Botulinum Toxin (Botox)

Botulinum toxin injections at Poliklinika Sever are administered by MUDr. Kim Štěpánková FEBO DiS., a board-certified ophthalmologist with European Board qualification and specialist training in periocular and facial aesthetics. The Eye Care & Aesthetics Centre (Centrum oční péče a estetiky) on Floor 2 offers botulinum toxin for the three classic facial areas — glabella, forehead, and crow's feet — as well as therapeutic hyperhidrosis treatment for excessive underarm sweating. Treatment begins with a 200 Kč consultation (credited toward the procedure cost), during which the physician maps the target muscles, discusses expected outcomes, and rules out contraindications. The ophthalmology background brings particular precision to periocular injections, where proximity to the eye demands exact anatomical knowledge. Prices start at 3,000 Kč for the glabella zone.

Botulinum toxin (commonly known by the brand Botox) is a purified neurotoxin protein that temporarily inhibits the release of acetylcholine at neuromuscular junctions, causing targeted muscle relaxation. When injected in microdoses into the superficial muscles of the face, this effect softens dynamic wrinkles — lines formed by repeated facial movement — without altering the underlying skin texture or facial structure. Results typically develop over 3–7 days and last 3–6 months, after which the muscle activity gradually returns and treatment can be repeated. At Poliklinika Sever, botulinum toxin treatments are performed exclusively by MUDr. Kim Štěpánková, FEBO DiS., through the Eye Care & Aesthetics Centre (Centrum oční péče a estetiky) on Floor 2. MUDr. Štěpánková holds the FEBO designation — Fellow of the European Board of Ophthalmology — a post-graduate qualification awarded after independent examination by the European Board of Ophthalmology, demonstrating clinical standards equivalent to European specialist certification. Her ophthalmological specialisation is directly relevant to facial aesthetics: the periocular region (around the eyes) is the most technically demanding area for botulinum toxin, requiring precise understanding of the orbicularis oculi, corrugator supercilii, and surrounding musculature to achieve natural results while avoiding ptosis (eyelid droop) or other complications. Treatment areas and current pricing: - **Glabella** (the frown lines between the brows, caused by the corrugator and procerus muscles): 3,000 Kč. This is typically the most requested zone and often treated first for new patients. - **Forehead** (horizontal lines from frontalis muscle activity): 4,000 Kč. Treated alone or in combination with the glabella to maintain brow position. - **Crow's feet** (lateral orbital lines from orbicularis oculi): 4,000 Kč. This is where MUDr. Štěpánková's ophthalmology expertise is most directly applied — the injections are placed precisely to relax the muscle without affecting the lower eyelid or causing asymmetry. - **Underarm hyperhidrosis** (excessive sweating): 10,000 Kč (women) / 15,000 Kč (men). Botulinum toxin injected into the skin of the axilla blocks the cholinergic nerve fibres that stimulate eccrine sweat glands, reducing sweating by 80–90% for 6–12 months. This is a well-established medical use of the toxin with strong clinical evidence. All treatments begin with a 200 Kč consultation, which is deducted from the procedure cost when treatment proceeds in the same session. The consultation covers anatomical assessment, treatment goals, expected outcomes, and a full contraindication screen (pregnancy and breastfeeding are absolute contraindications; prior botulinum toxin within 3 months should be declared). Post-injection, patients are advised to remain upright for 4 hours, avoid facial massage or heat application for 24 hours, and return in 2 weeks for an assessment if fine-tuning is needed. Bookings are made via stepankova-ocni.cz or by calling +420 387 435 808.