Anti-Wrinkle Injections (Botulinum Toxin)

Botulinum toxin treatment that softens the dynamic expression lines of the upper face — the vertical frown lines between the brows (glabella), the horizontal forehead lines and the crow's feet at the corners of the eyes. Tiny doses temporarily relax the small mimic muscles so the skin above them creases less when you frown, squint or raise your brows. At DENIFE the injections are placed with a very fine needle under local anaesthesia by MUDr. Hana Plachá, who trains other physicians in botulinum toxin application, aiming for a refreshed rather than frozen look.

Anti-wrinkle injections use small, precisely placed doses of botulinum toxin to temporarily reduce the activity of the facial mimic muscles. When those muscles contract less forcefully, the overlying skin folds less, and the dynamic lines etched over years of repeated expression gradually soften over the days that follow. The treatment is most commonly used across the upper third of the face — the glabellar frown line, the forehead and the crow's feet — either individually or in combination for a balanced result. At DENIFE in Karlovy Vary the session begins with a consultation in which MUDr. Hana Plachá assesses how your face moves at rest and in animation and agrees which areas to treat. A very thin needle is used and local anaesthesia is applied for comfort, so the injections themselves take only a few minutes. Most people return to normal activities the same day while avoiding heat, lying flat and vigorous exercise for the rest of the day. The effect is not immediate: onset is typically two to three days, the full result settles around day 15, and softened expression then lasts roughly three to nine months before muscle movement gradually returns and the treatment can be repeated. Because MUDr. Plachá is certified in plastic surgery and lectures internationally on botulinum toxin, dosing and placement are tailored to your individual anatomy. She reviews your suitability and any reasons to avoid treatment — such as pregnancy or breastfeeding — before proceeding. The treatment suits adults who want to soften upper-face expression lines while keeping natural movement.