Questions and answers: skin, hair, infusions.

With numbing cream it is quite bearable; it feels like fine sanding. Afterwards the skin feels like after a sunburn.

For skin quality yes, but the effect is subtler. For scars the combination is clearly more effective. Full page: Microneedling or PRP?

Yes, increasingly so – for example PRP with needling across the face and polynucleotides under the eyes.

The proteins are removed, reactions are not described; still, with a severe fish allergy PRP is preferred. Full page: PRP or polynucleotides?

Care: after 6–8 weeks. Skin boosters: clearly after the second session. Microneedling: after 4–6 weeks per session.

A single session two to three weeks before gives a short-term freshness effect; the course lasts longer. Full page: Dull skin

Yes, studies show more collagen and skin thickness under hormone replacement therapy. But that decision is made with the gynaecologist for medical reasons – not for the skin.

After the course usually one session every six to nine months. Full page: Thin, dry skin

There it is done cosmetically with short needles, without dermal depth, without PRP and without a physician. It is a different procedure.

At VIVA DERM needling is usually combined with PRP because healing and result are better; on request it is planned individually. Full page: Cost of microneedling

No, PRP for hair loss is a self-pay service – usually for privately insured patients too.

After three sessions photos are compared. If there is no effect, the therapy is not continued – that is discussed openly beforehand. Full page: Cost of PRP hair

One to three days like a sunburn, then mild flaking. Make-up from the second day.

Partly, combined with sun protection and lightening agents. But the spots often fade on their own within a year. Full page: Acne scars

As early as possible if it bothers you – lost follicles do not come back. What still produces fuzz can be strengthened.

Build-up with three to four sessions four weeks apart, then every six to twelve months. Full page: Hair loss men

Because it is mostly a consequence of volume loss in the cheek. Supporting the cheek lifts the fold – more natural than a bulge in the fold itself.

When something bothers you. Preventively sensible are sun protection and care, from the mid-30s possibly botulinum toxin for deep expression lines. There is no age at which you 'must'. Full page: How the face ages

One that states wavelengths (red ~630 nm, near-infrared ~830 nm) and irradiance; medical-device certification is a plus. Price alone says little.

After microneedling yes, even helpful for healing. After fillers light is unproblematic; heat and pressure should be avoided in the first week. Full page: Home devices

Only to a limited extent. Horizontal lines are static; botulinum toxin relaxes the platysma pull but does not smooth the line. Skin boosters and care are more sensible here.

As a skin booster (thin, spread over the area) yes. As a classic filler into the individual line rather not – it shows. Full page: Neck & décolleté

Because UV light and heat reactivate the pigment cells. Consistent protection and maintenance agents reduce relapses but do not reliably prevent them.

For marks after acne and mild melasma as a supplement yes, cautiously and in winter. Not for active, inflammatory melasma. Full page: Pigment spots

No. That belongs with dermatology or a GP with screening qualification. We refer for conspicuous marks.

No. Unclear pigmented marks are not injected or needled over. Dermatological assessment first, then aesthetics. Full page: Skin cancer screening

Hardly, because they arise from pressure, not muscles. Back sleeping, silk pillowcase and skin boosters make more sense.

Useful if they contain retinoids or humectants; the term 'night cream' alone means nothing. Full page: Sleep and skin

It relaxes the muscle that forms the frown line – the line becomes shallower, the tension itself remains. Some find it a relief because frowning as a reflex disappears.

First see a dentist (splint, rule out tooth damage). Botulinum toxin in the chewing muscle can reduce the force of grinding; the two complement each other. Full page: Stress & skin

Fluid and electrolytes ease dehydration – a litre of water with salt does that too. Vitamins change nothing about the hangover.

With an indication, per medical plan. Without indication: not at all, or rarely – weekly drips without deficiency cannot be justified medically. Full page: Drips: hype or benefit?

Yes, but under an occlusive cream, otherwise it draws water out of the skin.

Ideally in October or November; three sessions four to six weeks apart are finished by spring. Full page: Winter skin

More of a complement. Many combine both; the decision depends on extent and tolerance.

Only if active follicles remain there. Not on smooth skin without fluff. Full page: Androgenetic alopecia

Not at the licensed dose and with correct injection into fat tissue. Placement is decisive – hence physicians only.

The inflammatory reaction is the mechanism by which the fat cells are broken down. Full page: Deoxycholic acid

Because new hairs only regrow after the resting phase; the cycle cannot be accelerated.

More than 100 a day over weeks, visibly thinner areas or a widening parting are reasons for a work-up. Full page: Hair cycle

Slowed yes – above all through sun protection and not smoking. Stopped no.

Proven are sun protection, retinoids and vitamin C. Everything else is care, not anti-ageing. Full page: Skin ageing

The evidence shows at most small effects on hydration and elasticity. Sun protection works more reliably.

After a stimulus over about four to twelve weeks; that is why the effect of microneedling shows with a delay. Full page: Collagen

Microneedling stimulates the skin mechanically, skin boosters add hydration. For scars and pores microneedling is the choice, for dry skin the skin booster.

Usually after 24 hours. Full page: Microneedling

Usually not: the amount applied is too small and many day creams lack full UVA protection.

Yes. The skin keeps repairing minor damage when new damage stops; studies show improvements after just one year. Full page: Photoaging

The blood draw is like at your GP; the injections are well tolerated with anaesthetic cream.

No. It works best for early hereditary hair loss with active follicles. The cause should be clarified first. Full page: PRP (platelet-rich plasma)

Because it has become static. Botulinum toxin stops the movement but does not fill the written-in line.

Usually botulinum toxin first against the movement, assessment after two weeks, then volume if needed. Full page: Static lines

It depends on the findings. Three to four sessions about four weeks apart are usual, followed by a fresh medical assessment.

PRP uses components from your own blood. Whether the combination makes sense in your case is discussed after examination; a guaranteed effect cannot be promised.

Among others people with active skin infections, inflammatory acne in the area, impaired wound healing, a tendency to keloid scars, and during pregnancy and breastfeeding. Full page: Microneedling

That can only be said after a history and examination. The cause and stage of the hair loss matter, as do previous illnesses and medication. In some cases further work-up comes first.

The injections use very fine needles. The scalp is sensitive, but most people describe a brief pinch. Tell us if you are very sensitive to pain.

Usually yes. The scalp may be red for a short while. Avoid sport, sauna and swimming pools for a few days.

No, this is a self-paid service, invoiced according to the German scale of fees for physicians (GOÄ). Full page: PRP for hair