Botulinum Toxin (Anti-Wrinkle Injections)

Botulinum toxin type A is a purified protein that blocks the release of acetylcholine, the chemical messenger nerves use to tell a muscle to contract. Injected in tiny, precisely placed doses, it temporarily relaxes the specific muscle without affecting surrounding tissue. Because the lines being treated are caused by repeated muscle movement — frowning, raising the brows, squinting — relaxing those muscles smooths the skin above them and slows the…

MUDr. David Pupala, certified in botulinum toxin and a member of the Czech Medical Chamber, assesses muscle strength and movement patterns before dosing, calibrating the amount at each point to the individual rather than applying a fixed grid — this preserves natural expressiveness. The injection uses an ultra-fine needle; most people describe a brief sting rather than pain, and no anaesthetic is required. A session takes roughly 15–20 minutes.

The same mechanism treats hyperhidrosis (excessive sweating). Here the toxin is injected into the sweat-gland-rich skin of the underarms, palms or soles rather than into muscle, blocking the nerve signal that activates the sweat glands and giving relief that typically lasts longer than the facial effect.