Dr. med. Thomas Ackermann
Harmony of Aesthetics · Herzogenaurach

After your treatment

Your treatment is complete. The next 24 to 72 hours are the most important. This page provides orientation — what is normal, when to contact us, and what to please avoid.

What is normal

These reactions are part of the course

  • Slight swelling in the treated area for 24 to 72 hours
  • Pressure sensitivity at the injection sites
  • Small blood points or slight bruising discolouration
  • Early asymmetry — the material distributes over 7 to 14 days
  • Transient sensations of tension or pressure

These phenomena resolve on their own and are no cause for concern.

Three symptoms — please report immediately

If you notice one of these three symptoms, time is critical. Please contact us not tomorrow, but immediately.

1
Severe pain
A pain that does not match the treatment — that becomes stronger after one to two hours rather than subsiding.
2
Pale or mottled skin
Strikingly pale, whitish or mottled skin in or next to the treated area — particularly between 30 minutes and 6 hours after the treatment.
3
Visual disturbances
Any kind of sudden visual change — blurred, double vision, loss of sight in one eye, a dark shadow. Even if it passes.

What to do — the three levels

What you noticeWhenWhat to do
One of the three warning symptoms above Hours 0 to 72 Call the practice immediately:
09132 90 24 770
Warning symptom outside practice hours Evening, night, weekend Emergency mobile (Dr. Ackermann):
0176 6163 5575
or
Emergency department University Hospital Erlangen
24h switchboard: 09131 85-0
Late symptoms: nodules, redness, warmth, pressure pain after day 7 Weeks 1 to 4 Appointment within 24 to 48 hours:
09132 90 24 770

Please avoid

  • No self-medication with ibuprofen or aspirin in the first 24 hours without consultation — both increase the bruising risk
  • No massaging or kneading of the treated area in the first few days
  • No sauna, solarium, intensive sport or prolonged sun exposure for 24 to 48 hours
  • No dental treatments in the first 14 days (relevant for fillers in the facial area)

Your treatment — please fill in

If you need to present at the emergency department, this overview helps

Date
Treated area
Substance class
Hyaluronic acid filler Bio-stimulator Hybrid product Botulinum toxin type A
Volume / units
Batch / lot

Contact at a glance

Practice Dr. Ackermann Niederndorfer Hauptstraße 41
91074 Herzogenaurach
09132 90 24 770
Emergency department Erlangen Hospital University Hospital
91054 Erlangen
09131 85-0 (24h)

This page provides a first overview and does not replace a personal consultation. In any case of uncertainty: better to call once too often than once too rarely. We take your observations seriously — and we are prepared. In the vast majority of treatments everything proceeds without complication. For the rare exceptions, structured protocols, anaesthesiological experience and ultrasound-guided diagnostics are in place. You are not alone.

Practice Dr. med. Thomas Ackermann · Harmony of Aesthetics
As of May 2026 · v1.0