Anti-Wrinkle Injections (Botulinum Toxin)

Botulinum toxin injections at Eva Clinic temporarily relax the muscles responsible for dynamic expression lines — forehead creases, glabellar frown lines, crow's feet, upper lip lines, and chin dimpling. MUDr. Chovančíková selects dosage and injection mapping per individual facial anatomy, prioritising natural movement over a frozen appearance. The 20-minute appointment involves no anaesthesia; discomfort is limited to the fine-needle injection itself. Onset is visible within 3–5 days, peaks at two weeks, and the effect typically lasts 3–6 months depending on the area and individual metabolism. The clinic has been performing this procedure since its founding in 2009, giving the lead physician extensive experience in conservative, expression-preserving technique.

Botulinum toxin — commercially available in several pharmaceutical preparations — works by blocking acetylcholine release at the neuromuscular junction, temporarily preventing the targeted muscle from contracting. At Eva Clinic in Hradec Králové, MUDr. Eva Chovančíková uses this mechanism to address dynamic wrinkles: lines that appear during facial movement (squinting, frowning, smiling) rather than at rest. This distinction matters because botulinum toxin is highly effective on dynamic wrinkles and less applicable to deep static folds, which require volume-based approaches such as fillers. The treatment begins with a brief pre-injection consultation during which MUDr. Chovančíková assesses muscle tone, facial symmetry, and the client's aesthetic goals. She uses fine-gauge needles with precise depth control, drawing on over 15 years of injection experience to deliver targeted doses that relax wrinkle-causing muscles without affecting adjacent structures responsible for normal expression. Areas routinely treated include the frontalis (forehead horizontal lines), corrugator and procerus (glabella frown lines — the so-called '11s'), orbicularis oculi (crow's feet), orbicularis oris (upper lip lines), mentalis (chin dimpling), and masseter for jaw-slimming or bruxism relief. Following treatment, clients can return to normal activities immediately. Mild redness at injection points resolves within hours. MUDr. Chovančíková advises avoiding vigorous exercise, saunas, and alcohol for 24 hours post-injection, and recommends remaining upright for 4 hours to prevent migration of the toxin. Onset of effect begins at 3–5 days, with full relaxation apparent at approximately two weeks — at which point a brief review appointment confirms adequate effect and allows minor touch-up injections if required. Results typically last 3–6 months, with the forehead and crow's feet often maintaining effect slightly longer than the glabella. Clients who undergo regular maintenance injections every 4–6 months often find that muscle activity diminishes over time, requiring lower maintenance doses. Contraindications include pregnancy, breastfeeding, neuromuscular disorders (myasthenia gravis, Lambert-Eaton syndrome), and allergy to botulinum toxin components. The clinic performs this procedure at both the Hradec Králové and Pardubice locations.