Wrinkle treatment with Botox
Small wrinkles and fine lines are often the first signs of skin ageing and often make the face look older and more tired than it actually is. With targeted injections of hyaluronic acid, wrinkles can be plumped up from the inside out and the skin’s appearance smoothed out again.
Hyaluronic acid occurs naturally in our bodies and is able to bind large amounts of water. We make use of this property during wrinkle injections in Frankfurt to give you a young and fresh appearance that makes you feel good again.
Arrange a non-binding consultation with Dr. Nichlos now. In a relaxed atmosphere, the experienced specialist in plastic and aesthetic surgery will be happy to explain to you which procedures are available for injections or whether other treatment methods are more suitable for you.
Hyaluronic acid is a transparent, gel-like substance found in the human body. Chemically speaking, it is a multi-chain polysaccharide, a chain of sugar molecules. It is found in connective tissue, synovial fluid and the eye. One of its most important properties is the binding of water, which has a plumping effect and thus provides volume. It also gives the skin suppleness and elasticity.
However, the body’s hyaluronic acid content decreases with age, causing the skin to lose volume and elasticity. As a result, the skin sags and fine lines and wrinkles appear. Injecting hyaluronic acid into the face (e.g. forehead or nose) can counteract the formation of wrinkles and give the skin new elasticity. However, the volume gained through hyaluronic acid treatment can be used for more than just correcting wrinkles.

Dr. Emmanouil Nichlos has specialized in hyaluronic acid treatments for over 17 years and has extensive experience in minimally invasive wrinkle and volume therapy. With precise technique and a keen sense of natural proportions, he achieves harmonious results with a fresh, youthful appearance.
The special properties of hyaluronic acid can be used for various medical applications. The best known is facial wrinkle treatment with hyaluronic acid. Here, hyaluronic acid is used to plump up age-related sagging skin and reduce wrinkles. Typical treatment areas are the face (especially marionette and nasolabial folds), neck and décolleté, but the procedure can also be used for hand rejuvenation.
Hyaluronic acid can also be used to sculpt individual areas of the face. Hyaluronic acid is therefore used, among other things, to give lips or sunken cheeks more volume, to contour the jawline (jawline), to perform minor nose corrections or to reduce dark circles under the eyes.
Regardless of whether you want a wrinkle treatment on your forehead, eyes, cheeks or lips – a personal consultation with Dr. Nichlos, a specialist in plastic and aesthetic surgery, always takes place before every treatment in our practice in Frankfurt.
Tell him about your wishes and let him advise you whether a wrinkle injection with hyaluronic acid is suitable for you. He will create an individual concept for the treatment of your wrinkles, explain the treatment procedure and what you should pay attention to before and after.
During the consultation, Dr. Nichlos will also inform you about the possible risks of wrinkle injections and will of course be available after the initial consultation to answer any questions you may have about hyaluronic acid and its use as a filler.
Wrinkle injections with hyaluronic acid are carried out on an outpatient basis in our practice in Frankfurt. First, the treatment area is thoroughly cleaned and disinfected by us, then anaesthetized using an anaesthetic cream. Although Dr. Nichlos uses very fine needles for wrinkle injections with hyaluronic acid, which are barely noticeable, everyone feels pain differently and we want to make the treatment as pleasant as possible for you.
As soon as the numbing cream takes effect, Dr. Nichlos injects the hyaluronic acid into the relevant areas. Here, the hyaluronic acid is distributed in the tissue. If necessary, he performs a so-called fine sculpting after the wrinkle injection to achieve the desired shape. The treatment only takes around 10-30 minutes.
You do not have to plan any downtime after wrinkle injections, but please note our instructions and tips on the correct behavior after the treatment.
It takes a short time for the specifically injected hyaluronic acid to be distributed in the tissue as desired. Therefore, do not apply any pressure to the treated areas for the first 1-2 days (not even a gentle massage!). Allow yourself some rest during this time and take it easy. In other words, avoid physical exertion and intensive sporting activities after wrinkle treatment. Protect your skin from direct sunlight and heat after the hyaluronic acid treatment and avoid going to the solarium or sauna.
As the body’s own substance and a natural component of connective tissue, hyaluronic acid is well tolerated and treatment with hyaluronic acid is also associated with few other risks. As a reaction to the injection, slight redness, minor bruising or swelling may occur at the injection sites. There is a possibility that the treatment area may be very sensitive to pressure. However, these side effects of the treatment are only temporary and usually subside on their own within a few days.
The cost of a hyaluronic acid treatment depends on the treatment area and the amount of filler required. Since hyaluronic acid is administered on an individual basis, the price is primarily determined by the amount of product used.
At our practice, the cost of a hyaluronic acid treatment typically starts at:
Depending on the treatment goal, more than 1 ml of hyaluronic acid may be required. Common treatment areas include the lips, nasolabial folds, marionette lines, cheeks, or the jawline.
During a personal consultation, Dr. Nichlos will analyze your facial anatomy and create a personalized treatment plan. He will provide you with transparent information about the expected costs of the treatment.
The cost of a hyaluronic acid treatment consists of several medical services. These typically include:
The treatment is performed on an outpatient basis at our practice and usually takes between 10 and 30 minutes.
Since hyaluronic acid treatments are usually performed on an outpatient basis and have relatively low treatment costs, financing is generally not necessary.
However, if multiple treatments or combined aesthetic treatments are planned, financing through an external financing partner may be possible on a case-by-case basis.
We would be happy to inform you about the options during a personal consultation and create an individual treatment plan.
Both hyaluronic acid and Botox are used to treat wrinkles and the two procedures are very similar in their process, but they work in different ways and are therefore suitable for treating different wrinkles.
Hyaluron is a classic filler. Thanks to its moisture-binding properties, it plumps up the tissue and thus gives the skin more volume, smoothing out wrinkles. This type of wrinkle treatment is particularly suitable for wrinkles caused by age-related sagging of the skin, such as nasolabial folds, marionette lines or wrinkles on the chin.
Botox, on the other hand, is a muscle relaxant that inhibits the transmission of signals between nerves and muscles, causing them to relax and smoothing out wrinkles. This applies to so-called expression lines caused by excessive muscle activity, such as wrinkles around the eyes or on the temples, forehead wrinkles, frown lines or lip wrinkles.
Depending on the type and depth of the wrinkles, a combination of hyaluronic acid filler and Botox can also be useful as a wrinkle treatment. Let an experienced doctor and specialist such as Dr. Nichlos advise you on which method of wrinkle injection is best suited to make your desire for a younger appearance a reality.
Hyaluronic acid is particularly suitable for static wrinkles such as nasolabial folds, marionette lines or wrinkles on the chin. It is also frequently used for lip sculpting or to increase volume in the cheek area.
An initial effect is usually visible immediately after treatment. The final result is visible after around 10 to 14 days, when any swelling has subsided and the hyaluronic acid is completely bound.
The shelf life is usually 6 to 18 months. Factors such as metabolism, treatment area and the preparation used influence the duration. Regular refreshing can help to maintain the result in the long term.
Allergic reactions to hyaluronic acid are extremely rare as it is an endogenous substance. Only high-quality, clinically tested preparations are used in Dr. Nichlos’ practice.
The treatment is generally well tolerated. Most hyaluronic preparations contain a mild anesthetic; a local anesthetic cream can also be applied.
As a rule, you are immediately fit for social life again. Slight redness or swelling may occur, but this usually subsides within a few hours to days.
Avoid intense heat (e.g. sauna, solarium), intense physical exertion and facial massages for the first 24 hours. This will support optimal healing and an even result.
A repeat treatment is possible at any time as soon as the results begin to fade – usually after 6 to 12 months. A permanent rejuvenation effect can be achieved with regular touch-ups.
If there is both volume loss and wrinkles caused by facial expressions, a combined treatment with hyaluronic acid and Botox may be recommended. Dr. Nichlos will advise you individually on this in his practice.
Precise placement of the filler is crucial for a natural result. Rely on the experience and specialization of Dr. Nichlos for reliable results with aesthetic appeal.
Dr. Emmanouil Nichlos, MD, is a board-certified plastic and aesthetic surgeon in Frankfurt who has specialized in hyaluronic acid treatments as well as minimally invasive wrinkle and volume treatments for over 17 years.
All content on this page has been personally reviewed by him and reflects the current state of medical knowledge in aesthetic medicine.
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With fillers such as hyaluronic acid, plastic and aesthetic medicine offers a non-invasive way to plump up and reduce mild to severe wrinkles. At our practice in Frankfurt, Dr. Nichlos only uses high-quality hyaluronic acid for wrinkle injections and facial sculpting. Book your consultation appointment by phone now and find out more about the possibilities!
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