Guides · Essen

Understand before you decide.

Name: Guides: Understanding Aesthetic Medicine | VIVA DERM
Creator: Katayoun Mostaghimi

Aesthetic medicine needs explaining. Here are factual answers to the questions that come up most often in consultations – no promises, no marketing language.

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FactualMedically reviewedUpdated regularly

Responsible for the content: Katayoun Mostaghimi, specialist in general medicine · Last updated: 27 Sept 2026

Katayoun Mostaghimi, specialist in general medicine in Essen

In short

Plain-language articles on aesthetic medicine: the difference between Botox and fillers, what happens at a first treatment, and how GOÄ pricing works.

Articles

Latest articles.

Botox or filler?Difference, durability, uses Your first treatmentFrom consultation to review What does it really cost?GOÄ, 'from' prices, discounts How long does Botox last?Duration and what affects it AftercareWhat to do, what to avoid Dissolving fillerHyaluronidase explained For menWhat is different for men Botox: from what age?Prevention explained Pregnancy & breastfeedingWhat is possible How long does filler last?Durability by area PreparationThe checklist

Note

How these texts are meant.

These articles are general information. They replace neither a medical examination nor the legally required information consultation (§ 630e BGB). Whether a method suits your case is decided after history and examination – and sometimes the answer is that no treatment is advisable.

Responsible for the content: Katayoun Mostaghimi, specialist in general medicine, Rosastraße 6a, 45130 Essen.

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Concerns

What bothers you – and what helps.

Drooping mouth cornersDownturned mouth corners make a face look sad or dissatisfied. Causes (muscle…Dull skinGrey complexion, no freshness, make-up does not hold: why skin looks dull…First wrinklesThe first line that no longer disappears: what is normal, what prevention…JowlsJowls arise when cheek fat descends and the jawline blurs. What hyaluronic…Large poresPores cannot be 'closed' but refined. Why they look larger (sebum, sun damage…Laugh linesCrow's feet are expression – and sometimes too much of it. When botulinum…Looking sternFrown line, drawn-together brows, line across the nose bridge: why some faces…Looking tiredDark circles, drooping lids, hollow temples, frown line: why faces look tired…Receding chinA set-back chin makes the nose look larger, the neck shorter and a double chin…Thin, dry skinAfter menopause the skin becomes thinner, drier and crepey – on cheeks, neck…Thin lipsNaturally thin lips or lips that have thinned with age: what hyaluronic acid…Wide lower faceA wide jaw can be bone, muscle or fat – and only one of them can be treated…

Knowledge

Understanding how skin and face work.

Acne scarsIce-pick, boxcar and rolling scars need different procedures. What…Botox mythsBotox gives you a mask face, is a poison, is addictive, helps against all…Collagen supplementsCollagen powders, capsules and drinks promise firmer skin. What the studies…Double chinWhy a double chin often has nothing to do with being overweight (genetics…Filler mythsFillers look overfilled, stretch the skin, are forever, are all the same…Hair loss menHereditary hair loss affects most men. What DHT does in the hair follicle, the…Hair loss womenDiffuse hair loss, thinning parting, hair loss after childbirth or in…How the face agesFacial ageing is more than wrinkles: bone recedes, fat compartments shift…Using retinolRetinol is the best-proven anti-ageing ingredient – and the most often…Sweating at workWet shirts in meetings, damp hands when shaking hands: what hyperhidrosis is…Home devicesRed-light masks, dermarollers, microcurrent devices and gua sha promise…Menopause and skinWhy the skin loses up to 30 % of its collagen in five years around menopause…Nasolabial foldThe fold between nose and mouth corner is the most common request – and the…Natural lipsWhy some lips look overdone and others do not: proportions (golden ratio…Neck & décolletéNeck and décolleté often age faster than the face: horizontal lines, neck…Nutrition and skinHow sugar stiffens collagen (glycation), which nutrients the skin actually…Pigment spotsSun spots, melasma, marks after acne: why they arise, why sun protection is…SkincareRetinoids, vitamin C, sunscreen, hydration: the four ingredient groups with…Sleep and skinWhy the skin regenerates at night, what chronic lack of sleep does to…Smoking and skinHow smoking breaks down collagen, throttles blood flow and deepens lines…Sun protectionWhy UV light causes about 80 % of visible skin ageing, how much sunscreen is…Tear troughDark circles have many causes – thin skin, pigment, volume loss, eye bags.…Splint or Botox?Bruxism damages teeth, jaw joint and sleep. What the bite splint does, what…Drips: hype or benefit?What vitamin C, B-complex and micronutrient infusions can do, where the…Face after weight lossAfter major weight loss – by diet, weight-loss injection or surgery – the face…

Safety

Risks, warning signs, conditions.

AllergiesHay fever, nickel allergy, lidocaine intolerance, protein allergy: which…Autoimmune diseasesHashimoto's, rheumatism, lupus, MS, myasthenia: which autoimmune diseases…Cheap offersWhy Botox for 99 euros and fillers from the internet are dangerous:…MedicationsWhich medicines matter before aesthetic injections: blood thinners, aspirin…RosaceaRedness, visible vessels, flushing: rosacea is common and sensitive. Which…Skin cancer screeningAesthetic treatments care for the skin – they do not examine it. Why skin…Warning signs after fillerNormal swelling or emergency? The signs of a vascular occlusion, infection or…

Decision

Good practice, good decision.

Aesthetics & mental healthAesthetic medicine can strengthen wellbeing – or mask a symptom. What studies…Salon or practice?What beauticians may do (care, light peels, needling up to 0.5 mm) and what…Choosing a practiceHow to recognise a reputable practice for Botox and fillers: twelve questions…Unhappy – what now?You don't like the result, it looks asymmetric or too strong: when to wait…

Planning

Timing, sport, holidays, durability.

Exercise & treatmentHow long after botulinum toxin, fillers, skin boosters, microneedling or…Making results lastWhy botulinum toxin and hyaluronic acid wear off faster in some people, which…Summer & holidayBotox, fillers, microneedling in heat and sun: what works fine in summer, what…Timing before an eventWhen should a treatment take place before an important date? Timeline for…

Lifestyle

What daily life does to the skin.

Alcohol & skinHow alcohol ages the skin, why it promotes bruising before injections and how…Stress & skinChronic stress ages the skin faster, deepens lines through tension and teeth…Winter skinHeated air, cold and little light stress the skin in winter. Why the barrier…

Costs

What does it cost in Essen?

Cost of BotoxBotox in Essen costs from €190 per zone at VIVA DERM, 2 zones from €280, 3…Cost of hyaluronic acidHyaluronic acid fillers in Essen cost from €250 per millilitre at VIVA DERM, 2…Cost of hyperhidrosisHyperhidrosis treatment of the armpits in Essen: from €500 at VIVA DERM…Cost of lipolysisInjection lipolysis in Essen: from €190 per session at VIVA DERM, billed under…Cost of lip fillerLip filler in Essen: from €190 for 0.5 ml, from €290 for 1 ml hyaluronic acid…Cost of masseterMasseter Botox for teeth grinding or a slimmer face in Essen: from €400 at…Cost of microneedlingMedical microneedling in Essen: with PRP from €300 per session at VIVA DERM…Cost of polynucleotidesPolynucleotides in Essen: from €250 per area and session at VIVA DERM, billed…Cost of PRP hairPRP hair treatment in Essen: from €250 per session at VIVA DERM, billed under…Cost of skin boostersSkin boosters in Essen: from €250 per area and session at VIVA DERM, billed…Insurance & reimbursementWhen aesthetic treatments are self-pay, when botulinum toxin is reimbursed…

Comparisons

X or Y – honestly compared.

Baby Botox or classic?Baby Botox is not a different product but a lower dose in more points. What…Filler or threads?Fillers replace volume, threads pull tissue upward. What both achieve, where…Jawline: HA or Botox?Two treatments for the jawline with opposite effects: hyaluronic acid defines…Lipolysis or liposuction?Fat-dissolving injection or liposuction: for small deposits such as a double…Microneedling or PRP?Mechanical stimulus or biological stimulus: microneedling and PRP both…Minoxidil or PRP?Minoxidil is the proven standard, PRP the medical supplement. Principle, time…Needle or cannula?Sharp needle or blunt cannula: the choice affects bruising, precision and the…PRP or polynucleotides?Own-blood plasma or DNA fragments from salmon: both stimulate the skin to…Skin booster or filler?Both are hyaluronic acid – yet two different treatments. Skin boosters improve…Skin booster or meso?Both are injected across the skin – with different substances. Skin boosters…

By age

What makes sense in which decade.

At 60 and beyondFrom 60 it is about freshness and skin health, not youth. What skin boosters…In your 30sBetween 30 and 39 it is about prevention: sun protection, retinoid, if needed…In your 40sBetween 40 and 49 lines become static, cheeks and temples lose first support…In your 50sBetween 50 and 59 volume loss, thinner skin and first slackening shape the…

Sources

Sources and further reading.

External links open in a new window; their operators are responsible for their content. Medical responsibility for this page: Katayoun Mostaghimi, specialist in general medicine. Last updated: 2026-10-05.

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