Botox and Xeomin offer one of the easiest, most convenient, and effective ways to rejuvenate your face. With a quick 30 min visit and virtually no pain or downtime, you can turn back the hands of time.
Botox and Xeomin are very similar in that they both contain the same active primary ingredient (botulinum toxin A) and they both are used to reduce the appearance of fine lines and wrinkles caused by repetitive facial expressions, sun damaged skin, and the aging process. The formulas, however, are slightly different based on some small differences in protein makeup.
More specifically, there are accessory proteins in Botox that increase the chance of developing antibodies to the injectable, thereby decreasing the desired effect of the toxin over time. Further, because Xeomin is purified without extra proteins, there isn’t the chance that those additional antibodies will form, which is a good thing!
Lastly, we’ve found that our clients like the lighter (not so heavy) feel that Xeomin promotes, and some studies have even found that Xeomin may last slightly longer than Botox, which is what we all want!
what can they do for me?
Botox and Xeomin are FDA approved for cosmetic use in areas of the face including the forehead, the Glabella Complex (over and between the brows), and the Crows Feet (around the eyes). Researchers and Healthcare providers have also recognized the benefits of treating other areas around the face and as such, these “off label” applications are readily sought out by patients and are utilized by practitioners when clinically appropriate.
The Nasalis muscle is found in the nose and over time can create wrinkles on the bridge and sides of the nose. By injecting Botox or Xeomin superficially near the muscle, the product diffuses into the nasalis and relaxes these lines.
A “gummy smile” is seen when a person shows an excessive amount of gingival tissue underneath the upper lip when smiling. Many times, this is caused by an inherited hyperactive muscle called the LLSAN (Levator Labii Superioris Alaeque Nasi). This muscle is also known as the Elvis muscle (think snarl). The LLSAN is found alongside the nose and is responsible for lifting and everting the upper lip. When it is hyperactive, you get a “gummy smile”. By relaxing this muscle you achieve a more harmonious and aesthetically pleasing smile.
The Depressor Anguli Oris (DAO) muscle extends from the ring-like muscle surrounding the lips (Orbicularis Oris). This muscle works to pull the edges of the lips downward, forming a frown. Additionally, the Orbicularis Oris muscle, the muscle lying behind and surrounding the lips, creates lip lines above the top lip and below the bottom lip, due to the repetitive use of the muscle during talking, pursing, eating, and as part of the aging process. In treatment of these areas, a very fine needle is used to strategically place Botox or Xeomin into the muscle, thereby weakening the force of contraction and turning that frown upside down, as well as decreasing the appearance of lip lines.
By injecting a small amount of Botox or Xeomin into the muscle over the upper lip (Orbicularis Oris) the muscle is relaxed and provides a subtle enhancement to your upper lip. The lip will evert slightly and more red lip will show when smiling and at rest. Additionally, the cupid’s bow will appear slightly plumper and a ski jump-like aesthetic will define your existing vermillion border (the edge of the lip).
As we age, neck bands (platysma muscles) become more apparent, neck lines increase, and the skin over the neck becomes looser. With the neck being a critical area of importance when communicating youth and beauty, it is often surprisingly overlooked.
To create a more youthful neck and contour of the lower face, Botox or Xeomin may be injected into the prominent platysma bands of the neck, the Depressor Anguli Oris (muscles that pull down the corners of the mouth), and the Mentalis (Chin Muscle). The results begin to show approximately three days after treatment and continue to improve over the course of 2 to 3 weeks. Results may last anywhere from 3 to 6 months.
In 2004, the U.S. Food & Drug Administration (FDA) approved BOTOX (onabotulinumtoxinA) for the treatment of axillary hyperhidrosis (excessive underarm sweating). When Botox or Xeomin is injected just below the surface of the skin and sweat gland, it interrupts the chemical messages that cause sweating thereby “turning off” the sweating in the areas injected. The full effect of treatment is appreciated in two weeks and can last from 3 to 5 months.
Another common problem area is the chin. As we age, the repetitive movement of the mentalis muscle causes dimpling in the chin and an orange peel appearance overlying the skin. By relaxing the mentalis muscle with Botox or Xeomin, the overlying skin of the chin will be smoother, less dimpled, and the relaxed mentalis muscle will allow for a more favorable contour to the lower face, both on frontal and profile views.
The Masseter is a powerful muscle of mastication (muscle used to chew food). This muscle connects the lower jaw to the cheekbone and consists of three distinct layers which work with nearby muscles to move your Temporomandibular joint and jawbone (opening and closing your mouth). If the Masseter muscle is overworked due to clenching, chewing, etc., pain in the muscle and joints may occur. Many times, however, people do not realize that they are overusing this muscle because there is no overt pain. So, with continued overuse, the Masseter will enlarge creating a widened or square appearing jaw.
When seeking treatment for jaw pain, Botox or Xeomin is injected directly into the Masseter to weaken the muscle and a noticeable improvement in symptoms will typically begin in 1 week. For jaw slimming, Botox or Xeomin is injected into the Masseter to weaken the muscle. Slimming results may become apparent as soon as 2 weeks and will continue to improve up to three months. With more frequent initial follow up treatments, the results will last longer and follow up may only be required every 6-12 months.
Botox contains accessory proteins, which might lead to antibody development over time. Xeomin is purified without these proteins, potentially reducing antibody formation and sometimes lasting slightly longer. We generally recommend Xeomin.
Treatments typically involve minimal pain and little to no downtime.
Treatments generally take 30-75 minutes depending on the area.
The effects typically last about three to four months. Therefore, to maintain results, treatments are generally recommended every 3 to 6 months, or approximately three to four times a year. The exact frequency can depend on individual factors such as age, the severity of wrinkles, muscle strength, metabolism, and desired results. Consistent, regular treatments can sometimes “train” the muscles to relax more, potentially extending the duration between sessions over time. We can advise a follow-up date after your initial treatment.
A unit is a standardized measurement of the neuromodulator. Pricing by the unit allows for precise customization of your treatment based on your individual needs, muscle strength, and desired results. Xeomin costs $11/unit.
The number of units varies per person and per area. For example: * Forehead: Typically ranges from 10-30 units. * Frown Lines: Often requires 10-25 units. * Crow’s Feet: Usually 5-15 units per side (10-30 units total for both eyes). * Masseter (for jaw slimming): Can range from 20-50 units per side. A consultation will help determine the number of units needed. You may also book the service and we will confirm with you before beginning treatment.
