Last updated: 24. June 2026

Modern wrinkle treatments now offer a wide range of options to visibly smooth the skin and harmonize facial features – all without an unnatural effect. Whether through minimally invasive procedures such as Botulinum toxin (Botox), Hyaluronic acid, PRP (vampire facelift, autologous blood therapy), Morpheus 8 or thread lift or – in cases of advanced skin laxity – through a surgical procedure such as a facelift:

Lecturer Dr. Matiasek takes the time to understand your individual wishes and needs and advises you in detail on which method is best suited to your personal situation. In many cases, a combination of different treatments leads to success.

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What are wrinkles?

Wrinkles are visible lines, indentations, or depressions in the skin, usually resulting from the natural aging process. They can be fine lines (e.g., dehydration lines) or deeper (e.g., nasolabial folds, forehead wrinkles). They are particularly common on the face, neck, décolleté, and hands—areas constantly exposed to environmental factors and facial expressions.

How do wrinkles develop?

Wrinkles are caused by a combination of natural aging processes and external influences. As we age, the body produces less collagen and elastin, two important proteins that give skin its firmness and elasticity. At the same time, the levels of other proteins also decrease. Hyaluronic acid This causes the skin to lose moisture, volume, and elasticity. These changes promote the formation of wrinkles.

Furthermore, repeated movements such as smiling, frowning or blinking lead to so-called expression lines over the years, which are particularly common on the forehead or around the eyes.

Environmental factors such as UV radiation also have a significant impact on skin aging. Frequent and unprotected sun exposure significantly accelerates this process. This is known as photoaging. The skin becomes thinner, drier, and increasingly loses elasticity.

Furthermore, lifestyle habits such as smoking, excessive alcohol consumption, stress, or an unbalanced diet also negatively impact skin health. The skin regenerates less effectively and therefore ages faster. Finally, some people develop wrinkles earlier than others due to their genetic predisposition.

What types of wrinkles are there?

Basically, different types of wrinkles can be distinguished depending on how and where they form. Expression lines are caused by repeated facial muscle movements; these include, for example, frown lines, crow's feet, and forehead wrinkles. Static wrinkles, on the other hand, are independent of facial expressions and result from the natural skin aging process, such as nasolabial folds or marionette lines.

In addition, there are so-called fine lines. These are delicate, superficial lines that are primarily caused by a lack of moisture. Gravitational wrinkles, on the other hand, result from the loss of volume and tissue firmness, typically in the area of the chin, neck, or cheeks, where the skin can sag over time.

What methods for wrinkle treatment does lecturer Dr. Matiasek offer?

Wrinkles are as individual as the people themselves. Therefore, Dr. Matiasek relies on a broad spectrum of modern treatment methods to specifically address different wrinkle types, skin structures, and aesthetic desires. Depending on the findings and initial situation, minimally invasive or surgical procedures are used, either individually or in combination.

Botulinum toxin (Botox)

Botulinum toxin It is ideally suited for treating expression lines caused by repeated muscle movements, such as forehead wrinkles, crow's feet, or frown lines. The active ingredient specifically inhibits muscle activity, thereby smoothing the overlying skin. As a result, the face appears more relaxed, refreshed, and youthful.

Furthermore, Botox can also be used for subtle effects such as lifting drooping eyebrows, reducing dark circles under the eyes, or smoothing the lip line. Medical conditions such as excessive sweating, teeth grinding (bruxism), or headaches caused by chronic migraines can also be treated with botulinum toxin.

Hyaluronic acid

Hyaluronic acid Hyaluronic acid is a natural component of the skin that binds moisture and provides volume. With age, its levels decrease, and the skin loses elasticity and definition. Targeted injections with hyaluronic acid can fill wrinkles, define contours, and restore facial harmony.

This treatment is particularly suitable for the lower third of the face: for example, for shaping the cheeks, chin, or lips, as well as for reducing deep wrinkles such as nasolabial folds or marionette lines. The effect is immediately visible and lasts approximately six to twelve months.

PRP-Therapie (Vampir-Lifting, Eigenblutttherapie)

the PRP treatment It harnesses the regenerative power of your own blood. After a blood draw, the plasma is processed using a centrifuge and then injected into the skin. The growth factors it contains stimulate cell renewal, the production of collagen and elastin, and blood circulation.

PRP is ideal for fine lines, tired skin, dark circles under the eyes, as well as acne scars, pigmentation disorders, and sagging skin on the neck and décolleté. Hair loss can also be effectively treated with PRP, as it stimulates the hair follicles. The method is particularly natural, well-tolerated, and can be combined in many ways, for example with Botox or hyaluronic acid.

Thread Lift

The Thread Lift This is a minimally invasive method for tightening sagging skin, entirely without a scalpel. Self-dissolving, special threads are inserted under the skin. These gently lift the tissue and simultaneously stimulate collagen production.

The result: an immediate yet natural lifting effect that continues to improve over the following weeks. Depending on the skin's condition, various techniques are used: from a gentle V-lift for fine lines to an anchor lift for pronounced skin laxity. The one-stitch thread lift, a modern combination of classic lifting and thread lift techniques, is also particularly popular.

Morpheus8 (fraktioniertes Radiofrequenz-Needling)

Morpheus8 It combines two proven methods: microneedling and radiofrequency. Fine needles penetrate the skin in a controlled manner and deliver targeted heat pulses. This stimulates cell renewal, strengthens connective tissue, and promotes collagen and elastin production.

This treatment is ideal for smoothing fine lines, refining pores, tightening contours, and improving texture, even in sensitive areas like the neck and eyelids. After just a few sessions, you'll see visibly rejuvenated skin with a natural glow and a more defined silhouette – all without any downtime.

Facelift

If skin laxity is already significant, a facelift can be the ideal solution. This involves removing excess skin, tightening facial muscles, and restoring a harmonious facial contour. The goal is a lasting rejuvenation that lasts for many years, without any mask-like effect.

In addition to the classic method, Dozent Dr. Matiasek also offers Facelift We also offer variations such as mini-lifts, forehead or eyebrow lifts, as well as combined face and neck lifts using deep-plane techniques. Which technique is suitable for you will be discussed in detail during a consultation.

Combinations for optimal results

Depending on individual circumstances, a combination of several methods can also be beneficial. For example, expression lines can be relaxed with Botox, while hyaluronic acid restores lost volume and PRP improves overall skin quality. Lecturer Dr. Matiasek places great emphasis on naturalness, long-lasting effects, and individualized treatment plans so that you feel completely comfortable and authentically beautiful.

Who is a wrinkle treatment suitable for?

Wrinkle treatment is suitable for all women and men who desire a fresher, smoother, and naturally rejuvenated complexion without an artificial effect. Younger patients also benefit preventively from initial measures to smooth the skin and improve contours.

A treatment is not suitable in cases of:

• Pregnancy and breastfeeding
• acute skin inflammation
• certain autoimmune or coagulation disorders
• Fresh procedures or injections in the treatment area (time interval required)

How does a wrinkle treatment work?

Before any wrinkle treatment begins, Dr. Matiasek takes ample time for a personal consultation. During this appointment, he carefully analyzes your skin structure, wrinkle depth, and the affected areas. Using a Vectra 3D simulation, he discusses the characteristics of your face with you, as well as your individual wishes and expectations. He then provides comprehensive information about the available treatment methods, explaining their mechanisms of action, advantages, and potential risks. He also takes before-and-after photos to document the treatment's success.

The treatment process differs depending on the chosen method:

Minimally invasive procedures such as Botox, hyaluronic acid or PRP (Vampire lifting) These procedures are performed on an outpatient basis and usually only take 20 to 30 minutes. Dr. Matiasek uses ultra-fine needles and high-quality products to precisely and accurately deliver the substances to the targeted areas of the skin. This pinpoint technique ensures a particularly natural result with maximum tolerability.

During a treatment with Morpheus8, a combination of radiofrequency energy and microneedling, a local anesthetic gel is first applied to the skin to make the session as comfortable as possible. A special applicator with fine needles then glides over the skin, delivering heat pulses at a controlled depth to stimulate collagen and elastin production.

If deeper wrinkles or pronounced skin laxity are present, a surgical facelift may be a suitable option. This type of wrinkle treatment is performed under deep twilight sedation. The exact procedure, including preparation, incision technique, duration, and aftercare, will be discussed with you in detail beforehand by Dr. Matiasek.

Regardless of the chosen method, one thing is paramount for lecturer Dr. Matiasek: a harmonious, fresh and natural-looking result that suits you individually and underlines your personal charisma.

Are there any risks or side effects?

In general, all wrinkle treatments used by Dr. Matiasek are considered very safe, especially when performed correctly and under the highest medical standards. Nevertheless, as with any cosmetic treatment, temporary, mild reactions can occur.

Mild swelling, redness, or small bruises at the injection sites are possible, especially after injections with Botox or hyaluronic acid, and usually subside within a few days. After treatments with Morpheus8 or thread lifts, a slight feeling of tightness or pressure may occur, but this also quickly diminishes. Temporary asymmetries, for example after the use of botulinum toxin, are rare but can occur and usually resolve on their own.

Rare or specific complications, such as intolerances or reactions to the material used, will of course be discussed individually with you in a detailed consultation.

What needs to be considered after the treatment?

Proper aftercare is crucial for a beautiful and lasting result. Immediately after treatment, you should refrain from sports, saunas, and tanning beds for approximately 24 to 48 hours. Direct sun exposure should also be avoided. Therefore, regularly apply a high SPF sunscreen to the treated areas of skin.

If mild swelling occurs, gentle cooling can help. Important: Avoid massaging or manipulating the treated areas, especially after injections. Blood-thinning medications such as aspirin or certain dietary supplements should only be taken after consulting a doctor to minimize the risk of bruising.

After treatment, regularly care for your skin with moisturizing creams or serums to support regeneration and further improve the complexion.

For more invasive procedures such as thread lifts or facelifts, separate aftercare measures apply, which Dr. Matiasek will explain in detail as part of your individual treatment plan. The goal is always to make the healing process as comfortable and successful as possible.

When are results visible?

Depending on the chosen treatment method, the results appear at different speeds. With botulinum toxin (Botox), the smoothing effect is usually visible after seven to twelve days – once the treated muscles are relaxed. The effect of hyaluronic acid, on the other hand, is noticeable immediately after injection: wrinkles appear plumped up instantly, and volume is restored immediately.

PRP (platelet-rich plasma), also known as the vampire facelift, requires a bit more patience. Initial improvements usually appear after two to four weeks. Because cell regeneration is gradually stimulated, the results become more pronounced with each subsequent session.

A thread lift shows a visible lifting effect immediately after the treatment. The inserted threads support the skin, making it appear firmer right away. The result continues to improve over the following four to six weeks as the body's own collagen production is stimulated.

Morpheus8 – eine Kombination aus Microneedling und radio frequency – The first visible results appear after about a week. The final result is usually achieved after six to eight weeks, when collagen and elastin production has reached its peak.

With a surgical facelift, the final result is visible once swelling and any bruising have completely subsided. This healing process usually takes two to three months, but the result is all the more lasting.

How long does the result last?

The longevity of the results depends on both the method used and individual factors such as skin type, age and lifestyle.

• Botulinum toxin is effective for approximately four to six months. After that, the treatment can easily be repeated.
• Depending on the product and injection site, hyaluronic acid lasts approximately six to twelve months before the substance is broken down by the body.
• Thread lifting offers immediate results and lasting firming – usually for around twelve to eighteen months. Follow-up treatments can be performed afterward if necessary.
• PRP-Behandlungen wirken individuell unterschiedlich. In den meisten Fällen bleibt der Verjüngungseffekt für sechs bis neun Monate bestehen. Eine Aufbaukur mit mehreren Sitzungen wird empfohlen, um das Ergebnis zu optimieren.
• Morpheus8 überzeugt mit einem lang anhaltenden Effekt: Die Haut wirkt etwa ein Jahr sichtbar straffer. Durch den Kollagenaufbau kann sich das Gewebe sogar darüber hinaus kontinuierlich verbessern.
• A facelift delivers particularly lasting results. The effects can last for many years, depending on skin structure, age, and lifestyle.

Lecturer Dr. Matiasek places great importance on working with you to choose the appropriate method and achieve the best possible long-term result.

Can wrinkle treatments be combined?

In many cases, a combination of different methods is particularly effective, as the respective effects often complement each other perfectly. A holistic approach allows for the targeted treatment of both expression lines and static wrinkles, resulting in a lasting improvement in the overall appearance of the skin.

The combination of Botox and hyaluronic acid has proven very effective: While Botox relaxes the muscles and thus smooths expression lines, hyaluronic acid restores volume, for example in the cheeks or lips. Morpheus8 in combination with PRP also shows impressive results, as the collagen-stimulating effect of the radiofrequency is further enhanced by the regenerative properties of the patient's own blood.

A thread lift can also be complemented by targeted injections of fillers to not only tighten sagging facial features but also gently plump them up. Even after a facelift, minimally invasive follow-up treatments, such as PRP, microneedling, or hyaluronic acid injections, can further refine and prolong the results.

Do you desire a fresh, smooth complexion without an artificial effect? Then schedule your personal consultation with Dr. Matiasek now and find the right wrinkle treatment for your skin together.