WHAT IS XEOMIN

Xeomin®, similar to BOTOX®, is an advanced injectable neuromodulator that works by relaxing the facial muscles responsible for expression lines. Formulated with botulinum toxin type A—the same active ingredient found in BOTOX—it effectively targets and softens dynamic wrinkles, including:

Forehead creases

Crow’s feet around the eyes

Frown lines (glabellar lines) between the brows

However, the key distinction between Xeomin and BOTOX lies in their formulation. Xeomin is a purified version that contains no accessory proteins or additives, allowing for a cleaner, more targeted treatment and potentially reducing the risk of developing resistance over time.

Pros and Cons of Xeomin vs. Botox

Pros of Xeomin

• Xeomin is formulated without complexing proteins, which helps lower the risk of developing resistance over repeated treatments.
• It often delivers visible results more quickly than BOTOX, allowing patients to notice smoother skin sooner.
• In many cases, Xeomin offers a more budget-friendly option, providing excellent results at a lower price per unit.

Cons of Xeomin

• Because Xeomin may spread slightly more under the skin, it requires expert precision during injection to achieve the best results.
• As a newer product, Xeomin may be less familiar to some patients compared to the long-standing reputation of BOTOX.

Pros of BOTOX

• BOTOX provides highly controlled and targeted wrinkle reduction, making it a preferred choice for precise facial rejuvenation.
• It is backed by decades of research and proven clinical success, ensuring both reliability and safety.
• As a globally recognized brand, BOTOX has a strong reputation for consistent and effective results.

Cons of BOTOX

• BOTOX contains additional proteins, which can increase the likelihood of resistance over long-term use.
• It typically has a slightly higher cost per unit compared to Xeomin, which may influence treatment preference for some patients.

Is Botox Better Than Xeomin?

Both Botox and Xeomin deliver impressive wrinkle-smoothing results, but neither is universally “better.” Instead, the ideal choice depends on your specific facial concerns, treatment goals, and past experience with injectables. The expertise of your provider also plays a major role in achieving optimal results. At Dermal Aesthetic, our specialists carefully evaluate your skin and muscle movement before recommending the most effective injectable — or even a combination of both for enhanced results. Each treatment plan is tailored to ensure natural, balanced, and youthful outcomes.

How Long Do Botox and Xeomin Last?

After your treatment, results won’t appear immediately — subtle improvements usually start to show within a few days. Botox® typically lasts about 3 to 4 months, after which the effects gradually fade as muscle activity returns.

In contrast, Xeomin® usually provides results for around 3 months, but some patients notice benefits that extend up to 6 months. Over time, as your muscles begin to regain movement, fine lines may reappear, though they often remain less pronounced than before treatment.

To maintain consistent results, we recommend scheduling follow-up sessions in advance. With regular treatments, the effects of the neurotoxin often last longer, and many patients find they require fewer units or less frequent visits to achieve the same youthful, refreshed appearance.

Aftercare and Possible Side Effects

Proper aftercare is essential to maximize your results and minimize potential side effects from Botox or Xeomin treatments. Immediately after your session, avoid touching, rubbing, or massaging the treated areas. Doing so can cause the botulinum toxin to migrate to unintended muscles, potentially leading to uneven results or mild side effects.

Additionally, it’s important to avoid exercise, heavy physical activity, and excessive facial movement for at least 24 hours after treatment. Increased blood flow and sweating can cause the injectable to shift from the target area, reducing its overall effectiveness. Refrain from alcohol consumption, direct sunlight, and tanning during this period as well, since these can increase the likelihood of bruising and swelling.

Most patients experience minimal side effects, typically limited to mild redness, swelling, or tenderness around the injection sites. However, as with any medical procedure, some risks exist. These may include:

• Temporary muscle weakness or stiffness near the injection area
• Headaches, neck, or back discomfort
• Allergic reactions such as rash, itching, or dryness of the eyes or mouth
• Rarely, difficulty swallowing or breathing, or mild respiratory infections

If any unusual symptoms persist for more than a few days, contact your healthcare provider promptly for evaluation. In cases of severe reactions—such as trouble breathing, speaking, or seeing—seek immediate medical attention. With careful aftercare and professional guidance, most patients enjoy smooth, safe, and long-lasting results from Botox and Xeomin treatments.

The Bottom Line

In summary, both Botox and Xeomin effectively smooth wrinkles and rejuvenate the skin, though each offers unique advantages. Botox remains the more recognized option with a long-standing reputation for reliability, while Xeomin provides a “pure” formula that minimizes the risk of resistance or allergic reactions. Although Botox is often seen as more versatile, Xeomin delivers equally impressive results for frown lines, forehead wrinkles, and crow’s feet. Ultimately, both injectables can reduce visible aging for several months, and the best choice depends on your aesthetic goals and your doctor’s expert recommendation.