Botulinum Toxin Injections

Botulinum toxin injections at MUDr. Kloud's Hradec Králové practice temporarily relax mimic muscles to smooth dynamic expression lines — crow's feet, forehead creases, frown lines (glabella), and other facial wrinkle zones. Administered by MUDr. Kloud, a board-certified plastic surgeon with specialist board certification and 25 years of practice, the treatment takes approximately 20 minutes with no recovery time. Prices start from CZK 3,500 per area. For patients with deeper, static facial hollows, fat grafting (lipofilling) is offered as a longer-lasting volumising alternative under local anaesthesia. Results from botulinum toxin appear within five to seven days and last two to six months.

Botulinum toxin is a purified neurotoxin protein that transiently blocks the release of acetylcholine at the motor end-plate, preventing the target muscle from contracting. When the mimic muscles responsible for specific expression lines are relaxed, the overlying skin is no longer repeatedly folded, and dynamic lines fade. Over successive treatment cycles, the skin's collagen infrastructure in the treated zone gradually improves, and lines that were once present at rest also soften. At this clinic, botulinum toxin injections are performed by MUDr. Martin Kloud himself — a plastic surgeon, not a nurse or aesthetician. His surgical background means dosing and placement decisions are grounded in a thorough anatomical knowledge of the facial musculature and an understanding of how individual muscle anatomy varies between patients. The treatment avoids both under-treatment (insufficient relaxation) and over-treatment (the frozen or heavy-brow result that results from imprecise or excessive dosing). Common treatment areas include: forehead horizontal lines (frontalis muscle); glabellar frown lines — the '11 lines' between the brows (corrugator and procerus); crow's feet around the outer corners of the eyes (orbicularis oculi); nasal bunny lines; and perioral lines. Platysmal banding and décolletage lines are also addressable for patients bothered by neck and chest ageing. Pricing starts from CZK 3,500 per area, with the total cost depending on the number of areas treated and the dose required per area. The appointment is ambulatory — patients arrive, receive the injections, and leave without any recovery period. A very thin needle produces discomfort equivalent to a brief pinch. Results develop over five to seven days, reach their peak at two weeks (the appropriate time to schedule a touch-up review if needed), and last two to six months depending on the area treated and the individual's metabolic rate. For patients with static facial hollows or deep nasolabial folds where volumisation is required rather than muscle relaxation, MUDr. Kloud also offers fat grafting (lipofilling) — harvesting fat from an area of excess, purifying it, and injecting it into the facial deficit zones under local anaesthesia. This approach provides a longer-lasting volumising correction than injectable hyaluronic acid fillers, with the advantage of using the patient's own tissue. Contraindications to botulinum toxin are limited: pregnancy and breastfeeding are absolute; neuromuscular junction disorders (myasthenia gravis) require specialist review before treatment. No preparation is needed beyond cleansing the skin before the appointment.