Botulinum Toxin Injections

Botulinum toxin injections at Estela are performed by MUDr. Tomáš Kubek Ph.D. — a plastic surgeon with a doctorate who specialises specifically in injectable treatments — using a thin needle to temporarily relax mimic muscles responsible for expression lines. Target areas include crow's feet, frown lines (glabella), forehead creases, nasal wrinkles, lip and chin lines, neck and décolletage bands, and hyperhidrosis of the underarms or palms. The procedure takes only a few minutes, requires no anaesthesia, and patients leave immediately afterwards. Initial results appear within three to five days, reaching full effect at 14 days and lasting two to six months depending on the area and individual response. Pricing is per treated area, making it easy to budget for a single concern or a full-face refresh.

Botulinum toxin works by temporarily blocking the release of acetylcholine at the neuromuscular junction, preventing the mimic muscle from contracting. When repeated expressions — squinting, frowning, raising the eyebrows — are reduced, the overlying skin stops being folded and dynamic lines fade. In areas of deeper, static lines, the treatment relaxes the tension that perpetuates the crease, allowing the skin to smooth over repeated treatment cycles. MUDr. Tomáš Kubek Ph.D. performs all botulinum toxin treatments at Estela. His doctorate-level research background in the field and surgical precision are reflected in patient reviews that describe the clinic's botox as "the best in Brno" — a comment that references both the injection technique and the natural-looking result, as opposed to the frozen or over-relaxed appearance associated with poorly calibrated treatment. The clinic uses established, regulated botulinum toxin brands administered in doses calibrated to each muscle group individually. Areas routinely treated at Estela include: the lateral orbital area (crow's feet from squinting); the glabellar complex (frown lines between the eyebrows — the '11 lines'); the forehead (horizontal expression lines); the nasal area (bunny lines on the bridge of the nose); the perioral region (lip lines and chin dimpling from the mentalis muscle); the platysmal bands of the neck; and the décolletage. For hyperhidrosis (excessive sweating), 100 units are distributed across the underarm or palmar skin to suppress sweat gland activity, delivering results that last four to nine months in most patients — significantly longer than for facial areas. The injection session is brief — typically 15 to 20 minutes for a multi-area treatment. The needle used is extremely thin, producing discomfort equivalent to a minor pinch. No anaesthetic is needed. Patients are advised not to bend forward or lie down for four hours post-treatment, not to touch or massage the treated area for four hours, to actively use their facial expressions in the first hours to distribute the product into the target muscle, and to avoid cosmetic skincare products and facial massage for two weeks. These simple rules prevent the product from migrating to an unintended muscle. The onset of effect is typically three to five days; the result reaches its peak at 14 days, which is why any touch-up assessment is scheduled at the two-week mark. Effects last two to six months depending on the area (glabella and forehead tend to last slightly longer; crow's feet shorter) and the individual's metabolism. Pregnant and breastfeeding women are the only absolute contraindication.