What is Botox and Xeomin

Facial lines and wrinkles can result from sun exposure, loss of dermal elastic fibers, skin atrophy, and excessive muscle activity. These lines usually bother patients because they may be misinterpreted as anger, anxiety, fear, fatigue, and aging. Botulinum toxin (Botox) is produced by the bacterium Clostridia botulinum and is used to selectively denervate or relax superficial nerves of the face. This results in a smoothing effect of the skin over these muscles. Botox has been widely used and is considered a safe and effective treatment for wrinkles of the face. Botox works best for the horizontal lines of the forehead, gabella (lines between the eyes), neck lines, and for “crow’s feet” (wrinkles on the lateral aspects of the eyes). Botox is FDA Approved for facial wrinkles.


Since the pain associated with the procedure is minimal, sedatives or local anesthetics are not used. A small needle, 30 gauge, is used to inject the Botox. You may feel some slight discomfort that lasts about 5 seconds when the needle is inserted and the liquid is injected.


After Botox has been injected, patients can immediately return to normal activities. Some patients may experience a mild headache after the procedure. The full effect of the treatment usually takes three to eight days. The benefits will last between three to six months, depending on the patient. Some touch-up might be necessary 1-2 weeks after the initial treatment. There is a nominal charge for any additional touch-up. Even when the wrinkles begin to reappear, they are not as pronounced as the original ones. It usually takes two or three injections per year to maintain a smooth, youthful appearance. Clinical studies suggest that after multiple treatments, the patient may require injections less often.


There are no serious side effects or allergy associated with treatment. You may have mild bruising or a mild headache after injection.