Botulinum Toxin — Wrinkle Treatment (Dysport)

Botulinum toxin injections using Dysport (botulinum toxin type A) to temporarily relax the muscles responsible for expression lines, jaw tension, and underarm sweating. At Skinderm Ostrava, licensed dermatologists administer injections with ultra-fine needles in a dedicated procedure room at Poliklinika Kostelní. The treatment targets forehead lines, frown creases, crow's feet, masseter bulk, and hyperhidrosis with precision dosing, typically taking 30 minutes. Initial results appear within 3–4 days and reach full effect at 2–3 weeks, lasting several months before a top-up is needed.

Dysport is a botulinum toxin type A formulation that works by blocking the release of acetylcholine at the neuromuscular junction, preventing the targeted muscle from contracting fully. The result is a softening of the overlying skin crease without altering natural facial expressiveness when correctly dosed. Skinderm's dermatologists approach each session with individual anatomy mapping — the amount of toxin placed at each injection point is calibrated to the patient's muscle depth, natural motion patterns, and desired outcome rather than applied from a fixed grid. The procedure takes around 30 minutes in the dedicated 4th-floor procedure room at Kostelní, which is staffed by MUDr. Králová. A fine-gauge needle is used; most patients describe the sensation as a brief sting rather than pain. No anaesthetic is required. Patients are advised to remain upright for 4 hours post-treatment, avoid vigorous exercise that day, and refrain from massaging the injected area. Treatment areas include: the forehead (horizontal lines), glabella (vertical frown lines between the brows), crow's feet (lateral eye creases), masseter muscles (jaw-line slimming and teeth-grinding relief), platysma bands (Nefertiti lift for neck definition), chin dimpling, lip flip (slight upper-lip eversion), gummy smile correction, bunny lines (nasal wrinkles), and corner lift (downturned mouth corners). Axillary hyperhidrosis (underarm sweating) is also treated — both armpits in one session with Dysport injected directly into the sweat-gland-rich skin rather than muscle. First effects are visible at 3–4 days; maximum result at 2–3 weeks. Duration varies by individual metabolism and treatment area — typically 4–6 months for facial muscles, potentially longer for hyperhidrosis. Repeat sessions help train muscle memory and may gradually extend intervals. Side effects are uncommon when administered by a specialist: occasional mild bruising or temporary heaviness if toxin migrates. The clinic recommends avoiding blood-thinning supplements and aspirin for a week before treatment to minimise bruising risk.