Project Description

Hyaluronic Acid Treatment


Hyaluronic Acid Treatment


Dr. Eva Maria Strobl – Your expert physician for hyaluronic acid treatments in Munich

Faltenunterspritzung mit Hyaluron

You are looking for a reliable specialist for hyaluronic acid treatments in Munich?

Dr. Eva Maria Strobl is the physician you can trust.

Conveniently located in downtown Munich, she helps patients achieve attractive, yet natural-looking results with hyaluronic acid (HA) in a wide range of applications.

Read here why her expert skill in smoothing out wrinkles and adding plumpness to facial tissue with HA is sought by men and women throughout the greater Munich area.

These are the topics:

At a glance

The main benefits of anti-aging treatments with hyaluronic acid can be summarised in the following 10 points:

  1. Safe intervention without major complications, for the treatment of many types of wrinkles and for adding back plumpness to facial tissue (cheeks, lips, chin)
  2. Easy to perform by a trained therapist
  3. Fast procedure (duration 30-60 minutes)
  4. Results immediately visible
  5. High efficiency and reliability
  6. No incisions and scars
  7. The effect lasts for about 6-12 months
  8. Hyaluronic acid fillers are completely absorbed
  9. The injections are neither visible nor palpable
  10. No downtime

BOTOX wirkt nicht? Dr. med. Eva Maria Strobl sagt Ihnen wieso

I offer you the following advantages for your HA treatment in Munich:

  1. Flexible appointments, with easy booking online
  2. Thorough expert skills and continuous education
  3. Sufficient time and full attention: from the first consultation onwards, you will only be looked after by me personally
  4. relaxed and discreet atmosphere
  5. Direct accessibility via mobile phone and email during aftercare
  6. Fairly calculated costs 

Based on my previous experience, you should expect a full session to take about 60 minutes including consultation, photo documentation, local anaesthesia (if necessary) and the actual treatment.

If you have to make an appointment afterwards, then plan for an additional 30 minutes until any redness in the treated areas has subsided somewhat.

I keep medical make-up available in my practice, so we can make you fully up and running again immediately.

As all cosmetical interventions in my practice, Hyaluronic acid treatments start with a detailed patient self-disclosure, in which you tell me everything about previous illnesses, medication, allergies and the like.

Next comes consultation, in which I compare your aesthetical desires with what I see in your face/body. Together we discuss what is medically feasible and what is aesthetically desirable.

I will thoroughly inform you about risks and possible side effects, the realistic results and possible treatment alternatives.

On the basis of consultation, we will draw up a detailed treatment plan and agree on a fee. In addition, you must submit an explicit declaration of consent in which you agree to the treatment, confirm the clarification and agree to the agreed fee. That’s required by law.

Next comes a detailed photo documentation of the initial condition. This is followed by the actual treatment.

First I remove any make-up, thoroughly clean and disinfect the areas to be treated and prepare everything for the treatment. If required, I apply anaesthetic cream to the treatment area and leave it to take effect for about 15 minutes. During this time I prepare the HA injections.

After the treatment I provide you with ice bags for cooling. After about 15 minutes, redness and swellings usually have subsided considerably. Any small haematomas, which unfortunately can never be completely ruled out, can be covered with medical make-up.

And that’s already it.

See you again at the check-up in 14 days!

HA treatments do not cause any downtime.

However, I advise you to avoid intensive sports, sauna and solarium visits on the day of the treatment and the following 3-5 days.

Based on my experience with HA treatments, slight swelling may occur during the first 3 days after the treatment. These are mostly due to the fact that the injected hyaluronic acid draws water from the surrounding tissue, which is harmless and disappears after a few days.

Nevertheless, in such a case you should contact me so that we can monitor the progress of such swellings together and take countermeasures if necessary.

Immediately after the treatment, redness, swelling and small haematomas may occur in the treated areas.

A feeling of tension is often experienced, which is reminiscent sore muscles.

Inflammatory reactions may sometimes occur (redness, erythema, oedema), possibly associated with itching and painful pressure.

In rare cases, allergic/anaphylactic reactions may occur. Similarly, flu-like symptoms (fever, headache and muscle pain) as well as general malaise, nausea and dizziness have been reported after HA filler treatments.

In the hands of inexperienced and untrained therapists, the worst possible side effect of HA filler injections is the formation of necroses after an artery has been punctured and blocked with filler material.

Recently, such cases have been the subject of several media reports. Late effects of such incidents can include permanent scars on the face, but also cause blindness.

Because such risks can never be completely excluded even with the greatest care, I only use HA fillers in certain regions of the face (glabella, forehead) if the alternative treatment with BOTOX does not promise success.

What my patients say:

“We liked this doctor because she appears very personally on the internet, she is directly accessible with her personal email address and not the typical “info@” email. And the telephone number on your website is really her own! You call there and have her on the phone directly – we never experienced something like that anywhere else. […] I am very satisfied with the result.[br]

Read the complete testimonial of this patient (in German) at Schö


How does Hyaluronic Acid work in Anti-Aging?

Hyaluronic acid (HA) treatments achieve great results at comparatively low prices.

The range of possible applications is wide and so is the range of possible treatment costs. But whether the therapy is based on simple wrinkle treatment, lip augmentation or a complete liquid lift of the face, the prices of HA injections will always be lower than those of a surgical intervention.

The same is true for risks and possible side effects. But even though HA treatments are usually very safe, they are by no means trivial.

Therefore they belong into the competent hands of a seasoned therapist. Especially in recent times, some serious incidents with HA fillers have been circulating through the media, all of them carried out by people without sufficient medical qualification.

From a chemical point of view, hyaluronic acid is a long-chain, multiple-sugar molecule.

It is naturally found in the human body and plays a role wherever the binding of water is important.

The most important property of hyaluronic acid is its enormously high water-binding capacity.

The human body therefore has important hyaluronic acid depots in the joints, cartilage, bones, eyeballs and skin.

Hyaluronic acid injections are therefore not only of therapeutic interest for aesthetic medicine, but have also long been common practice in orthopaedics, for example.

Hyaluronic acid as a component of the connective tissue gives the skin volume, elasticity and resilience.

Moreover, it protects the collagen and elastin fibres from premature ageing. Both functions are important for a fresh and youthful appearance.

Over time, however, the skin’s natural hyaluronic acid content decreases due to various physiological and environmental factors.

These include the natural ageing process or exposure to UV radiation (sun light).

The resulting decrease in hyaluronic acid leads to a loss of moisture and elasticity, which leads to tissue slackening and wrinkles.

The ageing process has a negative effect on the skin, but also on the firmness of the tissue and the shape of the face in general.

The youthful “V” shape becomes a clear “O“. Central parts of the face, such as the cheeks, no longer act as supports for a dynamic facial expression, but on the contrary create a flabby, drooping impression.

The idea of compensating for the loss of the body’s own hyaluron by means of HA fillers was therefore already being contemplated towards the end of the last century.

And since 1996, synthetic hyaluronic acid has become widely available to replace lost natural depots, add plumpness to the tissue and thus improve aesthetics.

In general, so-called cross-linked hyaluronic acid fillers are used for these threatments. Due to their inherent insolubility in water, they are ideally suited for injections to treat wrinkles and restore volume.

In contrast, native non-cross-linked hyaluronic acid aims to set certain metabolic processes in motion. But due to its instability it does not yield long lasting effects, thus is not suitable for augmentative treatments.

There are various hyaluronic acid formulations available in the market today which differ, among other things, in hyaluronic acid content, particle size, viscosity, type of stabilisation and durability.

Different products can therefore be chosen for different treatment purposes, usually in the form of ready-to-use syringes.

The quality of the HA filler usually also drives the cost of a treatment, next to the size of the area to be treated and the complexity of the case.

The direct cost of a HA filler usually accounts for around 50% of the total costs of a treatment and even more when treatment areas are large.

This should make it clear that the choice of a high-quality HA filler with a long-lasting effect has a decisive influence on the final price of a HA treatment.

In addition to the immediate volume effect, injections of hyaluronic acid also biostimulate the tissue.

This means that hyaluronic acid not only adds plumpness to the tissue, but also causes the skin to regenerate itself by activating fibroblasts (connective tissue cells) and stimulating the production of new collagen fibres.

This biorevitalisation is mainly due to the “native” properties of modern hyaluronic acid fillers, which stimulate the anabolic metabolism of fibroblasts.

The mesotherapeutic hyaluronic acid treatment with “non-cross-linked” hyaluronic acid products is mainly based on this effect. In mesotherapy, the focus is not on directly adding plumpness to the tissue or smooth out wrinkles, but on the long-term aesthetic improvement through the activation of metabolic processes.

In my practice in Munich I treat my patients mainly with cross-linked hyaluronic acid products from JUVEDERM.

I use Juvéderm VOLITE, which is a very low-viscosity, native hyaluronic acid that comes very close to mesotherapy, for superficial applications where the main focus is on moisturising the treated area.

This superficial treatment with hyaluronic acid is also known as skin-boosting. At best, subtle smoothing effects are achieved on wrinkled skin, the main focus being on improving the skin’s appearance and regaining a moisture-induced “glow”.

Hyaluronic acid as a “skin booster” is suitable for the face, neck and décolleté as well as the hands.

The skin is moisturised “from the inside” so to speak, something that is only possible with hyaluronic acid injections and no topical moisturizer can do, no matter how modern (and expensive) it may be.

I use the two Juvéderm products VOLIFT and VOLUMA for the treatment of deeper wrinkles and the addition of plumpness to the tissue.

HA filler treatments are suitable for tear throughs, nasolabial folds, cheek, chin and puppet lines.

HA can also be injected to lift sunken corners of the mouth and smooth out all kinds of depressions (scars).

The Juvéderm HA filler VOLBELLA I use mainly for lip augmentation.

The latest addition to the Juvéderm range of HA fillers is VOLUX. It is ideal for modelling large and exposed areas of the face such as the chin.

Chemically, all these products are the same, they only differ in the degree of cross-linking, which affects their viscosity as well as their dimensional stability and thus ultimately the durability of the effect.

In comparison to other hyaluronic acid fillers, the products mentioned above are characterised by a longer durability of the effect, which is why they also come at relatively higher costs from the manufacturer, which translates into slightly higher treatment costs.

My prices for hyaluronic acid treatments

The following prices are guidelines based on past experience. They include premium HA fillers (JUVEDERM Vycross).

Actual prices may deviate from the following indications, as they have to be individually calculated according to the rules set forth in the German fee schedule for physicians (GOÄ).

Treatment EUR
Forehead lines 425
Frown lines 225
Tear through 425
Crow’s feet 425
Cheek lifting 700
Philtrum, Smoker lines 425
Nasolabial fold, both sides 425
Corners of the mouth 425
Lip augmentation 425
Puppet lines 425
Chin augmentation 425

All price guidelines incl. VAT

Frequently asked questions

In principle, the injected hyaluronic acid can be dissolved again at any time by means of Hylase.

This enzyme liquefies the hyaluronic acid into an aqueous substance which is immediately broken down by the body. Similar to hyaluronic acid itself, hylase is a substance that is naturally found in the human body.

However, even experienced professionals are reluctant to use synthetic hylase because it has a much stronger effect than the body’s own enzyme.

The basic risk is therefore that not only the undesirable HA filler is broken down, but also the body’s own HA depots.

Another reason is that hylase is subject to a number of serious contraindications which must be clarified before it is used.

Among other precautions, a prick test on the forearm is used to determine whether the patient is allergic to bovine proteins. This is because Hylase Dessau, which is the main product on the market in Germany, is produced from bull testicles.

For good reason, I attach great importance to a detailed disclosure by and consultation with my patients in Munich before any treatment with hyaluronic acid. Thus, except in very exceptional cases, the use of Hylase should never be necessary.

A liquid lift is a highly effective and almost painless alternative to conventional surgical lifting.

The treatment consists of several injections of hyaluronic acid, following a distinct anatomical pattern.

The hyaluronic acid will replace missing tissue volume and thereby allow to model the face in a targeted manner.

The positive effect of a liquid lift is not just a more youthtful appearance. On top, the lift can be used to achieve specific forms of facial expression, such as “looking more masculine/feminine”, “looking less tired”, “looking slimmer/contoured” or “looking less sad”.

The foundation of liquid lifting with HA fillers was laid by the Brazilian plastic surgeon Mauricio de Maio.

Together with ALLERGAN, the world’s leading manufacturer of hyaluronic acid fillers, he laid down his specific lifting strategies in a concept that was widely used in teaching and practice under the name MD Codes.

I have also received in-depth training in the MD Codes and continue to train myself within this framework.

In my practice in Munich I practice liquid lifting exclusively according to the MD Codes.

The most frequently used lifting strategy is the 8-point cheek lift, which leaves a very natural and harmonious facial expression, while significantly smoothing out pronounced nasolabial wrinkles.

What makes the MD Codes special? The technique focuses on several sub-segments of the face, that must receive individual attention during the treatment.

These sub-segments – each one referenced by a separate MD Code – are the structural pillars for an aesthetically appealing facial architecture.

Just as every patient has his or her own motivation for coming to my practice, I can use the MD Codes to create an individual lifting concept to meet my patients’ desires in the best possible way.

Without surgery. Without important risks.

This is a good question, because there is indeed no clear answer that would be supported by scientific evidence.

Hyaluronic acid is a substance that, unlike BOTOX, occurs naturally in the body. This would suggest that HA filler treatments should not be a problem during pregnancy and breastfeeding.

Two related issues are of concern, however:

First, most HA fillers include a local anaesthetic called Lidocaine.

Lidocaine certainly is a substance that you should stay away from during pregnancy and breastfeeding.

Second: if complications arise, it might be unavoidable to dissolve the injected hyaluronic acid with Hylase. And Hylase certainly also is a substance, that you don’t want to be exposed to during pregnancy and breastfeeding.

I therefore strongly recommend that you do NOT have HA filler treatments during pregnancy and breastfeeding.

I, for one, do not offer them to patients in such condition.

For a fresh, attractive look