What are Xeomin® injections

Xeomin is a neuromodulator that is a purified form of botulinum toxin type A with no added additives or proteins. This offers a minimally invasive option that produces fast and long-lasting results to help diminish the look of fine lines and wrinkles and give a rejuvenated look. Xeomin has been proven by the FDA to be effective and safe to use.  

How long do Xeomin® injections last?

Many people who undergo a Xeomin procedure will notice results in two weeks, and these results can last an average of 3-4 months. However, because the botulinum’s results do eventually fade, it is necessary to repeat treatments if you are interested in maintaining your desired results. 

What are the contraindications?

• Pregnancy or breastfeeding

• Allergy to albumin or any other ingredients in product

• Neuromuscular disorders (ex: Myasthenia gravis, ALS)

• Gross motor weakness (ex: Bell palsy)

• Actively undergoing chemotherapy

• Active infection at injection site

• Keloid scarring

How should I prepare for treatment?

• Avoid skin therapies and treatments that could irritate and affect the integrity of the skin. Skin must be fully recovered before treatment.

• No prolonged, direct sun exposure (more than 20 min) or use of tanning beds 2-3 days prior to treatment

• Discontinue use of topicals that could irritate and affect the integrity of the skin 2-3 days prior to treatment (ex: retinoids and acids)

• If you have a history of herpes or cold sores, take your antiviral prescription to minimize the risk of an outbreak.

• 24 hours prior to treatment, avoid use of agents that can thin the blood such as alcohol, NSAIDs, certain vitamins and medications, etc to decrease the chance of bruising.

• Do not wear makeup on the day of treatment.

• Notify the clinic and provider of any/all changes to health history or medications prior to treatment, if different from intake form or last appointment.

What should I expect during and after treatment?

• Pinching sensation at injection site 

• Potential “heavy” feeling to the treated muscle (will resolve after a few days).

• “Bug bite” appearance at injection site (will resolve within 20 minutes to 2 days).

• Small bruising at injection site, especially if on blood thinning medication or recent NSAIDS/ASA use

• It can take up to 3 days to start seeing improvements and reduction in fine lines and wrinkles and up to 12 days to see final results. 

• Common side effects can include headache and flu-like symptoms. 

What are the aftercare instructions?

• Contract and release the treated muscles every couple minutes to help disperse medication into muscle evenly for the first 2-3 hours.

• Do not lie flat for at least 4 hours. 

• Avoid massaging/applying pressure/touching treated areas for 24 hours.

• Avoid excessive heat/sweating for 24 hours.

• Avoid excessive alcohol or any other agent that could thin the blood for 24 hours.

• Avoid irritating products such as tretinoin, retinol, benzoyl peroxide, glycolic/salicylic acids, astringents, etc. for 72 hours

• It is OK to use make-up post procedure. Make sure to wash hands and applicators and apply gently over treated areas.