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.
- avg. recovery
About the Procedure
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.
What to Expect
Xeomin® injections are a simple, outpatient procedure with few side effects and short recovery. Here is a general guide for what to expect before, during, and after a Xeomin® injection:
- Typically, only a few considerations need to be taken prior to treatment
- There are no medication contraindications to receiving neurotoxin injections, but aspirin and supplements like fish oil, ginseng, garlic, and ginkgo biloba (to name a few) can increase a patient’s chance of bleeding and, therefore, bruising
- Exercise prior to treatment, as you'll need to stay upright (read: not lay down or bend over) for about three hours after being injected
- Topical local anesthetic applied to site of injection
- Injections are made in predetermined areas
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.
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.
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.