Neuromodulators: Botox and Xeomin


Botox is a popular choice for wrinkle treatment. Injections are used to temporarily paralyze the muscles under the skin that cause facial wrinkles, especially frown lines between the eyebrows and on the forehead. These injections provide an immediate effect and are not permanent. Although results vary, they typically last for four to six months, and can be repeated as necessary. Most patients do not need anesthesia, although a topical anesthetic can be applied, if desired. 


Xeomin is also derived from botulinum toxin Type A, but unlike Botox, it contains a “naked” form of the toxin. Specifically, whereas Botox contains accessory proteins, Xeomin delivers the toxin without any protein additives. This purified structure may help prevent antibody resistance, a growing problem that has been seen with injections administered over time. Xeomin can help temporarily get rid of frown lines, forehead lines, and crow’s feet around the eyes. 

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