue and the Poly-L-Lactic Acid in the thread composition provides additional stimulation of the collagen. Ultherapy boosts the body’s own tissue production allowing the thread to consolidate better in the tissue thereby achieving an optimal reduction effect. How should one imagine the course of treatment? Ultherapy first or threads first? First of all, the patient’s wishes are discussed in an in-depth consultation and a treatment plan determined accordingly. Before the actual treatment begins, a local anesthetic is used to numb the skin. Patients who are more sensitive to pain are also given an analgesic (ibuprofen 600) at the Bellari. The combined treatment always starts with Ultherapy which lasts between 45 to 90 minutes, depending on the size of the area to be treated. The second step is thread lifting, before which the entry and exit points of the thread are marked and anaesthetized. After completion of this minimally invasive procedure, the patient applies cooling packs for about an hour to reduce any swelling. The packs can be used repeatedly over the course of the next few days if necessary. How painful are the two procedures? Experience has shown that sensitivity to pain is subjective and every patient is different. Both procedures may be undergone without the use of intravenous anesthesia and can be well tolerated with a local anesthetic using a cream and injection. As mentioned, a supplementary pain-killing tablet can also help. For which patients is this combination suitable? For all those who want a reduction and tightening of the tissues.… weiterlesen

Aesthetic and cosmetic treatments made to measure The Bellari concept was developed by Doctores Sonja and Gerhard Sattler of Darmstadt’s Rosenpark Klinik. These are institutes in which top class aesthetic medicine and professional cosmetics go hand in hand. In the C&C interview, Dr. Sonja Sattler explains the idea and her visions for the future: Please describe the Bellari concept. To be closer to patients, we wanted to bring to the city centers the aesthetic medicine which we have practiced successfully at the Rosenpark Klinik for many years. On the medical side, only minimal invasive treatments are carried out in the Bellaria, without operations such as those performed in the Rosenpark Klinik. The Bellaria institutes are always divided into two parts: The first is the cosmetic part, in the ground floor shop where there is a compact, high-quality range of care products. On the next level there is a medical area in the form of a private practice. How many locations are there so far? We opened the Bellari in Frankfurt, our flagship so to speak, in early 2016. In June 2016, the second one followed in Hamburg. Our goal is to expand the concept to eight locations in Germany. Later on we plan to open Bellaria in European metropoles such as London and Paris etc. How close is the connection to the Rosenpark Klinik? We bring the Rosenpark Klinik know-how to the institutes and offer a treatment concept which combines care and medicine. A doctor from the clinic is on hand at the Frankfurt institute every day, including Saturdays, and there are two permanent doctors in Hamburg, one of whom commutes between Hamburg and Frankfurt. I am in Frankfurt one or two days each week and in Hamburg twice a month. How did you come up with the name Bellari? We received professional advice in the naming process. We wanted to have a name that sounds beautiful, that fits our beauty concept, and which captures the imagination. My husband found that Bellari, like Armani, is an easy name to remember. What spectrum of treatment do you offer? In the medical field, in addition to advice on fillers, Botox and lasering, we offer non-incision body treatments such as cool sculpting. Treatments from skin diagnosis to various facials for Him and Her to eyebrow correction and a wide range of make-up are available in the cosmetic sector. Our highlight lies in the combining of different modern technologies.… weiterlesen

From Facial Rejuvenation to Body Shaping 20 years ago, doctors Gerhard and Sonja Sattler laid the foundation of the Rosenpark Klinik in a rose-covered half-timbered house in Darmstadt. Today, boasting up to 12 specialists, it has become a competence centre for aesthetic-operative dermatology and plastic surgery. In the C&C interview Dr. Gerhard Sattler: What is your recipe for success? If you consider the changes in aesthetic medicine over the past 20 years, there’s not one stone left standing. The scientific and philosophical bases have constantly and fundamentally changed. By this we mean the treatment of the aesthetic patient, the development of various methods and the importance of aesthetics in today’s Zeitgeist. To continuously and successfully develop a clinic over the course of more than two decades, one must actively participate in these changes as well as helping to shape them. For my wife and I this means that, in order to provide patients with the best treatment options, ongoing training, writing textbooks, organising scientific Congresses and running a scientific Research Centre must necessarily be part of the clinic’s day-to-day activities. New methods show a clear trend towards non-invasive and minimally invasive procedures. Through the constant improvement of treatment techniques, these are equivalent or even superior to the major surgical operations of the past. It must be borne in mind that today’s patients are generally very well-informed and come to their doctor with specific questions. And the aesthetic physician must never forget one thing: He advises and coaches his patients so that, in contrast to medicine in the treatment of illnesses. the patient can come to an informed decision about choices and types of treatment. What distinguishes you from other Beauty Clinics? First of all, it should be emphasized that at the Rosenpark Klinik , work with patients is, from the very outset, exclusively focused on aesthetic issues. This specialisation is essential to guarantee high quality treatment as well as the patent’s safety. Since the individual key areas of aesthetic medicine and surgery have become considerably less differentiated, it was necessary to form a group of specialized aesthetic physicians. On the one hand, this ensures discipline-specific specialisation and, on the other, a close interdisciplinary exchange. The business form of the Rosenpark Klinik is just as important to us. To this day, the clinic is in the sole hands of the founding physicians. This distinguishes it from other clinics that, due to the active involvement of investors, are more focused on commercial considerations.… weiterlesen