Dermatology & Allergology

Skin cancer

Skin cancer is becoming more common worldwide, malignant melanoma above all. Whether it can be cured depends largely on how early it is detected. That is why we recommend annual screening and check-up examinations; after a diagnosis, follow-up is added.

• Skin Cancer Screening & Skin Check
• 20-MHz ultrasound (skin sonography)
• Impedance spectroscopy (Nevisense®)
• Sun safety rules
• Checking your own skin

Light therapy (phototherapy)

For psoriasis, atopic dermatitis and chronic hand and foot eczema we treat with UVB, UVA/UVB or PUVA, depending on the findings, as whole-body or as targeted irradiation.

• PUVA therapy (bath PUVA and cream PUVA)
• UVA/UVB combination therapy
• UVB therapy (partial- or whole-body irradiation)

Outpatient surgery

We carry out dermatosurgical procedures on an outpatient basis in our treatment rooms, among them the removal of moles, warts, fibromas, cysts and lipomas as well as of non-melanoma skin cancer and melanoma.

Hair consultation

With hair loss in women and men we first look for the cause. The treatment follows from the findings, and we monitor its course with the computer-assisted TrichoScan.

Acne consultation

Acne is a disease of the sebaceous follicles, not a question of hygiene. We establish which form and which severity you have and talk through which treatment fits.

Venereology – sexually transmitted infections

Many sexually transmitted infections show on the skin and the mucous membranes. Venereology is therefore part of dermatology, and it is part of what our practice offers.

Allergic conditions

What is an allergy, and what forms does it take? An overview of hay fever, allergic asthma, food, insect venom and other allergies.

Allergy diagnostics

Assessing an allergy involves the detailed consultation, the established skin tests (patch, prick, scratch and intradermal test) and the blood test (RAST). Evaluation takes place in our in-house laboratory.

Allergy treatment

Allergies can be treated along three routes: avoiding the trigger (allergen avoidance), hyposensitisation as a causal therapy and medicines that relieve the symptoms.

Everyday recommendations for allergies

Avoiding the trigger (allergen avoidance) is the fundamental measure with an allergy. Here you will find everyday recommendations for pollen, house dust mite and mould allergy.

Acne scars

Acne scars that remain can be treated with laser and radiofrequency methods. The precondition is that the acne itself is no longer active.

Actinic keratoses

Actinic keratoses are sun-induced skin changes and an early form of non-melanoma skin cancer. They can be treated with photodynamic therapy (PDT), among other methods.

Age spots (sun spots)

Age and sun spots on the face and hands can be treated with the Q-switched ruby laser. Because not every brown spot is harmless, we first look at each one with the dermatoscope.

Age warts (seborrhoeic keratoses)

Age warts are benign, brownish, often greasy-looking nodules that increase in number with age. Once it is clear that they really are age warts, we ablate them with the Erbium:YAG laser.

Spider veins

We treat spider veins and the deeper-lying reticular veins with vascular lasers, usually with the long-pulse Nd:YAG laser. Compression stockings are not needed after laser treatment.

Couperose & rosacea

Dilated small vessels and persistent facial redness in couperose and rosacea can be treated with vascular lasers and light systems. Which system fits depends on the findings.

Wrinkles & skin tightening

We treat wrinkles and loss of skin firmness with the fractional CO₂ laser, radiofrequency microneedling and the Erbium:YAG laser. Which method fits depends on the findings and on the healing time you can plan for.

Fat reduction

We treat fat deposits on the chin, hips, abdomen, thighs and knees without surgery and without a laser: with cryolipolysis or injection lipolysis. None of these methods is a way to lose weight.

Port-wine stains & haemangiomas

We treat congenital and acquired vascular changes such as port-wine stains (naevus flammeus), haemangiomas and spider naevi with the dye laser and other vascular lasers.

Fat deposits (xanthelasma)

Xanthelasmata are whitish-yellow fat deposits on the eyelids. In about 30 per cent of those affected a lipid metabolism disorder lies behind them, which is why the blood lipid values should be checked before any removal.

Permanent hair removal

Unwanted hair on the face, in the armpits, in the bikini zone, on the back and on the legs can be permanently reduced with laser light. How well the treatment responds depends above all on the hair colour.

Hyperhidrosis (excessive sweating)

With increased sweating in the armpits, the sweat glands can be reduced with fractional radiofrequency microneedling. Treatment with botulinum toxin is available as an alternative.

Psoriasis

Individual psoriasis plaques can be treated with the excimer laser: monochromatic UV light at a wavelength of 308 nm that reaches only the affected skin.

Stretch marks (striae)

Stretch marks are usually a flat form of scarring. The colour of the marks decides the order of treatment: reddened marks first with the dye laser, faded ones with the fractional CO₂ laser or radiofrequency microneedling.

Further laser indications

The laser indications listed are the most important fields of application. The laser systems available are also suitable for other dermatological diseases, as far as these can be treated with lasers.

Laser tattoo removal

Tattoos and permanent make-up can in many cases be lightened considerably or largely removed with ultra-short-pulsed lasers. Which wavelength is used depends on the colour of the pigments.

Vitiligo (white spot disease)

Vitiligo means a circumscribed loss of skin pigmentation. We treat affected areas with targeted irradiation, among other things with the excimer laser.

LightSheer® diode laser

A diode laser with a cooled handpiece and a small laser spot. We use it for hair removal on small areas such as the upper lip, chin and cheeks, and where sensitivity to pain is pronounced.

Vectus® diode laser

A diode laser with integrated contact cooling, a large laser spot and melanin measurement in the treatment area. We use it for hair removal on large areas such as the back, legs and bikini area.

Erbium:YAG laser

An ablative laser that removes skin in very thin layers without releasing much heat into the depth. We use it for benign raised moles, seborrhoeic keratoses and actinic keratoses.

Excimer laser

A pulsed UV laser at 308 nm that irradiates only the affected areas of skin and spares the healthy skin. We use it above all for psoriasis and vitiligo.

Pulsed dye laser

A pulsed laser at 595 nm whose light is absorbed by the red blood pigment. We use it for dilated capillaries, couperose and rosacea, port-wine stains, haemangiomas and spider veins.

Fractional CO₂ laser

An ablative laser at 10,600 nm that removes the skin in a grid of tiny zones and stimulates new collagen formation. In our practice it is part of the Alma Hybrid, which combines the CO₂ wavelength with a non-ablative 1570 nm laser.

IPL/RF (intense pulsed light and radiofrequency)

Intense pulsed light (IPL) from a xenon flash lamp, used for areas of redness and for pigment and age spots; the further applications are listed below. We explain the principle of the combination with radiofrequency current (RF) for fine hairs, areas of redness and wrinkles; whether this combination continues to be offered with our current system is something we clarify with you.

KTP laser (532 nm)

The KTP laser works with light of 532 nm wavelength, which is absorbed by the red blood pigment. We use it for vascular changes: dilated small vessels on the face, spider naevi, haemangiomas, port-wine stains and spider veins following sclerotherapy.

Long-pulse Nd:YAG laser

The long-pulsed Nd:YAG laser penetrates deep into the skin. We use it for reticular veins and spider veins, for dilated small vessels, for hair removal including darker skin types, and for nail fungus.

Nail fungus (onychomycosis)

We treat nail fungus with a combined approach: laser, topical and, where needed, systemic therapy as well as podiatric nail care.

Photodynamic therapy (PDT)

In photodynamic therapy, a light-activatable active substance makes diseased skin cells sensitive to red light; the subsequent illumination damages these cells. The method is used for actinic keratoses and other superficial forms and precursors of non-melanoma skin cancer.

PicoStar® Pico laser

The picosecond laser delivers ultra-short light pulses and breaks down pigment predominantly through a pressure wave rather than heat. We use it for benign pigment spots and in tattoo removal.

Q-switched Nd:YAG laser

The Q-switched Nd:YAG laser works with either 532 or 1064 nm and is used to remove tattoos. Which wavelength is used depends on the colour of the pigments.

INFINI™ RF microneedling

In radiofrequency microneedling, fine needles deliver heat energy in the depth of the skin and stimulate new collagen formation there, while the skin surface is largely spared. We use the INFINI system for acne scars, loss of skin firmness and excessive sweating.

Rubystar® ruby laser

The Q-switched ruby laser with a wavelength of 694 nanometres is strongly absorbed by melanin and dark colour pigments. We use it for benign pigment spots and certain tattoo colours, in each case after dermatological assessment.

wIRA therapy for warts

Stubborn warts on the hands and feet can be treated with water-filtered infrared A light (wIRA). Apart from a mild sensation of warmth the irradiation is painless, which makes it suitable for children as well.