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    Remove crow’s feet

    How do crow’s feet develop?

    Man communicates on all senses. The eyes are the focus. One look says more than a thousand words. At the first meeting, men and women judge the attractiveness of a counterpart by its appearance. Large, round eyes and soft skin are particularly attractive. In the course of life or due to a predisposition, the elasticity of the skin and the muscles at the outer corner of the eye can diminish. Sunlight and pollution of the air we breathe reduce the elasticity of the skin. The content of elastin, proteoglycans and water decreases with age. The skin is under the influence of alternating tension and relaxation of the eye muscles. Over the years, fibroblasts and collagen fibres orient themselves parallel to the direction of traction. The skin becomes tired and deeper wrinkles develop. The wrinkle lines gradually run from the outer corner of the eye to the temple. Cosmetics hardly influence the processes under the skin.

    What’s the difference between smile lines and crow’s feet?

    Laugh lines recede with a neutral facial expression. They are a sign of joie de vivre. Facial wrinkles convey feelings such as anger, sadness or tiredness. Due to the aging of the skin, wrinkle lines remain. The wrinkles fake feelings that the person does not feel. Crow’s feet are deep, permanent wrinkles on the eye compress that awaken a tired facial expression. Crow’s feet, forehead wrinkles and frown lines are among the three most frequently perceived facial wrinkles. Studies suggest that the treatment of these facial wrinkles has a positive effect on mood.

    How are crow’s feet treated?

    Injecting small amounts of a neuromodulator into the outer round eye muscles relaxes overactive muscle parts. The overlying skin becomes calm and smooth. The treatment of facial wrinkles with the help of neuromodulators is by far the most common aesthetic treatment. Crow’s feet can be reliably corrected or softened with the active ingredient. The facial expression appears more relaxed. Only rarely are side effects to be expected. When performed correctly, patients are very satisfied after this treatment.

    How is the treatment of crow’s feet performed?

    A treatment with a neuromodulator substance in the CenterPlast practice is always preceded by a comprehensive examination and consultation. The neuromodulator substance of the group A is produced as a dry substance. In vials, it is dissolved and diluted with saline before use. The plastic and aesthetic surgeon will ask you to tighten your facial muscles to the maximum in order to identify the injection points. As you close your eyes, the points are marked with a Cajal pencil. Anesthesia is not usually required for treatment with the neuromodulator. The cannulas used have a diameter of 0.2 to 0.3 millimetres so that the puncture is hardly painful. The active ingredient is administered into the muscle over two to three punctures per side.

    What is involved in treating crow’s feet with a neuromodulator substance?

    The following hygiene measures are always observed at CenterPlast Saarbrücken:

    • Clean work surfaces treated with a disinfectant.
    • Hygienic hand disinfection.
    • Use only sterile disposable syringes and cannulas.
    • The use of sterile single-dose ampoules.
    • Checking the original closure for intactness and expiration date.
    • A thorough alcoholic skin disinfection.
    • Storage of the products according to the manufacturer’s instructions under temperature control and documentation.

    Of course, we only use approved medicines whose quality, purity and manufacturing process have been checked by the European Medicines Agency .

    For whom is suitable treatment of crow’s feet with a neuromodulator?

    In 2017, more than five million treatments were performed worldwide with a neuromodulator substance. Every patient undergoing aesthetic treatment has different personal and individual needs. Mid-deep to deep crow’s feet occur between the ages of 35 and 65. A treatment with the help of neuromodulator substances can help to achieve a fresh and rested appearance. During pregnancy or breastfeeding, treatment with the substance should be refrained from for precautionary reasons. The treatment should not be performed if blood thinners have been taken previously or if there is a tendency to scarring. Treatment is not recommended in cases of immunodeficiency or rare neurological diseases (e.g. amyotrophic lateral sclerosis, myasthenia gravis, Lambert-Eaton syndrome). Allergies to neuromodulator substance are possible but very rare.

    What should you consider before treating crow’s feet with a neuromodulator substance?

    The treatment of crow’s feet with a neuromodulator substance is uncomplicated and quick. You can return to your normal daily routine immediately after the treatment. The areas to be treated are disinfected before use. Therefore, do not apply make-up before treatment.

    What should you keep in mind after crow’s feet treatment?

    Some doctors recommend that patients not lie down for six hours after treatment to reduce the likelihood of unwanted spread of the neuromodulator substance. In fact, there is no evidence that a change of position can lead to an unwanted spread. The active substance is absorbed by the nerve cells within five to ten minutes after it has come into contact with the nerve cells. An unwanted spread is therefore unlikely.

    Many doctors suggest massaging the treated areas to increase absorption of the neuromodulator substance and prevent swelling. However, other doctors advise caution to prevent unwanted spread. There are currently no studies on the effect or side effect of a massage of the injection points. The plastic surgeons at the CenterPlast practice therefore recommend that you behave normally.

    After treatment with neuromodulator substance, cooling is often used. The cooling leads to a narrowing of the vessels and reduces the pain after the injection as well as the risk of swelling. At twenty degrees Celsius, the active substance cannot penetrate the cells. Cooling may therefore reduce the effectiveness of the treatment. We therefore recommend short-term cooling if the skin reacts sensitively to the puncture.

    What can you expect during a consultation about crow’s feet?

    During the initial consultation, your goals will be discussed and the characteristics that distinguish you will be examined in detail. Your skin elasticity, the type of wrinkles, the number of wrinkles and the depth of wrinkles will be analysed. Changes in the skin caused by sunlight, vascular markings or facial asymmetry are taken into account during the planning process. The elasticity of the lower eyelid is also examined to prevent the lower eyelid from stepping down after a treatment. The contours of the face and the facial proportions are evaluated in order to achieve a natural and balanced treatment result. A treatment plan is drawn up that takes your priorities into account. The plastic surgeons will explain the expected results and possible risks to you in detail. Photos will be taken before and two weeks after the treatment to monitor success.

    What are the risks of treating crow’s feet?

    Treatment with neuromodulator is very low risk. Occasionally the punctures lead to skin irritation, which disappears after a few minutes. If a vessel is injured during the injection, bruising may occur and disappear after a few days. Depression of the lower eyelid or asymmetry may occur. Larger amounts of the preparation (100 to 700 E) are used to resolve muscle spasms. This can lead to undesired effects such as antibody formation and headaches. These side effects are very unlikely in the treatment of crow’s feet (20 E).symmetry may occur. Larger amounts of the preparation (100 to 700 E) are used to resolve muscle spasms. This can lead to undesired effects such as antibody formation and headaches. These side effects are very unlikely in the treatment of crow’s feet (20 E).

    How much neuromodulator do I need to treat crow’s feet?

    The larger the muscle to be relaxed, the larger the amount of neuromodulator needed. Therefore, in general, a little more funds are needed for men. If the treatment is repeated, the muscle mass may decrease. Then, if necessary, a smaller amount of the suspendance is sufficient to achieve the desired result.

    How much does it cost to remove the crow’s feet?

    The combination of microneedling, therapy with the body’s own blood and a neuromodulator is particularly beneficial for the treatment of sun-damaged skin. A consultation fee is charged for the first anamnesis interview, the examination, the preparation of a treatment plan and the consultation. The prices of the consultation and the treatment can be found on our costs page

    Before after after pictures of a treatment of crow’s feet.

    The billing of a treatment with neuromodulator substances is transparent and comprehensible according to the scale of charges for physicians. A consultation fee is charged for the initial medical history interview, the examination, the preparation of a treatment plan and the consultation. You can find out the prices of the consultation and the treatment with the help of our price calculator.

    Why a treatment of the crow’s feet in the CenterPlast Saarbrücken?

    The Heilmittelwerbegesetz prohibits the publication of before-and-after pictures on the Internet. We will be happy to show you photos during the consultation to show you the possibilities and limitations of neuromodulator treatment.

    Why a treatment of the crow’s feet in the CenterPlast Saarbrücken?

    The injection technique and a certain amount of experience are important for the success of a treatment. However, treatment with a neuromodulator substance also has its limitations. Only those who have a broad and profound knowledge in the field of aesthetic facial surgery can give you competent advice. A more experienced specialist in plastic and aesthetic surgery will not deprive you of an alternative and possibly more effective method. The plastic surgeons at CenterPlast’s practice are proficient in a wide variety of treatments, so they can best educate you on the pros and cons of each treatment option.

    Dr. Santos Stahl and Privatdozent Dr. Stahl strive for a natural appearance that suits your inner condition. The CenterPlast practice offers minimally invasive and state-of-the-art treatment procedures.

    A treatment with neuromodulator substances requires a detailed knowledge of the facial anatomy. Dr. Santos Stahl holds Brazilian, German and European qualifications in plastic and aesthetic surgery. She specialized for four years in the field of facial surgery in Stuttgart and another year in the field of ear surgery in Paris. Later, she perfected her techniques with the most influential plastic surgeons in Dallas, Oakland and Salt Lake City – thanks to a scholarship from the largest professional association of plastic surgeons in Germany (VDÄPC).

    Every doctor can call himself “Cosmetic Surgeon”, “Plastic Surgeon” or “Aesthetic Surgeon”. The plastic and aesthetic surgeons of CenterPlast have a long and excellent education. The anti-aging industry makes many promises. Our recommendations are fact-based. The CenterPlast physicians have conducted many high-quality and independent scientific studies and are currently conducting various clinical trials.

    Dr. Santos Stahl and Privatdozent Dr. Stahl attach great importance to safety and quality. We are happy to advise you individually and personally.

    Field reports on the treatment of crow’s feet in the CenterPlast Saarbrücken.

    We systematically examine and compare the appearance, well-being and satisfaction of our patients after surgery. This includes not only uniform photo documentation, but also satisfaction with your appearance. Nevertheless, we also systematically examine a possible influence of the intervention on perceived self-confidence and attractiveness. We encourage our patients to rate us on Jameda and Google. Many patients are willing to share their experience with other patients to help them make the right decision. During the consultation we are happy to put you in touch with these patients.

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    The author

    Dr. Adelana Santos Stahl

    “Our goal is to provide the best, most discreet and precise treatment based on our extensive expertise in plastic surgery. „

    Dr. Adelana Santos Stahl is distinguished by a unique international perspective with a feminine view of plastic surgery. Her personalized and detailed approach is key to the beautiful and natural results she achieves. Having trained in Brazil, one of the largest and most well-known countries for aesthetic and reconstructive plastic surgery, she understands her patients’ desire to look and feel their best.She completed her medical studies and her training as a specialist for plastic and aesthetic surgery in Brazil. In 2009, she also successfully passed the German equivalence examinations for the medical state examination. Two years later, in 2011 she received the German and in 2012 the EU specialist recognition (EBOPRAS) for plastic surgery.From 2009 to 2013, she deepened her knowledge of aesthetic and reconstructive facial surgery with world-renowned representatives of plastic surgery such as Professor Gubisch at the Marienhospital and Madame Firmin in Paris.A VDÄPC Fellowship (continuing fellowship for graduate students) in Switzerland, France and the USA has further enriched her professional experience.Dr. Santos Stahl is active in several prestigious professional societies. Besides the DGPRÄC and DGBT, she is also a member of the Brazilian Society of Plastic Surgery – SBCP.She is also the author of several scientific articles and, together with her husband, is dedicated to research and clinical studies in the field of plastic surgery.

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