Wrinkle treatment in Berlin. Suited to you.
It's good to have you here. If you would like a change, we will look together at what suits your face – and what defines your expression.
The basis is a personal examination by a specialist physician. We assess your facial expressions, facial volume and skin. You do not need to decide on a method beforehand.
What your skin and facial expressions tell us
When we laugh, blink or frown, our facial muscles move. This creates dynamic wrinkles. They are part of our expression and, over time, can become visible even when the face is relaxed.
Static wrinkles remain visible at rest. Decreasing elasticity and changes in the underlying tissue can contribute to this. Several causes often act together. That is why we look closely: How does the line change with movement? Is supporting volume lacking? What role does skin texture play? This allows us to distinguish, for example, fine crepey lines from changes in facial contours.
Forehead wrinkles: facial expressions and etched-in lines
Frown lines run mainly vertically between the eyebrows, while horizontal forehead wrinkles run across the forehead above them. For treatment, we consider your brow position, muscle movement and existing etched-in lines together.
Around your eyes
Laugh lines at the outer corners of the eyes are also called crow’s feet. The skin here is particularly thin and moves a great deal. When treating eye wrinkles, we therefore distinguish between facial expressions and skin changes. We assess dark circles and changes to the eyelids separately.
The mouth area and its interplay with surrounding areas
When planning treatment of the mouth area, we also consider the adjacent cheeks and chin.
Nasolabial folds run from the sides of the nose to the corners of the mouth. The supporting volume of the cheeks can play a role in these folds. With fine lip lines, facial expressions and skin changes often interact. We tailor the treatment accordingly.
Chin and lower facial contour
With chin wrinkles, we check whether dimples form when the muscles contract or whether a line remains visible even at rest.
Marionette lines run downwards from the corners of the mouth. The labiomental fold, on the other hand, lies at the natural transition between the lower lip and the chin. Both can deepen over time, but require different treatment approaches.
Botox or fillers: differences at a glance
Botulinum toxin and hyaluronic acid fillers address different causes. Hyaluronic acid is one of several types of filler.
| Botulinum toxin | Hyaluronic acid fillers | |
|---|---|---|
| Mechanism of action | Temporarily reduces the activity of treated muscles. | Binds water and can be used to restore volume. |
| Possible concern | Wrinkles primarily caused by facial expressions. | Volume loss and associated changes in facial contour. |
| Good to know | Muscle relaxation does not replace lost volume. | Not every deep wrinkle needs more volume. Severely sagging skin cannot be tightened sufficiently with this approach. |
| Detail pages | Botox in Berlin | Hyaluronic acid fillers in Berlin |
We discuss with you which approach suits your wishes and whether a combination makes sense.
Botulinum toxin temporarily reduces signal transmission between nerves and muscles. This can make expression lines appear softer. Botox is a well-known trade name often used in everyday language for this treatment.
Fillers and volume restoration
Fillers are materials that we can inject to add volume. For your wrinkle injections in Berlin, we tailor the material and amount to the facial area and your goal.
Hyaluronic acid binds water and can replace lost volume. We use specially manufactured preparations for injections. Other materials, such as poly-L-lactic acid or calcium hydroxylapatite, differ in their effects and risks. Autologous fat can also add volume; this requires fat to be harvested first.
Liquid lifting
Liquid lifting refers to adding volume with fillers without surgery. It is not a standardised product, but an individually planned treatment approach. It cannot replace a surgical lift in cases of pronounced skin laxity.
When teeth grinding or sweating troubles you
Bruxism means teeth grinding or jaw clenching, and hyperhidrosis means excessive sweating. Both conditions require their own assessment. Under Botox for bruxism, you can learn more about a possible treatment approach for jaw problems.
You can find information about Botox for excessive sweating on our dedicated page. We consider the cause and the affected area of the body before recommending a treatment.
Your treatment and the costs
The costs depend on the method, the area treated and the amount of the preparation required. Before you make your decision, we discuss the treatment plan and explain the costs for the consultation, treatment and any further appointments. This allows you to plan at your own pace.
What you should know before treatment
Redness, swelling or minor bruising may occur after injections. We discuss which other risks are relevant to you based on the method, the preparation and the area treated.
With fillers, inflammation, allergic reactions and, later on, material migration or inflammatory nodules may occur. Vascular occlusion occurs rarely. This can damage tissue and even lead to loss of vision — including with hyaluronic acid fillers.
If you experience visual disturbances after a filler treatment, please seek medical help or go to an emergency department immediately. Also have severe pain, numbness or noticeable skin discolouration assessed by a doctor without delay.
With botulinum toxin, headaches, temporarily drooping eyelids or unwanted weakening of neighbouring muscles may occur. Very rarely, the substance has effects beyond the treatment area. If you experience difficulty breathing, swallowing or speaking, you need immediate medical help.
Sometimes another approach is more suitable: for skin texture or pigmentation, we can discuss laser treatment with LaseMD, and for pronounced skin laxity, surgical options. We are also happy to discuss skincare and sun protection. You may equally make a conscious decision not to have treatment.
I look forward to hearing your story
I am Andrea Caletti, a specialist in Plastic, Reconstructive and Aesthetic Surgery and a specialist in Surgery. I come from Verona and work in Berlin. Together, we explore your wishes in a personal consultation and identify suitable methods. It is important to us that you feel comfortable with the result.
Also tell me what you definitely want to keep. I want to understand what a natural appearance means to you. Previous treatments, medical conditions and medications are important for my recommendation. Please feel free to bring any information you have about preparations previously used. If I advise you to have less treatment or to wait, I will explain the reasons.
Your consultation at Kurfürstendamm
I look forward to meeting you at Vita Aesthetica at Kurfürstendamm 200. You can book your consultation online via “Book a consultation”. You can find more information about your visit under Consultation at Kurfürstendamm.
You do not need to have made a treatment decision before the consultation. Your questions, wishes and concerns are the starting point. Together, we find out which approach feels right for you.
Get to know botulinum toxin
Space for your questions
How do Botox and hyaluronic acid fillers differ?
Botulinum toxin temporarily reduces muscle activity and can soften expression lines. Hyaluronic acid fillers, on the other hand, add volume. We decide which method is suitable based on your facial expressions, your skin and your wishes.
Does every wrinkle need to be treated?
No. Wrinkles are part of your face and your story. What matters is whether you yourself want to change something and whether treatment is medically appropriate. We discuss both openly.
Can a combination of botulinum toxin and fillers be appropriate?
Yes, if both muscle movement and volume loss play a role. We explain what each method can contribute and recommend only the steps that make sense for your goal.
What does a natural-looking result mean as a treatment goal?
For me, a natural appearance means that a change suits your facial movements, your proportions and your expression. It is not about eliminating every line. What you like about yourself and want to preserve is just as important to me as your wish for change.
What risks should I know about before making a decision?
In addition to swelling and bruising, fillers can cause inflammation and, rarely, vascular occlusions, among other complications. Botulinum toxin can cause headaches or temporarily drooping eyelids, for example. You can find important warning signs above in the section “What you should know before treatment”. We will discuss your personal risks beforehand.
When will I find out the cost of my wrinkle treatment?
We discuss the costs based on your treatment plan before you decide. We also explain which services are included and what additional costs apply for consultations or further appointments.
How long do the results of wrinkle treatment last?
The effect is temporary. How long it remains visible depends on the method, the product, the area and your individual response. We discuss what you can expect. You can take your time deciding whether you would like a touch-up later.
What should I bear in mind after wrinkle injections?
We provide you with appropriate advice on aftercare and any breaks you may need from everyday activities. Please contact us if you are unsure about anything. Visual disturbances, severe pain or numbness after fillers, as well as breathing, swallowing or speech difficulties after botulinum toxin, require immediate medical attention.