Anti-Wrinkle Injection

Anti-Aging with Hyaluronic Acid & Botox®.

Most people want a smooth, wrinkle-free skin because it gives us a younger, fresher and radiant appearance. However, signs of age and muscle movements but also genetic predisposition, environmental influences and our habits have a major influence on the texture and appearance of our skin and change it permanently in the course of our lives. It loses volume, becomes thinner and sinks in. Sooner or later, the first wrinkles appear, which increase and deepen over time.

But not only lines change our face. Asymmetrical lips, an increasingly hanging chin area or droopy eyelids make those who are affected look older than they actually are, or they look like they have a permanently tired or even grumpy facial expression.

Therefore, many people eventually strive to change their appearance without having to go under the knife. Injections with hyaluronic acid or botulinum toxin (Botox®) offer various gentle and well tolerated treatment options to give the face, neck, décolleté and hands a more youthful, glowing skin again. The proven methods take little time, are painless, do not involve any downtime and achieve impressive results.

Dr. med. Kerbler is a specialist in dermatology and venereology and an expert in anti-wrinkle injections. She accompanies you competently and caringly on the way to your fresher appearance in her beauty practice in Zurich. Whether you want to treat a single wrinkle or rejuvenate holistically the entire face – Dr. Kerbler supports you with her many years of experience and specialist knowledge.

The skin on our face is in constant motion: whether while laughing, crying, or when we are angry or concentrated. A multitude of facial muscles expresses our emotions and that keeps the overlying skin area in motion. The more often this dynamic is happening, the more the skin is stressed in this area. Over time, it does not move back anymore to its original position and a mimic wrinkle (also dynamic or expression line) arises.

Expression wrinkles appear, for example, as permanent lines on the forehead (worry lines), between the eyes (frown lines) or around the mouth.

Botulinum Toxin (Botox®) for Injecting Mimic Wrinkles

An injection with botulinum toxin (Botox®) is optimal to treat expression lines. The drug, which has been used in medicine for many years, is injected directly into the muscle and inhibits the communication between muscle and nerve as it blocks the triggering messenger substance (acetylcholine). The command to contract can therefore no longer be transmitted, the muscle remains relaxed and the skin smooths. If experts perform a treatment, they inject botulinum toxin A as much as necessary so that the muscles can still move in order to ensure a completely natural facial expression. In the case of very deep expression lines, it can be useful to combine the muscle relaxant with hyaluronic acid. A muscle relaxant treatment can also help with hyperhidrosis (excessive sweating) and reduce significantly sweat production.

How Long the Botulinum Toxin (Botox®)

Treatment Lasts The final treatment result is visible after 14 days at the latest. Normally, the effect lasts about three to four months, although, this always depends on individual factors and the treatment area. In addition, the amount of muscle activity at the treated area contributes to how quickly the substance degrades. A repeated treatment can also extend the duration of the effect.

At a young age, our skin looks plump and smooth. But at around the age of 25 the face begins to change due to the aging process. The muscles slowly relax, the bones start to recede, the fat pads become smaller and the tissue begins to sag. The body's own production of hyaluronic acid, collagen and elastin decreases. The tissue can no longer absorb liquid so well, and the volume gets slowly lost in the deeper layers of the skin. The skin loses its elasticity, becomes slacker, drier and rougher.

Throughout the entire process, the skin literally begins to hang down. As a result, wrinkles initially appear and become deeper and more noticeable over time.

Hyaluronic Acid to Increase Volume

Hyaluronic acid is a natural component of the human body. The sugar structure is found in various body parts, for example, in the skin, the joints or in the eyes. Hyaluronic acid has the property to bind large amounts of water, and this makes the skin tight and voluminous. With age, the amount of the hyaluronic acid decreases in the body, which means that the skin loses its fullness and becomes slacker.

Anti-wrinkle injections contain a synthetically produced form of hyaluronic acid. The filler acts like a gel implant that plumps up the skin from the inside out and supplies it with more moisture.

How Long the Anti-Wrinkle Injection with Hyaluronic Acid Lasts

You can see the first change immediately after the wrinkle injection, and the final result appears after one or two weeks. The body degrades hyaluronic acid over time, so the effect of the treatment is temporary.

How long you can enjoy your fresher appearance depends on various factors, such as the individual circumstances and the treated skin areas. The treatment result is visible between six months and two years.

Even if many people are not aware of it: For an optimal result, a combination of the two substances is often expedient for a wrinkle treatment, e.g., to smooth deep expression lines. While the muscle relaxant inhibits the muscle movement, the filler treatment gives the skin more volume and also tightens it. In addition, the combination increases the durability of the treatment result.

It is important to get a comprehensive consultation before, in which the specialist presents various treatment options. It may also be possible to combine it with a vampire facelift or a laser treatment for skin rejuvenation.

In our practice, we create individual treatment packages for you, which are completely tailored to your needs and your desired result. With our Visia Gen 7 recording system, we can get an exact picture of your skin situation and advise you by using the skin analysis. 

Since neither a scalpel nor anesthesia is used, a treatment with hyaluronic acid and botulinum toxin (Botox®) is tissue-conserving and low-risk compared to a surgical procedure but at the same time very effective.

We constantly undergo trainings so that we can always offer you the most modern anti-aging treatments in our beauty practice in Zurich. This includes the innovative liquid facelift according to MD Codes™ (also known as liquid lift), which was developed by the well-known Brazilian Dr. Mauricio de Maio. This is a method that uses a hyaluron filler for a holistic wrinkle treatment and facial augmentation.

The liquid lift does not only smooth individual wrinkles, it also rebuilds the fullness that has been lost through the aging process. For this, hyaluronic acid is injected like an anchor at particular points, where it fixes the skin in a raised position like a superglue. At the same time, the massive water binding ensures more volume. The result is a fresher and natural appearance that is immediately visible.

Dr. med. Bettina Kerbler was trained by Dr. de Maio himself, she completed all courses up to the highest master's level and is qualified to train other doctors.

Important to know: For a lasting result, an anti-wrinkle injection should be refreshed regularly. The intervals of the refreshment always depend on the ingredients and the used amount, the treated area of the face or body as well as the patient's metabolism.

The advantage of a regular refreshment: The wrinkle treatment can always be adapted to the circumstances, and emerging changes can be recognized and treated at an early stage.

Our experienced dermatologist, Dr. med. Bettina Kerbler, masters the methods of punctual injection, with which especially individual wrinkles disappear and areas can be optimized, as well as the holistic liquid facelift according to MD Codes™.

In addition, we only use tried and tested fillers from the well-known manufacturer Allergan, for which Dr. Kerbler works as an advisor.

Forehead Wrinkles

Forehead wrinkles are horizontal wrinkles on the forehead (colloquially also known as worry lines) that can be caused by frowning or raising the eyebrows. With horizontal forehead wrinkles, the face looks thoughtful. In addition, they are often perceived as annoying because the forehead takes up a large area on the face. Forehead lines are mimic wrinkles that can be smoothed with a botulinum toxin treatment (Botox® treatment).

Frown Lines (Glabellar Lines)

Frown lines are horizontal or vertical depressions between the eyebrows above the nasal root. They appear individually or in pairs. Glabellar lines are caused by aging-related volume loss in combination with frowning and squinting and often lead to a grim or angry facial expression. To smooth frown lines, we use a wrinkle injection with botulinum toxin (Botox®).

Crow's Feet (Laugh Lines)

Crow's feet (periorbital wrinkles) are radial arranged lines in the corners of the eyes. At a young age, these wrinkles are only visible while laughing; in old age, they are usually permanent and make the eye area appear wrinkled and tired. These wrinkles got this name because they look like the feet of crows. Crow's feet are facial wrinkles and can be gently smoothed with an injection of botulinum toxin (Botox®).

Drooping Eyebrows/Asymmetrical Eyebrows

As a result of the aging process, we lose physiological fat in the temple area. Therefore, whole regions of the skin sink under the force of gravity. The eyebrows droop and this forms and intensifies drooping eyelids, creating a tired or exhausted expression.

With an injection in the temple area, we can raise eyebrows again in our beauty practice in Zurich – we can perform a so-called brow lift. This is how existing asymmetries can be balanced, and drooping eyelids can be reduced or even eliminated, depending on their severity, without plastic surgery.

For this purpose, we inject botulinum toxin (Botox®) into the sphincter. As a result, the entire area relaxes because the muscle can no longer contract. The injection makes it possible to raise the eyebrows one to three millimeters. Depending on your needs and initial situation, a wrinkle treatment with hyaluronic acid can give the area above the eyebrow an additional fullness, which also lifts slightly the brows. In addition, it can be used to set optical accents, balance asymmetries and give the eyebrow arch more contour.

Dark Circles, Tear Troughs, Bags under the Eyes

Dark circles under the eyes give an overtired and exhausted impression. The unsightly purple-blue discoloration under the eye can be covered with makeup, but the darker it is, the more time you need. The noticeable discoloration is usually not due to the changes in the skin color but to the translucent blood vessels underneath. How clearly they are visible depends on the skin type, the life circumstances and the effects of the aging process on the subcutaneous tissue.

If the tear trough (crease below the eye), which runs semicircular from the corner of the eye below the eye bags, is particularly pronounced due to genetic factors or the decreasing elasticity of the skin, that increases additionally the dark circles.

With a hyaluronic wrinkle injection, we can help the zone under the eyes to regain more fullness. The skin area becomes fuller and smoother, the veins are less visible, and a noticeable tear trough can also be treated. The overall look is more alert and the eye area is more open and harmonious.

By lifting the tear trough, conspicuous bags under the eyes can also be concealed as the height differences are smoothed and the entire zone under the eyes looks more even.

Bunny Lines (Nose Wrinkles)

Bunny lines are wrinkles on the sides of the nose. They extend from the sides of the nose to the corners of the eyes. If these folds initially show up only when sniffing or laughing, they can reinforce over time and encompass several centimeters. The wrinkles on the sides of the nose are expression lines and can be removed with botulinum toxin (Botox®).

Nasolabial Folds

Nasolabial folds (smile lines, worry lines) extend from the nostrils to the mouth's outer corners and are also known as laugh lines. If the wrinkles arose as a result of the volume loss in the surrounding skin area, the facial expression usually becomes sorrowful or even grim.

For nasolabial wrinkles, a filler treatment offers a gentle way to reduce unsightly lines from the inside out without surgery. In addition, it slightly raises the mouth's corners, making the entire mouth area appear friendlier and more open again.

Filling up the Cheeks

Regardless of whether it is because of the aging process, life circumstances or genetic preconditions – uneven, sunken cheeks without clear contours change the proportions of the face and have a lasting effect on the appearance. Affected people often seem much older than they actually are, and their appearance gives them an exhausted and tired impression. A filler injection can balance out asymmetries, give sunken cheeks more fullness as well as contour and underline the cheekbone.

Mentolabial Folds (Marionette Wrinkles)

Mentolabial folds (also called puppet wrinkles) appear initially as fine lines; they go from the corners of the mouth towards the chin. The deeper the wrinkles are, the sadder and grumpier the facial expression usually becomes. The furrows, also known as marionette folds, are due to the decreasing elasticity of the skin and can be lifted with a hyaluronic acid injection.

Lip Lines (Smoker's Lines)

The lip lines, lipstick lines or smoker's lines are wrinkles that are formed directly above the upper lip towards the nose (or under the lower lip towards the chin). Facial expressions influence the appearance of lip wrinkles (that is why the term smoker's lines is often used), but also the natural aging process and the associated decrease in hyaluronic acid and collagen have an impact on the development of conspicuous wrinkles. The more pronounced the lip wrinkles are, the more pinched and grumpier the entire mouth area usually looks.

A combination treatment consisting of botulinum and hyaluronic acid is often the best option to remove the fine lines above or below the lips. This can relax the underlying muscles and replenish lost moisture depots in the deeper layers of the skin.

Volume Loss in the Upper and Lower Lip/Asymmetrical Lips

Age has also an influence on lip volume. Over time, the fullness of the lips decreases because the skin loses its collagen and hyaluronic acid reserves; this makes the lips look thinner and more sunken. Besides, the volume loss causes unsightly wrinkles on the lips. With a hyaluronic acid treatment, we can restore lost lip volume. Thanks to the filler, the lips are filled from the inside out, wrinkles are smoothed, and the lip contour is emphasized.

But not only lost lip volume can be restored, asymmetries or blurred contours in the lip area can be corrected, too, by an expert using special filler injection methods.

Saggy Chin (Strawberry Chin)

Chin wrinkles (also strawberry chin, cobblestone or pebbled chin) often make life difficult for those who are affected. Usually, they only appear when the muscles are tense (especially when the lips are pressed together), but the reduction in fat tissue, hyaluronic acid and collagen can make the skin thinner around the chin. As a result, the chin loses its original shape, the muscles underneath become visible and the surface of the skin resembles that of a strawberry due to its uneven structure.

A botulinum toxin treatment (Botox® treatment) can relax the muscles and smooth the skin. An additional hyaluronic acid injection offers the possibility to remodel or fill up the chin area.

Neck Lines (Platysma Wrinkles)

The skin on the neck is very thin and often exposed to the sun. If sun exposure is combined with gravity, muscle movements and natural skin aging, horizontal and vertical wrinkles may appear. This change in the neck area is also known as turkey neck.

Depending on the severity, a treatment with botulinum toxin A in the initial stage and, in the case of heavy neck wrinkles, an injection with a filler can make this part of the skin appear younger and firmer again.

Décolleté Wrinkles

Owing to the natural aging processes and the sun exposure, a once tight, well-shaped décolleté becomes wrinkled and sagging over the years. An injection with a filler replenishes deeply the moisture depot, smooths the skin and helps it to regain more volume.

Wrinkles on the Back of the Hand

Thinning skin and the resulting protruding veins and tendons make our hands appear old and worn out. Especially people who pay great attention to their appearance, wrinkled hands often create a noticeable contrast to the rest of their look. With a filler treatment, we increase the volume of the back of your hands and give your hands a more youthful appearance.