Botulinum toxin
Expression lines smoothed in fifteen minutes or so — a botulinum toxin type A treatment performed by an aesthetic medicine doctor in the centre of Warsaw. A naturally rested face, with your expressions preserved.
Botulinum toxin — smoothing expression lines
Botulinum toxin type A is a medical preparation that reduces excessive muscle contraction. Once used to treat conditions involving excessive, abnormal muscle spasms, today it is most often used in aesthetic medicine treatments — smoothing expression lines, lifting drooping corners of the mouth or treating excessive sweating of the underarms, hands and feet.
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How botulinum toxin works
Injected into the muscles responsible for forming wrinkles in a given area, the toxin blocks the impulses between nerves and muscles: the muscles weaken, the skin releases its tension and the wrinkles smooth out. A properly performed treatment achieves the effect of a younger-looking, rested and relaxed face.
The experience of Velvet Skin Clinic
Botulinum toxin is one of the most frequently chosen aesthetic medicine treatments at our clinics.
Source: Versum and Booksy reports, as of 30.06.2026. Data for the “botulinum toxin” item — approximate matching (by procedure name).
How botulinum toxin smooths wrinkles
Neuromuscular block
The preparation blocks the transmission of impulses between the nerve and the facial muscle in the treated area.
Muscle relaxation
The weakened muscle stops pulling on the skin, so the dynamic wrinkle smooths out.
A reversible effect
The action is temporary and reversible with hyaluronidase — facial expression returns gradually over a few months.
When to consider botulinum toxin
What can be treated with botulinum toxin
We use this treatment for 2 indications. It works a little differently in each of them — below we describe what exactly it does in each case.
Expression lines
For this indication the toxin has no real rival — an expression line is formed by muscle movement, so the answer is a temporary reduction of its tension. We choose the dose so the face stays expressive; freezing your expressions is never the goal.
02Bruxism and the jaw
The same preparation, but a completely different goal than with wrinkles — relaxing the masseter muscle. The effect is twofold: the tension and morning pain subside, and along the way the lower face becomes subtly slimmer. With bruxism what counts most is relief; the look is a side effect.
Wondering which indication describes your situation? Explore the concerns we treat or ask during a consultation.
Wondering which areas are worth correcting? Book a consultation with a doctor and have your plan tailored.
Book a consultationEffectiveness confirmed by research
Botulinum toxin type A is one of the most extensively studied preparations in aesthetic medicine. Below is a selection of peer-reviewed publications.
Meta-analysis of RCTs — glabellar lines
A meta-analysis of 7 randomised trials (1,474 participants) showed significantly higher effectiveness of toxin type A vs placebo; a single dose of ~20 U was found effective and safe.
Meta-analysis of RCTs, 2016. PubMed →Multicentre dose study
A randomised, placebo-controlled trial: significant improvement in glabellar lines lasting at least 3 months after a single injection.
Carruthers et al., 2004. Carruthers et al., 2002 · PubMed →It also works on sweating
In a BMJ study (320 participants), ~94% of patients achieved a ≥50% reduction in underarm sweating after toxin type A — the same substance, a different indication.
Naumann, Lowe, 2001, BMJ. PubMed →The cited studies concern botulinum toxin type A as a substance (various preparations and doses). The dose, the number of areas and the outcome of the treatment are determined individually by the doctor; results may vary.
What to expect from a botulinum toxin treatment
A botulinum toxin treatment is quick — it takes 15 to 30 minutes — and involves only minor discomfort, so no prior anaesthesia is required. Immediately after the treatment, some skin redness and slight swelling may appear at the injection sites, lasting around 1 hour. The treatment requires no recovery period — you can return to work and everyday activities straight away.
Medical history and qualification
The doctor rules out contraindications and assesses your expressions and the areas to be corrected.
Comfortable without anaesthesia
The treatment involves only minor discomfort; if needed, the area can be cooled.
Precise injections
Tiny injections with a fine needle into selected facial muscles.
Results and follow-up
The effect builds over a few days; a follow-up is possible after ~2 weeks.
See the full details
The effect appears gradually over 3–7 days and peaks after about two weeks. It usually lasts 4–6 months, after which the muscle gradually regains its activity and the treatment can be repeated. Regular treatments may lengthen the intervals between visits.
Aftercare guidelines — botulinum toxin
The treatment requires no downtime, yet during the first 24 hours it is worth following a few rules so the preparation settles properly.
Stay upright
For about 4 hours, avoid bending your head forward or lying down — this helps keep the preparation at the injection site.
Use your expressions
In the first hours, gently exercise the expressions of the treated areas, as advised by your doctor.
No pressure or massage
Avoid massaging or pressing the treated spots; skip make-up around the injection points that day.
Skip sauna and exercise
For 1–2 days, avoid the sauna, tanning beds, swimming pools and intense physical exercise.
Give the effect time
The full effect is visible after about 2 weeks — wait until then to judge the result.
Informational and educational material. Detailed guidance is provided by the doctor during your visit; results and the course of treatment are individual.
Botulinum toxin — price in Warsaw
The price depends on the number of treated areas and the amount of preparation used. The treatment is performed by an aesthetic medicine doctor. We agree the exact quote during a consultation; the full price list is available on a separate page.
Key facts
See also
Profhilo — bioremodelling
The toxin smooths dynamic wrinkles; Profhilo improves skin quality and firmness.
ViewNucleofill — biostimulator
Natural skin revitalisation and hydration to complement the effect.
ViewHyperhidrosis treatment
The same toxin type A effectively reduces excessive sweating of the underarms, hands and feet.
ViewTrusted by our patients
„I definitely recommend this aesthetic medicine clinic! The botulinum toxin treatment was incredibly effective at reducing my wrinkles (translated from Polish)"
Urszula M. · 2023review from Google„I always feel well looked after when I'm at your clinic. Iwona is professional and extremely friendly. I warmly recommend it. (translated from Polish)"
Marta · 2023review from Booksy„I warmly recommend this place. Professional service, pleasant atmosphere. I especially recommend Iwona, who is very friendly, professional and always performs treatments well. She's also good at matching the treatment to your skin. Under her care I feel very well looked after. A wonderful place! (translated from Polish)"
Katarzyna · 2026review from GoogleContraindications to the treatment
Every case is assessed individually by the doctor during a medical interview. The main contraindications:
Frequently asked questions — botulinum toxin
Does a botulinum toxin treatment hurt?
The treatment involves only minor discomfort and usually requires no anaesthesia. All you feel are tiny pricks of a fine needle. After the injections, mild redness and slight swelling may appear, subsiding within about an hour. You return to everyday activities straight away.
When are the results visible and how long do they last?
The first effects appear after 3–7 days, and the full result after about two weeks. The smoothing of wrinkles usually lasts from 4 to 6 months. After that time the muscle gradually regains its activity and the treatment can be safely repeated.
Does the face lose its expressions after Botox?
A properly performed treatment weakens only the selected muscles responsible for wrinkles, preserving natural expression. The “frozen mask” effect is the result of overdosing or poor technique. At Velvet Skin Clinic the dose is chosen individually by the doctor, with a natural, rested look as the priority.
How much does a botulinum toxin treatment cost?
Prices start from 700 zł and depend on the number of treated areas and the amount of preparation used. The doctor presents the final quote after a consultation, once the plan is agreed. You will find the full price list on our pricing page, and you can book a consultation online.
Is botulinum toxin safe?
Botulinum toxin type A is one of the most extensively studied preparations in aesthetic medicine, used for decades. The treatment is performed by a doctor once contraindications have been ruled out. Its action is temporary and reversible. Any redness or slight swelling passes quickly.
How should I prepare for the treatment?
A few days before the treatment, it is worth giving up alcohol and — after consulting the prescribing doctor — pausing blood-thinning medicines; this lowers the risk of bruising. On the day of the treatment, arrive with no make-up in the treated area. Contraindications are discussed during the medical interview.
Injectable treatments are performed by our doctors
Aesthetic medicine treatments at Velvet Skin Clinic are performed exclusively by qualified doctors — with degree-level training, postgraduate studies in aesthetic medicine and clinical experience. Every treatment begins with a consultation, during which the doctor tailors the therapy to your needs, indications and the natural proportions of your face.
Book your treatment — botulinum toxin
ul. Świętokrzyska 30
00-116 Warszawa · opposite the Palace of Culture and Science
tel. 500 53 30 30
See what the research says
The publications this offer is based on — with PMID identifiers and a rating of the strength of evidence.