Dr Winkler | Non-Surgical Procedures
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Botulinum Toxin (Botox)

A popular non-surgical procedure, Botulinum toxin or botox is a temporary muscle relaxant that is injected into the muscle beneath a wrinkle that is causing the lines (whether it’s to frown, smile, etc) giving you a more youthful appearance. It is a natural, purified protein that is also used to treat medical conditions, from migraines to excessive sweating. It has been around for decades and is the most tested product on the market, certified in the medical and cosmetic field.

How it works

It works by partially blocking the nerve impulse to the muscle with the effect of decreasing the contraction of the muscles. Less muscle contraction results in less wrinkling of the skin. The great thing about Botox is that it takes only a few minutes to do and there is no real downtime. Some people may experience slight bruising and swelling afterwards but this can be masked by make-up.

The effects of Botox® last for an average of 3-4 months but will vary depending on the condition of the skin, area treated and lifestyle factors.

What does the treatment involve? 

While there is no real downtime associated with this treatment, it is important to note that you may encounter some slight bruising and swelling directly after treatment, due to the needle. This can easily be masked by makeup. There are no long-term side effects of having wrinkle injections, meaning patients can resume their usual activities straight away, and can also fly post-treatment.

Who would this treatment suit?

This treatment can be used on a wide range of patients, and is primarily used for skin rejuvenation and the reduction of fine lines and wrinkles. Botox does not replace surgery or skin resurfacing – Dr Winkler would be able to advise you on a range of treatments to give you the desired result you are after, depending on your age and the condition of your skin. Read more here on the differences between botox and fillers.

Are there any risks involved?

Botox is very safe and effective and usually complications only arise because of the technique of it is administered. Some people may experience mild bruising and very occasionally, local diffusion (spreading) of the product may lead to ptosis (hanging of the eyelid). With special eye drops, this will be reversed in about three weeks.

We usually advise patients who are pregnant or breastfeeding to hold off on treatment until they are finished nursing.

Dermal Fillers

As you get older, your body naturally produces less collagen – the substance that ‘supports’ your skin. As collagen and elastin in the skin lessen, skin tends to become dryer, thinner and less resilient. Everyone is born with lots of Hyaluronic Acid (HA) in their bodies, but as we get older this supply of HA diminishes, causing lines and wrinkles to develop. This may cause cheeks to flatten and skin to sag.

Parentheses lines are static lines that appear when your face is at rest. This happens over time as your skin loses some of the building blocks (hyaluronic acid and collagen) that give the skin its structure.

How dermal fillers work?

Dermal fillers basically means that you are injecting the skin with this naturally occurring product (HA) through a tiny needle. Fillers are very effective in restoring your skin’s volume, smoothing away facial wrinkles and folds and redefining lips. We can create a tailormade treatment plan for every patient without you needing to have surgery. The effects of fillers last from 12 to 18 months.

What are the risks?

As Hyaluronic Acid is naturally occurring in the body, it’s very unlikely that anyone will have an allergic reaction. As with any injection, there can be some slight bruising or swelling that accompanies it but this shouldn’t last longer than a day and is easily coverable with makeup. Like Botox, treatments like dermal fillers are not suitable for pregnant women.

If you’d like to find out more about dermal fillers, take a look at the Juvederm website – one of the top international products that we offer.

Silhouette Soft Thread Lift

If you are in your 40s or 50s, start to show signs of ageing, but feel that a traditional face lift procedure is too invasive, a Silhouette Soft thread lift is a great way to combat sagging and wrinkles.

Thread lifting provides an effective, minimally invasive alternative for a better, younger you – without the need for surgical intervention. A thread lift is a unique solution with immediate, natural effects used to treat sagging on the facial contours, jaw line, cheeks, neck and eyebrows. Best of all, the procedure can be done quickly and painlessly at our surgery in just 40 minutes.

What is the procedure?

No special preparation is required prior to treatment. However, you need to inform your doctor of any treatment you have already received and any medications you are currently taking. A small amount of local anaesthetic is administered, followed by the insertion of the threads with a microneedle. Once all the threads have been placed, they are tightened creating an immediate natural lifting effect.

Silhouette Soft is a tailor-made treatment, adapted to your needs and wishes. It can be used as a stand-alone treatment or in conjunction with fillers and Botox. It uses a double action effect to restore smoother and more toned skin, but also a more shapely face. Silhouette Soft combines two effects: an immediate repositioning of the tissue and a gradual regeneration of collagen.

The regenerating effect is gradual. By resorbing, the Poly-L-lactic acid in the thread acts on the deeper layers of the skin and stimulates the body to produce its own collagen. This action, which continues over time, helps increase the volume and restores the shapeliness of the face.

What do I need to do after the procedure?

Slight swelling and bruising may occur. Sometimes a slight depression or surface irregularity may appear at the entry points. These inconveniences disappear a few days after treatment.

  • Apply cold packs after the procedure to minimise swelling and reduce discomfort.
  • Avoid excessive facial and neck movements for two weeks.
  • Avoid face and neck massages for two weeks.

With more than 150 000 treatments carried out so far, Silhouette Soft has proven its safety and efficacy all over the world.


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