Named as one of Europe’s most skilled practitioners of cosmetic medicine, London-based, German-born and internationally educated Dr Michael Prager has been the key opinion leader for treating his patients in the most naturally attractive way.
Unlike many other practitioners who treat the different parts of the face in isolation, Dr Prager's method is to focus on the face as a whole. His clients come away looking better, not different – younger and fresher, without obvious signs of treatment, but with their natural beauty noticeably enhanced. This trademark approach – along with the safety of his procedures – has led to Dr Prager becoming one of the most sought-after aesthetic doctors in Europe. His 'Non-Surgical Facelift' provides an alternative to surgery, using Botulinum Toxin to lift the jowl and neck area, while replacing volume around the cheek, temple, brow and chin area. Dr Prager was the first practitioner to advocate the use of Botox for the lower part of the face and neck (as featured in The Daily Mail). His policy of avoiding invasive surgery or potentially damaging treatments sets him apart from the majority of practitioners and ensures a deeply loyal, satisfied clientele.
Media-friendly and internationally recognised, Dr Prager’s opinions are held in high esteem by his peers and he is regularly featured in the media, including Channel 4, BBC, BBC Radio, and publications that include The Daily Mail, The Daily Telegraph, The Times, The Sunday Times, Cosmopolitan, Tatler, Marie Claire, Red, SHE, Grazia, ELLE, Hello and Now. The man affectionately described as the ‘Karl Lagerfeld of injectables’ recently appeared on Channel 4’s 10 Years Younger, demonstrating his exclusive Micro-Mesotherapy® as a safe and successful alternative to lasers and radiofrequency machines.
Qualifications, Training & Experience
Dr Michael Prager was born in Tuebingen, Germany in 1968. He graduated in Medicine in 1995 at the University of Tuebingen, having undertaken elective periods in ENT, Intern Medicine, Cardio Vascular Surgery and Sports Medicine. In 1996, he won a scholarship to the University of Cape Town, South Africa in Cardio Vascular Research as a senior scientist, working there until 1999, when he presented at The Cardiovascular Surgical Symposium in Austria. In 2000, he registered as a private doctor in Germany and with the General Medical Council in the UK. This was followed by his registration in 2001 as a medical practitioner in Norway. In 2001, he also trained with Professor Dowling Stough in Hot Springs, Arkansas, in Follicular Hair Transplant Surgery. In 2003 he became a member of the British Medical Association and the Independent Doctors Forum. In 2003, Dr Prager was granted a full membership of the British Association of Cosmetic Doctors (BACD). In January 2010, he was the only UK practitioner invited to IMCAS in Paris to lecture alongside Dr Jean Carruthers (who first discovered the cosmetic benefits of Botox), Professor Bertold Rzany and Professor Javier Ainido. In 2001, Dr Prager opened his private practice at 10 Harley Street – in 2005 he moved to his now well-known clinic at 25 Wimpole Street, London W1. This was followed in 2006 by the opening of his successful Oslo clinic.
Dr Michael Prager is a full member of the following professional associations and official bodies:
BACD - British Association of Cosmetic Doctors
MPS - Medical Protection Society
GMC - General Medical Council, Registration Number 4751063
Norwegian Health Authorities
IDF - Independent Doctor’s Forum
Consultations & Booking
Before undergoing any form of skin regeneration treatment, you will be invited to have a one-to-one consultation with Dr Prager himself, who will also offer advice on your ongoing skincare regime to ensure the best possible results. Treatment can be administered on the same day as your consultation.
Due to the popularity of Dr Prager’s treatments and to help us run the clinic as efficiently as possible, we will ask you to kindly make a preliminary payment of £200 when making your bookings, fully redeemable against treatments. If you need to change or cancel your bookings, we would be very grateful if you would do so at least 24 hours before your appointment. For cancellations on the day we reserve the right to charge a £100 cancellation fee.
Our team is always on hand and happy to respond to any queries or concerns you may have. Rest assured, you are in the best possible hands.
We look forward to seeing you very soon.
Dr Michael Prager
25 Wimpole Street
London W1G 8GL
Tel: 020 7323 3660
IMPORTANT CONSIDERATIONS PRIOR TO YOUR TREATMENT
As with any injection treatment there is a slight chance of bruising. There are certain substances that can increase the risk of bleeding and bruising. These are: Aspirin, Paracetamol, Neurofen, Ibuprofen and most cold and flu remedies, Vitamin E, Vitamin C, Fish Oils, Ginko Biloba, Garlic, Ginger, Curry, St Johns Wort and Evening Primrose. Try to avoid these substances for at least 1 week prior to treatment.
We recommend the use of:
Bromelain. 3 x a day (a chemical found in pineapple juice). This will reduce swelling. Take 1 capsule between meals or as directed by the manufacturer. Buy the highest strength available. Follow manufacturer’s recommendations for dosing.
Arnica Montaña. This will reduce bruising. Take as directed by the manufacturer. Buy the highest strength available. Follow manufacturer’s recommendations for dosing). Use tablets and crème.
Pregnancy & Breast-feeding
Please observe that we will not be able to treat you during pregnancy or whilst breast-feeding.
Caffeine, Alcohol & Cigarettes
Try to avoid for at least 12 hours prior to treatment.
Safety & Side Effects
Hyaluronic Acid based Dermal Fillers
Treatment is usually painless or just slightly uncomfortable, and your consultant may use a local anesthetic for increased comfort. Immediately after treatment it’s perfectly normal to experience temporary minor stinging, sometimes moderate redness and swelling. Bruising can happen. Typically, these responses are temporary and, if they do occur, will usually go away within a couple of days.
Lips might be a little swollen after treatment and tender for 24 hours and during that time you should avoid coffee, alcohol, hot drinks and the sun.
Risks can include a small risk of allergic reaction to the filler or bruising of the treated area, or nodule formation. People with a history of cold sores may experience a recurrence after treatment, although this can be minimized by the use of antiviral medicines. As a naturally based biological material, hyaluronic acid (HA) is similar to your body’s natural HA. In fact, it’s so similar you won’t need a skin test prior to treatment.
Recovery may take few hours to a few days, depending on the area treated and the type of filler used. Most people find that they can return to work or go about their normal daily activities immediately after treatment. Unevenness will settle. Leave at least 4 weeks to see the full effect of the treatment or for follow up appointments. Excess Juvederm Ultra and other Hyaluronic Acid based dermal fillers can be dissolved within minutes via injection.
The effects of HA last 9 to 18 months, in some cases or after repeated treatments up to 36 months or longer. Keep in mind that everyone’s skin is different; the timing of any additional wrinkle treatment will vary from person to person. When repeat treatments occur over time, either the interval between appointments becomes longer, or fewer products is required to achieve the same results, or more areas can be treated with the same amount of product.
Botulinum toxin type A
is a prescription-only medicine. During wrinkle-relaxing treatments, very low doses of Botox® are injected into the small muscles that cause wrinkles. Each injection relaxes these muscles, smoothing the lines. Once these tiny muscles are relaxed, they no longer contract to form wrinkles.
Within days you should see an improvement in the wrinkles between your eyebrows. However, it may take between two to three weeks after the treatment for the full effects to be seen. Before starting treatment you will want to discuss your medical history and what you can expect from your treatment with your consultant.
The treatment may not be suitable for those with an active infection such as acne at the injection site or a history of disease affecting your nerves and muscles.
Muscle relaxing treatments should not be used if:
1. you had a previous allergy to Botox® or other botulinum toxins
2. you are pregnant, plan to become pregnant soon, or are breastfeeding
3. you are currently taking certain antibiotics
Be sure that your consultant knows about all prescription and over-the-counter medicines, vitamin or nutritional supplements you’re currently taking. In general, any side effects occur within the first few days following injection and are temporary. As expected for any injection procedure, pain/burning/stinging/swelling and/or bruising may be associated with the injection.
The most common side effects are headaches, drooping eye lid (this should be temporary and should go away when the effects of the injection wear off), pain or bruising, skin redness, and local muscle weakness.
After wrinkle-relaxing treatment with Botox® you can generally go right back to your normal activities. Your consultant will, however, advise you not to massage or rub the treated area and to be especially gentle with it for 24 hours after your treatment. There are no restrictions on air travel after the treatment. Your results should last about three to four months, although the results may last longer with repeated treatments.
Procedural pain: The Dermaroller™ procedure can cause temporary pain although is normally less painful than alternative facial medical regeneration procedures; this can normally be well controlled with the use of a topical anaesthetic cream. To my knowledge I am / I am not (please delete accordingly) allergic to local anaesthetics and I agree to the pain control measures recommended by the Medical Aesthetic Practitioner.
Erythema (skin redness): Immediately after the Dermaroller™ procedure the skin will be red, resembling moderate sunburn, as the skin naturally heals the redness will resolve. The skin may remain red for three to four days after Dermaroller™ treatment, although it is usual for it subside within two days and many people are able to return to their normal activities the same or next day.
Skincare: Hands should be thoroughly washed or sanitised before touching the treated skin area or applying skincare products to the area, immediately after and in the first two days after the procedure. It is also recommended that skin care regime and products recommended by the Medical Aesthetic Practitioner for use after the procedure are used as instructed and it is very important to follow the sun / UV exposure and protection measures detailed further on. It is recommended that the use of soaps on the treated skin area is restricted until the redness subsides and where possible warm / tepid water and / or gentle skin cleansers are used for cleansing process. If redness persists after the four days please contact the Medical Aesthetic Practitioner.
Infection: There is a risk of infection of the treated skin area after the Dermaroller™ although this is not expected to occur due to the sterility of the Dermaroller® medical device, its use by a trained Medical Aesthetic Practitioner and the post procedure care of the skin recommended above. If redness, irritation or swelling of the treated skin area causes concern or persists after the first three to four days contact the Medical Aesthetic Practitioner.
Bruising: The Dermaroller™ procedure can cause areas of bruising although this would not normally be expected to occur, the eye contour being the area at most risk. Any such bruising will be temporary and the use of a cream may be recommended to help speed up the resolution. I agree to notify the Medical Aesthetic Practitioner if I am taking Aspirin or any similar medication as this may increase the risk of bruising.
Hyper-pigmentation: There is a risk that hyper-pigmentation of the skin can occur after the procedure, although this is not normally expected. Failure to follow the sun exposure and sun protection advice detailed below can increase this risk. If hyper-pigmentation of the treated area after the procedure does occur please contact the Medical Aesthetic Practitioner.
Sun / UV Exposure and Protection: I agree to refrain from intensive sun light exposure and/or from artificial UV exposure for a period of at least 2 weeks after the procedure. I shall use a topical sun protection product with an SPF 50 or higher and with stated UVA protection on a daily basis with regular applications for the same period.