In the quest for youthful, radiant skin, we often come across the terms Botox and Xeomin. But what exactly are these treatments, and how do they work? Botox and Xeomin are both types of Botulinum toxin type A, a neurotoxic protein produced by the bacterium Clostridium botulinum. They are used in non-surgical cosmetic procedures to reduce wrinkles and fine lines, giving the skin a smoother, more youthful appearance.
 

Botox, also known as OnabotulinumtoxinA, is perhaps the most well-known of these treatments, having been approved by the FDA for cosmetic use in 2002. Since then, it has become a popular choice for individuals seeking to reduce the signs of aging. Meanwhile, Xeomin, or IncobotulinumtoxinA, is a newer contender in the field, having received FDA approval in 2011. Despite its relative newness, Xeomin has quickly gained recognition for its efficacy and has become a significant player in the aesthetics industry.
 

Understanding Wrinkles and Fine Lines

Wrinkles and fine lines are a natural part of the aging process. As we age, our skin becomes less elastic and more fragile. The production of natural oils decreases, causing the skin to become drier and appear more wrinkled.
 

Additionally, repeated facial expressions such as smiling, frowning, or squinting can lead to the formation of fine lines and wrinkles. These are often most noticeable around the eyes ("crow's feet"), between the eyebrows ("frown lines"), and around the mouth ("smile lines"). Over time, these lines can become more pronounced, leading to a more aged appearance.
 

Exposure to UV light also plays a significant role in skin aging, leading to the formation of wrinkles and fine lines. UV light breaks down the skin's connective tissue—collagen and elastin fibers—which lie in the deeper layer of the skin (dermis). Without this support network, the skin loses its strength and flexibility, leading to wrinkling.
 

How Botox Works to Reduce Wrinkles and Fine Lines

Botox has long been the go-to solution for those looking to reduce wrinkles and fine lines. But how exactly does Botox work? Botox is a neurotoxic protein that temporarily paralyzes muscles. When injected into specific muscles responsible for facial expressions, Botox blocks the nerve signals that cause these muscles to contract. This results in a reduction of the appearance of wrinkles and fine lines associated with these facial expressions.
 

For instance, let's take the common problem area of frown lines. These are caused by the repeated contraction of the corrugator and procerus muscles in the brow area. When Botox is injected into these muscles, it blocks the nerve signals, causing these muscles to relax and the frown lines to soften or disappear entirely.
 

How Xeomin Works to Reduce Wrinkles and Fine Lines

Xeomin, like Botox, is a type of Botulinum toxin type A. It works in much the same way as Botox, blocking nerve signals to the muscles and causing them to relax. When these muscles are unable to contract, the appearance of wrinkles and fine lines is reduced. However, there is one key difference between Xeomin and Botox: Xeomin is a "naked" botulinum toxin.
 

This means that Xeomin contains only the active ingredient (botulinum toxin type A) and no additional proteins. The lack of additives in Xeomin means that there is less risk of developing resistance to the treatment. This could make Xeomin a better option for individuals who have found that Botox is less effective after repeated use.
 

What to Expect During Botox and Xeomin Treatments

The process of receiving Botox or Xeomin treatments is relatively straightforward. During the procedure, your healthcare provider will use a small needle to inject Botox or Xeomin into specific muscles in your face. The number of injections you'll need will depend on the extent of your wrinkles and the specific areas being treated.
 

Despite involving needles, the process is usually quick and causes minimal discomfort. Most people compare the sensation to a bug bite or a pinch. The entire procedure typically takes 10 to 20 minutes, making it a convenient option for individuals with busy schedules.
 

Results: Before and After Using Botox and Xeomin

The results of Botox and Xeomin treatments are not immediate. It usually takes about three to seven days for the full effects to become apparent. However, once they do, you'll notice a significant reduction in the appearance of wrinkles and fine lines.
 

Before-and-after photos of Botox and Xeomin treatments often show a dramatic difference. Wrinkles and fine lines are visibly reduced, and the skin appears smoother and more youthful. It's important to remember, though, that results may vary depending on the individual's skin condition and the extent of their wrinkles.
 

Maintenance: How often to get Botox and Xeomin treatments

The effects of Botox and Xeomin are temporary. To maintain the results, you'll need to get repeat treatments. The frequency of these treatments will depend on various factors, including your age, skin condition, and the specific areas being treated.
 

On average, the effects of Botox and Xeomin last three to six months. Once you notice the wrinkles and fine lines reappearing, it's time for another treatment. Regular treatments can also help prevent the formation of new wrinkles and fine lines, as the muscles are trained to relax.
 

Enjoy Youthful-looking Skin Today

The choice between Botox and Xeomin will depend on various factors, including your personal preferences, your skin's condition, and your healthcare provider's recommendation. It's important to have a thorough consultation with a trained healthcare provider to discuss your options and determine the best treatment plan for you.


Dr. Cutler has found a few qualities with using Jeuveau that Botox and Xeomin don't show clinically, such as quicker onset of action, slightly longer duration of action, and improved precision of injection placement for desired results. Therefore, Jeuveau is Dr. Cutler's preferred botulinum toxin for aesthetics.
 

If you’re interested in exploring Botox and Xeomin to reduce your wrinkles and fine lines, contact SDIM & Spa at our office in Poway, California. Call (858) 208-3676 to discuss any questions with our team of experts or to schedule an appointment today.