Xeomin

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    Xeomin is a type of botulism toxin injected into the forehead, typically between the brows, to block muscle movement and soften frown lines.

    Unlike other fillers, Xeomin doesn’t fill deep wrinkles, but only inhibits muscle movement. Xeomin contains the same ingredients as Botox and Dysport, but in a more pure form of the toxin.

    Xeomin vs. Botox and Dysport

    The active part of the toxin in Botox and Dysport is encapsulated in complexing and accessory proteins. However, Xeomin undergoes an extra step of purification to eliminate the complexing protein. In other words, Botox, Dysport, and Xeomin are like three different M&M candies — the first two have a red or green outer shell, but the third, representing Xeomin, is simply made of chocolate.

    Each filler has the same middle, active portion, so they all behave identically. Other differences pertain to storage. Xeomin doesn’t need to be refrigerated, and the injecting physician must flip the vial instead of swirling it to ensure the ingredients are dissolved.

    Patients should not use Xeomin and Botox interchangeably. An injecting physician can help patients determine which filler is best for their aesthetic goals.

    Who is a Candidate for Xeomin?

    Because Xeomin doesn’t contain any complexing and accessory proteins, it’s an effective alternative for those who aren’t seeing results with Botox and Dysport treatments. If an individual has become immune to Botox, then it’s likely that they have become immune to the proteins coating the active ingredient.

    Because Xeomin doesn’t have any proteins coating the active ingredient, recipients are significantly less likely to develop antibodies for it.

    Many patients say Xeomin doesn’t have as much of a tight Botox-esque feeling in the areas where Xeomin was injected once it started working.

    Patients who don’t want to feel the tightness of Botox may be a better fit for Xeomin. It’s also slightly less expensive than Botox.

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    Xeomin is not recommended for patients with a history of:

    • Breathing difficulties
    • Respiratory illnesses, such as asthma
    • Difficulty swallowing
    • Muscle or nerve disorders
    • Allergic reactions to botulinum injections

    What to Expect During Treatment

    The physician will begin by cleansing the treatment area and go on to prepare the syringe. He or she will determine the amount of filler necessary to meet the patient’s aesthetic goals and make the injections. Once all of the injections have been made, the patient will be monitored for a few minutes and then be free to resume daily activities.

    Treatment Results

    Just like Botox and Dysport, results from Xeomin typically last between three and four months. However, many patients claim to see results much sooner than the alternatives, which could require anywhere from a day to 10 days to take effect.

    Recovery Process

    After treatment, patients should avoid rubbing or scratching the injection sites. Patients should also avoid receiving treatments that involve applying heat directly to the skin. Doing so could slow down the binding of Xeomin in the same way it does with Botox and Dysport.

    Risks and Side Effects

    Injection of Xeomin may cause the following temporary side effects:

    • Redness
    • Bruising
    • Pain
    • Itching
    • Swelling
    • Bleeding
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