Dr. med. Holger Marsch

The wrinkle injection is one of the most popular non-invasive (i.e. non-surgical) aesthetic treatments. In comparison with aesthetic plastic surgery, wrinkle injections are very popular in Essen and the surrounding area and, measured in terms of the number of treatments, is only surpassed by breast augmentation and eyelid tightening in Germany. In many cases, wrinkle injection is a gentle alternative to surgical procedures such as the facelift, or it can at least significantly delay the need for a major intervention.
Filler for injecting wrinkles in food.


While a few years ago a wide variety of agents were used for wrinkle injections, including non-absorbable substances such as silicone, today hyaluronic acid has become the standard for filler treatment. Hyaluronic acid is also used in other medical areas and occurs naturally in the human body, which is why it is particularly well tolerated. So-called fillers based on hyaluronic acid are available today in a wide variety of consistencies in order to do justice to the various areas of application. There are preparations that have been specially developed to correct small wrinkles in the area of ​​the mouth or fillers that are suitable for plumping up sunken areas of the face. Hyaluronic acid has a strong water-binding effect and an experienced specialist can successfully even out pronounced wrinkles through targeted injections. The effect of a filler treatment with hyaluronic acid lasts for about 4 to 6 months, in some cases significantly longer.


Botulinum toxin as an alternative to wrinkle injections
With the so-called botulinum treatment, the aesthetically active specialist has another proven means of non-invasive wrinkle reduction. Even if wrinkle treatment with botulinum toxin type A (better known under the brand name Botox) is a very common injection therapy, it is not actually a wrinkle injection. Because the also absorbable botulinum toxin is not used to fill up wrinkles, but to Temporarily numbing the muscles that cause expression lines to appear. Even with the so-called botox treatment, the effect lasts for about 4 to 6 months. If necessary, the treatment can be repeated without any problems.


Your expert for anti-wrinkle injections in Essen
Would you like to have a wrinkle injection in Essen and are you looking for an experienced expert? Dr. As a specialist in ENT medicine with additional qualification in plastic operations, Holger Marsch has many years of practical experience in the field of aesthetic facial surgery and gentle wrinkle treatment. If you have any questions about wrinkle injection, Dr. We would be happy to provide you with comprehensive information and show you the treatment options that are right for your individual case. Simply make an appointment for a consultation under the keyword wrinkle injection in Essen.sen.

For many patients, an eyelid lift in Essen represents an opportunity to get rid of unloved "bags under the eyes" and "drooping eyelids" and to regain a fresher and more youthful facial expression. Since the skin on the eyelids has a particularly thin structure, the signs of the times are usually the first noticeable there. Patients then often radiate a feeling of exhaustion outwardly, which does not correspond to the actual feeling. It can even happen that the field of vision is restricted if the "drooping eyelids" are particularly pronounced. With an eyelid lift in Essen, those affected have the opportunity to regain a more lively facial expression without changing their basic appearance.


Who is an eyelid lift in Essen suitable for?
Patients interested in an eyelid lift in Essen often suffer from sagging and wrinkled skin around the eye area. The excess tissue on the upper eyelid is mainly caused by the loss of skin elasticity. The so-called eye bags on the lower eyelid are formed as a result of the natural aging process or are hereditary. They consist of swollen fatty tissue in the eye socket, which can no longer be held by the weakened ligament structures of the inside of the eye. During an eyelid lift in Essen, the doctor removes the excess skin and fatty tissue and thus gives the eyes a more alert appearance.


Eyelid lift in Essen - the consultation
Before patients decide to have an eyelid lift in Essen, they should always have a detailed consultation with their doctor. Those affected have the opportunity to openly communicate their questions and wishes to the doctor and are also informed about possible risks. In addition, a detailed examination of the eyes takes place in order to rule out possible previous illnesses. Patients are also advised not to use cosmetics or creams around the eyes on the day of the operation. Even if the eyelid lift in Essen is one of the low-risk procedures, as with any operation there is a risk of infection and bleeding. Patients should also be aware that two eyes never look the same and that slight asymmetries can occur even after the eyelid lift. In addition, the doctor cannot reverse the natural aging process with the procedure, but he can very well adapt your eye expression to your youthful attitude to life.


How does an eyelid lift work in Essen?
During an eyelid lift in Essen, the doctor removes the excess skin and fatty tissue. The procedure is usually performed under local anesthesia and takes about half an hour per lid. On the upper eyelid, a cut is necessary along the natural crease of the eyelid; on the lower eyelid, the cut is about 2mm below the edge of the eyelid. The cuts run past the corner of the eye on both sides and end in a laugh line on the lower eyelid. Of course, this creates scars that patients should be aware of beforehand. How the scars heal depends on the skin's healing tendency, which is different in every person. In the eye, however, the healing process is generally very positive, so that patients should not be too concerned if the scar begins to redden and swell. In addition, the scar can only be seen when the eye is closed due to its location on the crease.


What do patients have to consider after an eyelid lift in Essen?
Immediately after the eyelid lift in Essen, it is advisable to rest for about two hours with the upper body slightly lifted under medical supervision so that any complications that may arise can be treated immediately. As soon as the anesthetic wears off, you may experience slight pain. To support the healing process, it is advisable to cool with cold compresses. The swelling and bruising usually go away after about two weeks. In the first few weeks after the eyelid lift in Essen, the doctor recommends wearing dark glasses and avoiding direct sunlight. Patients should also initially refrain from physically demanding activities, sport and going to the sauna.


Your expert for eyelid lift in Essen - Dr. Holger Marsch
Are you interested in an eyelid lift in Essen and no longer want to be asked about your sad and tired facial expression? Your expert Dr. Holger Marsch has many years of experience and attaches great importance to conveying realistic expectations to his patients. On the basis of an extensive consultation, he and you will weigh up the advantages and risks of an eyelid lift in Essen. Simply arrange a non-binding consultation appointment in se

With an eyelid lift, an experienced surgeon can give a face a significantly fresher, younger look. Accordingly, eyelid correction is equally popular with male and female patients. The human eyelid fulfills important functions that should not be overlooked when performing an eyelid lift.


What to consider when doing an eyelid lift: Functions of the eyelid
The main purpose of the human eyelid is to protect the eye from contact and other harmful environmental influences. By blinking (blinking), it also ensures continuous moistening of the cornea and dermis. Without this supply of tear fluid, the outermost layers of the eye would dry out and be damaged in the long term. Therefore, a functioning eyelid is also important for maintaining good eyesight. In addition, the eyelids, as part of the eye area, make a significant contribution to a person's facial expressions. Eyelids can express certain feelings such as joy and sadness, but also horror or fatigue.

When doing an eyelid lift, these various functional aspects must be taken into account.


Bags under the eyes and drooping eyelids: signs of aging of the eyelids
In the course of life, the human face changes continuously. With advancing age, the elasticity and firmness of connective tissue and skin in particular decrease, causing many areas of the face to sag or sag. The aging process does not leave the eyelids without a trace. Here, sagging is particularly noticeable in the form of bags under the eyes and drooping eyelids. These signs of the times would not be a reason for an eyelid lift in and of themselves. However, excess tissue in the upper eyelid area (drooping eyelids) can sometimes impair the visual field. In this case, an eyelid tightening is not only indicated for purely aesthetic reasons, but also makes sense due to functional limitations.


Options for eyelid tightening in Essen
With an eyelid lift in Essen with specialist Dr. Holger Marsch has drooping eyelids and bags under the eyes removed. Depending on the findings, Dr. Go back to the appropriate surgical method: bags under the eyes can be removed with a lower eyelid lift, while an upper eyelid lift is the method of choice for drooping eyelids. In both cases, excess tissue and possibly fat deposits are removed as part of an outpatient operation. In doing so, Dr. Make sure you keep your eyelids closed optimally so as not to impair the function of the eyelids.


Your expert for eyelid tightening in Essen
Dr. Holger Marsch in detail about the possibilities of an eyelid lift in Essen. Simply arrange a non-binding consultation on the subject of eyelid lifts and get in touch with our practice team.

He is not only considered a pioneer of nose surgery, but also one of the most important plastic surgeons of the 20th century: Jacques Joseph, born in 1865 in Königsberg, Prussia. He finished his medical studies in 1889 at the Friedrich-Wilhelms-Universität in Berlin and then set up a general medical practice. From 1892 Joseph worked in the field of orthopedic surgery at the Berlin University Policlinic, where he gained experience with plastic-surgical measures and finally came into contact with the subject of nose surgery.


From protruding ears to the first nose operation
Joseph made a name for himself as a surgeon and was asked for help by the mother of a young boy with protruding ears in 1896. Due to the lack of medical necessity, Joseph initially refused to operate on the boy, but finally corrected the so-called sail ears in view of the great suffering of the child. His success in big ears and his innovative surgical procedure earned him a lot of recognition from the Berlin Medical Society. However, Joseph also lost his manager's trust and ultimately his job. The surgeon then founded his own clinic, where he performed his first nose operation in 1898. The patient was a young, depressed man who suffered badly from the shape of his nose. Again, the patient's mental suffering was the decisive factor for Joseph to perform the operation. The decision to have a nose operation was confirmed by an excellent result.


Intranasal nose operation and appointment to the Charité
For Joseph the first priority was always the positive psychological effect of the success of the operation and he was soon known nationwide as the “father of aesthetic rhinoplasty”. In 1907 he had already successfully performed a nose operation 200 times and developed his own surgical instruments with which he achieved a significant reduction in visible scars. In 1904 he dared an intranasal nasal operation for the first time, which managed without any external scarring due to the missing skin incision. In 1916, Joseph was appointed head of the Facial Plastic Surgery Department at the Berlin Charité, where he soon enjoyed a worldwide reputation as an aesthetic plastic surgeon - with a focus on nose operations. By the time Joseph died in 1934, he had helped countless patients feel better and passed on his knowledge to an entire generation of surgeons.


Your expert for nose surgery in Essen
Even if aesthetic facial surgery has been continuously developed and modernized, the achievements of Jacques Joseph are still effective today. Dr. As a specialist in ENT medicine with an additional qualification in plastic operations, Holger Marsch has specialized in nose operations and, like most of his colleagues, uses methods that originally go back to Jacques Joseph. If you have any questions about nose surgery in Essen, he will be happy to advise you comprehensively and will cater to your individual situation during the procedure.

Many people associate a nose operation primarily with the correction of the nose based on aesthetic wishes and ideas. And in fact, the aesthetic nose operation is one of the most common so-called cosmetic operations worldwide. However, only those who suffer from actual functional complaints in connection with their nose are usually aware that a nose correction can also be medically necessary. In this case, the specialist in ear, nose and throat medicine will explain whether a nose operation can solve the problem.


Aesthetic wishes as a reason for a nose operation
Often a nose operation is based on aesthetic desires. Quite a few people are bothered by a nose that is too large and that does not match the other proportions of the face. A so-called hump nose is also the reason that many people are interested in nose surgery. Thanks to proven techniques, an experienced nasal surgeon is able to correct the nose in terms of size, length, shape or width. Aesthetic correction of the nose is often the step towards a happier life for patients who have suffered from the shape of their nose for a long time.


Functional reasons for a nose operation
In many cases, functional problems, particularly difficult nasal breathing, actually make nasal surgery a medically necessary procedure. Reasons for problems with nasal breathing include a crooked nasal septum or enlarged turbinates. Blockages of the nose due to malformations, tumors, polyps or the consequences of injuries are less common. During a detailed examination, the specialist determines the causes of the breathing problems and recommends the appropriate therapy - for example a nose operation.


Advice on nose surgery in Essen - with Dr. Holger Marsch
Whether a nose operation is only indicated aesthetically or whether there is a functional, i.e. medical reason for the operation, can be clarified in a comprehensive consultation. As an experienced ENT doctor with a focus on nose surgery, Dr. Holger Marsch takes functional factors such as optimal nasal breathing as a matter of course in every nose operation. For him, providing detailed advice to his patients also includes informing them about possible medical indications for a nose correction.

The nose is an important part of the human body and, due to its central position on the face, it is also an important aesthetic factor. In addition to breathing, it also takes on other important functions. If you are thinking about a nose job in Essen, you should therefore only entrust your nose to an expert.


Rhinoplasty in Essen: How do I find the right specialist?
As with any aesthetic plastic procedure, you should find out more from a doctor before a nose correction in Essen. He should have specialist knowledge in the relevant areas. So if, for example, a specialist in oral and maxillofacial surgery offers breast augmentation, you should be suspicious. The same applies, of course, to rhinoplasty, here, as with other operations, there are proven experts.


Rhinoplasty in Essen - what are the special requirements for the doctor?
When performing a rhinoplasty in Essen, you should pay particular attention to what qualifications the doctor can provide. When performing an operation on the nose, the doctor should not only consider the aesthetic aspect, but also keep an eye on the functions of the nose, because patients will not enjoy their corrected nose if their breathing is impaired. Ideally, the doctor has completed specialist training in ENT medicine and is therefore familiar with the precise structure and functions of the nose. In addition, he has qualifications in the aesthetic plastic field and thus has both important aspects of a nose correction in focus.


Rhinoplasty in Essen - what patients should pay attention to
Before you decide on a rhinoplasty in Essen, you should find out all about the doctor. First, ask your family and friends whether they can recommend doctors for a nose job in Essen. You can also find out more about various doctors and their professional qualifications on the Internet. You should always insist on a detailed consultation with the doctor before the operation. Ask him your specific questions and always get a second opinion if you have any doubts.


Your expert for rhinoplasty in Essen - Dr. Holger Marsch
Are you looking for a qualified expert for rhinoplasty in Essen? Dr. Holger Marsch is a specialist in ENT medicine with an additional qualification in plastic operations and has many years of experience in the field of nose operations. Rhinoplasty is one of his specialties and he combines technical knowledge of the function and structure of the nose with an eye for aesthetics. Dr. Marsch will be happy to provide you with comprehensive information on the options for a nose job in Essen. Simply arrange a non-binding consultation appointment in his practice.

Aesthetic facial surgery is at home all over the world and is enjoying increasing popularity. Most of the operations are carried out in the USA and Brazil, and many aesthetic operations are also carried out in Asian countries such as Japan and South Korea. This was the result of a study of surgical and non-surgical interventions worldwide by the International Society for Aesthetic Plastic Surgery (ISAPS), which was published in 2015.


Brazil leads the ranking in facial aesthetic surgery
According to the study, over 500,000 operations in the field of aesthetic facial surgery took place in Brazil, which corresponds to a global share of almost 12%. The USA follows closely behind, accounting for 10.4% of all facial surgeries worldwide. Germany ranks sixth with over 100,000 interventions.


Almost 250,000 ear corrections worldwide
In the field of ear correction, Brazil ranks first with over 45,000 procedures, followed by the USA with more than 13,000 procedures. Mexico ranks third worldwide with over 10,000 operations. In Germany, the ear correction was performed almost 6,000 times in 2014, which corresponds to seventh place in the study.


Mostly female patients undergoing rhinoplasty
Almost three-quarters of all patients, 72.3%, were female when it came to rhinoplasty, but rhinoplasty only ranks sixth among all operations for women and second for men. Rhinoplasty was the most common type of procedure in South Korea, with over 100,000 procedures. In 2014, more than 12,000 operations took place in Germany, which corresponds to 1.4% of all nose corrections in the world.


Most popular filler treatment in the US
Among the non-surgical procedures, the filler treatment with hyaluronic acid and wrinkle injections with botulinum toxin are particularly popular. 28% of all wrinkle injections were done in the USA, followed by Brazil (7.4%) and South Korea (5.7%). The order of the filler treatment is the same, but in Germany, with a share of 3.6%, these are more popular than wrinkle injection (2.7%).


Your expert in aesthetic facial surgery - Dr. Holger Marsch
Are you interested in a nose job or ear job in Essen? Dr. Holger Marsch is an expert in these interventions. As a specialist in ENT medicine with additional qualification in plastic operations, he has professional competence and many years of experience. He will be happy to provide you with information about the possibilities of aesthetic facial surgery in a non-binding consultation.

The rhinoplasty is one of the most demanding operations in plastic surgery. The anatomy of the nose is complex and the olfactory epithelium (a layer of cells in the top of the nasal cavity) connects the nasal cavity and the brain directly. Therefore, only experienced specialists should perform rhinoplasty. Dr. Holger Marsch, specialist in ear, nose and throat medicine with additional qualification in plastic operations, has many years of experience in nose corrections. In his practice in Essen, he performs nose corrections almost every week.


Comprehensive advice before each rhinoplasty
Well-informed patients are the be-all and end-all for the ENT specialist in Essen. Before each rhinoplasty, he advises and examines his patients in detail, explains the risks and possible complications. Despite the difficult surgical technique, the risks associated with surgical rhinoplasty are rather low. However, as with any operation, wound infections and intolerance, for example, are possible. Dr. Marsch recommends that his patients write down their wishes and questions before the consultation. "The better informed our patients are, the fewer uncertainties and fears they feel, even before a nose operation," says the Essen specialist. So it is important that patients do not take aspirin or other antipyretic, anti-rheumatic drugs or high-dose vitamin E before a rhinoplasty, because these preparations delay blood clotting.


Thorough examination before rhinoplasty
A thorough examination of every patient, especially of the nose and face, takes place prior to the rhinoplasty procedure. The examination is particularly important in order to rule out functional disorders of the nose and to select the correct surgical method for each individual. The breathing function of the nose should be checked, a smell test carried out and - if necessary - an X-ray of the paranasal sinuses should be made.
Visualization: get a first idea of ​​the new nose


The ENT specialist in Essen, who specializes in nose surgery, thoroughly prepares every rhinoplasty. In addition, Dr. Marsch nose and face of his patients from the front and in profile and analyzes the findings with them. He uses pictures to show what the scaffolding looks like under the skin and which individual surgical steps are necessary to change it. Afterwards, the patients are informed in detail about all risks of a nose correction and the alternatives. Possibly. the result of an operation can be simulated using a computer program.


Do you wish personal advice?
Get in contact with Dr. Holger Marsch - your specialist for rhinoplasty in Essen

Few operations are as emblematic of aesthetic facial surgery as nose surgery or rhinoplasty. So it is not surprising that this procedure is extremely popular with both male and female patients. The nose operation is one of the most common plastic operations - in Germany and worldwide. However, many do not know that a nose operation is very varied and can be carried out in a wide variety of ways depending on the findings and wishes of the patient. We have therefore summarized in this guide what actually happens during a nose operation and what different options there are.


Important question before any nasal operation: What is the goal of the operation?
Not all nose operations are the same. There are many different techniques and approaches to rhinoplasty. This is also the reason why advice and information before the actual nose operation play such an important role: For a successful nose correction, the surgeon needs to know what the patient is hoping for from the operation. It is crucial here to compare the patient's ideas with the actual medical possibilities so that no false expectations arise. The doctor and patient discuss together what the goal of the operation should be. Under certain circumstances, images of previous treatment results or simulation techniques can also be used in order to define the desired result as clearly as possible. The starting point of the nose operation is always the decision about what should actually be achieved with the operation.


Opportunities for nasal surgery
With a nose operation, the specialist can correct the shape, length, width and height of his patient's nose and shape it very individually and to match the other facial features. Depending on the objective, bones can be ablated and cartilage or soft tissue removed, or a combination of all of these options can take place. The question of which areas of the nose the surgeon should correct during nasal surgery has a significant influence on the duration of the operation - and ultimately also on the costs of the operation.


Procedure for nasal surgery: anesthesia and duration of surgery
A nose operation is performed by Dr. Always walk under general anesthesia. The duration of the operation for a nose correction depends on the scope and complexity of the operation. As a rule, a duration of approx. 90 minutes must be expected. Depending on the extent of the procedure, a short inpatient stay of one or two nights can be useful. Rhinoplasty is usually carried out on an outpatient basis in Essen, but an inpatient stay in the clinic is also possible on request.


Surgical and incision technique for nose surgery
The minimally invasive surgical technique that Dr. March served, allows a result without visible scars. Specialists speak of closed or endonasal rhinoplasty. Only in extremely complicated cases, for example noses that have already been operated on several times, may an external incision be necessary. In technical terms, this is called open or exonasal rhinoplasty.


At the end of the nasal surgery - necessary rest and aftercare
At the end of the nasal surgery, the surgeon puts on a precisely fitting plaster strip or a stable splint to protect the result of the operation. In addition, many surgeons leave nasal tamponades to catch oozing bleeding. Such tamponades are perceived by many patients as uncomfortable or annoying. Dr. Holger Marsch therefore as a matter of principle refrains from using this remedy in his rhinoplasty.

To recover after the nasal surgery, it makes sense to take it easy for about two weeks. The total healing time for minimally invasive rhinoplasty is six months. During this time, the nose slowly swells and changes its shape. The attending physician checks the progress of the wound healing in pre-arranged follow-up appointments.


Dr. Holger Marsch - your specialist for nose surgery in Essen
Dr. Holger Marsch is your specialist for nose surgery in Essen. He is a specialist in ear, nose and throat medicine with further training in plastic surgery. As a third-generation rhinoplasty specialist, he has mastered the entire spectrum of nose surgery and takes both aesthetic and functional aspects into account during operations. When caring for his patients, he attaches great importance to comprehensive and honest advice.


Are you interested in a nose operation in Essen?
Get in touch with our practice team and arrange a non-binding consultation appointment.

Rhinoplasty is one of the most common operations in facial aesthetic surgery, but also in plastic surgery as a whole. The fact that rhinoplasty is so popular in Essen and beyond is mainly due to the fact that the nose is so important for the effect and charisma of a person due to its central location on the face. For those who are dissatisfied with their nose, nose surgery is a good and low-risk option.
But which characteristics can be changed in a nose operation?


Rhinoplasty in Essen: Various changes in shape
In the course of a nose operation, the shape of the nose can be corrected in many ways. Since both bone and cartilage material are processed during the procedure, the height, width, length and shape of the nose can be changed. The focus of the operation can be on the bridge of the nose as well as the ala or the tip of the nose. When choosing a surgeon, however, patients should always make sure that they are experienced surgeons who pay attention not only to aesthetic but also to functional aspects during the rhinoplasty. Because hardly anyone will be happy about a supposedly more beautiful nose if their nasal breathing is impaired.


Indications for a nose job in Essen
In medicine, an indication is the reason for a certain measure, i.e. a treatment or an operation. There are also a number of typical indications for rhinoplasty. This includes, for example, the so-called hump nose, in which the nasal bone is marked by a clear hump or hook. Another example is the saddle nose, recognizable by a heavily sunken bridge of the nose. The crooked nose, on the other hand, is - unsurprisingly - a clearly crooked or crooked nose. Other indications are the bulbous nose (also known as rhinophyma) and the balloon nose.


Your expert for rhinoplasty in Essen
Do you want to have a nose correction carried out in Essen or the region and are you looking for an expert? Dr. Holger Marsch has specialized in nose surgery and has many years of experience in the field of aesthetic facial surgery. As a specialist in ENT medicine with the additional designation of plastic operations, he not only keeps an eye on the aesthetically perfect result but also on the important functions of the nose in every nose operation. If you have any questions about rhinoplasty, Dr. You are welcome to take a comprehensive approach and respond to your very individual situation. Just get in touch with his practice team.