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Botox is a name that everyone has come to know and love. As the first neurotoxin on the market, Botox quickly became branded as a “liquid wrinkle eraser.” Other companies have since joined Allergan, the producer of Botox, in creating FDA-approved cosmetic injectables derived from botulinum toxin to treat the appearance of frown lines and other facial wrinkles. Xeomin® is a product similar to Botox®, both of which are cosmetic injectable treatments that work through the same chemical pathways to block the signals from nerves to muscles. This allows the muscles to relax and results in the disappearance of unwanted wrinkles and fine lines. The biggest difference between Botox and Xeomin is that Xeomin is produced without additives or accessory proteins, essentially making it a pure form of the toxin. For this reason, Xeomin is commonly called “naked Botox.” The purity of Xeomin makes it a great choice for patients who have stopped responding to Botox injections and also means that Xeomin is less likely to cause one to develop an allergic reaction to the toxin.

Xeomin offers the same cosmetic benefits as Botox injectables, including smoothing out any fine lines on the forehead, around the eyes (the crow’s feet), and the glabella (the eleven lines). Xeomin, like Botox, is botulinum toxin A. Whether Xeomin or Botox is used, they attach to the same receptor in the muscle to essentially “freeze” the area and soften wrinkles. When you have your treatment with an experienced injector, such as Dr. Michele Green, the results appear natural, beautiful, and “unfrozen.” Dr. Green has expertly performed countless Botox injections and has over 25 years of experience providing the best in Botox treatments from her dermatology office in New York City. Dr. Green’s “less is more” philosophy and phenomenal cosmetic results have led to her being consistently voted as one of the best cosmetic injectors in New York by Castle Connolly, New York Magazine, and Super Doctors.

Xeomin and Botox can, and often are, combined with other non-invasive cosmetic procedures such as dermal filler injections (like Juvederm and Restylane), laser skin resurfacing treatments, skin tightening lasers, chemical peels, and microneedling. An individualized treatment approach guarantees that each patient achieves total facial rejuvenation, making them look and feel their absolute best. Neurotoxin injections are the most common cosmetic procedure in the United States. Neurotoxin injections are so loved because they are painless, quick, and highly effective. Botox and other cosmetic injections of Xeomin, Dysport, Juvederm®, and Restylane® are some of the most popular procedures at Dr. Michele Green’s private boutique New York office. If you are considering non-invasive cosmetic treatment for your fine lines and wrinkles, Xeomin may be your best option.

Botox injections vs. Xeomin

The popularity of cosmetic Botox injections has grown exponentially since its approval by the FDA in 2002. Botox, produced by the company Allergan, is used to smooth out the appearance of fine lines and wrinkles and treat chronic migraines, overactive bladder, and excessive sweating. Everyone knows the name Botox, but what exactly is it? Botox is the brand name for the onaboutlinumtoxinA, a derivative of the botulinum toxin A. This neurotoxin is created by a species of bacteria called Clostridium botulinum and has become one of the most well-known (and loved) neurotoxins on the market.

Regarding younger-looking, rejuvenated skin, various skincare options are available. Still, injectable treatments have quickly become a go-to cosmetic procedure for a natural-looking youthful glow that lasts. Whether you’re considering consistent use of injectables for anti-aging maintenance or you’re interested in trying injectable cosmetic treatments for the first time, Botox alternatives, such as Xeomin treatment, might be the perfect skin rejuvenation option for you.

Xeomin is an injectable cosmetic treatment similar to Botox, Dysport, Jeuveau®, and Revance® that encourages the muscles around an injection site to relax, ultimately reducing the appearance of fine lines and wrinkles. Like all neuromodulators, Xeomin works on treating “dynamic wrinkles.” Dynamic wrinkles are caused by muscle contractions that happen during repeated facial expressions. “Static wrinkles” are wrinkles that do not move and are generally caused by aging, sun damage, and volume loss. When you consult with Dr. Michele Green at her private dermatology office in NYC, she will work with you to create a customized treatment plan for natural-looking, long-lasting pan-facial rejuvenation best suited to your needs and goals.

What is Botulinum Toxin?

Botulinum toxin is an injectable neurotoxin derived from the Clostridium botulinum bacterium. The neurotoxin “freezes” muscles, causing targeted muscle paralysis by interfering with the release of neurotransmitters. The results of Botulinum toxin injections typically last for three months. Botulinum toxin has many medical and cosmetic applications. Cervical dystonia, migraines, and hyperhidrosis are just a few of the medical conditions with symptoms that Botulinum toxin injections can effectively manage. It is also the gold standard cosmetic treatment for the appearance of dynamic fine lines and wrinkles. Botulinum toxin is a poisonous substance that should only be injected by an experienced and knowledgeable board-certified dermatologist, such as Dr. Michele Green in NYC. When an expert injector like Dr. Green performs the treatment, injections are well tolerated, and there are few potential side effects.

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Where can Xeomin be injected?

The most common areas affected by dynamic wrinkles, which all neurotoxins may treat, are:

  • Frown lines between the eyebrows
  • Laugh lines
  • Crow’s feet
  • Forehead lines
  • Necklines

What is Xeomin?

If you’re wondering what Xeomin is, you’re not alone. Xeomin, created by Merz Pharmaceuticals, is an injectable neurotoxin available for both cosmetic and medical use. Xeomin has been inspired by innovations in cosmetic dermatology, like Botox cosmetics, throughout the last several decades. Unlike Botox, however, Xeomin is free of additives. The accessory proteins are removed from Xeomin during manufacturing, making it a pure form of the toxin. The active ingredient in Xeomin is botulinum toxin type A; the inactive ingredients are human albumin and sucrose.

Xeomin (IncobotulinumtoxinA) actually uses the same key ingredient as Botox (onabotulinumtoxinA) and Dysport (abobotulinumtoxinA): botulinum toxin type A. This is a neurotoxin created by the same bacterial species that create botulism. The success of these products in reducing the appearance of dynamic wrinkles and fine lines has made them even more popular than traditional cosmetic plastic surgery procedures. Neurotoxin injections are now the number one cosmetic procedure in the United States.

Botulinum toxin products–including Myobloc (rimabotulinumtoxinB)–use this neurotoxin to block neuromuscular signals, which relaxes targeted muscles at or near the planned injection site. Relaxing these muscles can reduce the appearance of wrinkles or fine lines caused by commonly used muscles, known as dynamic wrinkles. The result? A refreshed, relaxed, younger-looking you!

Though botulinum toxin products, or neuromodulators, rely on a shared active ingredient, the formulation for these different injectables is distinct. Xeomin is unique because it uses a “naked” version of botulinum toxin, which is not combined with accessory proteins or protein additives. Due to the purity of Xeomin, which contains only pure 150kD neurotoxin, having these injections will not result in the production of neutralizing antibodies or affect the immune system. Xeomin is a leading treatment for those who have developed antibody resistance with other products such as Botox, which unfortunately can occur with continued use over time.

What is Xeomin used for?

Xeomin is a treatment that can be used both for cosmetic purposes as well as for medical purposes. Cosmetically, Xeomin is best used to eliminate frown lines or other dynamic wrinkles on the face. Dynamic wrinkles are fine lines or wrinkles that occur due to muscle movement. For example, when you smile, lines appear around your mouth and along the corner of your eyes. Repeated movement in this way over a lifetime means these wrinkles become more pronounced over time. Xeomin treatment relaxes the muscles responsible for forming the wrinkles without eliminating the expressive capabilities of your face, thus eliminating the dynamic fine lines.

Xeomin has also been FDA-approved to treat certain medical conditions. As the treatment relaxes the muscle at the injection site, Xeomin is ideal for treating various muscle spasm conditions. Specifically, Xeomin has been FDA-approved to treat several forms of upper limb spasticity, including blepharospasm, which causes involuntary spasms in the eyelid, cervical dystonia, which involves spasms in the neck muscles and abnormal neck positioning, and upper lip spasticity. Botox has also been FDA-approved to treat these conditions of upper limb spasticity. Xeomin, however, is uniquely approved to treat sialorrhea, which is chronic drooling, for both children and adults.

What is Botox used for?

Botox and Xeomin have been FDA-approved to treat similar conditions, but each treatment option has specific conditions it is best suited to address. Cosmetically, Botox and Xeomin have been approved to treat frown lines, also known as glabellar lines, that appear between the eyebrows. Additionally, Botox has been FDA-approved for treating forehead lines and crow’s feet, the fine lines that appear in the corner of the eyes. Both effectively eliminate the dynamic wrinkles that appear on the face due to muscle activity.

Xeomin and Botox have been approved to treat conditions of upper limb spasticity, including blepharospasm, cervical dystonia, and upper lip spasticity. Botox has also been uniquely approved to treat several other medical conditions. Botox is especially suited to treat the following conditions: chronic migraines, strabismus, which is when the muscle in the eye is abnormally aligned, overactive bladder, and hyperhidrosis, which is a condition characterized by excessive sweating.

Xeomin for Hyperhidrosis

Hyperhidrosis is a medical condition that can be characterized by uncontrollable excessive sweating that may be related to genetics, anxiety, neurological conditions, hyperthyroidism, hormonal imbalances, menopause, or a side effect of certain medications. The most commonly affected body areas include the hands, feet, and underarms. Although sweating is an important and necessary bodily function for excreting toxins and regulating natural body temperature, hyperhidrosis may cause uncomfortable excessive sweating at any time. While Xeomin treatment is the gold standard for treating dynamic fine lines and wrinkles caused by repetitive facial expressions, it can also be a beneficial treatment for hyperhidrosis in the underarms, hands, and feet.

Dr. Green uses Xeomin and other injectable neurotoxins to treat hyperhidrosis by injecting them into the affected areas to target and block the nerve signals responsible for the activation of sweat glands. The overactive nerves become “frozen,” thus preventing the nerves from signaling sweat glands. Current research shows that injectable neurotoxin treatment is 80 to 90 percent effective in relieving the symptoms of hyperhidrosis, with most patients finding that it is an excellent non-invasive method to provide long-lasting relief from excessive sweating. If you are frustrated by the negative impacts of excessive sweating, Dr. Michele Green in NYC is here to help.

What is the process for Xeomin treatment?

Patients begin treatment by scheduling a consultation appointment with Dr. Green at her Upper East Side dermatology office. There, Dr. Green will assess the treatment area to determine the scope of the treatment necessary. You will discuss your unique physical and aesthetic goals and determine the treatment plan best suits your needs.

Before arriving for your Xeomin appointment, Dr. Green recommends not taking anti-inflammatory medication, such as Advil or Aleve, Aspirin, blood thinners, fish oil, or multivitamins. Taking these medications before the procedure can lead to a higher risk of bruising following the treatment. Additionally, arriving at the appointment with a clean face free from makeup is best.

The procedure itself is very quick and involves minimal discomfort. Most patients report that the injections do not cause them any pain. The complete process for most cosmetic injection treatments takes only 10 minutes – though the amount of time that the treatment takes depends upon the size of the treatment area and the condition being treated. The number of injections is also variable based on the size and scope of the treatment area. Dr. Green will determine how many units of Xeomin are necessary during your initial consultation.

Xeomin is a treatment that requires no downtime or recovery time. As such, following the treatment, you can resume your regularly scheduled daily activities as planned. You can wash your face and apply your makeup again immediately following the treatment if you so choose. Dr. Green likes to see her patients two weeks after their initial injection treatments to ensure that treatment is satisfactory, and at that time, any touch-up required can be performed.

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How does Xeomin treatment work?

Xeomin and Botox work the same way to treat dynamic fine lines, wrinkles, and various medical conditions. Both Xeomin and Botox are neurotoxins derived from Botulinum toxin type A, which, when injected into the muscle, work to essentially “freeze” the muscle so that it no longer contracts. Botulinum toxin type A blocks the neurotransmitters at the injection site. As a result, the muscle is not receiving the signal from the brain to contract, which causes the muscle to relax. When used for cosmetic purposes, muscle relaxation reduces the appearance of wrinkles, smoothing out the skin.

When treating medical conditions, blocking neurotransmitters and/or causing the muscle to relax is useful in various ways, depending on the condition. Muscle spasm conditions, such as blepharospasm, cervical dystonia, or upper lip spasticity, involve abnormal and unpredictable muscle contractions. These spasms can lead to distressing and uncomfortable twitching or limb positioning. When Xeomin is injected into the treatment site, the treatment freezes the muscles responsible for the spasm, eliminating abnormal muscle activity. For conditions such as hyperhidrosis, characterized by excessive sweating, Botox is used to block the neurotransmitters in the body where severe sweating occurs, including underarms, hands, and feet. As a result, the sweat glands are disabled, preventing excessive sweating.

Xeomin vs. Dysport vs. Botox vs. Revance Daxi

Botox, Xeomin, Dysport, and Daxi contain the same ingredient, Botulinum toxin type A. The Clostridium botulinum bacteria produce this toxin. This neurotoxin blocks the neuromuscular signals to relax targeted muscles at the injection site. Since all of these neurotoxins act similarly, they affect similar cosmetic results. Many different treatment options, besides Botox, are now available for cosmetic injection. Some physicians or patients may prefer one type over the other. They have a similar duration of treatments, with Revance Daxi lasting a bit longer and a similar side effect profile.

What is the cost of Xeomin?

The cost of Xeomin varies based on the amount of neurotoxin injected and the experience of the cosmetic injector. The size and scope of the treatment area determine the number of injector units necessary to treat the area or condition. The more units necessary for treatment or the more treatment areas there are, the more expensive the procedure will be. The institution you receive treatment is also a factor in determining the treatment price. A board-certified cosmetic dermatologist may be more expensive than a nurse injector in a clinic or spa. It is always best to consult an expert cosmetic injector like Dr. Michele Green to have the best cosmetic results with the least potential side effects.

When you have your initial consultation with Dr. Green, you will determine which areas are to be treated with Xeomin injections for the best cosmetic results related to your goals. After that assessment has been made, Dr. Green’s office will be able to provide you with a nearer estimate of the cost of your treatment.

How long for Xeomin to work?

In NYC, we understand that our patients are constantly on the go and seek cosmetic treatments that work quickly and effectively to give them their desired look. So, how much time or how long is required for Xeomin to take effect? Results are typically apparent in just a few days, and a standard Xeomin treatment can have lasting results for up to six months.

The process for Xeomin injectable treatment is easy and painless. On average, a Xeomin treatment appointment takes around 10 minutes, and most patients experience little to no discomfort as the Xeomin is injected into the planned injection site. Patients can immediately return to normal activity after treatment, though some patients may experience slight bruising, as is a risk with any injectable treatment. Nevertheless, most patients have virtually no downtime and can enjoy long-lasting results.

After treatment, the only recommendations are simply not to lie down on the injection site for approximately 4 hours following treatment and to avoid deep massage of the treatment area for two days. After Xeomin treatment, washing your face and applying make-up is ok, unlike other cosmetic treatments.

Like Botox and other neuromodulators, Xeomin treatments should not be administered more frequently than every three months. Additional treatments can occur every 3-6 months for optimal results, though Dr. Green will recommend a tailored skincare plan depending on your individual needs.

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How long does Xeomin last?

Following the Xeomin injection procedure, the effects of the treatment can be seen starting as soon as five days following the injections. The onset of the effects of Xeomin occurs faster than the onset of the effects of Botox, which can take 7 to 14 days to show full effect, as a result of the lack of preservative proteins in Xeomin. The pure form of the Botulinum toxin present in Xeomin allows Xeomin to interact with the muscles immediately. With Botox, on the other hand, the body needs to break down the preservative protein before the treatment can take effect.

Clinical trials have also demonstrated that Xeomin can last longer than Botox. While the effects of Botox last for three to four months, Xeomin is effective for nearly twice that amount of time – up to six months. While Xeomin has been shown to last longer, the Journal of Dermatology Surgery published a study that demonstrated similar effectiveness for the time during which both treatments were active.

Xeomin and Botox can be repeated when the effects begin to wear off, approximately every 3 to 6 months. While Botox can be repeated, some patients find that their bodies build an immunity to the preservative proteins in the treatment. As a result, over time, Botox becomes less and less effective. The same has not been true for Xeomin’s treatment. As Xeomin contains no preservative proteins, the body does not build immunity to the treatment. Thus, Xeomin is a great option for patients who have started to build immunity to Botox treatment. Not only are the effects of Xeomin longer lasting, but the treatment itself can also be repeated for longer than Botox.

How many units of Xeomin do I need?

Before diving into the question of how many units of Xeomin do I need? It’s important to remember that Xeomin treatments are unique depending on each patient’s facial structure and aesthetic goals. Plus, the dosage amounts will be adjusted depending on the muscle mass and gender of the patient, as men typically require a higher dosage due to naturally larger muscle size. An experienced healthcare provider like Dr. Michele Green is your best resource to determine how many units of Xeomin will be best for your needs.

However, certain unit ranges are common regarding different areas or muscle groups in the face. Suppose you’re wondering how many units of Xeomin for the forehead or other areas should be used. In that case, you can refer to this list of standard units of Botox as a comparative guide, and here is an additional Xeomin-specific guide below:

  • Forehead: 10- 30 units
  • Canthal Lines (“Crow’s feet”): 5-15 units
  • Glabellar Lines (“11” lines): 10-20 units; Typically, 20 units are recommended for glabellar lines in a session, then divided into five intramuscular injections of 4 units each.

Again, when determining how many units of Xeomin are best for you, it is critical to consult with an experienced healthcare provider like Dr. Green in NYC.

What is the difference between Botox and Xeomin?

Xeomin and Botox are similar in that they share botulinum toxin as their active ingredient but differ in their formula and some of their uses. Botox, made by Allergan, has been FDA-approved since 2002 and relies on accessory proteins, which are unnecessary for the function of the active ingredient. This leads to some variation in use and a distinction in the effectiveness overall.

While Xeomin and Botox both are commonly used to treat fine lines and wrinkles, including forehead lines, “crow’s feet,” and severe frown lines, Botox can, unfortunately, lose effectiveness with some patients throughout multiple applications due to antibody resistance that accessory proteins can amplify. Further, Xeomin typically shows results sooner and is longer lasting than Botox, though sometimes this variation in longevity is only by a few weeks.

Xeomin is uniquely FDA-approved to treat excessive drooling or salivation. Additionally, Botox can prevent migraines, limit sweating, or help treat an overactive bladder. As these injectables have some potential side effects or can cause an allergic reaction in rare cases, both must be provided by an expert, board-certified cosmetic dermatologist like Dr. Michele Green in New York.

Does Xeomin last as long as Botox?

Though the dermatology world was once thrilled by the long-lasting results of Botox — about 3-4 months — some double-blind clinical studies have shown that Xeomin can last up to twice as long as a standard Botox treatment, giving you up to six months of relaxed, younger looking skin.

Suppose you’re considering either Xeomin or Botox treatments. In that case, it’s important to commit to trying one treatment at a time, as botulinum neurotoxin products are not intended to be combined without ample recovery time between sessions. Dr. Green will be able to work with you to determine which treatment is best for you and to create a schedule that safely and effectively meets your needs.

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Is Xeomin as good as Botox?

The answer is not straightforward when patients ask whether Xeomin is better than Botox. Xeomin and Botox are both extremely effective treatments cosmetically to reduce the appearance of dynamic wrinkles on the face and medically to treat various conditions, such as muscle spasticity across the body. Neither treatment is inherently “better” than the other, but depending on the medical condition or particular cosmetic need, one may work better to treat your specific needs.

One of the primary differences between Xeomin and Botox, derived from botulinum toxin type A, is the inclusion of accessory proteins. Xeomin is a purified form of neurotoxin, whereas Botox is formulated with a complex blend of accessory proteins. Resistance to botulinum toxins occurs when a patient initially responds well to treatment and experiences a reduced effect over time after subsequent treatments. Resistance occurs when neutralizing antibodies develop, which may be less likely when accessory proteins are absent. This means it could be less likely to develop resistance to Xeomin than Botox, which may be preferable to many patients.

When it comes to treating fine lines and wrinkles on the face, both Xeomin and Botox are FDA approved to treat frown lines that appear between the eyes and other dynamic facial wrinkles. Botox has also been specifically FDA-approved to treat forehead lines and crow’s feet, though Xeomin can also be used as an off-label treatment for these wrinkles. While both Xeomin and Botox are extremely effective in their results, Xeomin is faster acting and lasts longer than Botox. Additionally, patients may develop an immunity to the preservative proteins found in Botox, rendering the treatment ineffective over time. For those patients, Xeomin is the better option for long-term treatment.

Medically, both Xeomin and Botox are approved to treat muscle spasms in the neck, eyelids, and upper lip. However, there are medical conditions for which each is uniquely approved to treat. Xeomin is FDA-approved to treat excessive drooling in adults and children, but Botox is not. For patients struggling with that condition, Xeomin is the better treatment option. Botox, on the other hand, is uniquely FDA-approved to treat overactive bladder, chronic migraines, and excessive sweating. For that reason, Botox is the better treatment option for those treatments.

When you have your initial consultation with Dr. Green, she can determine which treatment option is best for you. After examining the treatment area and discussing your medical history, Dr. Green can recommend either Botox or Xeomin, depending on your unique treatment needs.

Side effects of Xeomin cosmetic injections

Due to the nature of neurotoxins, some common possible side effects can occur. Common side effects of Xeomin are temporary and include:

  • Redness from injection
  • Bruising at the site of injection
  • Swelling
  • Temporary eyelid ptosis (drooping eyelids) or asymmetry

More uncommon side effects of Xeomin treatment that occur in 2-7% of patients include:

  • Dry Eyes
  • Dry mouth
  • Headache
  • Muscle Weakness
  • Respiratory Tract Infection
  • Trouble swallowing
  • Vision impairment

More serious side effects that can occur include blurred vision, drooping eyelids, double vision, and allergic reactions. When it comes to cosmetic injectable treatments such as Xeomin, it’s crucial to have up-to-date medical history information from your healthcare provider. If you experience any breathing problems, wheezing, hoarseness, change of or loss of voice, loss of muscle strength, loss of bladder control, or a severe rash, you should seek medical advice as soon as possible. Trouble breathing is often the first sign of an allergic reaction, and medical help should be sought immediately. For complete prescribing information, refer to Xeomin Aesthetics.

Furthermore, you should alert your doctor if your medical history includes any of the following:

  • Bleeding problems
  • Breathing problems, such as asthma, emphysema, or a history of pneumonia
  • Diabetes
  • Dysphagia or difficulty swallowing
  • Eye problems (such as glaucoma) or recent eye surgery
  • Inability to urinate
  • Muscle or nerve disorders, such as Lambert-Eaton syndrome, amyotrophic lateral sclerosis (known as Lou Gehrig’s disease or ALS), or myasthenia gravis
  • Treatment with any other neuromodulator products within the last 4 months

Side effects in medical indications for Xeomin

Certain side effects are dependent on what treatment is for; generally, cosmetic Xeomin treatment typically has far fewer potential side effects than medical treatment and side effects are usually related to the injection site:

  • For those dealing with chronic sialorrhea (excessive drooling), there is a risk of necessary dental extraction, diarrhea, and high blood pressure.
  • For those treating upper limb spasticity, there is a risk of nasal congestion, upper respiratory infection, and seizure.
  • For those facing cervical dystonia, treatment may have side effects such as difficulty swallowing, injection site pain, muscle weakness, and neck pain.
  • For those treating blepharospasm, common side effects include drooping of the eyelid, dry eye, and vision problems.

In rare cases, botulinum toxin can have adverse effects if it spreads from the injection area, including but not limited to paralysis, respiratory failure, and even death. Because of these risks, a medical professional should always be relied upon for proper injection and accurate dosage.

Is Xeomin safe?

Xeomin is a safe and effective treatment for eliminating glabellar lines and improving symptoms for various medical conditions characterized by muscle spasms and abnormalities. Xeomin can offer much-needed relief from these medical conditions and provide you with the youthful, smooth skin you desire. The treatment is safe for patients and usually only results in mild side effects that go away quickly on their own, such as bruising, redness, and swelling at the injection site.

The risk of developing more serious side effects can arise when you receive treatment from a less experienced practitioner. The Xeomin treatment is quick and easy to perform but does require exact precision to eliminate the risk of the Botulinum toxin spreading to other areas of the body. Severe side effects can include vision impairment, difficulty breathing, loss of bladder control, and difficulty swallowing. Therefore, you must receive Xeomin treatment from an expert, experienced, board-certified dermatologist such as Dr. Michele Green. The risk of developing serious side effects is greatly reduced when you seek treatment from an expert.

Is it Safe to Use Xeomin while Pregnant?

No. If you are pregnant or breastfeeding, it is best to avoid using Xeomin or any other botulinum neurotoxin product, as it is unknown whether Xeomin passes on through the placenta or breast milk. If you are pregnant or nursing but seeking treatment for fine lines and wrinkles or a medical condition, disclose that information to Dr. Green during your initial consultation.

Drug Interactions with Xeomin

Xeomin does have some unfortunate interactions with certain medications, including but not limited to:

  • Aminoglycosides, which are a variety of antibiotic
  • Anticholinergics, which inhibits abnormal nerve impulses
  • Anticoagulants, which prevent blood clots
  • Alzheimer’s disease drugs
  • Muscle relaxants
  • Myasthenia gravis drugs
  • Quinidine, which is used to prevent irregular heartbeats

If you are taking any of the above medications, it is best to consult your internist before receiving any Xeomin treatments. In addition, if you have any active infections, postponing Xeomin injections until your infection resolves at the proposed injection site is best.

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How many units of Xeomin for the forehead?

Typically, patients require between 10 and 30 units of Xeomin to treat dynamic wrinkles in the forehead. The number of units necessary depends on several factors, including the size of the patient’s forehead and muscles and the severity of the wrinkles. During your initial consultation, Dr. Green will assess the treatment area and be able to make a clearer estimate of the number of units necessary for the treatment.

How much is Xeomin per unit?

The cost of Xeomin per unit depends on several factors, including geographic location and the type of institution at which you receive treatment. While the number of units necessary for treatment is necessary for calculating the total cost of the treatment, many other variables contribute to the overall price. When you go into Dr. Green’s office for your consultation, during the consultation, you will receive the price for Xeomin of your desired treatment area.

How to pronounce Xeomin?

Judging how Xeomin should be pronounced can be difficult by looking at the spelling. In this case, the “X” in “Xeomin” is pronounced as if the word started with a “Z,” and you pronounce all of the vowels in the word. As such, the word is pronounced: “Zee-OH-min.”

What are Xeomin injections?

If you’re wondering “what is a Xeomin injection,” you are not alone. Xeomin has been inspired by innovations in cosmetic dermatology, like Botox cosmetics, throughout the last several decades. Unlike Botox, however, Xeomin injections are free of additives. The active ingredient in Xeomin is botulinum toxin type A; the inactive ingredients are human albumin and sucrose. The accessory proteins are removed from Xeomin during manufacturing, making it a pure form of the toxin. The most common side effects of Xeomin injections include mild swelling and bruising at or near the injection sites. Extremely rare side effects can be life-threatening, so it is crucial to have neurotoxin injections with an experienced board-certified dermatologist, such as Dr. Michele Green in NYC.

Who makes Xeomin?

The company that makes Xeomin is Merz Pharmaceuticals. Xeomin, like Botox, is an injectable neurotoxin used to treat dynamic fine lines and wrinkles. Botox and Xeomin can be essentially used interchangeably. Sometimes, a patient may develop antibodies to a particular strain of the injectable. Should an individual develop antibodies, the injectable is no longer effective, and patients may notice that the effects of their injections don’t last as long as they used to or should. Xeomin should not be used on patients under 18 years of age.

Is Xeomin safer than Botox?

Although Xeomin and Botox are made with slightly different ingredients, both are safe and effective cosmetic injectables. Both Xeomin and Botox are derived from the botulinum toxin type A. However, Xeomin is a purified form, whereas Botox contains a complex mixture of accessory proteins. Xeomin and Botox can treat the same cosmetic concerns and medical conditions. Allergic reactions to either neurotoxin are incredibly rare. Symptoms of an allergic reaction to an injectable neurotoxin like Xeomin or Botox may include hives, itching, wheezing, and swelling. While there aren’t comparative studies, some claim that Xeomin may be less likely to cause an allergic reaction than Botox. The most important safety consideration when having neurotoxin injections, whether for cosmetic purposes or to treat a medical condition, is to have treatment with an experienced injector. Serious side effects can include muscle weakness, difficulty swallowing or breathing, and blurred vision. The risk of such side effects increases greatly when an inexperienced injector provides the treatment. A board-certified cosmetic dermatologist like Dr. Michele Green in NYC should always inject these neurotoxins to guarantee the best cosmetic results and prevent unwanted side effects.

Board-certified dermatologist Dr. Michele Green in New York City was among the first providers to offer neurotoxin injections to her patients in Manhattan’s Upper East Side and is an expert injector with decades of experience. When you consult with Dr. Green regarding your cosmetic injections, she will work with you to create a customized treatment plan that includes the safe and effective neurotoxin treatment best suited to your facial anatomy, skin concerns, and aesthetic goals.

Is Xeomin better than Botox?

Xeomin and Botox have many similar properties and overlapping uses, and while they differ slightly in composition, neither is inherently “better” than the other. Both injectable treatments are composed of the active ingredient botulinum toxin type A and can be used cosmetically to treat dynamic wrinkles that develop on the face. Botox and Xeomin are FDA-approved for treating frown lines, and Botox is also approved to treat forehead lines and crow’s feet, though Xeomin can be effectively used as an off-label treatment for these areas of the face. Medically, both Botox and Xeomin are FDA-approved to treat cervical dystonia, blepharospasm, and upper lip spasticity, while Botox is uniquely approved to treat chronic migraines, overactive bladder, hyperhidrosis, and strabismus and Xeomin is uniquely approved to treat chronic drooling.

Xeomin does have certain advantages over Botox in that Xeomin is a purer form of the botulinum toxin, meaning that Xeomin produces faster results and patients are less likely to have an allergic reaction or develop antibodies that are resistant to the effects of Xeomin. Xeomin can also last longer than Botox – up to six months compared to 3-4 months. When you have your initial consultation with Dr. Green, you will discuss your medical history and aesthetic goals, and she will decide the treatment that will be best to meet your needs.

How do I get started with Xeomin treatment today?

If you are beginning to notice fine lines and wrinkles developing due to repeated facial expressions or are interested in preventing wrinkles from forming in the first place, Xeomin or Botox could be the best cosmetic solution for you. Choosing the right injector to perform your Xeomin or Botox injections is essential for guaranteeing that your results are satisfactory and that the procedure is performed methodically and appropriately. Dr. Green was among the first dermatologists in NYC to offer cosmetic neurotoxin injections and will work with you to create a personalized treatment plan to achieve natural-looking, long-lasting rejuvenation.

Dr. Michele Green in New York City is an internationally renowned board-certified dermatologist with over two and a half decades of experience providing some of the most discerning individuals worldwide with the best non-invasive cosmetic procedures available, including Xeomin and Botox. Castle Connolly, Super Doctors, and New York Magazine consistently identify Dr. Green as one of NYC’s best dermatologists for her dedication to her patients and expertise. Dr. Green takes a holistic approach and embraces a less-is-more philosophy when it comes to facial rejuvenation, customizing each patient’s treatment plan to incorporate a combination of cosmetic treatment options and specially formulated skincare products best suited to their specific concerns and aesthetic goals. To learn more about non-invasive pan-facial rejuvenation, schedule a consultation with Dr. Green at her private dermatology office in Manhattan’s Upper East Side neighborhood by calling 212-535-3088 or contacting us online.

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