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Xeomin

What is Xeomin?

Xeomin is an injectable neuromodulator similar to Botox® for wrinkle smoothing. They belong to the category of “wrinkle relaxers”. Minute doses of Xeomin are injected into facial muscles to temporarily reduce the muscle contractions that form dynamic wrinkles by blocking the nerve signals that cause muscle contractions. The result is prevention of the formation and worsening of dynamic wrinkles. It does not work on static wrinkles.

What are static wrinkles?

Static wrinkles are those caused by age and sun damage that degrades the substance that makes the skin elastic, called elastic; and collagen which is the foundational protein that gives the skin structure and contours. There are many good options to treat static wrinkles including fillers, collagen induction therapies like microneedling with PRP, and radiofrequency procedures to tighten the skin.

What are dynamic wrinkles?

Dynamic wrinkles are wrinkles caused by repetitive contractions of the muscles of facial expression. Repetitive contractions of forehead muscles from frowning, surprise, sadness and worry create horizontal grooves called Glabellar lines. Vertical brow furrows on the skin of the forehead between the eyebrows are the result of often expressions of anger or confusion.

Squinting and smiling create crow’s feet and bunny lines on the nose. Smiling creates smile lines also called nasolabial wrinkles that run from the corners of the nose to the corners of the mouth; and other muscles create a dimpled chin.

What is the difference between Xeomin and Botox?

Xeomin can smooth lines and wrinkles just like Botox, but there are differences.

Botox is made of botulinum toxin type A and has been in use for cosmetic application since 2002. Botox and another neurotoxin, Dysport, each contain an additional protein. In some patients this extra protein can cause them to become resistant to Botox or Dysport.  While this is rate, Xeomin is made without the added protein to avoid this resistance and can be used in patients who experience resistance from other neuromodulators.

Xeomin is called a “naked” or “pure” neurotoxin because it does not contain that added protein. Because there are no additives, Xeomin can be slightly more comfortable when injected; and there is some evidence that you may need less units to achieve the desired results. Onset of action for Xeomin is 3- 4 days vs. Botox onset of 72 hours, and Dysport onset of effects within 24 hours. Both Botox and Xeomin full effects are visible in 5-7 days and last up to 6 months.

Your consultation

During your consultation with Dr. Kandula, she will evaluate your skin and wrinkles, and review your medial history. It is important to tell Dr. Kandula about all the medications you take as some may affect the action of neuromodulators.

The procedure

The procedure takes about 15- 20 minutes. Within 3 to 4 days you will begin to see a softening of the lines and reduced contractions. You will be advised to avoid rubbing or massaging the treated areas, to avoid exercise for 24 hours, and to stay upright for the four hours after treatment.

Side effects are rare, but you may experience a headache, and if you are allergic you may react with itching, and asthma symptoms.  These effects should be reported to Dr. Kandula as soon as you notice them.

It is important to understand that your results are dependent on the expertise of the injector. It is in your best interests to choose Dr. Kandula, an expert injector and board – certified dermatologist. When used properly, Xeomin treatments will not affect your ability to communicate your emotions with facial expressions.

When you are tired of looking tired and angry, Xeomin can help rejuvenate your appearance for a more relaxed, youthful and inviting demeanor. Contact Dr. Kandula at Dermatology Skincare Arts in Parsippany, New Jersey.


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