Dermal Fillers in Munich – Hyaluronic Acid Wrinkle Treatment and Natural Filler Treatment
In aesthetic medicine, hyaluronic acid can achieve a great deal when used correctly. It can soften the appearance of lines, restore lost volume, shape the lips more harmoniously and make individual facial features look fresher.
In my practice in Munich, I use hyaluronic acid fillers mainly to treat patients who want a natural-looking result. The goal is not to significantly change a face. My aim is to preserve each patient’s own facial features and support them where volume has been lost or lines make the face look more tired than the patient feels.
A good hyaluronic acid filler treatment therefore always begins with a detailed assessment. Where is volume truly missing? Which line is caused by tissue descent? Which line is simply part of natural facial expression? And where would less filler be better than more?
At LIPS and SKIN in Munich, the focus is on a fresh, harmonious result — without overcorrection and without an artificial expression.
Hyaluronic Acid Fillers in Munich at a Glance
- Type of treatment: Wrinkle treatment and volume restoration with hyaluronic acid fillers
- Treatment duration: usually approx. 20 to 30 minutes
- Social downtime: often immediately or after a few days
- Onset of effect: visible immediately; final result after swelling has subsided
- Longevity: usually approx. 6 to 12 months, sometimes longer depending on the area
- Anesthesia: numbing cream on request, especially for lip treatments
- Side effects: swelling, redness, small bruises or temporary unevenness
- Treatment areas: lips, cheeks, nasolabial folds, marionette lines, jawline, chin, tear trough and fine lines
- Special feature: natural-looking results based on an individual facial assessment
- Not suitable for: acute inflammation in the treatment area, unrealistic volume expectations, certain medical risks, pregnancy and breastfeeding
What Is Hyaluronic Acid?
Hyaluronic acid occurs naturally in the body. It binds water and helps the skin and tissue appear elastic and well hydrated.
In aesthetic medicine, hyaluronic acid is used as a filler. This means it is placed precisely under the skin or into deeper tissue layers to restore volume, smooth lines or enhance contours.
However, not all hyaluronic acid fillers are the same. There are softer fillers that are well suited for fine lines or lips. Other products are firmer and are more often used for the cheeks, chin or jawline. The decisive factor is not only the product, but also the correct placement.
For my patients in Munich, I therefore always choose the filler according to the treatment area, skin structure and desired result.
How Does a Hyaluronic Acid Filler Treatment Work?
Eine wrinkle treatment with hyaluronic acid works differently from Botox. Botox relaxes specific muscles. Hyaluronic acid, by contrast, restores volume, supports the tissue and can soften lines from within.
This is particularly useful for lines caused by volume loss or tissue descent. Examples include nasolabial folds, marionette lines, hollow cheeks or a tired-looking area under the eyes.
Hyaluronic acid can also be used to improve contours. This includes the lips, chin, cheeks or jawline. When dosed correctly, the face does not look “done,” but fresher and more balanced.
Before every treatment, I explain to my patients in Munich exactly what is possible with hyaluronic acid — and where its limits are.
Wrinkle Treatment with Hyaluronic Acid Fillers
The Wrinkle Treatment with Hyaluronic Acid Fillers is particularly suitable for lines that are visible even at rest. These are known as static lines. They often develop as part of the natural aging process, volume loss, skin laxity or changes in facial contours.
Typical areas include:
- nasolabial folds
- marionette lines
- lip lines
- cheek lines
- hollow facial areas
- fine crepey lines
During treatment, the appropriate hyaluronic acid filler is placed precisely. This can support the tissue again. The line appears softer, and the face often looks fresher and more rested.
What matters to me is this: not every line has to disappear completely. A face should remain expressive. A good wrinkle treatment with fillers in Munich should not be noticeable because someone looks “overfilled.” It should be noticeable because the face looks more harmonious and rested.
Lip Augmentation with Hyaluronic Acid
With Lip Augmentation with Hyaluronic Acid the goal is not automatically very full lips. Many patients simply want a more defined contour, more hydration, slightly better symmetry or correction of volume loss.
In my practice in Munich, I pay particular attention to natural proportions during lip treatments. The lips should fit the face. An overemphasized upper lip or an artificial-looking “duck lip” effect does not reflect my treatment approach.
Hyaluronic acid can be used on the lips for:
- more lip volume
- more defined lip contours
- correction of minor asymmetries
- more hydration and smoothness
- softer upper lip lines
- age-related volume loss
Before treatment, I discuss exactly which result is realistic and appropriate. Especially with the lips, less is often better. Small amounts can achieve a great deal when placed precisely.
Swelling of the lips is normal after treatment. In the first few days, the lips may look more swollen than the final result will be. I therefore advise my patients in Munich not to schedule a lip treatment immediately before important appointments.
Treating Nasolabial Folds with Hyaluronic Acid
The nasolabial fold runs from the side of the nose toward the corner of the mouth. It is often perceived as a sign of tiredness or aging. However, it often does not develop only at the fold itself, but also as a result of volume loss in the midface.
For this reason, it is not always useful to inject only the fold itself. The cheek area often needs to be assessed first. If volume is missing there, gentle cheek augmentation can improve the nasolabial fold more naturally than directly overfilling the fold.
When treating the nasolabial fold with hyaluronic acid, the aim is to make the area appear softer and more harmonious. The face should not look stiff or unnaturally smooth.
Botox is usually not the appropriate method for the nasolabial fold because it is generally not purely an expression line. Hyaluronic acid is often more suitable here because it can provide volume and support.
Treating Marionette Lines with Fillers
The nasolabial fold runs from the side of the nose toward the corner of the mouth. It is often perceived as a sign of tiredness or aging. However, it often does not develop only at the fold itself, but also as a result of volume loss in the midface.
For this reason, it is not always useful to inject only the fold itself. The cheek area often needs to be assessed first. If volume is missing there, gentle cheek augmentation can improve the nasolabial fold more naturally than directly overfilling the fold.
When treating the nasolabial fold with hyaluronic acid, the aim is to make the area appear softer and more harmonious. The face should not look stiff or unnaturally smooth.
Botox is usually not the appropriate method for the nasolabial fold because it is generally not purely an expression line. Hyaluronic acid is often more suitable here because it can provide volume and support.
Cheek Augmentation and Liquid Lifting
With increasing age, the face often loses volume in the midface. The cheeks appear flatter, the contours descend slightly and lines in the lower face become more visible.
Targeted cheek augmentation with hyaluronic acid can look very natural here. The filler is not used to make the face look artificially round. Rather, it is intended to support areas where volume has been lost.
This can have a positive effect on:
- hollow cheeks
- tired-looking facial features
- nasolabial folds
- marionette lines
- sagging contours
- the overall freshness of the face
This type of treatment is sometimes referred to as liquid lifting. It means gentle tightening and harmonization without surgery.
I always explain to my patients in Munich that hyaluronic acid can replace volume and improve contours. However, it does not replace a surgical facelift when there is significant excess skin.
Contouring the Jawline and Chin with Hyaluronic Acid
The jawline and chin have a major influence on facial shape. Firm hyaluronic acid fillers can be used to contour these areas precisely.
Ein jawline contouring with hyaluronic acid can make the jawline appear more defined. A chin treatment can harmonize the profile, especially if the chin is slightly recessed or the proportion between the nose, lips and chin appears unbalanced.
Careful planning is important. Not every face needs a prominent jawline. In women, a soft, elegant contour often looks more attractive. In men, slightly stronger definition may be desired. The decisive factor is always that the result suits the face.
I recommend jawline or chin treatment to my patients in Munich only if it truly improves the natural facial shape. A treatment based only on trend images from social media is rarely useful. It can improve contours, but it does not replace a surgical facelift when there is significant excess skin.
Treating Dark Circles and the Tear Trough with Fillers
The jawline and chin have a major influence on facial shape. Firm hyaluronic acid fillers can be used to contour these areas precisely.
Ein jawline contouring with hyaluronic acid can make the jawline appear more defined. A chin treatment can harmonize the profile, especially if the chin is slightly recessed or the proportion between the nose, lips and chin appears unbalanced.
Careful planning is important. Not every face needs a prominent jawline. In women, a soft, elegant contour often looks more attractive. In men, slightly stronger definition may be desired. The decisive factor is always that the result suits the face.
I recommend jawline or chin treatment to my patients in Munich only if it truly improves the natural facial shape. A treatment based only on trend images from social media is rarely useful. It can improve contours, but it does not replace a surgical facelift when there is significant excess skin.
HArmonyCa, Radiesse and Hyaluronic Acid: What Is the Difference?
In addition to traditional hyaluronic acid fillers, there are also biostimulators and hybrid fillers. These include, for example, Radiesse, Crystalys and HArmonyCa.
Pure hyaluronic acid fillers mainly provide volume, hydration and structure. Depending on the product, they are suitable for the lips, lines, cheeks, chin, jawline or tear trough. A major advantage is that traditional hyaluronic acid fillers can be dissolved with hyaluronidase if needed.
Radiesse and Crystalys contain calcium hydroxylapatite. This active substance can stimulate the body’s own collagen production. It is more commonly used when the focus is on structure, firmness and tissue quality.
HArmonyCa combines hyaluronic acid with calcium hydroxylapatite. This creates an immediate effect through the hyaluronic acid component. At the same time, the calcium hydroxylapatite component can stimulate collagen production. HArmonyCa therefore combines the advantages of both approaches in one treatment.
Important: HArmonyCa is not a pure hyaluronic acid filler. It therefore cannot be fully dissolved with hyaluronidase like a traditional hyaluronic acid filler. Only the hyaluronic acid component can be influenced by hyaluronidase.
For this reason, I use HArmonyCa very selectively in my practice in Munich. It can be a good option for the cheeks, contours or certain areas with structural loss. For lips or very fine, superficial corrections, a traditional hyaluronic acid filler is usually better suited.
Dissolving Hyaluronic Acid Fillers with Hyaluronidase
Hylase, also called hyaluronidase, is an enzyme that can break down hyaluronic acid fillers. This can be useful for aesthetic or medical reasons.
Possible reasons for hyaluronidase treatment include:
- too much hyaluronic acid filler
- unnatural lip shape
- palpable lumps
- persistent swelling
- unfavorable filler placement
- bothersome residual filler
- rare, serious complications
Especially for patients who are dissatisfied with a previous hyaluronic acid filler treatment, hyaluronidase can be a way to restore a better starting point.
However, I also explain to my patients in Munich that not every uneven area needs to be dissolved immediately. Swelling and small areas of firmness can be normal directly after hyaluronic acid filler treatment. Sometimes it is better to wait a few days first.
In contrast, severe pain, skin discoloration, paleness, increasing swelling or visual disturbances require immediate medical evaluation to determine whether a complication is present.
How Hyaluronic Acid Filler Treatment Works
Before every hyaluronic acid filler treatment, a consultation takes place. I carefully assess facial proportions, skin quality, facial expression and the desired change.
I then discuss which treatment is appropriate and which is not. It is important to me that patients understand what can realistically be achieved.
The process is usually as follows:
- First, the skin is cleansed and disinfected.
- A numbing cream can be applied on request, especially for sensitive areas such as the lips.
- The appropriate hyaluronic acid filler is then placed using a fine needle or a blunt cannula.
During treatment, I repeatedly check symmetry, proportions and the natural expression. The treatment usually takes about 20 to 30 minutes.
After treatment, patients can usually leave the practice immediately. Mild swelling, redness or small bruises may occur.
Aftercare after Hyaluronic Acid Filler Treatment
After a hyaluronic acid filler treatment, you should initially leave the treated areas alone. Please do not press firmly, massage or constantly check the areas.
For the first few days, I recommend:
- avoid make-up on the injection sites on the day of treatment if possible
- no exercise for 24 to 48 hours
- no sauna, solarium or intense sun exposure
- no intensive facial massage
- no cosmetic treatments immediately afterward
- allow enough time before important appointments
Gentle cooling can feel pleasant, but please avoid strong pressure.
With lip treatments or treatments under the eyes, swelling can be more noticeable. This does not automatically mean that too much hyaluronic acid filler was used. The final result only becomes visible once the swelling has subsided.
Risks and Side Effects
A hyaluronic acid filler treatment is a minimally invasive procedure. In experienced hands, it is well controllable, but it is not risk-free.
Possible side effects include:
- mild swelling or redness
- small hematomas
- temporary asymmetries
- lump formation or unevenness
- allergic reactions, including delayed reactions
- vascular injury and embolism
Vascular complications are rare, but important. They can occur especially in certain high-risk areas. For this reason, a hyaluronic acid injection should only be performed with precise knowledge of anatomy and appropriate medical experience.
In my practice in Munich, I place great importance on careful indication, sterile technique, appropriate product selection and safe injection technique.
How Long Does Hyaluronic Acid Filler Last?
The longevity of hyaluronic acid fillers varies from person to person. It depends on the product used, the treated area, metabolism, facial movement and lifestyle.
As a rough guide:
- lips: often approx. 4 to 9 months
- nasolabial folds: approx. 6 to 12 months
- marionette lines: approx. 6 to 12 months
- cheek augmentation: approx. 9 to 18 months
- jawline and chin: approx. 9 to 18 months
- tear trough: varies greatly from person to person
In some patients, hyaluronic acid fillers last longer; in others, they break down more quickly. Exercise, metabolism, sun exposure and movement in the treated area can play a role.
I usually do not recommend retreating too early. It is better to maintain the result naturally rather than building up more and more filler.
Cost of Hyaluronic Acid Filler Treatment in Munich
The following prices for injectable filler treatments are guideline prices in my practice in Munich. Individual costs are always calculated according to the German Medical Fee Schedule (GOÄ).
Table can be scrolled horizontally
| Treatment | Price (indicative, incl. VAT) |
|---|---|
| Tear through (1ml) | 450-480€ |
| Nasolabial fold (1ml) | 298-450€ |
| Mouth corners (1ml) | 298-450€ |
| Marionette lines (1ml) | 298-450€ |
| Perioral lines (1ml) | 298-450€ |
| Lip augmentatin (1ml) | 298-850€ |
| Chin augmentation (1ml) | 450-1.250€ |
| Cheek lift (1ml) | 520-860€ |
| Liquid lift (3ml) | 770-1.250€ |
| Liquid lift (4ml) | 1.000-1.650€ |
| Skin hydration (1-2ml) | 450-860€ |
| HArmonyCa (1,25ml) | from 560€ |
| PROFHILO Face/Neck (1x2ml) | from 298€ |
| PROFHILO Body/Arms (2x3ml) | from 695€ |
| PhilArt (Polynucleotides, 2ml) | from 320€ |
| Hyalase treatment (150iE) | from 198€ |
| Consultation | 75€ |
Consultation and Scheduling
Would you like to find out whether dermal fillers are the right treatment for you? I will provide an individual and honest consultation.
All you need to schedule an appointment is an email address and a phone number.
FAQ – Frequently Asked Questions about Hyaluronic Acid Fillers
That depends on what causes the line. Botox relaxes muscles and is mainly suitable for expression lines, such as forehead lines, frown lines or crow’s feet. Hyaluronic acid filler restores volume and supports the tissue. It is more suitable for static lines, lips, cheeks, chin or jawline.
Botox is useful when a line is caused by muscle activity. Hyaluronic acid filler is useful when volume is missing or tissue needs support. For many patients, a combination of both methods is also appropriate.
Usually not. The nasolabial fold often develops as a result of volume loss in the midface and tissue descent. Hyaluronic acid filler is therefore usually more suitable here than Botox.
Yes. Traditional hyaluronic acid fillers can be dissolved with hyaluronidase. This is an important safety advantage of hyaluronic acid fillers.
Only partially. HArmonyCa contains hyaluronic acid and calcium hydroxylapatite. The hyaluronic acid component can be influenced by hyaluronidase. The calcium hydroxylapatite component cannot be fully dissolved like a pure hyaluronic acid filler.
Hyaluronic acid fillers provide volume and support the tissue. HArmonyCa combines hyaluronic acid with calcium hydroxylapatite and can also stimulate collagen production. It is therefore a hybrid filler and not a traditional pure hyaluronic acid filler.
Radiesse contains calcium hydroxylapatite and has a biostimulatory effect. Hyaluronic acid is a filler that provides volume and can be dissolved with hyaluronidase if needed. Which treatment is more suitable depends on the area, skin quality and goal.
Hyaluronic acid fillers usually last several months. In the lips, they often break down faster than in the cheeks, chin or jawline. Longevity is often between 6 and 12 months, sometimes longer depending on the area.
Yes, the result of a hyaluronic acid filler treatment is visible immediately. In the first few days, swelling can still change the result. The final result is only visible once swelling has subsided.
This varies depending on the area. Mild swelling often subsides after a few days. The lips and tear trough can remain swollen for longer.
Yes, small lumps or uneven areas can occur. Immediately after treatment, these are often due to swelling. If lumps persist or are bothersome, they should be medically evaluated.
Hyaluronic acid filler can distribute unfavorably if too much product is used, if it is placed too superficially or if the area was not selected appropriately. Product selection, technique and experience are therefore important.
Unnatural results are often caused by too much filler, incorrect placement or treatment without considering the overall facial proportions. My goal is therefore always a subtle improvement, not a visible change in personality.
Hyaluronic acid filler treatment is an established procedure, but it is not risk-free. In addition to swelling and bruising, there are rare but serious risks such as vascular injury. The treatment should therefore be performed by a physician.
Areas that require particular care include the nose, forehead, glabella, tear trough and certain areas around the mouth and eyes. Precise knowledge of vascular anatomy is very important here.
Only if the dark circles are caused by volume loss or a tear trough. In cases of pigmentation, under-eye bags or very thin skin, hyaluronic acid filler is not always suitable.
Yes. Natural-looking lips are usually the most beautiful result. The decisive factors are an appropriate amount, a suitable filler and a technique that matches the natural lip shape.
Russian Lips is a lip augmentation technique in which the lip is built up more vertically and the contour is emphasized. Not every lip shape is suitable for this technique, because too much hyaluronic acid filler can quickly make the result look unnatural. In my practice in Munich, I therefore usually recommend an individualized lip treatment that suits the natural facial shape.
A lip flip does not use hyaluronic acid filler. Instead, a small amount of Botox is used to allow the upper lip to turn slightly outward. This does not create true volume, but it can make the lip appear slightly more visible.
In some cases, yes. Small amounts of hyaluronic acid filler can compensate for early volume loss or improve skin quality. However, it is important not to treat too early and not to use too much.
Yes. This is often useful. Botox reduces muscle activity, while hyaluronic acid filler restores volume. Especially with combined age-related changes, both together can look more natural than a single method.
Yes, if it fits the findings. Hyaluronic acid filler can add volume, while a thread lift can lift tissue. Which treatment is more appropriate depends on the skin, tissue and desired result.
I recommend allowing at least 1 to 2 weeks. For lips or the tear trough, a little more time is preferable because swelling and small bruises are possible.
Exercise should be avoided on the day of treatment and usually for 24 to 48 hours afterward. This can help reduce swelling and bruising.
Short flights are usually not a problem. However, after larger treatments or in cases of significant swelling, I would recommend allowing some time. Treatment should not be scheduled too close to important trips.
Treatment should not be performed in cases of acute infection, inflammation in the treatment area, certain medical risks or unrealistic expectations. Pregnancy and breastfeeding are also reasons to postpone aesthetic hyaluronic acid filler treatment.
This depends greatly on the area and the goal. For a subtle lip treatment, a small amount is often sufficient. For the cheeks, chin or jawline, more product may be needed. I always discuss the appropriate amount individually.
Yes. Men can also benefit from hyaluronic acid filler, for example for the chin, jawline, cheeks or tired-looking facial features. The treatment is then planned differently than for women so that the result remains masculine and natural-looking.
First, a physician should assess which product was used, where it is located and whether hyaluronidase is appropriate. In many cases, bothersome hyaluronic acid filler can be dissolved and treated again later in a more targeted way.
About the Author:
Dr. med. univ. Eva Maria Strobl is the owner of LIPS and SKIN Aesthetic Medicine in Munich. She is a board-certified specialist in general medicine trained at MedUni Wien and has specialized in nonsurgical aesthetic treatments for more than 10 years. She is a member of the German Society for Aesthetic Botulinum Toxin Therapy (DGBT), the German Society of Anti-Aging Medicine (GSAAM) and the Network Global Health. She regularly publishes articles on her blog and on DocCheck.
Sources for This Article:
Sattler et al., Fillers in Aesthetic Medicine, KVM Publishing
De Maio, MD Codes™: A Methodological Approach to Facial Aesthetic Treatment with Injectable Hyaluronic Acid Fillers, Link
Seo, Facial Volumization with Fillers, Springer
