Bodywise · Heidelberg-Neuenheim
Fine lines, rough skin or reduced elasticity: Dr. med. Michael Pees examines your skin and discusses which treatment may suit your findings.
Skin texture and elasticity
A rough surface, fine superficial lines and reduced elasticity are different findings. Dr Pees examines the changes in your skin and assesses whether skin texture, moisture balance or the underlying tissue is the main concern.
Volume loss, muscle activity, inflammation and previous treatments can also affect the appearance of the skin. The examination helps establish whether skin quality treatment is appropriate for your concern. A procedure is chosen only after discussing the options, limitations and risks.
Individual findings
A consultation may be helpful if you are concerned about fine superficial lines, uneven skin texture, reduced elasticity or changes in the skin's moisture balance.
Whether an aesthetic medical treatment is suitable depends on the skin findings, medical conditions, medication, allergies, previous injections or skin treatments, and the desired outcome. Inflammatory, infectious or unexplained skin changes require medical assessment first.
Realistic expectations
Depending on the findings, the aim may be a limited improvement in individual aspects of skin quality. The degree of change varies between people, and a fixed timeline or treatment effect cannot be reliably predicted.
Skin quality treatment does not replace structural volume restoration, targeted treatment of facial muscle activity or surgery. It cannot reliably eliminate pronounced tissue sagging, deep wrinkles, larger scars, marked pigmentation changes or dermatological conditions.
If another procedure is better suited to the findings, or expectations do not match what can realistically be achieved, postponing treatment or advising against it may be medically appropriate.
Medical examination
Before making a decision, Dr Michael Pees assesses more than the visible skin surface. The examination includes skin thickness, elasticity, tissue characteristics, possible inflammation, scars, pigmentation changes and existing asymmetries.
Previous aesthetic treatments also matter. Unknown products, recent injections, laser or needling treatments, and ongoing reactions may affect planning. Treatment may be postponed if details of a previous procedure are missing or findings remain unclear.
Step by step
You describe the changes you have noticed and what you expect from treatment. Previous treatments, skin reactions, medical conditions, allergies and medication are recorded.
Dr Pees assesses the proposed skin areas and any reasons that may rule out treatment. This helps establish whether skin quality treatment is relevant to your concern.
Suitable and unsuitable procedures are distinguished. The scope of treatment is based on the findings rather than a standard plan.
The expected benefits, limitations, common reactions, relevant risks, alternatives and costs are explained before treatment. You can then take time to decide.
If treatment is medically appropriate, it is carried out in the area and according to the plan agreed beforehand. Treatment at the first visit is not guaranteed.
You receive specific aftercare instructions. Progress is assessed at a medically appropriate time, rather than solely on the basis of early reactions immediately after the appointment.
Results and progress
The timeline depends on the chosen procedure, the condition of the skin and the individual response. Immediately after an injection treatment, temporary redness, swelling or small bumps can initially alter the appearance. These early reactions are not the same as the eventual result.
If the skin responds to treatment, visible changes often develop gradually. Their extent, timing and duration vary. A specific duration or outcome cannot be guaranteed. Whether further treatment is appropriate should be decided on the basis of actual progress.
Safety
The reactions and risks depend on the chosen procedure. Injection treatments can cause temporary redness, swelling, tenderness, small bruises, itching, small raised areas or unevenness.
Less common but relevant risks include infection, persistent inflammation, prolonged swelling, hardening or nodules, hypersensitivity reactions, pigmentation changes and other tissue reactions. Injections in areas with a rich blood supply also carry general risks of injury to blood vessels or tissue.
Personal aftercare instructions depend on the procedure actually performed and the treated area. Do not massage or apply strong pressure to treated areas unless Dr Pees specifically recommends it.
Suitability and reasons to avoid treatment
Elective treatment should not routinely be performed if there is an acute infection, inflammatory skin changes or an unexplained reaction in the intended area.
Pregnancy and breastfeeding, relevant clotting disorders, medication that affects blood clotting, known hypersensitivities, immunological conditions or immunosuppressive treatment also require individual medical assessment and may rule out treatment.
Unrealistic expectations, an unclear history of previous treatment or a goal that the proposed procedure cannot achieve are also reasons to decline or postpone treatment.
Costs and appointments
Costs depend on the selected procedure and the individually agreed scope of treatment. Following examination and planning, Dr Pees explains the proposed steps and expected total cost before you decide whether to proceed.
Medical services are billed according to the German medical fee schedule (GOÄ). The current price overview on the Bodywise website lists the published amounts and what each covers. Reimbursement by health insurance should not be assumed for treatment performed for aesthetic reasons.
Medical responsibility
Dr Michael Pees is a specialist in surgery. He spent many years as a senior physician in aesthetic surgery in Heidelberg and the surrounding region. His surgical training and years of clinical responsibility inform his assessment of anatomy, tissue, indications and potential risks.
This assessment matters when considering skin quality because a visible finding does not automatically determine the choice of procedure. Dr Pees therefore reviews medical factors, previous treatments, realistic goals and possible alternatives before planning treatment.
Frequently asked questions
Dr Pees assesses fine superficial lines, rough or uneven skin texture, elasticity and moisture balance, among other factors. He also checks whether volume changes, muscle activity, inflammation or previous treatments contribute to the findings.
This can only be assessed after an examination. The condition of the skin and tissue, possible inflammation, previous treatments, medical history and a realistic treatment goal are key factors.
No. Filler treatment primarily aims to restore volume or support selected contours. Skin quality treatment focuses on different features and treatment goals.
This depends on the chosen procedure and the individual response. Immediately after treatment, it is often too early to assess the eventual result meaningfully.
A fixed number cannot responsibly be given without an examination and a decision on the procedure. The scope is based on the findings, the goal and actual progress.
Possible reactions and risks depend on the chosen procedure. Injection treatments may cause temporary redness, swelling, small bruises or small raised areas. Less common risks are explained beforehand.
Acute infections, inflammatory or unexplained skin changes, certain medical conditions, relevant medication, pregnancy or breastfeeding may rule out elective treatment or require it to be postponed.
Costs depend on the selected procedure and individual scope. They are explained transparently after examination and treatment planning, before you make a decision.
Further information
Medical consultations and non-surgical treatments at Bodywise in Heidelberg.
Learn more
Information on volume restoration and how it differs from skin quality treatment.
Learn more
Information on expression lines and their different causes.
Learn morePatient reviews
Selected Google reviews about consultations and treatment at Bodywise – Dr. Michael Pees. Translated from German.
Google reviews
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A very pleasant atmosphere in pleasant surroundings. Dr. Pees gave me knowledgeable advice that was easy to understand.
I am very satisfied with the result of my treatment. I would be very happy to recommend the practice.
Dr. Pees is a knowledgeable and empathetic doctor with more than 30 years of professional experience. This is also reflected positively in his thorough, open and individual advice and care. I felt very well looked after by Dr. Pees and can recommend him without reservation.
I visited Dr. Pees again today for injectable treatments. Such a wonderful doctor; I would not go to anyone else. He deserves more than just 5 points.
I can really only recommend him.
Dr. Michael Pees gave me excellent advice, and solutions to my problem were found quickly.
Thank you ❤️
Personal consultation at Bodywise
Discuss the skin changes that concern you and what you hope to achieve with Dr Pees. After the examination, he explains suitable options, limitations, risks and costs.
