Botox is one of the most well-known brand names for wrinkle treatment, but it’s not always a fit for everyone. In some cases, a person may have a reaction to the extra proteins that are found in the Botox formulation. For patients unable to use Botox, Laser & Mohs Dermatology of New York offers Xeomin, an alternative option for wrinkle treatment. Call (212) 391-8600 to schedule a consultation for Xeomin, a treatment used for wrinkles without cosmetic surgery!
Learn more about Xeomin with Dr. Quintana’s Q&A
What is Xeomin?
Xeomin is a neuromodulator composed of botulinum toxin type A, a naturally occurring protein that is produced by the bacteria Clostridium botulinum. One of the main differences between Xeomin and other neuromodulators is that it consists of nothing but the botulinum toxin.
At Laser & Mohs Dermatology of New York, Dr. Adelle Quintana injects Xeomin into the muscles in order to reduce their activity. Xeomin does not stop the muscle from moving entirely; instead, it modifies the contractions. This is achieved by inhibiting a body chemical called acetylcholine from signaling all of the nerves within the muscle to contract.
How Does Xeomin Work?
Xeomin works by temporarily stopping muscles from contracting. The FDA originally approved Xeomin in August 2010 for two conditions: blepharospasm (eyelid spasms) and cervical dystonia (severe contractions of the neck muscles). One year later, the FDA approved Xeomin for the same uses as Botox, namely the treatment of glabellar lines, the lines that form between the eyebrows.
Who is a good candidate for Xeomin injections?
Technically, Xeomin has only received FDA approval for cosmetic use on glabellar lines, colloquially known as frown lines. It is used “off-label” for crow’s feet and forehead lines. Botox has been approved by the FDA for all of those uses, but it is assumed Xeomin will eventually be approved for those other areas, as well.
The best candidates for Xeomin with Dr. Quintana are those who have had some sort of reaction to Botox. These reactions aren’t to the botulinum toxin, but to the additional proteins in the Botox formula. As discussed above, Xeomin is made purely from the botulinum toxin. If Botox hasn’t worked for you, Xeomin is worth a try.
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What Areas can be treated with Xeomin?
Like all neuromodulators, Xeomin works on “dynamic wrinkles.” These are the wrinkles caused by muscle contractions, in contrast to “static wrinkles” that are caused by sun damage and aging. Dynamic wrinkles generally occur on the upper third of the face, the expressive area.
- Worry lines
- Moderate to severe frown lines between the eyebrows
- Laugh lines
- Crow’s feet
During your consultation with New York City Dermatologist, Dr. Adelle Quintana, she will discuss the areas of concern and recommend the amount of units for treatment. The number of units injected will vary from patient to patient, which is why a consultation is always needed. After treatment you can start to notice results within 10 days and they can last up to 3 or 4 months.
Is there any preparation for a Xeomin session?
All of the neuromodulators we offer at Laser & Mohs Dermatology of New York are the ultimate “lunchtime procedures.” There isn’t any need for topical numbing, as Dr. Quintana injects these products with a tiny needle, and she doesn’t need to inject them to great depth. Sessions only take 15 minutes or so, and then you can get right back to the office or your other normal activities. There isn’t any downtime.
What is the recovery after Xeomin injections?
You may have some slight redness and swelling at the injection sites, but this usually passes in just a few hours. Some patients develop a slight headache for the first day or so. Otherwise, there isn’t any recovery necessary after having Xeomin injections.
One thing that is important is for the patient not to rub the injection sites for 24 hours after your Xeomin session. That can make the botulinum toxin migrate to an unintended muscle and create problems such as a droopy eyelid.
Do I need more than a single session for Xeomin injections?
No, these are single session treatments with Dr. Quintana. After your session, your results will last from 3 to 6 months.
Can I combine Xeomin with other treatments?
Xeomin works well with many of our treatments at Laser & Mohs Dermatology of New York, from having sclerotherapy to remove spider veins to laser hair removal. You could even have us perform a skin cancer screening while you’re here.
The only treatments you wouldn’t want to combine would be those that address the upper third of the face, as that is where Xeomin will do its work.
When you come in for your consultation with Dr. Quintana, the two of you can discuss any treatments that you would like to combine with your Xeomin session.
How soon will I see results after a Xeomin Session?
As with Botox or Dysport, it takes some time for the botulinum toxin to relax the injected muscles. After Xeomin injections, patients see their results in about four days, just slightly longer than Botox, which typically takes around 72 hours.
How long will my Xeomin results last?
Results vary from patient to patient, depending on the rate the body absorbs the now-inert botulinum toxin. That explains why Xeomin’s effectiveness can vary from three to six months. As with Botox, once the toxin is absorbed, the nerve messages are no longer blocked, and the muscle can begin to contract again.
Are there any risks involved with Xeomin injections?
The risks and side effects with Xeomin are basically the same as with Botox and Dysport. These include minor redness and swelling at the injection sites. This usually passes in just a few hours. Botox has been injected millions of times around the world and has proven to be safe and effective, and Xeomin is basically the same substance, minus a few extra proteins.
The real risk of any neuromodulator injections is having it injected into an incorrect muscle. This can cause issues such as a drooping eyelid. As a board-certified dermatologist with over 20 years of experience, Dr. Quintana’s knowledge of facial anatomy and experience with injectables makes this risk exceedingly low.
What are the potential side effects of Xeomin Treatment?
When seeking treatment with an experienced injector, Xeominside effects are rare and mild but may include redness, bruising and swelling. These local reactions are temporary and can be diminished by applying ice to the area. Xeomin can cause a temporary eyebrow or eyelid ptosis or asymmetry. This reaction is also temporary. These side effects are minimized when the recommended dose is injected and administered by a qualified healthcare professional. Dr. Quintana discusses all benefits and possible side effects during your consultation at her office in New York City.
How is Xeomin different from Botox?
Xeomin is sometimes called “the naked injectable” because it has nothing but the botulinum toxin in its formula. Botox, in contrast, is formulated with some additional proteins along with the botulinum toxin. Certain people can have a reaction to these other proteins; these people may not have the same reaction to Xeomin.
Schedule a Consultation for Xeomin Treatment in NYC
Have you been noticing the appearance of frown lines or wrinkles and are ready to explore treatment options? Contact Laser & Mohs Dermatology of New York to schedule a consultation with Dr. Adelle Quintana and discuss treating your wrinkles with Xeomin injections. Call (212) 391-8600 or fill out the form in our contact page. Our practice looks forward to serving you!