Articles about applications and indications

Active Cosmetics by FaceFormer Training

Health and Beauty

Originary, the FaceFormer has been developed for people who are suffering on serious health problems such as swallowing disorders, hearing impairment, tinnitus, pain on face, jaw, neck, or back, problems with snoring, sleep apnea or respiratory problems.

However, users show often also positive cosmetic effects: Improved tension of facial muscles and skin, toning of the chin and neck region (double chin), better facial symmetry, strengthened lip tension, certain mouth closure, improved head and body posture, optimized breathing.

Common cosmetic products operate passively

It is an indisputable fact that our body simply tightens by active muscle training and keeps itself in shape. Of course this also applies to the head, neck and face region. Nevertheless, most people try to correct their face only passively by means of beauty products (cosmetics), or injections. If reactions by cosmetics occur at all, they usually don’t last longer than several hours. Long-term applications of specific cosmetics can even cause organ damage.

Active cosmetics – That’s how it’s done!

Adhere to the instructions for use and exercise regularly. A few and simple exercises, a little discipline, little time and a convincing success often occurs just after 3-4 weeks. Then practice 2 to 3 times a week.

Also both before and after cosmetic surgery: FaceFormer training improves and preserves.

It’s better to act by yourself!

FaceFormer Training – active training for your beauty

Active cosmetics by FaceFormer training

Active cosmetics by FaceFormer training

FaceFormer training effectuates the natural tightening of slack skin and tissues as well as muscle strengthening. It promotes blood circulation in the face and neck region besides of natural head and body posture, accurate muscle coordination dynamics, function correction, harmonized balance, symmetry and an optimized breathing.

Does FaceFormer therapy have an impact on diabetes?

Question from therapist/physician on 16. february 2011

We have very many patients who we treat with the FaceFormer method. Some of them also suffer from diabetes. Diabetic patients who have used the FaceFormer therapy for completely different reasons have informed us that during the treatment their blood glucose level has been reduced within a few days. We should make a statement. Spontaneously we could not name any reasons and therefore turn to you – Dr. Berndsen – since you have noted diabetes on the list of indications of FaceFormer therapy. Our question is whether you know the reactions described and can explain causal relationships.
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What you should know about snoring, sleep apnea and its treatment

Snoring is a problem, but usually not a disease

Snoring is not only a considerable own stress, but also often an intolerable and annoying noise for the spouse. Sound intensivities up to 90 decibels (at 25 cm distance) were measured, which exceeds even the noise from lawn mowers and pneumatic hammers (75-85 dB). Occasional snoring is usually harmless after consumption of alcohol or colds. Snoring accompanied by frequent interruptions of breathing requires treatment, particularly if the concerned person subsequently often feels tired in the daytime.

Snoring is often an intolerable and annoying noise for the spouse.

Snoring is often an intolerable and annoying noise for the spouse.

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CPAP ventilation – who lends us crutches does not help us

Does CPAP and other overpressure breathing actually help against myocardial infarction and stroke?

CPAP ventilation, BIPAP and ASV are forms of device-related overpressure breathing, which are regarded as gold standards in the therapy of obstructive sleep apnea syndrome. Because these are purely symptomatic treatments, patients have to use their “crutches” daily until to the grave, if they want to reduce their nighttime breathing problems. Regular checks of their sleep, hygiene and technology go nessecarily hand in hand. No wonder many users give up at any time: After all, the causes do not change, and every night without “crutches” makes this aware again.

Devices for overpressure breathing quickly captured the cost-hit list of medical supplies and the trend is unbroken.

Scientific evidence for the various positive primary effects, the preventive effects against life-threatening diseases of the heart and brain are mainly derived from poorly potent studies, seemingly plausible explanations, manufacturer-financed documentation, as well as acclamations from experts and users. The implicit core statements of study results fulfill the criteria of a linear logic: If you breathe too little at night and do not supply your organs with sufficient oxygen, you must be close to the end!
Woe to him who rebukes!

Based on a clientele of several thousand patients and carried out with international participation, the recent studies relativize the previous assumptions. Investigations were conducted on 2717 patients from 89 centers in seven countries. In all, there was a sleep apnea syndrome and at the same time coronary heart disease, stroke or other cerebrovascular disease. It was found that the incidence of heart attacks, cerebral infarctions, heart failure, and deaths in those groups, which applied the pressure breathing apparatus, was not reduced but even increased.

By using a device for adaptive servo evacuation, which is mainly used in patients with Cheyne-Stokes breathing and is considered as a technical optimization of the PAP devices, the death rate increased significantly, even though the device drastically reduced the number of respiratory traps. Ulysses Magalang from the Wexner Medical Center, Columbus and Allan Pack from the Perelman School of Medicine in Philadelphia, among others, consider the components of the ventilation, i.a. the continuous positive airway pressure that the device generates as a possible cause. Also, the authors of the Jama study (2017), which is based on 7266 patients, could not detect a reduction in risk and death occurence in cardiovascular diseases, regardless of whether patients were provided with PAP devices or not.


Medical applications must primarily focus on the treatments of causes. Only in this way does the patient have the prospect of a healthy, independent life.
Continuous long-term symptomatic supply with devices (crutches) should not become the standard. Often their use has a spontaneous positive effect on the symptom. Negative changes that come along with it are usually introduced later and are not assigned to the primordial application. Long-term applications of “crutches” are never without consequences. At the very least, they cause compensatory changes of movement and function patterns. Neurophysiological changes affect the parasympathetic nervous system and organ activities.

This and more are the consequences of long-term pressure breathing. However, the authors do not want to question their application in principle. If it is important to optimize night-time breathing spontaneously, PAP methods are recommended. Previously or in parallel, however, additional procedures should be taken which also address the cause of the existing breathing problem. Thus, a lifelong and possibly negative device dependency may be avoided. In obstructive sleep apnea, tissue and muscles in the mouth and throat are relaxed. They constrict and obstruct the airways. Therefore, it is obvious to correct these underlying problems. As a rule, this can not be done surgically, but only by training of muscles and developing physiological patterns of movement and functions.

In the treatment of the widespread disease no. 1 – back pain, the importance of musculature and function has long been recognized. In the past, spinal column problems were mostly treated by supports and immobilization in order to reduce supposedly harmful movements. Later, surgical operations followed in different techniques. For a few years now, however, the much more successful training methods for back pain have become the “state of art”. The patients are being mobilized. Muscles and posture are being trained to stabilize the back.


Whoever lends us crutches does not help us, but who teaches us to walk.
(Charles Tschopp)

For problems in the mouth, throat and breathing the treatment is still reduced to the approaches:

Crutches, supports and cutting.

In most cases, training is not on the agenda, although the mouth, throat, face, and head have as many muscles and the finest muscle chain functions as there is nowhere else in the human body. If functional and muscular deviations disrupt this fine-tuned system, a neurophysiological training is required for correction.

Schema: Vollständiger Verschluss der Atemwege im Rachenbereich

In the case of obstructive sleep apnea, relaxed tissue in the pharynx causes a recurring occlusion of the airways.

The evil at the root only can be combated in this way. The causes of narrowed or obstructed airways are to be treated with corrective exercises. As with the example of the back, consistent training is required.

Face Former Therapy

For example, with FaceFormer Therapy, an easy-to-perform but complex exercise program is available to the practitioner and the patient. It aims at treating the causes of snoring and sleep apnea. Slackened muscles are trained, incorrect movement patterns and malfunctions are corrected.

Dr. Klaus und Sabine Berndsen
(Rehabilitologists, ISST-Unna)

Die ursachenorientierte Face Former Therapie mit dem Dr. Berndsen FaceFormer kann eine wirksame Alternative zur CPAP Beatmung sein.

The FaceFormer is the patented training device for the effective, cause-oriented treatment of snoring and sleep apnea.

FaceFormer therapy against CMD – Cranio-mandibular dysfunctions

Cranio-mandibular dysfunction, abbreviated CMD is used as the generic term for a multitude of complaints that concern the masticatory system. (cranium = skull, mandibula = lower jaw, dysfunction = disorder),

CMD – What, How, Why?

Besides pain and movement disorders in the temporomandibular joint (arthropathies) or chewing musculature (myofascial pain) often accompanied by a restricted mouth opening (occlusal disease), also a supposedly incorrect bite is oftenly subjoined amongst the most common symptoms.
Finally, pain from top to bottom, head-, neck- and back pain, as well as tinnitus, dizziness and swallowing difficulties are often attributed to the causal complex of CMD.

We consider Cranio-Mandibular Dysfunctions, as a disorder of neurophysiological patterns of movement with accompanying functional deviations and misdirected stimuli on nerve tracts. If this is the case, the muscular-functional system and not the skeletal system – including the teeth – should be the focus of the treatment. Regardless of other CMD treatments, we recommend the application of FaceFormer therapy against CMD exclusively or adjuvant to other therapeutical methods.

Cause-oriented FaceFormer therapy against CMD

As a cause-oriented treatment method, FaceFormer therapy supports the correction of various neurophysiological functions:

  • Learn and re-learn the correct movement patterns and function
  • Activation and harmonization of muscle and muscle chain functions
  • Development of physiological posture and movement of the tongue as well as swallowing and breathing
  • Dissolving malfunctions and thus stressfull disorders in the region of the head, mouth, throat, neck, and back
  • Stimulation of cranial nerve functions and perception
  • Static development of head and body balance
  • Promoting the proper tension of lips, mouth and throat
FaceFormer training - effective therapy against CMD

FaceFormer training
Effective therapy against CMD

CMD – A trendy diagnosis

In an article from German news magazine  Spiegel Online, CMD was properly refered to as a trendy diagnosis. In a rapidly growing market, with a parallel rise of so-called CMD specialists, patients are confronted with complex treatments. These can often drag on for years. The alleged problem – a false bite – is to be solved with bite splint, abrasion, build-up, crowning, extraction or replacement of teeth. However, there is no secured justification for this approach. Finally, all scientific evidence is missing, what role the bite plays at all and how it’s idealistic type should be individually depicted. After all, everywhere in the world there are still countless people with dramatic tooth losses. These are far away from the ideal bite. However, in this context pain or suffering is yet unknown to them. In fact, there is no relevant bite in the normal resting position, nor during chewing. In this respect, the question arises as to how reasonable the effort to achieve this presumed ideal bite is at all. There are probably more coordinated muscle functions that are responsible for CMD.

A fatal progression

A sporty 35-year-old man from Berlin got to know which fatal course a treatment reduced to the bite correction can take. Primarily, he wanted to do something against hist teeth grinding and started with appropriate therapies at his place of redidence. After the first disappointments, pain in his face and subsequently growing problem awareness, he visited numerous renowned CMD specialist not only from Germany, but also from Switzerland, Austria, the USA and Israel. Within two years, they prescribed more than 60 bite splints, which were supposed to have a different effect, and treated his teeth excessively. But yet up to now, he has not been helped. Besides to numerous negative experiences, bills in six-digit height and a few remaining rudimentary tooth stumps, he now complains about significant pain in the entire movement apparatus. Finally, a stay in a psychiatric clinic was recommended to him, as it happens not seldom after such an odyssey.

In the focus of common treatment methods: The teeth

Common methods in CMD treatments focus mainly on the teeth to correct the bite. Manipulations on teeth and bite splints are the means of choice. Physiotherapeutic, osteopathic or logopedic treatments and even the supply of shoe insoles often accompany these procedures. After all, a certain positive holistic, functional treatment approach is noticeable at least.

However, changes of the bite caused by bite splints and tooth treatments do not always seem plausible. The bite splint itself is an apparatus that engages in the sensitive system of the oral cavity. It is questionable whether correct neuromuscular and functional excitations can be effectively achieved with this. The provoked stimulus-response-mechanism can automate even more incorrect movements, which are not readily resolved after long periods of use. Initial applications of bite splints may be useful to reduce acute pain. However, they should accompany an effective cause-oriented treatment only for a short time.

An ideal bite is not to be determined

Mostly superfluous and negative are tooth corrections, which are endeavored to achieve an imaginary ideal bite, e.g. by grinding, building, overcrowns. Even slight balance changes of head or body permanently cause dislocations of the lower jaw. An ideal bite is therefore not to be determined, cannot be achieved in this way and is probably not even necessary at all.

Why does FaceFormer Therapy work against vertigo?

External impacts that cause vertigo

Fast rotational movements, e.g. on the carousel, the stay at high altitude or excessive alcohol consumption influence the balance organ and provoke spontaneously dizziness. This experience has already been done by everyone. However, the triggered reactions are perceived very differently. What is fun to one person who tolerates the irritation well, is unbearable for the other one who won’t expose himself to such influences in the future.

External impacts that cause vertigo

Vertigo also occurs without external impacts. Erronenous stimuli on the human equilibrium organ, which is associated with the inner ear and responsible for hearing, as well as central irritations in the human brain, are probably the most frequent causes. But also inflammation, heart disorders, circulatory problems, metabolic dyfunctions, vascular issues, psychological influences etc. must be considered.

Appearances of vertigo

Rotary vertigo, positional vertigo, postural vertigo, vertigo pulling one up or down and vertico that triggers dizziness, correspond to the descriptions of dizziness, as affected persons perceive it.
Menièr’s disease produces various symptoms. Typical are attacks of rotary vertigo, nausea, sometimes even vomiting, ear noise (tinnitus) and hearing loss.

Schwindel tritt oft plötzlich und ohne Vorzeichen auf. Die Ursachen sind vielfältig.

Vertigo often occurs on a sudden and without any sign.

Any vertigo can result in vertigo attacks from one second to the next, without sign. They are of different duration – seconds, minutes, hours. Long-lasting dizziness – overground, months or ever-lasting – are classified as drowsiness or chronic dizziness.

Cause assumptions

The causes of dizziness can be manifold and doctors have various possibilities of diagnosis. A typical sign for rotary vertigo are e.g. jerky movements of the eye (nystagmus). The direction of rapid eye movements are indications for the disturbance of the balance, the nervous system, or the nerve pathways in the brain.
In many cases the causes of dizziness and concomitant impairments remain unrecognized and treatments seem randomly selected.

Therapy for vertigo

The default treatments for dizziness are application of antibiotics, blood flow promoters and cortisone. So-called antivertiginosa can relieve dizziness and nausea, but do not affect the cause. Because of significant side effects, they should be used only on short term and with the supervision of a doctor. Ginkgo or ginger are used as herbal remedies. In most cases, especially in the elderly, balance training is important. Surgical operations are indicated in tumors or vascular problems..

FaceFormer Therapy against vertigo and Morbus Menière

The basic assumption of the therapeutical approach with the faceformer is primarily ventilation problems to and in the middle ear, which trigger a multitude of diseases and disorders. A lack of air exchange and a lack of pressure compensation cause malfunctions in the middle ear. Inflammatory processes (central ear inflammation) and disturbed pressure conditions with effects on the membrane system of the inner ear and the balance system are the consequences. They have a damaging effect on hearing and balance. An incorrect or disturbed function sequence of breathing, swallowing, mouth closure, tongue position, etc. causes massive strain in the system and must be corrected. This applies to every age. Harmoniously functioning complex muscle chain functions of the mouth and pharynx in combination with breathing and swallowing are the prerequisite for these important mechanisms to be learned and to be carried out consistently and also unconsciously. As long as the consistently necessary functions are compensated by false movement patterns, the overall situation is permanently deteriorated, not only in the functional systems already affected, but also in remote segments of the human organism.

Effectiveness of Face Former Therapy

The face former therapy aims at the stabilization of the functions of the oral region, throat region, respiration, head balance, neck and body stasis. It stabilizes the necessary muscle chain functions, activates brain nerve functions and automates correct movement patterns. In the case of dizziness and hearing impairment, mechanisms of ventilation and pressure compensation in the central ear are decisively optimized. The Face Former therapy is carried out for at least 6 months, even if success occurs after a short time. Only in this way, the processes of stabilization and automation are beeing combined, thus preventing the regression to the old state.

Dr. Klaus und Sabine Berndsen

Die ursachenorientierte Face Former Therapie mit dem Dr. Berndsen FaceFormer kann eine wirksame Alternative zur CPAP Beatmung sein.

The FaceFormer is the patented training devicefor the cause oriented treatment of vertigo and morbus menière.


Main causes for neck pain and back pain

Cause and effect

As with most pain phenomena in the human body, numerous causes can also be assumed for pain in the region of the head, shoulder, neck and back. However, with a frequency of about 99 per cent, muscle tension, which can be seen as consequences of static deficiencies and unphysological burdon ist he cause oft he pain. Degeneration is the result of constantly recurring influences. In addition, there are typical degenerations associated with age. For both cases, degeneration does not always cause a pain problem. Despite degenerative alterations, most people remain painless. In some cases, however, pain can occur. They occur intermittently or become resistant to permanent pain (chronic pain).

Abnormalities, overloaded and tense muscles
remain the main causes of neck and back pain.

Who is affected?

The question arises: If people have the same state of degeneration, why does part of them have pain and the other does not?

  1. An important, always to be considered reason, is the individual nature and disposition of the human individual. They vary in all facets of the physical and mental constitution. Disease and physical stress have completely different effects and manifestations for every human being.
  2. External stresses in everyday life or in the workplace and resulting overloads as well as incorrect movements can also be involved in the development of pain.
  3. Often malfunctions, but also misguided functions, are generated by the human body itself. Despite their mistakes, they can ensure posture and movement, but they have a negative impact at different points. Such disturbances usually occur in early stages of human development. A time at which countless complex routines are learned to control all arbitrary and involuntary functions. Examples include standing, walking, feeling, hearing, speaking, swallowing and breathing. These abilities are based on a system that man brings to the world. Later external stimuli provide a differentiated qualitative development.


For example, the breathing is easily realized immediately after birth, since the newborn is otherwise not viable. As a result, however, the breathing can become a false respiratory pattern. Thus the nasal breathing, which is important for man, is brought about by various negative influences on oral breathing. Both lead to the necessary air supply. Breathing habitually through the mouth, the urgently needed cleaning, warming and humidification of the air does not take place. In addition, important impulses are missing, which contribute to the development of coordination of the breathing muscles and lung function.

Somatic routines

There are external disturbances and irritation, affect the proper development of functions and attitudes and compensate for this by malfunctions. The latter develop more and more into a harmful habit. We intend to define every habitualization (automation) with the term „somatic routine“. Somatic routines have a lifelong existence, whether they are correct or wrong. If they are negative, they should be treated correctly.
Persistent, incorrect functional patterns, deviating postures and movements eventually cause damage which can lead to pain if a tolerance threshold is exceeded.

Continuous compensation causes damage

Based on the above, assumptions can be summed up:

One group suffers from natural age-related degeneration. The entire organism is constantly adapting to this development (adaptation). This normal course may be interrupted by short-term overloads inflicted externally to the body (e.g., heavy lifting), but the resulting pain is temporary. Although there is a damage, pain is rare, less or not felt at all.

In the other group, there are resistant functional deviations, which are replaced by faulty “somatic routines”. By worsening the posture, widening the load strength and the ever-recurring defect irritation, the stress limit is increasingly exceeded, up to the pain area. In such cases, pain usually persists with variable intensity (chronic pain).


The following example illustrates the relationship between compensation and damage: If we want to continue after a leg injury, we can compensate this by “hobbling”. The originally learned running movement is replaced by a new movement pattern. This “somatic routine” leads to a functional changeover and causes an error in the overall system. If we were to maintain them for weeks and months, damage to joints, ligaments, muscles and damage to the correct gait pattern would occur.


Continous compensation behaviour may result in a harmful impairment.

Malfunctions and patterns must be corrected!

Long compensation movements can only be canceled if malfunctions are caused by correct movement patterns and postural patterns be replaced. The conversion can only be achieved by a special and systematic training. This is consistently carried out up to automation to the positive – somatic routine.

The relevance of the head balance

An essential factor affecting the entire body stasis is an unstable head balance. It is probably one of the main causes of pain in the neck, face, and back.The upright walk of man requires a balanced static system. Deviations from this lead to visibly strong loads of the cervical spine, lumbar spine, hip joint and knee. In fact, they burden the entire body structure. Muscles, tendons and joints adapt to the wrong posture and movement. The problem is maintained and aggravated by continuous triggering.

A further deviant development, which is always assigned to a completely different causa complex, are the tooth position problems and the dysgnathia. It is scarcely known that these can also be caused by deviating head balance and accompanying malfunctions. Positions of the teeth and the mandibular shape often change again to the negative, although a multi-year treatment took place.

Head-holding, head stabilizing, and other important functional areas have often been unconsidered in these recurrent treatment outcomes. But it is precisely the correction of such functions that enables and strengthens the permanent success of orthodontic treatment.

Pain Management

The fact that most people do not only imagine pain is a matter of principle. They often suffer from unbearable pain. Combined pain treatments (multimodal pain therapy) include interdisciplinary treatment of patients. They are aimed at the treatment of chronic pain. The use of painkillers, customized for the patient, is usually required. Physical treatments are another component of the care and in rare cases an operation can be indicated.

Neck paind and back pain

FaceFormer therapy for neck pain, facial pain, headache, back pain

The contents and variations of physical treatments are manifold. They aim at the stabilization and correction of the most varied muscle functions and movement patterns.

However, the functional segments which are responsible for the head balance, the jaw motions and the related effects on the neck, shoulder and back are not considered.

The FaceFormer therapy is aimed at all important functions, which stabilize the head posture and head balance and following the whole body statics. Included are complex muscle chain functions required for fine-tuning the coordinated system, for example, muscles following the tongue. They attach to the head and connect the head and trunk of the human body.
Only corrected muscle tensions of this system allow a correct balance. FaceFormer therapy also affects the functional circuits of the jaw movement and the jaw position as well as the tongue movement and breathing. It supports the necessary stability. Only the correct interaction of these functional groups stabilizes the whole system, converts negative patterns into positive patterns and helps to prevent the relapse into the old pain state.

The FaceFormer therapy has already become countless people with pain for fast and effective help. It should be noted that only through consistent and correct application (according to the instructions) the desired goal – free from pain – can be achieved. The training is carried out until the necessary “somatic routine” (automation, pattern formation) is achieved.
Experience has shown that the FaceFormer therapy can also be easily integrated into the treatment concepts of different medical disciplines, orthodontics, dentistry, ENT medicine, orthopedics, pediatrics, osteopathy, physiotherapy and speech therapy.

Dr. Klaus und Sabine Berndsen (Rehabilitologists)