Precision on principle.
Aesthetics out of passion.
As a specialist in anesthesiology and emergency physician, I bring clinical matter-of-factness to every procedure. My guiding principle of Harmonie der Ästhetik combines medical thoroughness with a view of the whole person.
Arrange an appointmentWhy my background makes your treatment safer
Most physicians in aesthetic medicine come from dermatology or surgery. My path is different: I come from clinical acute-care medicine.
As a specialist in anesthesiology, I have learned to work precisely under pressure, to know the finest vascular structures blind and to respond to complications within seconds. This routine – which in the emergency department can be the difference between life and death – I bring to every injection.
At the same time, through my further training in general medicine I never look only at a wrinkle but at the whole person. True beauty is often a mirror of inner balance: nutrient supply, hormones, stress levels.
"I do not treat symptoms. I treat people. Anyone who comes to me does not get a one-size-fits-all injection – but an analysis that fits them."Dr. med. Thomas Ackermann · Specialist in Anesthesiology
Your protection
Why you are safe with me
My background as an emergency physician is not a marketing argument. It is the reason why treatments in my practice proceed differently than elsewhere.
The art of freedom from pain
Afraid of injections? Eliminating pain is the absolute core craft of an anesthesiologist. Through special injection techniques, highly effective anesthesia procedures and extremely fine micro-needles, I make your treatment so gentle that you usually feel only a slight tug – well beyond what a numbing cream can achieve.
Complication management – safety first
Aesthetic medicine is medicine – and medicine carries risks. I routinely work with high-resolution ultrasound for vascular mapping before injection. If a reaction does occur: you are with a professional in acute-care medicine. This is not a theoretical advantage – it is daily practiced routine.
Evidence, not esotericism
In my practice, only products and technologies whose clinical efficacy is documented in reputable studies are used. No trends, no unproven promises. If a procedure is not evidence-based, I do not recommend it – even if it would sell well.
Qualifications & career
Training that counts
International emergency certificates are unusual in aesthetic medicine. For me, they are a matter of course – because they make the difference when it counts.
- ▸Specialist in AnesthesiologyKlinikum Nürnberg Süd
- ▸general medicineAdvanced training assistant
- ▸Additional qualificationsEmergency medicine · Manual medicine / chirotherapy
- ▸Certified Aesthetics (DGBT)Certified user botulinum toxin type A & filler
- ▸LipolysisCertified member NETZWERK-Globalhealth
- ▸AcademicBusiness administrator (IHK) · Master of Science (MSc)
"Safety far beyond the standard of a regular practice – because aesthetic medicine is medicine."
- ▸ACLS ProviderAdvanced Cardiovascular Life Support
- ▸EPALS + Instructor PotentialEuropean Paediatric Advanced Life Support
- ▸ITLS ProviderInternational Trauma Life Support
- ▸AMLS ProviderAdvanced Medical Life Support
- ▸NLS Provider + Instructor PotentialNeonatal Life Support
My concept
Harmonie der Ästhetik – what it means
Aesthetics is not the removal of flaws. Aesthetics is the bringing-out of harmony. That sounds simple – but it changes everything about how I treat.
Causes, not symptoms
A face does not age uniformly. Bone substance recedes, fat pads shift, the skin becomes thinner. Anyone who treats only the visible wrinkle is treating the wrong problem.
Concept before treatment
Before I set a single injection, I analyze. Your anatomy, your mimic muscles, your skin condition, your goals. The result is an individual plan – not an off-the-shelf menu package.
From within as well as from without
True beauty is a mirror of inner balance. That is why I also consider nutrient supply, hormones and stress levels – and connect aesthetic medicine with wellbeing.
What I promise
That every recommendation is based on your individual anatomy – not on a sales target. An honest assessment, even when the answer is: "You don't need that."
What I don't promise
Instant miracle effects. The most effective regenerative treatments need time – 4 to 12 weeks until collagen is built up. Those who understand this are rewarded with more sustained results.
Who I work for
My patients
I work mainly with women between 30 and 55 who seek evidence-based aesthetics – not beauty ideals, but their own best version.
- to look natural, not "done"
- to know what really works
- a doctor who honestly says "no"
- no waiting room, no time pressure
- safety at medical level
- individual facial analysis before every treatment
- written treatment plan without sales pressure
- personal treatment by me
- ultrasound vascular mapping as standard
- GOÄ billing – transparent and fair
Patients come from Herzogenaurach, Erlangen, Nuremberg, Fürth and the entire Franconia metropolitan region.
Niederndorfer Hauptstraße 41
91074 Herzogenaurach
Parking right at the door.
Frequently asked questions
About my person & practice
What sets you apart from other aesthetic physicians?
The essential difference lies in clinical background. As a specialist in anesthesiology, I bring competencies that are unusual in aesthetic medicine: routine vascular mapping by ultrasound, professional pain management at a clinical level and immediate competence in the face of unexpected reactions. I treat exclusively in person – no delegated injections.
Do you also treat men?
Yes, of course. My patient-focused language on the website is aimed primarily at women, since that is my main target group – but men are equally welcome in my practice and are advised just as individually.
Why did you choose Herzogenaurach?
Herzogenaurach lies in the heart of the Nuremberg metropolitan region – well connected from Erlangen, Nuremberg and Fürth, yet away from the hustle. A private practice needs calm, discretion and space for conversation. That is hard to achieve in a city-center practice with crowded waiting rooms. Here I have both: central location and the atmosphere that a good aesthetic consultation needs.
Do I need to come with a specific treatment wish?
No. Many patients come with a vague feeling: "I look somehow tired" or "I want to do something, but I don't know what." That is a perfect starting point for the aesthetics consultation. Together we clarify what suits you and your anatomy.
How long have you been active in aesthetic medicine?
My clinical career as an anesthesiologist spans many years of experience with highly potent substances, fine injection techniques and dealing with complex anatomical situations. Aesthetic medicine is for me not a change of field but a consistent extension – medical precision applied to the goal of making people feel more comfortable in their skin.
"I look forward to getting to know you not as a 'case' but as a person. Let's find out together what really does you good."Dr. med. Thomas Ackermann Specialist in Anesthesiology · Aesthetic Medicine · Herzogenaurach Get to know now →
All qualifications named on this page correspond to the state at the time the page was created. · Practice of Dr. med. Thomas Ackermann · Niederndorfer Hauptstraße 41 · 91074 Herzogenaurach
Skin Analysis
Wrinkles & Muscle Relaxants
Bio-Regeneration (Skin Quality)
HIFU Lifting
Primary Care Support
Tension & Pain
Hair Health & Hair Loss
Skin Diseases
Drip Spa & Infusion Medicine