Hauterkrankungen in der Münchner Hautarztpraxis Dr. von Bayern

Skin conditions

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

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

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.

Spider veins

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.

Hyperhidrosis

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.

Tri­choScan

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.

Andro­ge­net­ic alope­cia

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

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.

Scars

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.