Smoothing out of mimic wrinkles with injections

Non-surgical injection methods for smoothing out mimic wrinkles are more and more frequent methods. The advantage is that these are less invasive.
At Gemini Eye Center two kinds of injections are used. The first type are botulinum toxin injections which relax sc. dynamic wrinkles by means of relaxing mimical muscles. The other method are sc. filler injections when hyaluronic acid is injected into the skin and hypodermis. Hyaluronic acid smoothes out the wrinkles with its fluid.

Botulinum toxin injections

Botulinum toxin A is a substance produced by the bacterium Clostridium botulinum which blocks the impulse in the nerve-muscle transmission. This effect is used in mimic wrinkles correction. Profesor J. Carruthers from Vancouver, Canada accidently discovered botulinum toxin effects on wrinkles and thus considerably enriched possibilities of esthetic medicine. Botulinum toxin injection has its result in reducing mimical muscles activity, smoothing out of wrinkles, and blocking creation of new mimical wrinkles or at least reducing deepening of the current ones. The preparatives have a direct effect on the cause of mimical wrinkles, ie. on muscle activity. A small dose of botulinum toxin is applied into the muscle and thus transmission of a neuromascular impulse is temporarily inhibited; then the muscle relaxes and wrinkles smooth out. The effect is not permanent; the procedure, however, may be repeated without any problems.


• reduction of laughter lines in eye area
• laxation of frowning wrinkles (sc. glabella) above the root of nose
• forehead wrinkles reduction


The procedure is short, the time during which the injections are applied is shorter than 10 minutes. Before the injections, the incision area is anesthetized with an ointment. The botulinum toxin application is almost painless and is done ambulantly. After the skin has been disinfected, a very fine needle is used to apply the substance into the muscle which causes the wrinkle. The skin is temporarily reddish and swollen. After the botulinum toxin application we recommend ca 4 hours of keeping a vertical position, ie. do not go to bed and do not bend your head forward, and do some exercises with your facial muscles. Do not go to saunas, solariums, do not impose yourselves to demanding physical activities and sports for about 2 weeks after the procedure. However, you can do your usual activities.


You will be able to notice the result of the botulinum toxin procedure in 3 to 6 days, the result is best-seen in two weeks. The wrinkles smooth out and the skin is firm.


The effect is temporary and usually lasts for about 3 to 5 months. With a repeated procedure, the effect is gradually longer and lasts for even more than half a year. The miminum interval between the procedures should be at least 3 months. One application a year would be ideal.


Temporary eyelid or eyebrow drooping is described in literature as well as eyebrow asymetry. These adverse effects are minimal after a correct application and when all post-procedure instructions are obeyed. The procedure is not indicated in patients with certain neurological disorders, in pregnant and breastfeeding women, and in patients under antibiotics. The injection treatment risk is in infection which is prevented with disinfection before the needle incises the skin.


The price for eye wrinkles removal, glabella and forehead wrinkles removal is from 1500,- CZK or €61*.
* The sum will be calculated according to an exchange rate valid on the day of surgery.