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.

Text reviewed by specialist:

dr Elo Kuum

Dermatologist

Published

Text updated

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

  • 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.

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

Payment & Appointment Info

Prices

Tallinn

Special care
Service Price
Consultation before a botulinum toxin procedure 78 € Includes a visit fee of 20 €.
Botulinum toxin injection – glabellar region 195 € Includes a visit fee of 20 €.
Botulinum toxin injection – horizontal forehead wrinkles 195 € Includes a visit fee of 20 €.
Botulinum toxin injection – eye area 195 € Includes a visit fee of 20 €.
Botulinum toxin injections – 2 regions: glabellar region and forehead 300 € Includes a visit fee of 20 €.
Botulinum toxin injections – 2 regions: glabellar region and eye area 300 € Includes a visit fee of 20 €.
Botulinum toxin treatment for excessive sweating 470 € Includes a visit fee of 20 €.
Additional amount of botulinum toxin – 1 unit 4 €
Botulinum toxin injection – correction of vertical nose wrinkles 125 € Includes a visit fee of 20 €.
Botulinum toxin injection – correction of an uneven chin surface 125 € Includes a visit fee of 20 €.
Botulinum toxin injection – lifting of the eyebrows (brow lift) 115 € Includes a visit fee of 20 €.
Botulinum toxin injection – correction of the position of the corners of the mouth 115 € Includes a visit fee of 20 €.
Botulinum toxin injection – correction of a gummy smile 115 € Includes a visit fee of 20 €.
Botulinum toxin injection – upper lip correction (lip flip) 115 € Includes a visit fee of 20 €.
Botulinum toxin injections – 5 facial regions 510 € Includes a visit fee of 20 €.
Botulinum toxin injection – vertical muscle bands of the neck 275 € Includes a visit fee of 20 €.
Botulinum toxin injections – 3 regions 395 € Includes a visit fee of 20 €.

Everywhere else in Estonia

Special care
Service Price
Consultation before a botulinum toxin procedure 71 € Includes a visit fee of 13 €.
Botulinum toxin injection – glabellar region 188 € Includes a visit fee of 13 €.
Botulinum toxin injection – horizontal forehead wrinkles 188 € Includes a visit fee of 13 €.
Botulinum toxin injection – eye area 188 € Includes a visit fee of 13 €.
Botulinum toxin injections – 2 regions: glabellar region and forehead 293 € Includes a visit fee of 13 €.
Botulinum toxin injections – 2 regions: glabellar region and eye area 293 € Includes a visit fee of 13 €.
Botulinum toxin treatment for excessive sweating 463 € Includes a visit fee of 13 €.
Additional amount of botulinum toxin – 1 unit 4 €
Botulinum toxin injection – correction of vertical nose wrinkles 108 € Includes a visit fee of 13 €.
Botulinum toxin injection – correction of an uneven chin surface 108 € Includes a visit fee of 13 €.
Botulinum toxin injection – lifting of the eyebrows (brow lift) 108 € Includes a visit fee of 13 €.
Botulinum toxin injection – correction of the position of the corners of the mouth 108 € Includes a visit fee of 13 €.
Botulinum toxin injection – correction of a gummy smile 108 € Includes a visit fee of 13 €.
Botulinum toxin injection – upper lip correction (lip flip) 108 € Includes a visit fee of 13 €.
Botulinum toxin injections – 5 facial regions 503 € Includes a visit fee of 13 €.
Botulinum toxin injection – vertical muscle bands of the neck 268 € Includes a visit fee of 13 €.
Botulinum toxin injections – 3 regions 388 € Includes a visit fee of 13 €.
Payment methods

This service is not covered by Meliva Health Insurance.

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

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.