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Germany’s Top Civil Court Bars Before-After Ads for Hyaluron and Botox Injections

The ruling extends Germany’s medical advertising law to non-necessary cosmetic injections in order to curb suggestive marketing that may obscure health risks.

Henrik Heüveldop (Dr. Rick, l.) und Dominik Bettray (Dr. Nick)
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Overview

  • The Bundesgerichtshof confirmed that needle-based facial treatments qualify as operative plastic-surgical interventions under the Heilmittelwerbegesetz, banning public use of comparative before-after images.
  • Providers must remove such visuals from websites and social media, with comparative photos permitted only in private medical consultations.
  • The decision upholds last year’s Oberlandesgericht Hamm verdict and follows a 2023 injunction against misleading professional titles in the beauty sector.
  • Consumer advocates applauded the expanded ban as a measure to prevent suggestive advertising from downplaying complications or fostering unrealistic expectations.
  • Aesthetify and similar influencer-led practices had already ceased public before-after marketing, but now face a nationwide, legally binding standard.