Xeomin® vs. Botox®: Which is Better?

Your facial expressions are part of your uniqueness, but they can cause fine lines and wrinkles. You may benefit from injectable treatments called neurotoxins if you want to keep your normal, expressive features but get rid of the wrinkles. Brands of neurotoxin include Xeomin® and Botox®, which have several important differences. 

What are Xeomin® and Botox®?

Xeomin® and Botox® are injectable treatments for fine lines and wrinkles. They both use botulinum toxin, a neurotoxin that temporarily halts nerve signals. Despite being known as a neurotoxin, botulinum toxin has no lasting effects and causes no harm to your nerves or muscles. Xeomin® and Botox® relax expression lines and wrinkles, although they have other uses, such as treating muscle spasms. 

How Do Xeomin® and Botox® Work?

Because they use the same basic ingredient, Xeomin® and Botox® work in a very similar way. In both cases, the botulinum toxin travels to the targeted facial nerve. It causes this nerve to stop sending signals to the facial muscles causing your lines and wrinkles. Nerves communicate with muscles using a neurotransmitter, and botulinum toxin temporarily halts its release. As a result, your muscles relax and no longer pull your skin into creases when you laugh, frown, or raise your eyebrows. 

Xeomin® vs. Botox®: Which is Better?

Xeomin® and Botox® are two brands of botulinum toxin. Each has some advantages in different situations. Only a consultation can determine which one will work best to address your concerns. Factors to consider when choosing a neurotoxin injectable include:

Which Has a Better Formula?

While both use botulinum toxin, Xeomin® and Botox® differ in this area. In Botox®, the botulinum toxin is accompanied by accessory proteins that help it reach its destination. While the risk of a reaction to these proteins is minimal, your immune system can slowly start to recognize it over time. 

Xeomin® uses a “naked” version of botulinum toxin that does not use accessory proteins. As a result, it often works for those who have gradually developed some resistance to the proteins in Botox®. This naked version of the neurotoxin has several other benefits. 

Which Starts Working Faster?

Botox® and Xeomin® take time to start working. Xeomin® results often appear within a few days, while Botox® usually takes seven to ten days. Your body must remove the accessory proteins from Botox®, making it take a few extra days. However, each person’s body reacts differently, and Xeomin® may not take effect as fast for some people. 

Which Lasts Longer?

While neurotoxin injectables are highly effective, they are also temporary. Botox® lasts three to four months for most people, although it may last longer for those who have had Botox® regularly. Xeomin® results can last up to six months, making it a longer-lasting option for some people. Your Specialty Aesthetic Surgery provider will work with you to determine the best treatment plan based on your responses. 

What Can They Treat?

Botox® and Xeomin® are FDA-approved for aesthetic and medical purposes. They can treat horizontal forehead lines, vertical creases between the brows, and crow’s feet. They can also treat issues such as muscle spasms around the eyes. Botox® is approved to treat migraines. They share many uses, and which one works best may depend on your response. 

Do I Need Xeomin®, Botox®, or Dermal Fillers?

With so many injectable treatments available, you may wonder which one you need to address your concerns. Botox® and Xeomin® relax dynamic lines and wrinkles caused by the motion of facial muscles. Dermal fillers treat lines and wrinkles caused by skin laxity. They can also treat lost volume, define your features, and plump your lips. Some people benefit from neurotoxins and dermal fillers together. 

Is There Any Downtime After Xeomin® or Botox®?

An appointment for Xeomin® or Botox® usually takes less than an hour. You can return to your usual activities with no downtime. We will provide you with detailed instructions. You may notice spots of redness, swelling, or bruising after your injections. These will fade within a few days, and some people have no visible effects of treatment. 

Am I a Good Candidate for Xeomin® or Botox®?

Most healthy adults make good candidates for Xeomin® or Botox®. There is no “correct” age to start treatment, and many individuals are now choosing to start neurotoxins in their 30s to prevent lines and wrinkles from forming. You may be a good candidate if you have expression lines or want to prevent them. 

Botulinum toxin has been in medical and aesthetic use for decades, making it one of the most widely tested and safest aesthetic treatments. Whether Xeomin® or Botox® works best for you depends on your unique reactions to each one. Some people who have stopped responding to Botox® will respond to Xeomin®. Your expert injector will work with you to find your ideal product and schedule. 

Take the Next Step – Request a Consultation

Want to learn more about Xeomin® or Botox®? Schedule your consultation online or by calling Specialty Aesthetic Surgery at (212) 737-8700. We look forward to working with you!

Specialty Aesthetic Surgery serves the greater NYC metro area.

About Our Surgeons

Bruce Moskowitz is an experienced oculoplastic surgeon. His practice encompasses all areas of oculoplastic cosmetic and reconstructive surgery. He has a well-known reputation for revision surgery, and a large portion of his practice comes from other colleagues to revise sub-optimal outcomes.

Grigoriy Mashkevich is an experienced and double-board certified facial plastic surgeon. He belongs to a highly select group of surgeons with a focused specialization in cosmetic and reconstructive surgery of the nose, face, and neck. 

Dr. Anna Frants is a board-certified facial plastic surgeon who is experienced in cosmetic and reconstructive surgery. Her areas of surgical specialty include the face, neck, nose, eyelids, eyebrows, and ears. 

*Individual results may vary.  

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