Botulinum toxin procedures
Botulinum toxin is a purified protein that temporarily relaxes facial muscles causing wrinkles, giving the skin a younger appearance. It reduces fine lines and wrinkles in the facial area and also treats excessive sweating.
When to see a specialist
- Dynamic wrinkles: Wrinkles caused by repeated facial muscle movements.
- Age-related wrinkles: Fine lines and wrinkles that develop on the face and neck as part of the natural aging process.
- Desire to enhance facial harmony: A desire to adjust the position of the eyebrows, nasal tip, or upper lip, or to refine the contour of the lower face for a more balanced appearance.
- Excessive sweating (hyperhidrosis): Excessive sweating that causes discomfort and interferes with daily life.
Common symptoms
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Changes around the mouth and chin
Wrinkles around the mouth, downturned corners of the mouth, or a dimpled chin. -
Drooping nasal tip
The tip of the nose moves downward when smiling. -
Enlarged masseter muscles
The chewing muscles make the lower face appear wider or more square. -
Forehead and frown lines
Lines on the forehead or between the eyebrows become more noticeable with facial expressions or have become permanent. -
Low eyebrows
The eyebrows sit lower, making the eyes appear tired or heavy. -
Signs of neck aging
Horizontal neck lines or visible neck bands have developed. -
Thin upper lip
The upper lip is naturally thin or becomes less visible when smiling. -
Wrinkles around the eyes
Fine lines around the eyes become more noticeable when smiling or other facial expressions.
How to prepare for your appointment
- Bring your ID card or another identification document.
- Write down or think through your main questions and goals for the procedure.
- No separate preparation is necessary, unless otherwise agreed.
- We recommend a 2-week gap for vaccination (before and after the procedure).
What to expect during your appointment
Consultation
We will discuss your skin condition, expectations, and the suitability of the procedure. The specialist will review your medical history to make a final decision regarding the procedure’s suitability.
Procedure
A small amount of botulinum toxin is injected with a very fine needle into 5–10 points, depending on the area (frown line between the eyebrows, horizontal wrinkles, wrinkles around the eyes). The procedure is generally well-tolerated and does not require anesthesia.
Aftercare
After the procedure, instructions for home care and what to avoid will be provided.
Specialists providing this service
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dr Elo Kuum
Dermatologist and venereologist
Rävala Clinic – Specialist Medical Care and Occupational Health
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Payment & Appointment Info
Prices
Tallinn
| Service | Price |
|---|---|
| Visit fee Added to the appointment fee. | 20 € |
| Consultation before a botulinum toxin procedure | 58 € A visit fee is added to the price. |
| Botulinum toxin injection – glabellar region | 175 € A visit fee is added to the price. |
| Botulinum toxin injection – horizontal forehead wrinkles | 175 € A visit fee is added to the price. |
| Botulinum toxin injection – eye area | 175 € A visit fee is added to the price. |
| Botulinum toxin injections – 2 regions: glabellar region and forehead | 280 € A visit fee is added to the price. |
| Botulinum toxin injections – 2 regions: glabellar region and eye area | 280 € A visit fee is added to the price. |
| Botulinum toxin treatment for excessive sweating | 450 € A visit fee is added to the price. |
| Additional amount of botulinum toxin – 1 unit | 4 € |
| Botulinum toxin injection – correction of vertical nose wrinkles | 105 € A visit fee is added to the price. |
| Botulinum toxin injection – correction of an uneven chin surface | 105 € A visit fee is added to the price. |
| Botulinum toxin injection – lifting of the eyebrows (brow lift) | 95 € A visit fee is added to the price. |
| Botulinum toxin injection – correction of the position of the corners of the mouth | 95 € A visit fee is added to the price. |
| Botulinum toxin injection – correction of a gummy smile | 95 € A visit fee is added to the price. |
| Botulinum toxin injection – upper lip correction (lip flip) | 95 € A visit fee is added to the price. |
| Botulinum toxin injections – 5 facial regions | 490 € A visit fee is added to the price. |
| Botulinum toxin injection – vertical muscle bands of the neck | 255 € A visit fee is added to the price. |
| Botulinum toxin injections – 3 regions | 375 € A visit fee is added to the price. |
Everywhere else in Estonia
| Service | Price |
|---|---|
| Visit fee Added to the appointment fee. | 13 € |
| Consultation before a botulinum toxin procedure | 58 € A visit fee is added to the price. |
| Botulinum toxin injection – glabellar region | 175 € A visit fee is added to the price. |
| Botulinum toxin injection – horizontal forehead wrinkles | 175 € A visit fee is added to the price. |
| Botulinum toxin injection – eye area | 175 € A visit fee is added to the price. |
| Botulinum toxin injections – 2 regions: glabellar region and forehead | 280 € A visit fee is added to the price. |
| Botulinum toxin injections – 2 regions: glabellar region and eye area | 280 € A visit fee is added to the price. |
| Botulinum toxin treatment for excessive sweating | 450 € A visit fee is added to the price. |
| Additional amount of botulinum toxin – 1 unit | 4 € |
| Botulinum toxin injection – correction of vertical nose wrinkles | 95 € A visit fee is added to the price. |
| Botulinum toxin injection – correction of an uneven chin surface | 95 € A visit fee is added to the price. |
| Botulinum toxin injection – lifting of the eyebrows (brow lift) | 95 € A visit fee is added to the price. |
| Botulinum toxin injection – correction of the position of the corners of the mouth | 95 € A visit fee is added to the price. |
| Botulinum toxin injection – correction of a gummy smile | 95 € A visit fee is added to the price. |
| Botulinum toxin injection – upper lip correction (lip flip) | 95 € A visit fee is added to the price. |
| Botulinum toxin injections – 5 facial regions | 490 € A visit fee is added to the price. |
| Botulinum toxin injection – vertical muscle bands of the neck | 255 € A visit fee is added to the price. |
| Botulinum toxin injections – 3 regions | 375 € A visit fee is added to the price. |
Payment methods
This service is not covered by Meliva Health Insurance. Check your personal coverage limits in the ERGO app.
Referral
You can book this service as a self-paying patient without a doctor’s referral.
Who is this appointment for?
Botulinum toxin is suitable for facial skin from the age of 30, and in individual cases, from the age of 25.
Injections for excessive sweating can be given to adults, i.e., from the age of 18.
No referral is needed – you can come for a visit on your own initiative.
Contraindications:
Presence of infection in the planned injection sites (e.g., herpes)
Pregnancy and breastfeeding
Febrile illnesses (e.g., common cold)
Clinics offering this service
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Open
Frequently Asked Questions
What is the difference between botulinum and Botox?
Botox is one brand name (as are Vistabel, Dysport, Xeomin) that contains the active ingredient botulinum toxin. All these products use the same active ingredient.
How long does the result last?
The effect lasts on average 3–6 months and depends on the individual characteristics of the person, the dose size, and lifestyle. The procedure can be repeated after 4 months.
Does botulinum toxin have side effects?
Although the procedure does not involve extensive recovery time, small bruises and some swelling may occur at the injection sites as a result of the injections. These are temporary. Very rarely, side effects such as drooping eyelids and the lateral part of the eyebrows may occur, which are also temporary and treatable.
How quickly does the effect of botulinum appear?
The effect of botulinum usually appears within 3–5 days, but can take up to two weeks.
What to do if the desired result is not achieved within two weeks?
If the desired result is not achieved within two weeks or if there is slight asymmetry, it can be easily corrected, and you do not have to pay extra for the correction.
Is the procedure painful?
The procedure is generally well-tolerated and does not require anesthesia.
What should be avoided after the procedure?
After the procedure, for 48 hours, you should not go to the sauna, solarium, consume alcohol, and physical exertion should also be avoided. Also, a 14-day gap should be maintained with laser, RF, and ultrasound procedures, as well as vaccination.