Botulinum toxin injections are a medical aesthetic procedure that temporarily reduces the activity of certain muscles and makes the expression lines they cause less visible. At Baltic American Clinic in Vilnius, botulinum toxin injections are given after an individual assessment of your facial anatomy, facial expressions, expectations and possible contraindications. Botulinum toxin can also be used to treat excessive sweating.
Injection sites and doses are chosen according to your facial anatomy and muscle activity.
The procedure can reduce dynamic lines on the forehead, between the eyebrows and at the corners of the eyes.
Where medically indicated, botulinum toxin can be used to reduce hyperhidrosis.
Results are assessed after the procedure, and the effect gradually wears off.
When is it worth considering botulinum toxin injections?
Botulinum toxin injections may be suitable when you want to reduce expression lines or treat excessive sweating in certain areas.
- Forehead lines. Horizontal lines that become more visible when you raise your eyebrows.
- Frown lines. Vertical lines between the eyebrows that form when you frown.
- Crow’s feet. Fine lines at the corners of the eyes that become more visible when you smile.
- Marked asymmetry of facial expressions. In some cases, an individual correction may be considered.
- Excessive underarm sweating. Sweating interferes with daily activities and is not adequately controlled by other means.
- Excessive palm sweating. Treatment may be considered after weighing the benefits against possible temporary weakness of the hand muscles.
Botulinum toxin injections are not suitable for all wrinkles. Static wrinkles and sagging skin may need other treatment methods.
Which problems can be corrected with botulinum toxin?
Forehead expression lines
Forehead lines form because of repeated activity of the forehead muscles.
Botulinum toxin can reduce the strength of these muscle contractions, making the lines less noticeable.
It is important to maintain the right eyebrow position and a natural facial expression.
Frown lines between the eyebrows
Vertical lines between the eyebrows often become more visible when you frown or concentrate.
Properly planned injections can make them less visible.
Lines around the eyes
Crow’s feet are caused by the activity of the orbicularis oculi muscle around the eye.
The procedure can reduce dynamic lines, but it does not remove all changes in skin texture.
Excessive underarm sweating
Botulinum toxin temporarily blocks the transmission of nerve signals to the sweat glands in the treated area.
This method can reduce sweating when it causes significant discomfort.
Excessive palm sweating
Injections can also be used for hyperhidrosis of the palms, but this area is more sensitive to pain, and temporary weakness of the hand muscles is possible after treatment.
Whether the treatment is suitable is assessed individually.
What happens during a botulinum toxin injection procedure?
The doctor discusses your expectations, health, previous procedures and possible contraindications.
Your facial expressions or the sweating area are assessed, and the injection sites and doses are chosen.
The product is injected into the planned sites with a fine needle. How long the procedure takes depends on the area treated.
The effect develops gradually. A follow-up visit is scheduled if needed.
Effect and results of botulinum toxin
When is the result visible?
The first changes are often noticeable within a few days, and the final effect of expression line correction is usually assessed after about two weeks.
How long does the effect last?
The result of expression line correction often lasts about 3–4 months, but the duration varies from person to person.
When treating hyperhidrosis, the effect may last longer, but it is not permanent either.
Does the result look natural?
That depends on the injection sites, the dose, your facial anatomy and your individual response.
The aims of treatment are discussed in advance. It is not always possible to keep your usual facial expressions completely, because the procedure works precisely by reducing the activity of certain muscles.
Possible risks and contraindications
After injections, there may be slight redness, swelling, tenderness or bruising.
Specific side effects are also possible, such as temporary facial asymmetry, a drooping eyebrow or eyelid, or headache.
Botulinum toxin is not usually used if there is an infection at the injection site, certain neuromuscular diseases or other contraindications.
Elective aesthetic injections are not recommended during pregnancy and breastfeeding because there are not enough safety data.
Very rarely, serious systemic symptoms of the toxin’s effect may occur. If you have difficulty swallowing, speaking or breathing, seek emergency medical help.
How to prepare for botulinum toxin injections
- Tell the doctor about the medicines and food supplements you take.
- Mention if you have had adverse reactions after injections before.
- Tell the doctor about any neuromuscular diseases.
- Tell the doctor if you are pregnant or breastfeeding.
- Come without make-up or be ready to remove it.
- Do not stop taking medicines that affect blood clotting without the advice of the doctor who prescribed them.
After the procedure, follow the doctor’s recommendations on physical activity, care of the treated area and other procedures.
Frequently asked questions
Are botulinum toxin injections painful?
Most people feel brief needle pricks. Sensitivity depends on the area treated and your individual pain threshold.
Does botulinum toxin smooth out deep wrinkles?
It is most effective for dynamic wrinkles. Deep static wrinkles may be reduced only partially.
Will my face look frozen after the injections?
Reducing muscle activity too much can change your facial expressions. Correct dosing helps achieve a balanced result, but an effect on facial expressions is part of how the procedure works.
Can botulinum toxin lift the eyebrows?
In some cases a slight change in eyebrow position can be achieved, but the result depends on your facial anatomy and muscle activity.
Are botulinum toxin and hyaluronic acid the same thing?
No. Botulinum toxin reduces the activity of certain muscles, while hyaluronic acid fillers are used to correct tissue volume and contours.
Does botulinum toxin build up in the body?
Its effect on the junction between nerves and muscles is temporary. However, repeat procedures must follow medical recommendations and appropriate intervals.
Do the injections have to be repeated forever?
No. That is the patient’s choice. As the effect wears off, muscle activity gradually returns.
Can I go to work after the injections?
Usually you can return to your normal activities, but temporary redness or small bruises may be visible.
Can I exercise after the procedure?
The doctor gives individual recommendations. You may be advised to postpone intensive physical exertion straight after the injections.
Does botulinum toxin help with migraine?
A certain botulinum toxin product has an approved indication for the prevention of chronic migraine, but this is a separate neurological treatment with a specific regimen. Aesthetic injections are not a substitute for migraine treatment.
Does sweating go away for good after treatment?
No. The effect of botulinum toxin on the sweat glands is temporary.
Do I need a referral for the injections?
No, you do not need a referral for a paid consultation or a planned aesthetic procedure. The doctor assesses whether the procedure is suitable for you.
Price of botulinum toxin injections
The price of botulinum toxin injections depends on the area treated, the medical indications and the amount of product chosen for you. Services are charged according to the Baltic American Clinic price list in force.