Dr. Bentkover was one of the first plastic surgeons in the nation offer Xeomin®, starting in November 2011. Xeomin® is the newest botulinum toxin approved by the FDA for cosmetic use.
WHAT IS XEOMIN®?
Now you have more choice. Xeomin® (incobotulinum toxinA) is the newest botulinum toxin on the US Market. Like Botox® and Dysport®, it has been widely and successfully used in Europe for a number of years. Also, its indications are the same as the other botulinum toxins.
Xeomin® is a medication that was approved for cosmetic treatment in July, 2011, and released on a limited basis in November, 2011. In addition to its cosmetic uses, Xeomin® is also used to treat people with cervical dystonia (pain and contortion of the neck) and blepharospasm (a condition where the eyelids twitch uncontrollably).
Not all botulinum toxin products are exactly the same
This is reflected in the unique names for each product. All botulinum toxins are derived from the bacteria Clostridia Botulinum, but the formulation and dose may be different.
Xeomin® is distinct from other forms of botulinum toxin in that it is a “naked toxin”. Unlike the other botulinum toxin products currently FDA approved for cosmetic use, it does not come with any of the accessory proteins attached to the molecule that might cause immunity to the product over the long term. We see patients who have become immune to Botox®, so this is a real issue. Your body can mount an immune response to any injected protein. Removing the protein from the molecule makes immunity to Xeomin® much less likely. Do you need the protein on the molecule for the product to work? No, the protein on the botulinum toxin molecule in its natural state is there to protect it from acids and enzymes in the gastrointestinal tract.
Xeomin®, like Dysport®, is a smaller molecule than Botox® Some of our patients have found that it works faster, especially in the crow’s feet.
IS XEOMIN® RIGHT FOR YOU?
Everybody reacts slightly differently to each botulinum toxin injection, and each product can work slightly differently on different people. The only way to see if you will like Xeomin® better than Botox® or Dysport® is to try it. Again, now you have more choice.
Areas treated include…
- The crow’s feet around your eyes
- The worry lines or scowl lines between your brows (the “11’s” in the area called your glabella). If these lines are very deep, you may also want a facial filler in this area.
- The Forehead for a “Xeomin® Browlift” to elevate your brow.
- The horizontal lines of your forehead.
- The chin creases caused by over-active muscles in that area.
- The muscles under your chin.
MICRO XEOMIN®, A NEW TECHNIQUE FOR SMOOTHER SKIN
Botulinum toxin type A (Xeomin®, Botox® and Dysport®) is most commonly injected precisely into the muscles of facial expression to decrease wrinkles caused by those muscles. However, there are also tiny muscle fibers in the deep skin that can be affected by tiny, dilute injections only into the skin. This technique of “micro” injection can give smooth skin with little or no loss of muscle movement. We commonly use this technique in the forehead and in the lines that extend from the crow’s foot areas out on to the upper cheeks. The product is very dilute, so it also usually costs less.
We are committed to your satisfaction with Xeomin®.
There is no need to pay the high Boston or New York fees for Xeomin®. Our treatments are priced very competitively. We will not skimp on the amount of product.
HOW XEOMIN WORKS
Just like Botox® and Dysport®, Xeomin® is injected into muscles to decrease their activity. It blocks the release of a chemical messenger acetylcholine that conveys the signal from nerve terminals and causes muscle fibers to contract. Not all terminals are affected by any botulinum toxin; and, therefore, the muscles can still contract, just less forcefully.
Xeomin® is no more risky than the other two products. Severe complications are extremely rare. The risks of all three botulinum toxins are basically the same, except that patients with milk allergies should avoid Dysport®. The most common side effect of Xeomin® for frown lines is headache, and this was seen in only 5.4 percent of the patients in the initial clinical studies. Just like with Botox® and Dysport®, the Food and Drug Administration requires that Xeomin® come with a black box warning, which means it can have very severe and even life endangering side effects. Life threatening reactions to any of these products are usually with doses far in excess of the cosmetic dose. If you have a neuromuscular disorder, however, you certainly need to discuss the use of any botulinum toxin with your physician before getting a treatment. A patient should not get botulinum toxin if allergic to any botulinum toxin or if there is an infection or skin lesions around the area to be injected. People also should not get botulinum toxin if they have neuromuscular conditions that cause them to have trouble breathing or swallowing. The development of side effects can be delayed over a period of hours or even weeks. Botulinum toxin should be avoided by people who are taking aminoglycoside antibiotics or medications that address neuromuscular problems.
There are no long term studies of Xeomin’s® effect on pregnant women, but we do not treat pregnant women.
Xeomin® is not a facial filler. It is what is called a neuromodulator, a botulinum toxin that selectively paralyzes injected muscles. This product is subject to the same testing standards required by the FDA for all botulinum toxins. While it is newly approved, there is no reason to expect it to behave differently. It has been used for many years in Europe with no un-expected long term side effects.
It is injected with a tiny needle in very small amounts into the muscles to be treated.
Approximately every 3-4 months, just like with the other botulinum toxins.
*Please do not plan on having your injection of Xeomin less than 8 weeks before a special event or vacation. While complications are rare, they can occur.