{"id":756,"date":"2026-08-20T17:07:23","date_gmt":"2026-08-20T15:07:23","guid":{"rendered":"https:\/\/4beauty.de\/glossar\/unterspritzung\/"},"modified":"2026-08-28T11:45:47","modified_gmt":"2026-08-28T09:45:47","slug":"injection","status":"publish","type":"glossary","link":"https:\/\/4beauty.de\/en\/glossar\/unterspritzung\/","title":{"rendered":"Injections: An overview of Botox, hyaluronic acid and fillers"},"content":{"rendered":"<div class=\"wp-block-rank-math-toc-block\" id=\"rank-math-toc\"><h2>Table of Contents<\/h2><nav><ul><li class=\"\"><a href=\"#was-ist-eine-unterspritzung-definition\">What is a dermal filler treatment? Definition<\/a><\/li><li class=\"\"><a href=\"#die-zwei-hauptkategorien-der-unterspritzung\">The two main categories of dermal fillers<\/a><\/li><li class=\"\"><a href=\"#der-grosse-vergleich-muskelrelaxans-vs-fillern\">The big comparison: muscle relaxants vs. fillers<\/a><\/li><li class=\"\"><a href=\"#die-entscheidende-rolle-der-qualifikation-wer-darf-spritzen\">The crucial role of qualifications: Who is allowed to administer injections?<\/a><\/li><li class=\"\"><a href=\"#risiken-und-die-bedeutung-der-absicherung\">Risks and the importance of insurance cover<\/a><\/li><li class=\"\"><a href=\"#haufig-gestellte-fragen-faq-zur-unterspritzung\">Frequently Asked Questions (FAQ) about dermal fillers<\/a><\/li><\/ul><\/nav><\/div>\n\n\n\n<div class=\"wp-block-group is-style-boxed has-white-warm-background-color has-background is-layout-constrained wp-block-group-is-layout-constrained\">\n<p class=\"wp-block-paragraph\"><strong>Important note<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This article is for information purposes only and is not a substitute for a medical diagnosis or advice. If you are unsure, or if you require a personalised treatment plan, it is essential that you consult a qualified specialist.<\/p>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">The term \u2018dermal fillers\u2019 has become an integral part of modern aesthetic medicine. It refers to a whole range of minimally invasive treatments designed to smooth out wrinkles, restore volume and define facial contours \u2013 all without the need for surgery. However, the wide variety of substances and brand names used can quickly become confusing.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This article provides you with a clear and reliable overview of the world of dermal fillers. It explains the two fundamentally different mechanisms of action and helps you understand which method is right for which purpose.<\/p>\n\n\n\n<div class=\"wp-block-media-text is-stacked-on-mobile\"><figure class=\"wp-block-media-text__media\"><img loading=\"lazy\" decoding=\"async\" width=\"495\" height=\"440\" src=\"https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2025-09_Unterspritzung.jpg\" alt=\"Photo: Injections with Botox, hyaluronic acid or fillers\" class=\"wp-image-303 size-full\" srcset=\"https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2025-09_Unterspritzung.jpg 495w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2025-09_Unterspritzung-300x267.jpg 300w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2025-09_Unterspritzung-14x12.jpg 14w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2025-09_Unterspritzung-40x36.jpg 40w\" sizes=\"auto, (max-width: 495px) 100vw, 495px\" \/><\/figure><div class=\"wp-block-media-text__content\">\n<h2 class=\"wp-block-heading\" id=\"was-ist-eine-unterspritzung-definition\">What is a dermal filler treatment? Definition<\/h2>\n\n<p class=\"wp-block-paragraph\">In aesthetic medicine, the term \u2018injection treatment\u2019 refers to the injection of medicinal substances or fillers into or under the skin in order to alter one\u2019s appearance.<\/p>\n\n<p class=\"wp-block-paragraph\">The aim is usually to treat wrinkles, restore volume or contour the face. A distinction is made between two main categories of substances, which have completely different mechanisms of action.<\/p>\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/4beauty.de\/en\/service-information\/contact\/\">Contact us for a no-obligation enquiry<\/a><\/div>\n<\/div>\n<\/div><\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"die-zwei-hauptkategorien-der-unterspritzung\">The two main categories of dermal fillers<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">In aesthetic medicine, two main classes of substances are used for dermal fillers; these are based on entirely different mechanisms of action and serve different purposes:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Muscle relaxants (e.g. Botox\u00ae): For the treatment of <em>Cause<\/em> caused by expression lines.<\/strong> These active ingredients specifically relax the muscles whose excessive activity is responsible for the formation of dynamic wrinkles.<\/li>\n\n\n\n<li><strong>Dermal fillers (e.g. hyaluronic acid): For correcting volume loss and static wrinkles.<\/strong> These fillers replace lost tissue, lift deep-set wrinkles and reshape the contours of the face.<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"504\" height=\"492\" src=\"https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2025-09_unterspritzung-botox-vs-filler.svg\" alt=\"Infographic: Botox vs. fillers\" class=\"wp-image-317\"\/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"kategorie-1-muskelrelaxantien-botulinumtoxin\">Category 1: Muscle relaxants (botulinum toxin)<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">This category has just one, but world-famous, representative: <a href=\"https:\/\/4beauty.de\/en\/glossary\/botulinumtoxin\/\">Botulinum toxin<\/a> Type A (colloquially usually <strong>Botox\u00ae<\/strong> (as mentioned).<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Mechanism of action:<\/strong> Botulinum toxin is not a filler, but an active ingredient that specifically relaxes muscle activity. It temporarily blocks the nerve signals that cause a muscle to tense.<\/li>\n\n\n\n<li><strong>Treatment objective:<\/strong> The smoothing of <strong>dynamic wrinkles<\/strong> (expression lines), which are caused by repeated muscle movements. When the muscle relaxes, the skin above it smooths out.<\/li>\n\n\n\n<li><strong>Typical areas of application:<\/strong>\n<ul class=\"wp-block-list\">\n<li>The frown line between the eyebrows<\/li>\n\n\n\n<li>Horizontal forehead wrinkles (\u201ethinker\u2019s forehead\u201c)<\/li>\n\n\n\n<li>Crow\u2019s feet at the corners of the eyes<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"kategorie-2-dermale-filler-fullmaterialien\">Category 2: Dermal fillers (filling materials)<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">This category includes various substances used to restore lost volume or to sculpt contours. By far the most common and important filler is the <strong>Hyaluronic acid<\/strong>.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Mechanism of action:<\/strong> Hyaluronic acid is a gel-like substance that occurs naturally in the body. It can bind enormous amounts of water. When injected as a filler, it plumps up the tissue from within, lifts wrinkles and shapes contours.<\/li>\n\n\n\n<li><strong>Treatment objective:<\/strong> Topping up <strong>static wrinkles<\/strong> (wrinkles that are visible even when the face is relaxed) and the targeted <strong>Volume build-up<\/strong>.<\/li>\n\n\n\n<li><strong>Typical areas of application:<\/strong>\n<ul class=\"wp-block-list\">\n<li>Filling in the nasolabial fold (the crease running from the nose to the corner of the mouth)<\/li>\n\n\n\n<li>Lip augmentation and contouring<\/li>\n\n\n\n<li>Cheek augmentation to accentuate the cheekbones<\/li>\n\n\n\n<li>Correction of the tear trough under the eyes<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"der-grosse-vergleich-muskelrelaxans-vs-fillern\">The big comparison: muscle relaxants vs. fillers<\/h2>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th>Criterion<\/th><th>Muscle relaxant (Botox\u00ae)<\/th><th>Fillers (hyaluronic acid)<\/th><\/tr><\/thead><tbody><tr><td>Mechanism of action<\/td><td>Relaxes the muscle<\/td><td>Adds volume<\/td><\/tr><tr><td>Objective<\/td><td>Smoothing out expression lines<\/td><td>Filling in wrinkles &amp; defining contours<\/td><\/tr><tr><td>Covers\u2026<\/td><td>The cause of the crease (muscle)<\/td><td>The symptom of a wrinkle (loss of volume)<\/td><\/tr><tr><td>Places of use<\/td><td>Upper half of the face (forehead, eyes)<\/td><td>Lower\/middle half of the face (cheeks, lips, mouth)<\/td><\/tr><tr><td>Shelf life<\/td><td>Approx. 3\u20136 months<\/td><td>Approx. 6\u201318 months (depending on the product, injection technique and treatment area)<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/4beauty.de\/en\/service-information\/contact\/\">Contact us for a no-obligation enquiry<\/a><\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"die-entscheidende-rolle-der-qualifikation-wer-darf-spritzen\">The crucial role of qualifications: Who is allowed to administer injections?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Even though a dermal filler treatment may seem quick and straightforward, it is a medical procedure that requires in-depth knowledge of facial anatomy, the substances used and the injection techniques.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>The first choice:<\/strong> Specialists in plastic and aesthetic surgery, dermatology or oral and maxillofacial surgery have the most comprehensive training and experience.<\/li>\n\n\n\n<li><strong>Other users:<\/strong> In Germany, other doctors and alternative practitioners are also legally permitted to administer injections.<br \/>However, the level of qualification can vary considerably, so expertise in a specific medical specialism is recommended.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Choosing a highly qualified, experienced practitioner is the most important factor in achieving a safe and aesthetically pleasing result.<\/p>\n\n\n\n<div class=\"wp-block-media-text is-stacked-on-mobile\"><figure class=\"wp-block-media-text__media\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"1536\" src=\"https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2025-11_Vorteile_Folgekostenversicherung.jpg\" alt=\"Infographic: Benefits of ongoing costs insurance\" class=\"wp-image-346 size-full\" srcset=\"https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2025-11_Vorteile_Folgekostenversicherung.jpg 1024w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2025-11_Vorteile_Folgekostenversicherung-200x300.jpg 200w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2025-11_Vorteile_Folgekostenversicherung-768x1152.jpg 768w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2025-11_Vorteile_Folgekostenversicherung-683x1024.jpg 683w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2025-11_Vorteile_Folgekostenversicherung-8x12.jpg 8w, https:\/\/4beauty.de\/wp-content\/uploads\/2026\/08\/2025-11_Vorteile_Folgekostenversicherung-27x40.jpg 27w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure><div class=\"wp-block-media-text__content\">\n<h2 class=\"wp-block-heading\" id=\"risiken-und-die-bedeutung-der-absicherung\">Risks and the importance of insurance cover<\/h2>\n\n<p class=\"wp-block-paragraph\">Possible side effects of injections include swelling, bruising or redness. More serious, but rare, complications can include asymmetry, the formation of nodules or, in extremely rare cases with dermal fillers, vascular occlusion.<br \/>As these are cosmetic procedures, it is not automatically the case that health insurance will cover the costs of treating any complications.<\/p>\n\n<p class=\"wp-block-paragraph\">One <a href=\"https:\/\/4beauty.de\/en\/after-care-insurance\/\">Consequential Costs Insurance<\/a> protects you from the financial consequences should a medically necessary correction be required following your treatment.<\/p>\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/4beauty.de\/en\/service-information\/contact\/\">Contact us for a no-obligation enquiry<\/a><\/div>\n<\/div>\n<\/div><\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"haufig-gestellte-fragen-faq-zur-unterspritzung\">Frequently Asked Questions (FAQ) about dermal fillers<\/h2>\n\n\n\n<div data-wp-context=\"{ &quot;autoclose&quot;: false, &quot;accordionItems&quot;: [] }\" data-wp-interactive=\"core\/accordion\" role=\"group\" class=\"wp-block-accordion is-layout-flow wp-block-accordion-is-layout-flow\">\n<div data-wp-class--is-open=\"state.isOpen\" data-wp-context=\"{ &quot;id&quot;: &quot;accordion-item-1&quot;, &quot;openByDefault&quot;: false }\" data-wp-init=\"callbacks.initAccordionItems\" data-wp-on-window--hashchange=\"callbacks.hashChange\" class=\"wp-block-accordion-item is-layout-flow wp-block-accordion-item-is-layout-flow\">\n<h3 class=\"wp-block-accordion-heading\"><button aria-expanded=\"false\" aria-controls=\"accordion-item-1-panel\" data-wp-bind--aria-expanded=\"state.isOpen\" data-wp-on--click=\"actions.toggle\" id=\"accordion-item-1\" type=\"button\" class=\"wp-block-accordion-heading__toggle\"><span class=\"wp-block-accordion-heading__toggle-title\">What is the difference between Botox and fillers?<\/span><span class=\"wp-block-accordion-heading__toggle-icon\" aria-hidden=\"true\">+<\/span><\/button><\/h3>\n\n\n\n<div aria-labelledby=\"accordion-item-1\" data-wp-bind--hidden=\"state.isHidden\" data-wp-on--beforematch=\"actions.handleBeforeMatch\" id=\"accordion-item-1-panel\" role=\"region\" class=\"wp-block-accordion-panel is-layout-flow wp-block-accordion-panel-is-layout-flow\">\n<p class=\"wp-block-paragraph\">In short: Botox relaxes muscles to smooth out expression lines. Fillers plump up wrinkles and restore lost volume. They treat different problems.<\/p>\n<\/div>\n<\/div>\n\n\n\n<div data-wp-class--is-open=\"state.isOpen\" data-wp-context=\"{ &quot;id&quot;: &quot;accordion-item-2&quot;, &quot;openByDefault&quot;: false }\" data-wp-init=\"callbacks.initAccordionItems\" data-wp-on-window--hashchange=\"callbacks.hashChange\" class=\"wp-block-accordion-item is-layout-flow wp-block-accordion-item-is-layout-flow\">\n<h3 class=\"wp-block-accordion-heading\"><button aria-expanded=\"false\" aria-controls=\"accordion-item-2-panel\" data-wp-bind--aria-expanded=\"state.isOpen\" data-wp-on--click=\"actions.toggle\" id=\"accordion-item-2\" type=\"button\" class=\"wp-block-accordion-heading__toggle\"><span class=\"wp-block-accordion-heading__toggle-title\">Is a dermal filler treatment painful?<\/span><span class=\"wp-block-accordion-heading__toggle-icon\" aria-hidden=\"true\">+<\/span><\/button><\/h3>\n\n\n\n<div aria-labelledby=\"accordion-item-2\" data-wp-bind--hidden=\"state.isHidden\" data-wp-on--beforematch=\"actions.handleBeforeMatch\" id=\"accordion-item-2-panel\" role=\"region\" class=\"wp-block-accordion-panel is-layout-flow wp-block-accordion-panel-is-layout-flow\">\n<p class=\"wp-block-paragraph\">Most patients describe the injections as a slight prick. Modern fillers often contain a local anaesthetic. In addition, the skin can be numbed beforehand using an anaesthetic cream.<\/p>\n<\/div>\n<\/div>\n\n\n\n<div data-wp-class--is-open=\"state.isOpen\" data-wp-context=\"{ &quot;id&quot;: &quot;accordion-item-3&quot;, &quot;openByDefault&quot;: false }\" data-wp-init=\"callbacks.initAccordionItems\" data-wp-on-window--hashchange=\"callbacks.hashChange\" class=\"wp-block-accordion-item is-layout-flow wp-block-accordion-item-is-layout-flow\">\n<h3 class=\"wp-block-accordion-heading\"><button aria-expanded=\"false\" aria-controls=\"accordion-item-3-panel\" data-wp-bind--aria-expanded=\"state.isOpen\" data-wp-on--click=\"actions.toggle\" id=\"accordion-item-3\" type=\"button\" class=\"wp-block-accordion-heading__toggle\"><span class=\"wp-block-accordion-heading__toggle-title\">Does it make you look artificial or \u201eenhanced\u201c?<\/span><span class=\"wp-block-accordion-heading__toggle-icon\" aria-hidden=\"true\">+<\/span><\/button><\/h3>\n\n\n\n<div aria-labelledby=\"accordion-item-3\" data-wp-bind--hidden=\"state.isHidden\" data-wp-on--beforematch=\"actions.handleBeforeMatch\" id=\"accordion-item-3-panel\" role=\"region\" class=\"wp-block-accordion-panel is-layout-flow wp-block-accordion-panel-is-layout-flow\">\n<p class=\"wp-block-paragraph\">The aim of any professional dermal filler treatment should always be a natural-looking result. An experienced doctor will choose the dosage and injection sites in such a way that your natural facial expressions are preserved and you simply look fresher and more rested.<\/p>\n<\/div>\n<\/div>\n\n\n\n<div data-wp-class--is-open=\"state.isOpen\" data-wp-context=\"{ &quot;id&quot;: &quot;accordion-item-4&quot;, &quot;openByDefault&quot;: false }\" data-wp-init=\"callbacks.initAccordionItems\" data-wp-on-window--hashchange=\"callbacks.hashChange\" class=\"wp-block-accordion-item is-layout-flow wp-block-accordion-item-is-layout-flow\">\n<h3 class=\"wp-block-accordion-heading\"><button aria-expanded=\"false\" aria-controls=\"accordion-item-4-panel\" data-wp-bind--aria-expanded=\"state.isOpen\" data-wp-on--click=\"actions.toggle\" id=\"accordion-item-4\" type=\"button\" class=\"wp-block-accordion-heading__toggle\"><span class=\"wp-block-accordion-heading__toggle-title\">How long will I be out of action after having an injection?<\/span><span class=\"wp-block-accordion-heading__toggle-icon\" aria-hidden=\"true\">+<\/span><\/button><\/h3>\n\n\n\n<div aria-labelledby=\"accordion-item-4\" data-wp-bind--hidden=\"state.isHidden\" data-wp-on--beforematch=\"actions.handleBeforeMatch\" id=\"accordion-item-4-panel\" role=\"region\" class=\"wp-block-accordion-panel is-layout-flow wp-block-accordion-panel-is-layout-flow\">\n<p class=\"wp-block-paragraph\">Usually not at all, as the injection is a <a href=\"https:\/\/4beauty.de\/en\/glossary\/minimally-invasive\/\">minimally invasive<\/a> It is a straightforward procedure. You can resume your normal activities straight after the treatment. You may experience slight redness or swelling, but this can usually be easily concealed with make-up.<\/p>\n<\/div>\n<\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Injectable treatments refer to minimally invasive procedures using Botox, hyaluronic acid and fillers, which smooth out wrinkles, restore volume and define contours.<\/p>","protected":false},"template":"","class_list":["post-756","glossary","type-glossary","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/4beauty.de\/en\/wp-json\/wp\/v2\/glossary\/756","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/4beauty.de\/en\/wp-json\/wp\/v2\/glossary"}],"about":[{"href":"https:\/\/4beauty.de\/en\/wp-json\/wp\/v2\/types\/glossary"}],"wp:attachment":[{"href":"https:\/\/4beauty.de\/en\/wp-json\/wp\/v2\/media?parent=756"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}