Botulinum Toxin — 1 Area

Botulinum toxin type A injections at Esthetic Medical are administered by MUDr. Jana Votrubová Ph.D., who brings over 20 years of experience in corrective dermatology. The treatment temporarily relaxes the muscles responsible for expression lines — forehead lines, frown lines between the brows, and crow's feet around the eyes — producing a smoother, more rested appearance without altering facial anatomy. The same toxin is used to treat hyperhidrosis (excessive sweating of the underarms, palms, or soles). A session takes approximately 30 minutes including consultation, with results typically visible within 4–7 days and lasting 4–6 months.

Botulinum toxin type A is a purified neurotoxic protein that transiently inhibits the release of acetylcholine at the neuromuscular junction, preventing the targeted muscle from contracting. At Esthetic Medical, MUDr. Jana Votrubová Ph.D. uses this mechanism to address the two main categories of concern: dynamic facial wrinkles and focal hyperhidrosis. For facial rejuvenation, the most commonly treated areas are the forehead (horizontal lines visible during brow raising), the glabellar region (vertical frown lines between the brows created by corrugator and procerus muscles), and the lateral canthi (crow's feet caused by orbicularis oculi contraction). Treatment of a single area begins at 3,800 Kč; combining two areas is priced from 5,900 Kč and three from 8,500 Kč, making the multi-area approach the best-value option for patients seeking full upper-face refreshment. For hyperhidrosis — a medically recognised condition where the eccrine sweat glands produce perspiration disproportionate to the body's thermoregulatory needs — injections are placed intradermally across the affected area using a mapping technique. The underarms, palms and soles can all be treated; the underarm protocol begins at 10,000 Kč and clinical studies report 80–90% reduction in sweating lasting 6–12 months. The session begins with a detailed physician consultation where the treatment plan, expected outcome, and realistic dose are discussed. The skin is cleansed and, for sensitive areas, a topical anaesthetic cream may be applied. The injections themselves take 10–20 minutes and involve a series of small, precise deposits using very fine needles. Most patients describe the sensation as minimal. Results are not immediate — the toxin requires 4–7 days to bind to the motor nerve endings — but by day 14 the full softening of lines is apparent. The effect typically persists for 4–6 months, after which the treatment can be repeated. Patients who return regularly often find the muscle memory diminishes over time, and subsequent treatments may maintain results with smaller doses.