Botulinum toxin A to treat face wrinkles has been FDA approved since 2002. It is the most prevalent nonsurgical cosmetic procedure done in the U.S. with more than 4.5 Million injections performed in 2016. Xeomin (by Merz) is a Botulinumtoxin Type A similar to Botox (by Allergan). Xeomin is currently FDA approved in the U.S. for skin wrinkle treatment and has been safely and effectively used in Europe since 2008.
Xeomin has been well proven to be equally effective as Botox, with one unit of Xeomin equal to one unit of Botox.[i] Xeomin and Botox have identical side effects (minor swelling, bruising, headache, and soreness). However, Xeomin has a few added benefits:
1. Xeomin is a pure botulinum toxin A without additives.[ii] One benefit of a pure botulinum toxin A is that the human body is less likely to become resistant to it.[iii]Some patients have developed antibodies to Botox.[iv]
2. Xeomin is the only one of the three botulinum toxins that does not need to be refrigerated before use.
3. With its aggressive advertising and market share dominance, Allergan has significantly raised its price for Botox, thus squeezing profits from consumers and healthcare providers.
For these reasons, Xeomin is our preferred botulinum toxin A product.
Ideally, Xeomin is used prior to the formation of face wrinkles—as early as in your mid-20s—to prevent wrinkles from forming in the first place. And beginning at any later age, you effectively halt the further progression of face wrinkles while keeping your skin as wrinkle-free as possible. Xeomin injections last 3-6 months from each procedure, equal to the other botulinum toxin A products. There are no known long-term adverse effects from Xeomin.
Xeomin injections to the face are easily tolerated, and numbing ointment is available upon request, though few patients need this. The injection procedure takes about 10-15 minutes and there is no downtime afterward. Expect two to four days for it to start working, with the full effect typically seen in 1 week.
[i] Dressler D, Tacik P, Adib Saberi F. Botulinum toxin therapy of cervical dystonia: comparing onabotulinumtoxinA (Botox(®)) and incobotulinumtoxinA (Xeomin (®)). J Neural Transm (Vienna). 2014 Jan;121(1):29-31. PubMed PMID: 23913131. https://www.ncbi.nlm.nih.gov/pubmed/23913131
[ii] Frevert J. Xeomin is free from complexing proteins. Toxicon. 2009 Oct;54(5):697-701. PubMed PMID: 19292989. https://www.ncbi.nlm.nih.gov/pubmed/19292989
[iii] Dressler D. Five-year experience with incobotulinumtoxinA (Xeomin(®) ): the first botulinum toxin drug free of complexing proteins. Eur J Neurol. 2012 Mar;19(3):385-9. PubMed PMID: 22035051.https://www.ncbi.nlm.nih.gov/pubmed/22035051
Fillers are a type of minimally invasive aesthetic medicine used to add volume, alter the contours of the face, and fill in wrinkles. Common areas to inject fillers are in the lips, face, neck, and even hands, resulting in a fuller, smoother and more youthful appearance:
- Lip plumping and defining the vermilion border
- Frown lines, such as vertical creases between the eyebrows
- Nasolabial folds, which extending from the bottom sides of the nose to the corners of the mouth
- Marionette lines which extend downward from the corners of the mouth
- Thinner lines around the mouth
- Lines on the chin
- Hollow jaw line on each side of the chin
- Nose irregularities
If you know you deserve aesthetic improvements in any of these areas listed above, call for a free consultation.
Restylane and Restylane Lyft are for mid-to-deep injection into the facial tissue for the correction of moderate to severe facial wrinkles and folds, such as nasolabial folds (smile lines). Restylane is also indicated for lip enhancement in patients over the age of 21.[i]
Belotero Balance is a hyaluronic acid (HA) injectable filler similar to Restylane that completely integrates into the skin tissue. Belotero Balance can correct facial wrinkles and folds and give volume to the face and lips exactly as the other leading hyaluronic acid (HA) fillers do. Moreover, its duration is equivalent to Juvéderm (Allergan) and Restylane (Galderma), two other leading HA filler products.[ii] Furthermore, BELOTERO BALANCE treats moderate-to-severe etched-in lines and wrinkles such as vertical lip lines above and around the lips.
Armpit Sweating (hyperhidrosis)
Do you feel you need to change your clothing often due to excessive armpit sweating?
Do you find that you sweat excessively even though you’re not hot, or exerting yourself?
The good news is that hyperhidrosis can effectively be treated with botulinum toxin A. One clinical botulinum toxin A study showed it gives relief longer than 6 months. To learn more, schedule a consultation visit with Dr. Cutler so you can then schedule your procedure.