Face

At the Metropolitan Clinic Zurich, you can expect the highest level of medical expertise in the field of aesthetic and plastic-reconstructive facial surgery. Dr. Volker Rippmann and Christian Roessing are renowned specialists with many years of experience - especially as specialists in facelifts and sophisticated procedures for particularly natural results.

At our clinic, we offer you a comprehensive range of options for rejuvenating, reshaping and optimizing the face - individually tailored to your needs.

For subtle changes, we also offer a wide range of minimally invasive methods - including botulinum toxin treatments, hyaluronic acid fillers, thread lifting, Sculptra®, PRP or Morpheus8 radiofrequency needling.

Our aim is always to preserve and emphasize your natural radiance - for a fresh, vital appearance that suits you.

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Surgical facial treatments

  • The deep-plane facelift is a demanding operation in which the deeper layers of tissue in the face are repositioned.

    This enables a comprehensive and long-term correction of wrinkles, sagging cheeks and slack skin.

    The procedure requires many years of surgical experience, as a natural-looking result should be achieved through precise incision and preparation.

    LEARN MORE ABOUT FACELIFTS

Close-up of a male face with focus on nose, lips and moustache.

Buccal fat pad removal

  • Buccal fat pad removal is a procedure that removes excess fatty tissue in the cheeks. This can help to emphasize facial contours and shape cheeks. We usually make small incisions in the oral mucosa to access and reduce the fat deposits. This usually heals quickly and with few complications.

Close-up of a face, focus on the eye and eyebrow.

Eyebrowlift

  • An eyebrow lift lifts sagging eyebrows to achieve a more open look. This can be achieved using various techniques, such as removing skin directly above the eyebrows or making minimal incisions in the hairline.

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  • The face and neck lift is a surgical procedure that removes excess skin from the face and neck to smooth sagging skin. We tighten underlying muscles and tissue layers to achieve a lasting and natural result. This procedure can give you a significantly younger appearance, but requires adequate recovery time to allow swelling and bruising to subside.

Close-up of a human neck showing skin and upper chest.
  • The bullhorn lip lift is a special type of lip lift. An incision is made under the nose that follows the natural wrinkles and resembles the shape of a bull's horn. A small strip of skin is then removed. By lifting and tightening the remaining skin, the distance between the upper lip and nose is effectively shortened, making the lip appear fuller and more youthful. This procedure leaves a scar, but it is usually well hidden under/in the nose.

    LEARN MORE ABOUT THE LIPLIFT

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Other Surgical treatments:

  • In autologous fat transfer, also known as fat grafting or lipofilling, fat is harvested by liposuction from an area of the patient's body, usually the abdomen, thighs or flanks. The extracted fat is then purified and processed. In the case of micro- or nanofat, the fat cells are mechanically broken down into smaller particles. This enables finer injections that can be used to treat more sensitive areas such as under the eyes or to improve skin texture. The processed fat is injected into the face, buttocks or any other area that requires volume, contouring or resurfacing.

  • For chin augmentation with an implant, a small incision is made either under the chin or in the mouth. A pocket is created in front of the chin bone, behind the muscle, into which a plastic implant is inserted and fixed. This procedure aims to improve the balance between the chin and other facial features and can have a significant impact on the patient's overall appearance and profile.

  • Ear correction or otoplasty is performed to change the size, shape or alignment of the ears. In the case of protruding ears, cartilage can be reshaped and sutures placed to hold the ear closer to the head. In some cases, the cartilage or skin can be removed completely. Earlobe correction specifically targets the earlobes and not the entire ear. Enlarged earlobes can be reduced in size, stretched or torn earlobes (often caused by earrings) can be repaired or aged and wrinkled earlobes can be rejuvenated. The incisions are usually closed with sutures and scarring is generally minimal.

Minimally invasive facial treatments:

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Treatment with botulinum toxin

  • At the Metropolitan Clinic, we use botulinum toxin - a proven muscle-relaxing neuromodulator - for the targeted treatment of mimic wrinkles. Through fine injections into specific muscle areas of the face, unwanted tension can be reduced, resulting in a smoother, more relaxed complexion.

    Typical areas of application are

    • Forehead wrinkles and frown lines

    • Crow's feet in the outer eye area

    • Wrinkles on the upper lip ("smoker's lines")

    • Raising sunken corners of the mouth

    • Reduction of a "gummy smile" (visible gums when smiling)

    • Pronounced muscle pulls on the neck (platysma)

    • Masseter treatment to relax teeth grinding (bruxism) or to narrow the face

    The treatment is performed on an outpatient basis, is minimally invasive and well tolerated. The first effects are usually visible after a few days, with the full result appearing within one to two weeks.

    The aim is a fresh, harmonious appearance - without losing the natural facial expressions.

Portrait of a woman smiling at the camera

Thread lifting

  • During a thread lift, special threads are inserted under the skin to tighten and lift the skin. The threads trigger a reaction in the tissue that leads to collagen and elastin production. This contributes to long-term tightening and improvement in skin quality, which is usually clearly visible and long-lasting 3-4 months after the treatment along the inserted thread.

Close-up of Morpheus8 device with screen and a handle.
  • Morpheus 8 is a medical microneedling procedure in which fine needles are inserted into the skin using radio frequency energy. This stimulates collagen production, tightens the skin and can also destroy fatty tissue at a certain skin depth.

    The treatment can be used for various areas of the face and body.

    LEARN MORE ABOUT MOEPHEUS 8

  • Hyaluronic acid is a synthetically produced gel substance that is injected into the skin to hydrate, contour and smooth wrinkles. It can be used to plump up lips or emphasize cheekbones. The results are immediately visible and the hyaluronic acid breaks down naturally over time.

    LEARN MORE ABOUT FILLER

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Sculptra ®

  • Sculptra is a series of injections of polylactic acid under the skin. Over the course of several months, this stimulates collagen production and leads to a gradual improvement in skin tone, volume and quality. The results are long-lasting and very natural. The polylactic acid breaks down completely without leaving any residue.

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Portrait of a man holding his face with his hand
  • Polynucleotides (PDRN) are natural active ingredients that specifically stimulate cell renewal, promote microcirculation and support collagen synthesis. They are obtained from purified DNA from salmon sperm - a process that is sometimes colloquially referred to as "salmon sperm therapy". The extraction is carried out gently and in accordance with animal ethical standards, without harming the animals.

    Polynucleotides improve the skin's structure, increase elasticity and ensure a smoother, more radiant complexion - without any artificial fillers.

    Typical areas of application are

    • Skin rejuvenation on the face, neck and décolleté

    • Wrinkle treatment in the eye area

    • Support for scars, e.g. after acne

    • Promotion of hair growth at the onset of hair loss

    For optimum results, we recommend a course of several treatments at intervals of 2-3 weeks. The effect builds up gradually and shows particularly long-lasting effects with regular use.

    This biostimulating treatment is well tolerated and activates the skin's natural regeneration processes - for a fresh, healthy appearance from the inside out.

    LEARN MORE ABOUT POLYNUCLEOTIDES

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Minimally invasive treatments:

  • Autologous serum is a cosmetic procedure. The serum is injected into the skin using various techniques. The growth factors contained in the serum stimulate collagen production and tissue regeneration, which leads to a long-term improvement and rejuvenation of the skin structure.

  • Radiesse® is a classic filler consisting of calcium hydroxyapatite. It is used to fill wrinkles and lines, contour the face and stimulate collagen production and offers longer lasting results compared to other classic hyaluronic acid fillers.

  • Microneedling with exosomes combines the finest skin perforations with highly effective signaling substances to specifically promote skin regeneration. The exosomes support cell communication and stimulate repair processes - for a smoother, firmer and more even complexion.

    LEARN MORE ABOUT EXOSOMES

  • Profhilo is an injection treatment that contains a high concentration of non-cross-linked hyaluronic acid and is usually injected into 5 points on the mid-face. This achieves a significant improvement in skin hydration and stimulates collagen and elastin production. Several treatments at intervals of 3-6 weeks show the best and longest-lasting results.

  • NCTF stands for "New Cellular Treatment Factor". It is a mixture of non-cross-linked hyaluronic acid and various vitamins, minerals, amino acids and coenzymes. NCTF is often used as mesotherapy, a technique in which the substance is injected superficially into the skin to improve its quality and hydration.

  • Injections with JULÄINE™ are an innovative aesthetic treatment based on the activation of the body's own collagen production. It uses poly-L-lactic acid (PLLA), a biocompatible material that is specifically injected into the skin to promote natural regeneration and sustainably improve the skin's structure.

Arrange a consultation now

Whether for an individual consultation or detailed information on our treatments - we will be happy to assist you. Make a personal appointment today to clarify your questions and discuss the best options for your wishes and needs.

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