Tillmann Lochte: the doctor behind Perfect Skin MED

Behind every treatment at Perfect Skin MED is a medical decision. Tillmann Lochte is responsible for the medical-aesthetic treatments at Perfect Skin in Berlin: regenerative procedures with ThermaDAS Endolifting and MultiFRAX, modulation with fillers and collagen stimulators, the treatment of mimic wrinkles and the men’s line Perfect Skin MED for Men. His claim can be summed up in one sentence: analysis before technique, the smallest meaningful change instead of the maximum, and results that you don’t see. On this page you will get to know the doctor, his approach and his answers to the questions that patients ask most often.

At a glance

• Qualifications: Specialist in orthopedics and trauma surgery, active in aesthetic medicine since 2021, master’s degree in Advanced Aesthetic Medicine (ongoing), certified longevity trainer, member of the DGBT
• Focus: regenerative aesthetic medicine with ThermaDAS Endolifting and MultiFRAX, combined with PRP and biostimulators; modulation with fillers and collagen stimulators; treatment of mimic wrinkles
• Approach: individual analysis of the entire face before each treatment, restrained dosage, check-up appointment after about two weeks
• Demand: natural results with preserved facial expressions: refreshed, not done

About Tillmann Lochte

Tillmann Lochte works as a physician in regenerative aesthetic medicine. His path began at Charité Berlin, with aesthetic medicine as an elective under Prof. Dr. Berthold Rzany. This was followed by surgical specialist training and certification as a specialist in orthopedics and trauma surgery. Today he is deepening his expertise in a master’s program in Advanced Aesthetic Medicine, is a member of the DGBT (German Society for Botulinum and Filler Therapy) and continues his training internationally, most recently in Rome and at a FIFA Medical Centre of Excellence. At Perfect Skin MED, he plans and performs treatments personally, including a follow-up appointment after about two weeks.

This is how Tillmann treats Lochte: analysis, plan, treatment, control

Every treatment at Perfect Skin MED follows the same path. Four steps ensure that it is not the method that is at the beginning, but your goal.

Step 1: the medical facial analysis

The most important appointment is the first. Mr. Lochte analyzes your face at rest and in motion, frontally, in profile and in oblique view: proportions, volume distribution, muscle activity, skin quality. In addition, there is a conversation about your goal and your everyday life. In the end, you will know what makes sense, what doesn’t, and what is best to start with. The analysis can be booked as a standalone appointment and does not oblige you to anything.

Step 2: Your plan

The analysis results in a plan with a clear sequence: first the building block with the greatest benefit for the overall picture, then the next steps. Often the answer is a combination: first strengthen the tissue regeneratively and with equipment, then modulate it in a targeted manner. This also includes limits that are set in advance so that a small correction never turns into something that goes unasked.

Step 3: the treatment

Precise, restrained dosing and tailored to your anatomy. Many treatments are completed in 15 to 30 minutes and fit into a normal working day.

Step 4: the control

In injection-based treatments, you will see Mr. Lochte again after about two weeks for a detailed check. First it is checked how the result works, then targeted adjustments are made if necessary. This keeps the dosage restrained and the result natural.

What do your patients have the most respect for when it comes to wrinkle treatment?

For the frozen face. I take this concern seriously, because it is justified when treatment is carried out without a plan. My goal is almost never complete smoothing, but a relaxed expression with preserved facial expressions. You should be able to look stern if you want to look stern. Just don’t appear stricter than you are in the long term.

What is the most common technical mistake in aesthetic medicine?

Balance error. A face is rarely distorted by a single wrong point, but by a disturbed balance of forces: the forehead is relaxed too much, the brow sinks, the gaze becomes heavy. Or a shape is created that contradicts the goal, such as a filled midface for someone who just wanted to look fresher. That’s why I analyze the starting position before each treatment and plan the interaction, not the individual point.

Jawline and chin are in high demand. How do you avoid the exaggerated jawline that you know from social media?

Before the treatment, I not only define the goal, but also stop criteria. A good contour is created by flowing transitions from the chin to the jaw body to the angle, not by maximum width or a maximum sharp angle. We work in stages and control with photos. A result must work in everyday life, from every perspective, and not just in a deliberately staged shot. Recognizability is more important to me than the perfect geometric line.

Are there patients who you deliberately do not treat?

Yes. I do not treat if the benefit and risk are not in reasonable proportion. Warning signs for me are a strong preoccupation with a barely visible finding, repeated procedures without lasting satisfaction or the expectation of complete symmetry. In this case, another conversation is the better next step, sometimes also the recommendation to contact another specialist. For me, respectful rejection with understandable reasons is part of good aesthetic medicine.

Finally: How do you know that a treatment has really been successful?

Not just by the before-and-after photo. I first check whether the pre-agreed goal has been achieved, at rest and in motion, with standardized photos and at a time when the swelling has subsided. In addition, there is function, naturalness and the question of whether you recognize yourself in everyday life. If I could give a younger colleague a single rule, it would be this: Don’t treat a gender, but a concrete face with a concretely agreed goal.