Diagnosis and targeted therapy for all skin conditions
The skin can be affected by many different diseases, changes and problems. Since the skin protects the human body from the outside world, in addition to being critical to the body’s overall health, we often associate skin diseases with significant dysfunction of the skin’s texture and aesthetic.
During my long clinical practice as a specialist in dermatological and sexually transmitted diseases, I have acquired sound expertise in careful diagnosis and comprehensive treatment of skin diseases of all kinds. From eczema and neurodermatitis, skin disorders during pregnancy and in children, right up to treatment of scars and warts – you can consult with me for all your questions and concerns.
Acne & Rosacea
Acne is an inflammatory disease originating in the sebaceous glands. It very often affects teenagers – but male and especially female patients who have gone through puberty and are well into adulthood are also increasingly affected. Acne should be treated urgently because it leads to irreversible scarring.
Regularly using medical cosmetics such as cleansing, microdermabrasion and fruit acid peels can boost targeted acne therapy for the individual patient and increase the aesthetic quality of the results. Laser therapy and hyaluronic acid filler (“skin boosters”) are used for the aesthetic treatment of acne scars.
Rosacea is a very common inflammatory disease of the face, which mostly occurs in the nose and cheek areas. Men and women are affected equally. The disease usually does not occur until after age 30 and can be exacerbated by external factors such as cold, sun and hot spices.
There are now very good treatment options: mild cleansing and care, topical medications or tablets as well as a change in diet and the avoidance of trigger factors can positively influence the course of the disease. The very noticeable reddening of the skin responds well to laser treatment and IPL (“flash lamp”) achieves excellent aesthetic results.
The capillaries’ tiny branches extend to just below the skin’s surface to ensure that it is supplied by the bloodstream all the way to its outermost layers. So-called spider veins can form when these gossamer-thin capillaries thicken and enlarge. I am available for you at my clinic to explain and treat these mostly harmless skin conditions and to offer you aesthetic enhancement. Depending on your individual condition, I can recommend laser therapy or sclerotherapy for spider veins.
Sweat production and sweating are essential functions of the skin that contribute to the health of our whole being. However, sweating can be excessive in people with hyperhidrosis, especially in certain situations, and the feelings of shame and embarrassment this can cause can then become ever-present. As a dermatologist, I can offer you different therapies to considerably reduce sweat production, which I will discuss with you at my clinic and match to your individual symptoms.
Dermatology in old age
Older peoples’ skin requires a special dermatological perspective. At my dermatology clinic in Munich, I specialise in this important area, which can be encapsulated as dermatology for the elderly or geriatric dermatology.
In addition to wrinkles, lines and loss of volume, age-related changes in the skin can lead to age spots, age-related warts, what is known as seborrheic keratoses, haemangiomas, spider veins and many other aesthetically troubling features. But even when it comes to all the many possible skin diseases found primarily in the elderly (including itching or skin-related side effects to medication), you can count on my professionalism at my clinic: high level and specialised skills. I offer expert treatment planning in this respect as well as detailed examinations and consultation at my dermatological clinic in Munich.
The skin’s natural ageing process cannot be stopped, but with the appropriate measures and treatments for the individual patient and with the support of a specialist it can be effectively delayed. This service at my dermatology clinic bears the name “Best Ageing” and aims to best stabilise, promote and preserve healthy and resilient skin in ageing and elderly patients.
Allergies & desensitisation
Of all the chronic diseases, it is allergies that afflict the most people. Food allergies in particular are twice as common nowadays as they were ten years ago.
Of course, if you suspect an allergy, you first want to know exactly what you are suffering from. The first step involves a detailed review of the individual’s medical history, followed by a personalised diagnostic analysis and finally an assessment. I can use further methods for diagnosing specific allergies at my clinic – such as the prick test, epicutaneous test or blood tests.
If the triggering allergen is known, we can perform desensitisation or what we call specific immunotherapy (SI) at my clinic. It is especially suitable for allergies of the immediate reaction type such as pollen allergy (hay fever), house dust mite allergy and insect venom allergy (bee/wasp). Desensitisation usually takes at least three years.
Colon cleansing can also be considered as a therapy against allergies.
Hair loss (alopecia)
We often find a corresponding genetic predisposition and the manifestation of male hormones behind alopecia, which is what medical terminology calls hair loss. Therefore, phenomena such as excessively receding hairlines, a tonsure at the back of the head, very thin sparse hair on the crown of the head or a bald head occur more often in men. Significantly rarer, but usually much more serious in aesthetic terms, women are also affected by hair loss. At my clinic, we treat any type of hair loss – regardless of the severity and type. However, a thorough examination is necessary before a diagnosis can be made or a treatment determined.
We offer hair analysis with the TrichoScan system for the precise diagnosis of hair loss. It is considered the most modern method of diagnosis in hair loss, in which – in contrast to the trichogram – there is no need for the pain of having your hair pulled out. This relatively new hair analysis technique involves only a very small area of hair being shaved off from an inconspicuous spot on the head. As well as the hair density, thickness and hair count, the condition of the hair roots can also be measured. With the help of this computer system it is possible to explore whether a pathological form of hair loss is present in the affected patient. Depending on the findings, an individual medical treatment plan is drawn up and, using TrichoScan, an objective change in findings is documented by using a success test during therapy.
The most common type of hair loss is hormonal androgenetic alopecia, which affects both men (one in two) and women. It is important to diagnose and treat androgenetic alopecia as soon as possible. To this end we mainly use mesotherapy in addition to minoxidil-containing solutions. With this treatment, active ingredient complexes are injected directly into the scalp. It involves the stimulation and regeneration of the hair follicles, blood circulation is stimulated, increasing the supply of nutrients.
Spot hair loss (alopecia areata)
Spot hair loss affects about 1–2% of the world’s population. It is an autoimmune disease, where the hair follicle is not destroyed. This means that all the hair can grow back again. Psychological strain and stress are thought to be triggers that influence the immune system. Therapy is complicated and often superfluous because of frequent spontaneous healing. The use of cortisone-containing solutions or mesotherapy can be used as supportive measures.
Diffuse hair loss
Diffuse hair loss affects many people over the course of their lives. This hair loss is uniform in nature and has various causes. Often, nutritional deficiencies are responsible. These should be discovered and remedied using appropriate dietary changes or dietary supplements. It can also be treated with minoxidil-containing solution and/or mesotherapy. Very rare types of hair loss are caused by bacterial and fungal infections, autoimmune diseases and chronic inflammatory skin diseases. Smear tests and possibly also a tissue sample are essential for diagnosis here.
Warts are a common, troublesome condition and occur in every age group. This is mainly due to the fact that warts are caused by viruses. This means that warts are contagious to other people and can spread on the spot. Because of the risk of infection, it is important to identify warts and give them the right treatment. There are different treatment options depending on the type of wart (mollusc warts, genital warts, age-related warts).
On the basis of thorough diagnostics and in-depth examination, I offer proven and carefully selected wart therapy. Patients primarily use wart patches and wart tinctures as a standard treatment against common warts (verrucae vulgares). Since this therapy is often not sufficient, I also offer freezing therapy (cryotherapy), surgical procedures and laser therapy. There are also effective treatment options using naturopathy and homeopathy though.
A scar forms because the complex structure of the skin at the place in question has been cut or otherwise destroyed. Our body then produces another outer epidermis in the complex processes of skin healing. However, the skin tissue in the immediate area of the healed wound is not flawless and smooth.
Modern dermatology has effective methods in the targeted aesthetic correction and beautification of existing scars, both for the face and the body. For example, laser treatment and cortisone injections have proven particularly useful in hypertrophic scars. The targeted use of lasers at optimal wavelengths can also be the treatment of choice for atrophic scars. In addition, the sunken and often shrunken-looking tissue of atrophic scars can be supplemented and padded with hyaluronic acid filler. We can also correct scars in all variants with a small skin operation, especially if they are very irregular, bulging and nodular.