Smoothing out wrinkles to give your face a youthful appearance can be reached without surgery and without scars. Botox (Botulinum toxin type A) is the cosmetic form of bacterium Clostridium botulinum. It is mainly used to treat forehead creases, frown lines and crow’s feet.

What is botulinum toxin and how does it work?

Botulinum toxin or “sausage poison” is a substance produced by the bacterium Clostridium botulinum. At first it was used in ophthalmology and neurology. That’s when it was discovered the toxin could be used to diminish wrinkles and stop sweating. The amount of applied substance in cosmetology is 1000 times lower than the toxic dosage. The actual effect of botulinum toxin consists of the blockage of nerve-endings; the muscle is de-nerved and no nerve impulses can affect the area. It is practically “numb,” although over time the muscle does regain its nerve impulses. The effect of botulinum toxin is not permanent.

Why botox Prague?

Prague has many attractive features for those considering botox abroad. Its location in Central Europe is easy to access; its mild climate is conducive to healing and its experienced clinics and botox surgeons ensure you’ll receive the best possible care. Botox Prague costs are often much more affordable than in the UK or with the NHS. For more information about getting to and around the Czech Republic, please visit our handy cosmetic surgery Prague info guide.

Are you a good candidate for wrinkle removal using botulinum toxin?

The two barriers to receiving a botulinum toxin application are pregnancy and lactation. Although most moms probably aren’t too worried about wrinkle removal. If you suffer from any nerve diseases, certain allergies and hemophilia also prevent you from using botox.

The botox procedure

Botulinum toxin is an out-patient procedure that takes several minutes. The actual application takes 5-10 minutes. It is performed without anesthesia but the treated area may be cooled with a frozen compress. The solution is applied with a thin needle under the skin in the specific wrinkled area. The most common place to receive botox is the forehead and the area around the base of the nose and around the eyes. An experienced surgeon is able to work in small areas, and to treat even the beginning of wrinkles in the area of the upper lip.

After the botox procedure

Folowing your botulinum toxin application, you should not lie down for four hours after the procedure. This is so the toxin won’t, for example, get in the eyes and perhaps cause drooping eyelids. The patient should also not wear cosmetics, visit a solarium, receive a massage, etc.

Does botox ever not work?

Yes, in rare cases, the botulinum toxin does not have any effect. These patients may have developed antibodies in the past through a small intoxication of the poison. There are also documented cases of antibodies being created by very frequent applications. In these cases, another type of botulinum toxin might work.

How long does botox last?

The effect of the substance after the first application lasts approximately three months, after the second one around half a year and after the third application approximately 9-12 months. The more the substance is applied the longer the effect lasts. However, the effect of botulinum toxin can’t be guaranteed for more than a year. Many clients return once a year, or even better, learn not to use specific muscles and therefore the period between the treatments is prolonged. Boutulinum toxin application in the same area is not recommended more than twice a year (except in the first year.) In case of very deep wrinkles or defected collagen fibres, total wrinkle removal cannot be expected, but only a wrinkle reduction. Here it is possible to combine the botulinum toxin with a suitable filling material, for example collagen or hyaluron acid.

BOTOX® / DYSPORT®

Uses:

Reduction of laugh wrinkles

Relaxation of frown wrinkles

Reduction of fan wrinkles

Relaxation of an unwanted facial expression (e.g. turned-down corners of the mouth)

Treatment of hyperhidrosis – excessive sweating (axillae, palms, soles and face)

Duration of the effect:

Temporary (3 – 9 months).

Duration of the treatment:

Maximum of 10 minutes.

What is Botox®?

Botulotoxin A is a substance that relaxes muscles. It has been used in medicine for a number of years now and is the most important component of both BOTOX® and DYSPORT®. A special feature of these substances, which are applied by injection, is that they act directly on the cause of wrinkles, namely muscular activity. When BOTOX® or DYSPORT® is injected into a muscle, it temporarily blocks the nerve impulse that causes muscle contraction. The substance therefore acts more effectively against mimicry wrinkles than skin implants do. In addition, it prevents the formation of new wrinkles. The wrinkles become less apparent or disappear completely. Although BOTOX® and DYSPORT® do not have a permanent effect, the treatment can be repeated without difficulty.

The treatment

The application of BOTOX® or DYSPORT® is completely painless. The doctor uses a thin injection needle to introduce the substance into the muscle that causes the wrinkle or unwanted facial expression. The injection produces only a slight burning sensation. Immediately after the treatment, the skin is slightly reddish and swollen. These effects disappear after about an hour. You don’t need to take any time off work and can appear in public almost immediately after the treatment.

Results

The results of the treatment appear after three to six days. The skin is visibly relaxed and the wrinkles are shallower. The effect is optimal after fourteen days, and lasts three to four months. The more frequently the treatment is repeated, the longer the effect (from six to nine months.)

People, who suffer from excessive sweating, have a big social disadvantage. Excessive sweating is caused by abnormal function of sweat glands. It effects mostly limited skin parts as palms, armpits, soles or lumbar region, groins and nape of neck.

What is the cause of excessive sweating (hyperhidrosis)?

Excessive sweating in some parts of body (focal hyperhydrosis) mostly does not have an immediate cause, there are however several contributing factors as wrong diet, anxiety states, depressions etc.

The botulotoxin treatment can be also used to remove mimic wrinkles (ex. wrinkles on the forehead, between the eyebrows, round eyes etc.)

The procedure of reduction of excessive sweating

To reduce excessive sweating, type A botulotoxin (trade names are Botox and Dysport) is applied to the affected area with the help of a very thin needle. A very diluted solution is used for the treatment, a small amount of this solution is applied to the skin of the affected area, approximately one stab in 1 square cm.

The principle of botulotoxin effect consists in preventing to transfer impulses of nerve fibres to the sweat glands.

Before the treatment

During the first consultation, discuss your expectations openly with your doctor.

The doctor will probably ask you about your anamnesis and present-day state of health. He/she will also define places for the application of botulotoxin, with the help of special measuring instrument.

Anesthesia

The treatment is not severe and does not require anesthesia. It is said that it is less painful than blood taking. Anesthetic ointment can be used in case of people who are extremely sensitive to pain.

After the treatment

Reduction of excessive sweating is done without residential treatment, it means you can go home thereafter.

If the treatment was done on your head, you should not bend the trunk forward of lie down for 4 hours. You should not touch treated places for at least 24 hours, thereafter it is possible to touch them gently and wash them delicately.

What is the result of reduction of excessive sweating with the help of botulotoxin?

The effect of botulotoxin starts to appear gradually in 2-10 days. It almost stops the function of sweat glands. The effect is always individual, it lasts 7-12 months or longer. For longer effect, it is necessary to repeat the whole treatment.

The capital of the Czech Republic, Prague ranks amongst the most beautiful cities in the world. Over the past few years, however, it has no longer served merely as a popular tourist destination but also as place where people can travel to rid themselves of any aesthetical imperfections or health problems. Private medical clinics in Prague provide the same or higher quality services as their colleagues in the West while offering incomparably low prices, all of which has allured tens of thousands of people to the city.

Only the best for you

Over the last fifteen years an entire range of institutes specialising in aesthetic medicine have emerged in Prague. It is necessary to emphasise here that a number of such “clinics” consist of one doctor, a basement room or a rented operating theatre and outdated equipment. Provided that what you really want is top rate treatment using the most modern technology and approaches, you should restrict your search to the best. In the Czech Republic this field is dominated by the number one leader: Asklepion – Department and Institute of Aesthetic Medicine.

Asklepion offers the largest and most comprehensive facilities of its kind, not only in the Czech Republic but throughout Central Europe. The five-storey clinic in Prague (not to mention other branches in Karlovy Vary, Marianské Lázně and Ostrava) treats patients in a range of different areas: laser medicine, dermatology, plastic surgery, dental care, vascular surgery, ORL, anti-aging medicine, dietology, internal medicine, gastroenterology, cosmetics, rehabilitation and much more. All of our doctors use the most modern technical and technological equipment the world has to offer and work with the latest medical knowledge and information.

The Tiger in Central Europe

Asklepion has achieved unrivalled success, having treated over 250,000(!) clients in the past ten years alone. The original Asklepion – Laser centre, established in 1996, was located on the premises of Prague General University Hospital and, in the course of several years, expanded its offer many times over. This growth finally called for a change of office and clinic and, in September 2005,Asklepion relocated to Londynská Street in the centre of Prague. The current premises spread over 3,000m2, which boasts dozens of clinics with first-rate equipment, three hi-tech operating theatres, a ward and a designated dental laboratory. Asklepion is famous not simply due to the quality and range of its services but also thanks to extensive cooperation with a wide range of scientific and university bodies in the Czech Republic as well as abroad. The clinic also operates as an internationally accredited training centre such as the American Academy of Implant Dentistry, the American Academy of Cosmetic Dentistry and the American Society for Laser Medicine and Surgery, educating medical students from five different continents.

Under the supervision of medical guidance

The greatest bonus you receive when you come to Asklepion lies in the amazing facilities, which cover a range of medical fields. This also means that the doctor who is treating you has the opportunity to consult a colleague from a different medical field about your problem straightaway, s/he can send you for a variety of different tests or recommend another specialist – without needing to wait and all under one roof. Due to our diversity, Asklepion is frequently sought after by foreign clients, who, above all, value the opportunity to undergo several kinds of treatments with a variety of different specialists over a short period of time. In the course of one week for example we can manage complete dental reconstruction, perform anti-aging screening and draw up a nutritional and active plan, get rid of unwanted moles and warts, rejuvenate your skin, iron out wrinkles, remove varicose veins…Moreover at Asklepion we are capable of dealing with your problem in a variety of different ways and you can be sure that we will choose the best approach suited to you.

How do I find Asklepion?

Asklepion – Department and Institute of Aesthetic Medicine is located on Londynská Street No 39 in Prague 2. The easiest way to find more information about us is on our website www.asklepion.cz, by email at info@asklepion.cz or on the following telephone numbers +420 234 716 111, +420 602 483 322. The clinic is open Monday through Saturday from 8.00 am to 8.00 pm. It goes without saying that our staff members speak English, German and Russian.

HAVE YOU DISCOVERED YOU HAVE A 1 FREE HOUR TO SPARE DURING YOUR STAY IN PRAGUE?

Asklepion offers: cosmetic treatment of the face, hands and body (Orlane and Decleor cosmetics, Omnilux, Belex, Dermosonic equipment), botox injections (Botox, Dysport preparations), skin infill (Restylane, Juvederm), teeth whitening, removal of minor vein splitting using laser treatment, chemical peeling, laser removal of growths, moles and freckles, laser epilation …

OR A WHOLE 1 DAY?

Asklepion offers: outpatient laser removal of varicose veins, all-ceramic veneer, crowning and filling produced while you wait using Cerec 3D and Cerec inLab, laser treatment to eliminate snoring, stop chronic colds …

OR EVEN A WHOLE 1 WEEK?

Asklepion offers: all kinds of plastic surgery (rhinoplasty, blepharoplasty – eyelid lifts, classic face- and neck-lifts, face- and neck-lifts using the APTOS non-surgical method, breast enlargement, reduction and shaping, tummy tucks, liposuction…), complete dental reconstruction (implants, whole ceramic crowns and bridges), complete anti-aging screening and plan, compilation of a nutritional and active programme…

The SurgiWire procedure is a new method for removing deep facial wrinkles, scars and depression using “surgical wire.”The method SurgiWire is fast and highly effective. It allows the surgeon to loosen the fibrous tissue that causes distinct lines between the eyebrows and on the side of the nose.

How is the procedure performed?

The procedure can be performed under sedation or local anaesthetic. Using a special needle, the surgeon makes several local punctures around the wrinkle and with the help of this needle feeds a very fine steel fibre under the skin. The surgeon cuts under the wrinkle and the fibre is completely removed. Wrinkles released in this manner can last up to two years. The surgeon can achieve a permanent effect by using a micro-liposuction technique to acquire fat from the body of the client; a small amount of the fat is then injected into the place of the wrinkle. The fat smoothes the wrinkle permanently.

What is the cause of deep wrinkles?

The muscles that control facial expressions have thin fibrous connections to the surface of the skin. Through repeated mimic movement facial lines gradually deepen. Surface skin regains a youthful appearance after these fibrous connections are released using the “surgical wire.”

Compared to other methods that remove wrinkles such as botulotoxin and various fill materials, the SurgiWire method is the most efficient on large and deep wrinkles.

What can be expected after the procedure?

Local swelling and bruising can occur at the treated site and usually last for up to one week. After the operation it is a good idea to sleep on a larger pillow and to ice the face. Pain and anti-inflammatory medications can be prescribed. The final result is achieved after several weeks.

Is there any risk involved?

As long as the patient carefully observes pre and post-operation instructions, complications are minimal.

The very best you can do for your skin is provide it with plenty of nourishment, from without and from within. In Asklepion you can now pamper your skin with products from Viscoderm, partly in the form of injectable ampoules with natural hyaluronic acid, and partly as a nutritional supplement.

Hyaluronic acid is a natural part of all living organisms.

It is a simple chemical substance which naturally fills the space between cells and tends to form bunches of long fibres, which are able to swell within the skin, in a similar way to a sponge. As we get older, the amount of hyaluronic acid in the body reduces and the organism is unable to restore it naturally. In short, your body does not mind wrinkles. The less hyaluronic acid we have in the body, the less water the skin is able to absorb, which results in the skin “shrinking”.

This discovery led to the fact that hyaluronic acid is now successfully used not only to smooth out wrinkles and uneven skin, but also to make it tauter, sharpen the contours of the face and shape the lips.

It was first commercially used in 1942, when Endre Balazs had it patented as a substitute for egg-white in bread and bakery products. For the following fifty years this Hungarian scientist became the main expert in the research of this substance. Besides it aesthetic use, hyaluronic acid began to be applied in the treatment of joint pains, infertility, and tissue swelling. In short, during the last century it became one of the most well-known and widely used substances in medicine.

In the Viscoderm care scheme hyaluronic acid effectively and naturally rejuvenates the skin and neutralises the ageing process. Viscoderm restores the levels of hyaluronic acid in the skin, which regenerates and rehydrates the epidermis. It is applied around the face, neck, upper chest, and on the back of the hand. After treatment, for example, the water content of the skin is 30 % higher, while the skin is up to 80 % more supple.

Another significant result of the application of Viscoderm into the skin is that it provides effective protection against harmful external factors.

Besides hyaluronic acid the Viscoderm Pearls nutritional supplement also contains collagen, the antioxidants pycnogenol and the coenzyme Q10. It acts to prevent degenerative processes in the skin and stimulates cell regeneration, thus making your skin look healthier and more supple while improving its tone and hydration.

Viscoderm Pearls can be used on its own as a means of preventing ageing or as supplementary care against the effects of ageing as an injectable Viscoderm project.

Today’s life forces us to look young and fresh for as long as possible so it’s no wonder the chase for everlasting youth affects our everyday lives. The trend to stay young is absolutely natural, and definitely not only a matter of vanity. If you look good, you feel more self-confident and therefore appear more positive in the eyes of others. The desire for beauty has been around for thousands of years. To look young and feel better is just about everyone’s desire.

Research by the American Society for Aesthetic Plastic Surgery (ASAPS) from February 2006 shows that 55% of women and 52% of men would agree to have their appearance improved by plastic surgery. While plastic surgery used to be the only way to remain young, nowadays it is not the only possibility. Modern society brings a faster life style, and with it, other approaches to beauty, more comfortable ones and the same effective solutions. Are you bothered by your first wrinkles? By your tired and drooping skin? Is your skin not as firm and elastic as it used to be? If so, you are a good candidate for injectable implants.

Injectable implants or injectable fillers have become a more common and popular method in the fight against aging. Thanks to their easy application and quick effect they have an irreplaceable place in aesthetic surgery and their popularity contains to increase. Unlike plastic surgery procedures, these methods are noninvasive, which means they are not surgery and thus do not require hospitalization. From 1997 to 2005 the number of these procedures performed jumped about 726 % according to the ASAPS. The application of botulinum toxin is now the most desired noninvasive method. Injection implants, such as botulinum toxin, restylane, radiasse and so on, can be used for everything from wrinkle removal, improving facial contours, removal of a double chin, scar smoothing, correction of under-eye circles, lip augmentation as well as helping to stop excessive sweating. Their biggest advantage is that the patient doesn’t have to undergo a recovery process for several weeks, which is common with plastic surgery procedures. The injectable fillers are performed by professionally trained surgeons. It is a relatively simple procedure with good results and is suitable even for relatively young patients. Naturally, there are cases when noninvasive methods cannot help anymore and more radical procedures must be performed in the form of a face lift and so on. In most cases, they present an effective solution in the fight against aging symptoms. A specialized consultation always precedes these procedures, in which the surgeon learns the client’s wishes, evaluates the state of their skin, performs a general anamnesis and selects the suitable product and its amount.

The application of the substance is then usually very simple and non time-consuming. The treatment with injectable fillers often does not need to be done under local anaesthesia. For the maximum comfort of a client it is possible to use anaesthetic cream.

The active agent, which is selected by the surgeon and the client, is precisely inserted through thin needles into the skin, under the skin or into the muscle, always according to the type of implant. A big advantage is that the patient, almost immediately after the treatment, gets back to their normal life. It is not unusual that a woman has botulinum toxin (Dysport) applied during the day and then returns to work, without anyone noticing anything. Sometimes it is necessary to follow certain safety measures (e.g. patient cannot lie down for several hours after the application of botulinum toxin, not even to bend over and a cosmetic massage is prohibited for approximately 14 days). You will be informed about these in advance. The treated place is soothed with bags of ice after the application. Sometimes small swellings, a small bruise or redness may appear. These symptoms usually disappear the next day. Initial results can be seen within a few days and the final effect is visible within two weeks at the latest. Contraindications are minimal, only with the exception of pregnancy. The reason for this is that these tests have never been made on pregnant women, not because they are somehow harmful to your health. All these substances are first specially tested for several years and go through many controls before they even get to the market. The amount for this usage is minimal and therefore they are not dangerous. Moreover their effect is only temporary, with the exception of silicone oil, and the look will fade away in a year. The client can then decide if he/she wants to continue with skin rejuvenation. A tiny filling inserted into the right place can make you look a few years younger and significantly raise your self-confidence. The face after a suitable application is soft with round shapes, the skin is lifted, sharp edges and tired hollowed cheeks are gone, although their character remains. Injectable implants present a simple and very effective solution to the approach of beauty.

The application of botulotoxin and fill material can help remove the deep wrinkles (so-called “frown lines”) on your face.

Botulotoxin is available in two preparations: Botox and Dysport. Dysport is more suitable in the case that larger doses are required to smooth out truly deep wrinkles. Through the use of fewer injections with lower doses, Dysport easily spreads to the area surrounding the site of the injection and can provide longer-lasting results.

On the other hand, Botox easily treats smaller wrinkles and is more appropriate for cases when the spread of the active ingredient is not desired.

Prior to application the area to be treated is cleaned with a disinfectant. Botulotoxin is applied with the extremely fine needle typically used for insulin injections. In the case that a patient has a greater fear of injections, the treated area can be desensitized with a plaster or cream that contains a local anaesthetic.

Botulotoxin binds to receptors for acetylcholine, which induces muscles to contract, or, in this case, to wrinkle. But when the receptors contain Dysport, the command to wrinkle is blocked. “Frown lines”, after all, are not normal mimic wrinkles; instead, they occur due to the long-term frowning of the patient, consciously or otherwise. Wrinkles that are already quite deep are not simple to remove.

Botulotoxin does not smooth out these wrinkles immediately, as is the case with the treatment of fine wrinkles around the eyes. The deep wrinkles will gradually become shallower and may take months or even up to two years to disappear completely. Dysport should be applied twice a year. “Dysport is active from four to six months. The effect is extended by the fact that botulotoxin cures you of your inclination to frown. When you stop using your frowning muscles for a longer period the body takes a while before it remembers this action and begins to frown again,” explains Dr. M. Majerová from the dermatology department at the Asklepion Clinic in Prague.

To help results appear faster, a filler material – hyaluronic acid – is injected. Hyaluronic acid is a normal component of skin.

Injection implants can assist with a host of personal cosmetic woes. Wrinkles can be erased, lips can become fuller, scars can disappear. Injectable fillers can also cure excessive sweating problems. Injection implants are a modern, reliable and safe method of assisting with many minor cosmetic issues. We’ve put together a handy chart to provide you with more information on injection fillers abroad, the types of implants that exist and what results each treatment can offer..More information about injectable fillers abroad can be found here. If you wish to consult with an injectable implant doctor Prague, check our list of experienced surgeons. Want to see what injectable fillers did for other people? View our before and after injectable implant photos.