Volume Therapy - The Most Natural Form of Nonsurgical Regeneration

Volume therapy fills in sunken areas of the face. It focuses not only on individual, unattractive wrinkles, but also on the structural changes of the entire face which occur due to loss of volume with age. This allows results to be achieved which were previously only possible through extensive facelift surgeries.

Volume augmentation is suitable for 

  • Improving the cheeks, the chin and the jawline, as well as the lips
  • Smoothing wrinkles at the corners of the mouth (marionette lines) and the nasolabial folds as well as wrinkles between the nose and upper lip
  • To correct dark circles around the eyes

Personal facial expressions and natural radiance are preserved. At the same time, treatment of deeper layers of skin provides moisture which significantly improves the complexion by imparting a natural glow. As a filling material, we use heavily cross-linked hyaluronic acid, autologous fat, poly-L lactic acid (Sculptra®) or calciumhydroxylapatite (Radiesse®).

How is it administered?

In volume therapy, the manner in which the filler material is introduced into the tissue is of crucial importance. If an incorrect injection technique is used, the muscles can press the filler aside due to facial expressions – the wrinkles return after a very short time. To counteract this, we generally perform volume therapy using the tower technique or more deeply using the depot technique.

With the tower technique developed by Dr. Gerhard Sattler, Rosenpark Klinic is a pioneer of this effective method for lifing the face without surgery. It requires considerable knowledge of anatomy and it is practiced here exclusively by experienced physicians. They place the filler material deep into the tissue using a special, sharp needle inserted vertically and evenly distribute it into these deep layers while withdrawing the needle. Figuratively speaking, this creates columns (towers) – they lift the tissue from below.

In the depot technique, small amounts of the filler material are deposited in a targeted fashion in the deepest layers right above the bone, mostly to restretch ligaments and thus the prior facial fullness and facial contours are reconstructed.

In the alternative windmill technique, the cannula is blunt. It is introduced horizontally into the subcutaneous layer, parallel to the surface of the skin. Starting from the point of the injection, the filler material is injected in a star-like pattern into the skin – figuratively comparable with the wheel of a windmill. A final skin massage distributes the filler material evenly.

Since the hyaluron acid filler is greatly cross-linked and injected deep into the tissue, it works for up to two years. Nonetheless, successful, lasting volume augmentation requires several treatments.

Is some sort of anesthesia required?

Volume treatment is generally performed under local anesthesia using a cream or with only few local anesthetic injection points. Treatment using the windmill technique is performed under sedation in any case. For more information about your options for a comfortable, pain-free treatment see the anesthesia section.

When can I resume normal daily activities?

Essentially immediately. Volume therapy is performed on an outpatient basis. Mild redness or swelling is normal and disappears on its own within the first few hours. Athletic activities and saunas should be avoided for one to two days.

You can find more information in our "Wrinkle treatment" information sheets, which you can request from us free of charge.

Are you interested in a no-obligation personal consultation for facial rejuvenation at Rosenpark Klinik? We would be happy to schedule an appointment for you.

Expert tip:

Dr. Sonja Sattler: "Volume therapy offers us a unique opportunity to naturally reconstruct the look of the entire face without changing any proportions. Where hyaluronic acid gives the skin volume plus long-term regeneration."

What else can you do?

  • Volume augmentation of the face can be easily combined with other non-surgical aesthetic dermatology procedures, for example with Botulinum, a laser treatment, superficial wrinkle injection with hyaluronic acid or a peel. The methods complement each other, since they address the various causes of skin aging.
  • The effect of the volume therapy can be supported by regular skin care with a moisturizing cream containing hyaluronic acid.
  • To emphasize the skin-smoothing effect of the volume therapy in a lasting manner, we recommend individual follow-up care.

In the cosmetics department of Rosenpark Klinic are competent staff members who will create your personal anti-aging care regimen.