Xeomin® by Merz is a uniquely formulated commercial injectable form of botulinum toxin type A (BoNT-A). This naturally occurring neurotoxin inhibits neuromuscular activity and has both aesthetic and functional uses.

Xeomin® Overview - Everything You Need to Know

The Skinny

avg. recovery
1 days
$100 - $1498

About the Procedure

Last Updated: 09.25.2021

Xeomin®, by Merz, is primarily composed of the active ingredient incobotulinumtoxinA. Unlike Botox®, Dysport®, and Jeuveau®, Xeomin® does not combine botulinum toxin type A (BoNT-A) with complex protective proteins. It does contain inactive ingredients like human albumin and sucrose similarly to Botox®, Dysport, and Jeuveau®. Due to the lack of protective proteins, Xeomin® does not have to be refrigerated, which may make injections more comfortable due to the higher temperature of the formulation. Individuals experiencing an allergic reaction to Botox® and Dysport® may tolerate Xeomin®. Xeomin® is United States Food and Drug Administration (FDA) approved to treat frown lines, muscle spasticity, and excessive drooling. BoNT-A (and all of its specially formulated offshoots like Botox®, Dysport®, and Jueveau®) functions by inhibiting cell transmissions between nerve and muscle cells creating a flaccid paralysis. The results of the injectable are temporary and the body will naturally break down the incobotulinumtoxinA (Xeomin®) over time.

The goal of Xeomin® injections are varied, but they are most often used to eliminate fine lines and wrinkles on the face.


Xeomin® addresses concerns such as:

Recovery Notes

Most patients experience minor side effects lasting no more than 24 hours. Mild swelling, pain, and redness typically resolve almost immediately after the injections. Many individuals resume normal activities directly following the injections.

Ideal Candidate

The ideal candidate for Xeomin® injections is seeking a tried, safe, and efficacious temporary solution to common cosmetic concerns. Xeomin® may be a slightly more comfortable procedure than Botox®, Dysport®, and Jeaveau® due to the lack of refrigeration.

Not Recommended For

Xeomin® is not recommended for those under 18, women who are pregnant or nursing, anyone with an allergy to the components of Xeomin®, or those with certain chronic medical conditions.

Side Effects

Mild side effects of Xeomin® are very similar to Botox®, Dysport®, and Jeaveau® and include skin changes like redness, dryness, and flaking. Warmth, itchiness, tightness, injection site infection, and/or bruising may occur. It is also not uncommon to experience dizziness, weakness, headache, or vision problems. These side effects usually resolve within one to two days. More serious, uncommon side effects of Xeomin® include double vision, muscle spasms, severe muscle weakness, hoarseness, and/or trouble breathing/wheezing. These more serious side effects typically resolve within three to four months. Severe life threatening allergic reactions can occur.


  • Minimally invasive
  • No downtime
  • Lower initial costs


  • Temporary results
  • Reoccurring expense