What do German women think about wrinkle treatment?

Medical wrinkle treatment: What do women think about it?

Everyone thinks they can talk about BOTOX and other methods of wrinkle treatment as a matter of course. But what do German women really know about it? Do they know the different possibilities? Have they already had their own experiences? Can they imagine having wrinkle treatment performed? Or do they shy away from the risks? The German Society for Aesthetic Botulinum Toxin Therapy eV (DGBT) commissioned a study on this subject and recently published its results. 1000 German women aged 35 and over were asked about their views on beauty in old age. And about their opinion on medical methods of wrinkle treatment, such as injections with BOTOX and hyaluron. Let’s take a look at the results together!

1. every second respondent wants to be attractive even in old age

According to the study, it is important to every 2nd woman to be “attractive” even in old age. In turn, every 2nd respondent who expressed agreement understands “attractiveness” to mean firm skin.

Well, that’s not really surprising. However, 50% of “positive” votes are quite high. Apparently, many women consider their own appearance more important than the “renunciation of pure appearance” propagated in many places would suggest. Because let’s be honest: Negative comments about wrinkle treatment and especially BOTOX can be heard every time a celebrity is convicted of “helping”. Here in Munich, not a day goes by without some whispering about someone. In the Bavarian metropolis, which is not exactly lacking in specialists for aesthetic medicine, there is of course plenty of opportunity for this. In this respect, it is nice to see that the ladies insist on being attractive even in old age, despite all the social nose-diving. And would definitely consider medical wrinkle treatment for this.

2. the vast majority wants to look as (young) as they feel.

Almost 70% of women said they wanted to look as old/young as “they felt” when they got older.

Again, this is not really new and has been proven by previous studies. Which is why the beauty industry has gotten out of the habit of touting youthfulness by hook or by crook. Today, people actually only talk about achieving an aura of freshness and vitality that is in keeping with one’s age. In other words, a look that underlines the natural appearance. But does not contradict it. The various methods of wrinkle treatment no longer aim to make the face completely smooth and wrinkle-free. But to emphasize an attractive appearance that suits the age. For me personally, this has always been the motto. And that’s how I keep it with my patients in my Munich practice. I want to look good for my 51 and not have to pretend to be 32. My own first BOTOX experience is now almost 10 years ago. Since then I have had regular wrinkle treatments. But in all those years I never felt the temptation, neither as a doctor nor as a user, to fall prey to youth mania and drift into artificiality.

3. every third one wants to be attractive. Only every 2nd believes that she is.

65% of women say that physical appearance is important to them. At the same time, however, only 44% of women considered themselves “attractive”

That’s the really sad thing. It also somewhat contradicts what was said before. After all, if I already don’t feel attractive at 35, why should I be satisfied with just looking “good” according to my age when I get older. How would that even work? Isn’t it rather the case that women who don’t feel attractive will go along with any foolishness in order to “become beautiful” as soon as the opportunity arises? Isn’t this the cause of the “beauty mania” that is always being deplored? Women who look better in old age will also feel better. But women who already don’t feel good in their skin today, what do they do? Moreover, we live in a society that has made female attractiveness the ideal, but which makes it difficult for “normal” looking women to find themselves “beautiful” through almost surreal ideals of beauty in the media and fashion. Against this background, I find the 44% who describe themselves as attractive actually high again. Wrinkle treatment should serve the purpose of taking one’s individual attractiveness into old age. Not to become someone you are not at all.

4. more than half are afraid of rigid facial expressions

About 60% fear that wrinkle treatment with Botox will cause “rigid facial expressions.”

In the mass market for medical aesthetics, where providers compete to death and botox parties are auctioned off at discount prices on Groupon, this concern is also justified. We are still talking about medicine, after all. We are talking about muscles, nerves and blood vessels. About the fact that people are individual in their anatomy and no two faces are alike. I will never understand how one can assume that aesthetic medicine can be run economically like the market for potatoes, where even the cheapest supplier will deliver “good quality”. Those who want to make money with masses cannot afford to spend too much time on individual cases. In any case, I would not want to have Botox injected by someone like that. And certainly not a permanent implant, even if it is only a hyaluron filler. Quality in aesthetic medicine also means approaching the right Botox dosage carefully in a patient you don’t know yet. Less is more. If in doubt, you have to inject more at the follow-up appointment, at your own expense. That’s bad for business. But good for the patient. Because the “Botox Face” will not happen.

5. every third respondent is afraid of asymmetries

33% are afraid that wrinkle treatment will cause asymmetries in the face.

So while “rigid facial expression” as a complication is virtually non-existent in my practice, initial asymmetry is not at all uncommon. Muscles, including facial muscles, vary in strength from person to person. Therefore, it can happen that a certain Botox dose has the desired effect on one half of the face, but not on the other. A classic case: the one-sided “Spock eyebrow” during an eyebrow lift using Botox. What do you do then? You inject a small amount of Botox at the follow-up appointment to further weaken the insufficiently immobilized muscle. Bingo! A week later, there is no longer any difference.

But as I said, only if the therapist knows what he’s doing. And whether that is always the case, I have my doubts. Especially when it comes to injections with hyaluron. Nowadays, even people to whom one would not want to attest exact knowledge of facial anatomy with the greatest of benevolence have the confidence to do this. Even in the most sensitive places, such as the tear trough. One of the most renowned experts in the world, the Brazilian surgeon Mauricio di Maio, expressly urges increased caution in this area in his courses, and wants the intervention to be reserved only for experienced therapists.

But what does the practice look like? A broad field of medically semi-educated or completely uneducated people is busy in the field of hyaluron injections. Also in Germany. And women go, probably mainly because of the tempting price, into their hands. Seriously, ladies: The course of blood vessels and nerve tracts, moreover different from ethnicity to ethnicity, is one of the hardest parts in medical school. And then you go to the tattoo parlor next door or to the pedicurist who “also offers this”, but possibly only in secret because she is not legally allowed to do it? Makes no sense to me.

6. the vast majority of respondents do not know about wrinkle treatment as a preventive measure

About 70% of women surveyed do not know that wrinkle treatment can prevent.

In fact, this is the case: If you take precautions in good time and keep the strong facial muscles from pulling furrows through your face, you will look better in the long run. This is by no means to say that every 25 year old should book a full face botox every 6 months from now on. Not at all! Rather, it is intended to point out that it is worthwhile to have one’s face analyzed by an expert at an early stage to determine where it is foreseeable that lines and wrinkles will form at an early stage due to practiced facial expressions and the particularities of the skin and tissue structure. This is because it is actually possible to prevent and delay the formation of wrinkles for years by means of selective wrinkle treatment. Forehead or glabella, for example, my personal classics. But also “bunny lines” on the nose often appear very early. Even nasolabial folds appear in some people at a young age, and can then be prevented entirely without hyaluronic injections with a very simple Botox injection regimen.

7. my conclusion

Dismantle prejudices and consult the expert in good time! Then the attractive, natural appearance in old age will work out without costly interventions and without great risks. I can only recommend to everyone, women as well as men, not to let themselves be deterred by alleged Botox experiences, which are colported in the circle of friends or in the media. It is their face. It is their personal appearance. Get professional advice and make your own experience. Provided you have a competent therapist, you will not regret a timely wrinkle treatment that suits your type and supports your natural appearance!

The whole study is available here: https://www.dgbt.de/fileadmin/assets/downloads/pressecenter/umfragen/DGBT-Umfrageergebnis-Schoenheit-im-Alter-2017.pdf