Botulinum Toxin A (Anti-Wrinkle Injections)

Botulinum toxin A injections at Esthea Medical are administered by MUDr. Kateřina Starnová, a physician with over ten years of aesthetic dermatology practice. The treatment relaxes the small facial muscles responsible for expression lines — horizontal forehead lines, the vertical glabellar '11' lines between the brows, and crow's feet around the eyes — and can also lift drooping mouth corners, smooth lines above the upper lip, and treat excessive underarm and palm sweating. The effect begins within 4–10 days of injection and typically lasts 5–6 months. Single areas cost 2,500 Kč, with combination pricing for multiple zones.

Botulinum toxin type A is the most widely used and most effective non-surgical treatment for dynamic (expression) wrinkles — the lines created by repeated muscle movement rather than by skin ageing itself. A purified neuromodulator is injected in small, precisely placed doses into the target muscles, temporarily reducing their contraction so the overlying skin smooths out while natural expression is preserved. **Areas treated at Esthea Medical:** - *Glabella* (2,500 Kč) — the vertical frown lines between the eyebrows, often the first and deepest expression lines to form. - *Forehead* (2,500 Kč) — horizontal lines from raising the brows. - *Eye area* (2,500 Kč) — crow's feet at the outer corners of the eyes. - *Combinations* — glabella + forehead 4,000 Kč; glabella + forehead + eye area 5,500 Kč, the standard 'full upper face' protocol. - *Chin* (1,500 Kč) — smoothing dimpling ('peau d'orange' chin). - *Lip lift* (1,500 Kč) — a subtle eversion of the upper lip and lifting of downturned mouth corners. - *Hyperhidrosis* (from 8,000 Kč) — injections into the underarms or palms to reduce excessive sweating, with effects that may last several months. **The procedure:** After a consultation assessing muscle activity and facial balance, the physician marks injection points and administers the product with a fine needle. The session takes around 15–30 minutes and requires no anaesthesia; most patients describe only brief pinpricks. There is no downtime — normal activities resume immediately, though patients are advised to stay upright for several hours and avoid rubbing the area, intense exercise, saunas, and alcohol for the first 24 hours. **Results timeline:** The effect begins to appear after 4–10 days and lasts approximately 5–6 months, after which muscle movement gradually returns and the treatment may be repeated. Regular repeat treatments often extend the duration of effect over time. **Safety:** The treatment is physician-administered at a registered non-state healthcare facility. It is not performed during pregnancy or breastfeeding, in the presence of neuromuscular disorders, or with active infection at the injection site.