Video series
Dr. Sawatzki answers questions from his daily practice.
Nose operations
Can you always see a lift?
Treat drooping eyelids without surgery?
Is liposuction dangerous?
Prevent with Botox
Im Glossar: Botox, von seinen ästhetischen Anwendungen zur ...?
Dr. Sawatzki at the Beauty Fair in Düsseldorf
Current trends in cosmetic surgery
Ear Pinning: What Methods Are Available? A Selection
Ear Pinning Surgery (Otopexy) – Naturally Flowing Ears
Protruding ears are a common congenital variation. Many people find them bothersome or feel self-conscious because of them. Otoplasty is a proven, minimally invasive surgical procedure that harmonizes the shape of the ear and brings the auricle closer to the head.
At our practice, treatment is tailored to each individual, as every ear is shaped differently. Depending on the patient’s anatomy, we use a variety of techniques, some of which are combined.
Correcting a saddle nose – Reconstructing the bridge of the nose using rib cartilage or ear cartilage
A saddle nose refers to a depression in the bridge of the nose, causing the nose to appear flattened or sunken when viewed in profile. In addition to the aesthetic change, functional problems with nasal breathing may also occur.
In modern nose surgery (rhinoplasty), a saddle nose can often be corrected by augmenting the bridge of the nose with the patient’s own cartilage, particularly rib cartilage.
This method allows for a stable and long-lasting reconstruction of the nasal structure.
Ear cartilage or rib cartilage in nose surgery—which is better?
In some cases of nose surgery (rhinoplasty), simply reshaping the bone or existing nasal cartilage is not enough. In certain situations, additional cartilage must be used to stabilize or reconstruct the nose.
In modern nasal surgery, the patient’s own cartilage is usually used for this purpose. These grafts are most commonly taken from:
• the outer ear (auricular cartilage)
• a rib (costal cartilage)
Many patients therefore ask themselves:
Which type of cartilage is better suited for rhinoplasty—ear cartilage or rib cartilage?
Appetite suppression with botulinum toxin – the gentle innovation from my practice
Our botulinum toxin injections in the ear region combine sound medical knowledge with gentle aesthetics – in true Almeida Aesthetic style: modern, personal & trustworthy. We look forward to providing you with comprehensive information and support – on your way to innovative and sustainable well-being.
Removing Silicone Lips – Treatment of Complications and Long-Term Effects
Removing Silicone Lip Fillers – Treatment of Complications and Long-Term Effects
Many patients still have liquid silicone in their lips—often injected 10, 20, or even 30 years ago.
Today, in some countries, this is even used in the breasts and buttocks.
What was intended back then as permanent lip augmentation often leads to problems today.
If you would like to have silicone lip fillers removed or are experiencing discomfort, we will provide you with personalized, medically sound advice.
Silicone Lips: Risks, Removal, and Modern Alternatives
Silicone Lips: Risks, Removal, and Modern Alternatives
What are silicone lips?
Silicone lips are created by injecting liquid silicone or by inserting silicone implants for permanent lip augmentation. This method was primarily used between the 1960s and the 1990s.
Today, liquid silicone is no longer recommended for lip augmentation.
How safe are breast implants? In light of recent events…
How safe are breast implants?
Reports about a well-known figure with damaged breast implants are currently causing concern. As a result, many patients are asking themselves: Just how safe are breast implants today?
The good news is that modern breast implants are considered very safe and are subject to strict regulation. They are manufactured to high medical standards and must pass extensive testing before they are approved.
Nevertheless, breast implants—like any medical product—do not last forever.
Botox Instead of Pantoprazole—A Modern Option? A New Approach to Stomach Ailments
Many patients take medication for stomach problems every day—usually proton pump inhibitors such as pantoprazole. These block acid production but can lead to side effects over the long term.
An even newer approach is injecting Botox
Im Glossar: Botox, von seinen ästhetischen Anwendungen zur ... into the ear to achieve the same effect as the new method described at
: Botox
Im Glossar: Botox, von seinen ästhetischen Anwendungen zur ... injections directly into the stomach wall.
Botox for “chubby cheeks” Also effective for teeth grinding (bruxism)
Botox
Im Glossar: Botox, von seinen ästhetischen Anwendungen zur ... for “chubby cheeks”
Also effective for teeth grinding (bruxism)
Where medicine and aesthetics come together
Many patients feel that the lower part of their face is very wide or angular—despite having a normal body weight. Often, the cause lies not in fatty tissue, but in a highly developed masseter muscle.
How Botox
Im Glossar: Botox, von seinen ästhetischen Anwendungen zur ... can help.
Why fillers usually don’t help with a wrinkled neck, and why neck wrinkles require a separate solution
Why fillers usually don’t help with a wrinkled neck
The neck is one of the areas that shows signs of aging particularly early.
This is because the skin here is very thin, has little subcutaneous fat, and is in constant motion.
Fillers can restore volume—but they cannot improve skin quality or tighten excess skin.
Instead of smoothing the skin, they often produce the exact opposite effect.
Unusual shapes of the tip of the nose
Special shapes of the tip of the nose:
Whether congenital or acquired later in life, there are specific abnormalities of the nasal tip that primarily involve the deformation of this cartilaginous front part of the nose. These can lead to functional problems and/or cause aesthetic concerns.
PMMA fillers – why we have advised against their use for many years
PMMA fillers – why we have advised caution for many years
A lot has changed in the field of aesthetic medicine over the past few decades. Materials have become safer, easier to control, and, above all, reversible.
One active ingredient has long been the subject of critical scrutiny: PMMA (polymethyl methacrylate).
Medically Significant Changes in the Tip of the Nose – An Overview
This article provides an overview of the common types of medically relevant nasal tips, the correction of which not only improves nasal breathing but also generally has an impact on aesthetics.
One could almost say: “Killing two birds with one stone”
If this is not desired, the patient must be informed of this.
The positive aspect is that the desired aesthetic improvement is accompanied by an improvement in nasal breathing.
Nose Tip Correction – Insurance Coverage – When Is the Procedure Medically Necessary—and When Is It Cosmetic?
Correction of the tip of the nose
When is the procedure medically necessary—and when is it cosmetic?
The shape of the tip of the nose not only affects one’s appearance but can also play an important role in nasal breathing. Correction of the nasal tip may therefore be medically necessary or purely for aesthetic reasons.
Botox for Migraines – When the Pain Starts in the Neck
When the pain starts in the neck
Migraines are often thought of as purely a headache. In fact, however, they can also originate in the muscles of the neck and shoulders.
The cause: Chronic muscle tension
Stress, prolonged sitting, working at a computer, teeth grinding, or poor posture often lead to chronic tension in the neck muscles. This tension can:
• irritate nerves
• impair blood circulation
• intensify pain signals or keep them constantly active
The deep neck muscles and muscle attachments at the back of the head are particularly affected. From there, the pain can spread upward into the head and trigger or exacerbate migraine-like symptoms.
Why is correcting the tip of the nose so challenging?
In cosmetic surgery, the tip of the nose is considered one of the most complex areas of the face. Many patients wonder why this area in particular requires such a high degree of experience and precision.
B-Lite® Breast Implants – An Overview of the Pros and Cons
B-Lite® breast implants are so-called lightweight implants that have been specifically designed to significantly reduce the weight of conventional silicone implants. They are primarily used in cosmetic breast augmentation, but are also used in reconstructive procedures.
Red Carpet Season – When Aesthetics Become Haute Couture
When the Golden Globes sparkle in Los Angeles and the countdown to the Oscars begins, the world stands still for a moment—and takes a very close look.
At flawless skin. Perfectly defined contours. A fresh, youthful glow.
Just as in haute couture, there is no one-size-fits-all look in aesthetic medicine.
Every face, every body, every skin tells its own story.
That is why my practice develops customized aesthetic concepts
Goodbye double chin? How effective are high-frequency treatments really?
When is high-frequency the right choice?
There is high demand for cosmetic procedures to reduce double chins. The majority of patients specifically seek non-invasive or minimally invasive procedures to avoid surgical risks and long recovery times. This desire is driving the development of technologies that can reduce volume and tighten the skin at the same time without the use of a scalpel.
Here is an overview of the treatment methods.
Is it really worth it? Buttock Fat Transfer (Brazilian Butt Lift) – Information on Risks
Buttock augmentation using the patient’s own fat, also known as a Brazilian butt lift (BBL), is a surgical procedure in which fat is harvested from the patient’s body, processed, and injected into the buttocks.
Like any surgical procedure, this method also carries risks and potential complications. It is therefore essential to provide patients with thorough and realistic information.
Want to lose that holiday weight?! What can I do?
Losing Weight – Which Method Is Right for You?
After the holidays, many patients are looking for effective help with weight loss. In addition to diet and exercise, medical options are also available today.
Fibrin glue – modern support for beautiful and safe wound healing
When performing aesthetic facial surgery, it is not only the medical result that is important, but also that the scarring is as fine and inconspicuous as possible. To support healing in a natural way, I use a fibrin glue for certain operations – an innovative, gentle and very well-tolerated method of wound care.
Magnesium – beware of ops!
Magnesium – important, but with caution before operations
Many people take magnesium to support muscle function, against cramps or for general relaxation. What is hardly known, however, is that magnesium can have a blood-thinning effect.
Ozempic face ? What now? Part II
As already reported, losing weight also has its downsides if it is exaggerated, as the current article from BILD today shows.
If the skin is sagging, the measures to increase volume no longer help or no longer help alone.
Whenever skin is sagging, it must be lifted because there is no elasticity left.
So a face lift is the right solution here.
Risky bargains – cosmetic surgery abroad “Stinginess is not always cool”.
More and more people are having aesthetic procedures carried out abroad – tempted by low prices and the vacation feeling. However, the supposed bargain price can be expensive if medical standards, aftercare and liability do not meet local requirements.
What to do about the Ozempic face?
Many patients report significant weight loss after using GLP-1 drugs such as Ozempic®, Wegovy® or Mounjaro®.
Unfortunately, not only the body but also the face loses volume and elasticity – the cheeks appear sunken, the skin sags and the face appears tired, even haggard.
This phenomenon is often referred to as “Ozempic Face”.
In our practice, we offer modern, minimally invasive volume and regeneration therapies to gently harmonize the face and restore youthful contours.
BTX-What is it and how does it actually work?
Everyone is talking about BTX for wrinkle treatment.
Nevertheless, many patients and users do not know exactly what it actually does and why.
That is why we will try to explain this briefly here.
Botox-What to do if you don’t like the effect?
Botulinum toxin (“Botox”) has been used safely and successfully to treat wrinkles for many years. Nevertheless, it can happen that the result does not meet your expectations.
So what can you do?
“Back to Yourself – A Personal Journey”
“Back to Yourself – A Personal Journey”
Breast changes after pregnancy and breastfeeding
Pregnancy brings about many changes—including changes to your own body. In particular, breasts can lose volume and shape after breastfeeding.
One way to help is through breast surgery with implants.
Liposuction for lipedema is now covered by health insurance!
Lipoedema is a chronic disease that almost exclusively affects women. It is a disorder of fat distribution in which abnormally altered fatty tissue accumulates mainly on the legs and/or arms – usually symmetrically. The hands, feet and upper body are typically spared.
From 2026, the health insurance fund will cover the costs of liposuction if conservative therapies have previously failed for 6 months.
Skin booster with polynucleotides
The application of polynucleotides is a promising method for skin rejuvenation and regeneration that is based on natural processes and can be a natural alternative to other anti-aging treatments
OPERA Skin Booster: Not ready for a face lift but still want to look fresher?
OPERA concept
O – Optimization
The skin is optimized from within through intensive hydration. Dryness lines are reduced and the skin’s texture appears smoother and more even.
P – Protection
Skin Booster strengthens the skin’s protective barrier and makes it more resistant to external stress factors such as UV radiation, environmental pollution and free radicals.
E – Enhancement
The complexion is visibly improved: the skin appears fresher, plumper and more youthful – the complexion gains new radiance.
R – Regeneration
The natural regeneration of the skin is stimulated. Collagen and elastin production increase, which supports skin density and firmness in the long term.
A – Activation
Biological processes in the skin are activated and cell renewal is stimulated. The result: healthy, vital skin with a natural glow.
Correction of retracted scars after caesarean section, appendectomy or abdominal wall surgery
Gentle treatment under local anesthesia
Indented or hardened scars after a caesarean section or appendectomy can not only be visually disturbing, but also feel uncomfortable. They often pull the skin inwards, appear uneven or interrupt the silhouette.
Asymmetry of the lips and their correction
Lip asymmetry can have various causes that are visually and/or functionally disruptive (e.g. pronunciation, food intake, etc.).
Depending on the cause, there are also various methods and techniques for correcting this, which are summarized here in an overview.
What surgical options are there for treating dark circles and when are they suitable?
There are various surgical and minimally invasive treatment options to combat dark circles, which are primarily considered when other methods such as creams or lifestyle changes do not produce sufficient results. The choice of method depends on the individual causes and severity of the dark circles.
A current comparison of different fillers
Here is a comparison of the various fillers (hyaluronic acid, collagen, lactic acid, Radiesse and autologous fat) in terms of their properties, effects and areas of application
Lip injections with hyaluronic acid Complications briefly explained
Lip injections, usually with hyaluronic acid, are a minimally invasive procedure, but they do involve risks and possible complications. Here is a brief overview of the most common complications that can occur.
Hyalase, curse or blessing?
Hyalase (or hyaluronidase) is an enzyme that breaks down hyaluronic acid and is used when needed to correct unwanted results or complications after aesthetic treatments such as lip injections. Although it is a proven and helpful tool in aesthetic medicine, there can be risks associated with its use.
Better to have a lip lift than a lip injection?
The lip lift, especially the so-called bullhorn lift, can be a sensible alternative or supplement to lip injections, depending on the aesthetic goals you want to achieve. Both procedures aim to improve the appearance of the lips, but are suitable for different starting situations and needs. A detailed overview is shown here.
Removal of granulomas from the lip after injection
The removal of foreign bodies from the lips requires careful diagnosis and treatment by an experienced specialist, as the lips are sensitive tissue and any treatment can have aesthetic and functional effects. The method used to remove a foreign body depends on the type of foreign body, its location and the associated complications. A detailed overview is given here
Removing dark circles – new trends
Removing dark circles is now more effective and accessible than ever thanks to modern technologies and innovative methods. Whether through advanced treatments such as microneedling and laser therapy or tried and tested natural methods, there are numerous ways to achieve a fresh and youthful appearance. However, it is important to identify the cause of dark circles and choose a customized treatment.
Can an eyelid lift be medically necessary or is it purely cosmetic?
Here we clarify whether an eyelid lift can also be medically necessary.
Yes, an upper eyelid lift (blepharoplasty) can be medically justified if there are certain health or functional problems. While an upper eyelid lift is often performed for cosmetic reasons, there are numerous cases where the procedure is medically necessary as it can significantly improve quality of life.
Does the nasal septum always have to be treated when correcting the tip of the nose?
Whether the nasal septum must always be included in the correction of the tip of the nose is answered here.
No, the nasal septum does not always have to be treated during a nose tip correction. Whether the nasal septum is included in the procedure depends on the individual circumstances of the nose and the aim of the procedure.
The nasal hump – Is its removal medically necessary or cosmetically desirable?
The removal of a nasal hump can be both a medical and a cosmetic operation – the classification depends on the underlying causes and the patient’s complaints.
The decision as to whether the procedure is medical or cosmetic should be made after a detailed examination by a specialist.
Nose tip correction – a medical or cosmetic procedure?
Correction of the tip of the nose can be a purely medical or cosmetic procedure. The distinction is not always clear, as the nasal septum is part of the nasal tip and is therefore always included in the procedure.
Nasal surgery. Open or closed access?
There are two basic approaches to nose surgery, or rhinoplasty: the open approach and the closed approach. Both methods have advantages and disadvantages, and which is the better choice for you depends on various factors, such as the desired result, the complexity of the operation and the surgeon’s experience.
The latest methods for cellulite treatment: modern, effective and uncomplicated
Current methods for cellulite treatment
Experience with nasal septum surgery
I was able to experience a nasal septum operation on myself at an early age and the associated health odyssey. After years of complaints due to a sports accident as a 16-year-old - it was a broken nose - I started to have more and more problems. Inflammation of the...
The lateral forehead lift: An introduction to the surgical technique and its advantages
Introduction The lateral brow lift, also known as a temple lift or lateral forehead lift, is a cosmetic surgical procedure that aims to tighten and lift the outer eyebrow areas and the temple region. This procedure is particularly popular with patients who notice...
Lipflip: The latest trend in aesthetic medicine
In the world of aesthetic medicine, there are constantly new trends and techniques that pave the way to a youthful, refreshed appearance. One of the latest and most exciting trends is the so-called “lip flip”. This minimally invasive procedure has established itself as a popular alternative to conventional lip fillers. But what exactly is a lip flip and why is it becoming increasingly popular? Here is a closer look at this trend and the latest developments in this area.

























































