Some patients develop resistance to traditional neurotoxins after years of treatment. Others want a cleaner formulation from the start. My Aesthetic Doctor offers Xeomin, a pure-form botulinum toxin, at our Larchmont office in Los Angeles.
Xeomin (incobotulinumtoxinA) is a highly purified botulinum toxin type A manufactured by Merz Aesthetics. Unlike conventional neurotoxins, Xeomin is free of complexing proteins, the accessory proteins that surround the active molecule in products like Botox. This naked neurotoxin formulation reduces the likelihood of antibody formation over time.
Dr. Fakhre at My Aesthetic Doctor uses Xeomin to treat dynamic wrinkles, the lines that form from repeated muscle contractions. Frown lines between the brows, known as glabellar lines, are the FDA-approved primary indication.
Xeomin's purified structure means your immune system encounters only the active botulinum toxin molecule. This makes it a strategic choice for patients who have used neurotoxins for years and want to reduce the risk of diminishing results.
The vertical creases between your eyebrows form from repeated contraction of the corrugator and procerus muscles. Xeomin temporarily blocks acetylcholine release at the neuromuscular junction, relaxing these muscles for a smoother appearance.
Results typically appear within 3 to 5 days and last 3 to 4 months.
Horizontal forehead creases respond well to strategic Xeomin placement. Dr. Fakhre adjusts dosing to maintain natural brow movement while reducing visible lines across the frontalis muscle.
The fine lines radiating from the outer corners of your eyes soften with precise Xeomin injections into the orbicularis oculi muscle. My Aesthetic Doctor uses micro-dosing techniques to preserve your natural smile.
Bunny lines, the diagonal creases on the bridge of the nose that show up when you smile or scrunch, respond well to micro-dosed Xeomin in the nasalis muscle. Dr. Fakhre also performs a Xeomin lip flip, placing a small amount in the orbicularis oris to relax the upper lip and reveal slightly more vermilion show without adding filler.
Xeomin contains only the 150-kDa active neurotoxin molecule. Without accessory proteins, there is less foreign protein entering your body per treatment, which may lower the risk of developing neutralizing antibodies over years of repeated injections.
Xeomin produces smooth, predictable results without a "frozen" look. Dr. Fakhre at My Aesthetic Doctor calibrates dosing to soften wrinkles while preserving the expressiveness that keeps you looking like yourself.
Xeomin's protein-free formulation is shelf-stable at room temperature. This pharmaceutical stability means the product maintains consistent potency from the first unit to the last, no concerns about cold-chain integrity affecting your treatment.
Dr. Fakhre analyzes your facial muscle dynamics at rest and during expression. She identifies which muscles drive your specific wrinkle patterns, corrugator, procerus, frontalis, or orbicularis oculi.
Based on the assessment, Dr. Fakhre determines the precise unit count for each injection site. Xeomin uses a 1:1 unit conversion with Botox, so patients switching from Botox typically require the same dosage.
Using a fine-gauge needle, Dr. Fakhre injects Xeomin into targeted muscles. The procedure takes approximately 10 to 15 minutes. Most patients describe the sensation as a brief pinch at each injection point.
My Aesthetic Doctor recommends a two-week follow up to assess results and determine if any touch-up is needed. Dr. Fakhre adjusts your treatment plan for future visits based on how your muscles respond.
Avoid blood-thinning medications and supplements, aspirin, ibuprofen, fish oil, vitamin E, for one week before treatment to minimize bruising risk. Arrive with a clean face.
Results from Xeomin develop over 3 to 5 days, with full effect visible at two weeks. Some patients notice initial results as early as day two.
The treated muscles gradually relax, softening lines without eliminating natural expression. Effects last approximately 3 to 4 months before a maintenance session is recommended.
Both contain botulinum toxin type A. The key difference is purity. Botox contains complexing proteins around the active molecule. Xeomin strips those proteins away, delivering only the 150-kDa neurotoxin. Effectiveness and duration are comparable, 3 to 4 months for both.
No. Dr. Fakhre at My Aesthetic Doctor uses precise dosing to relax overactive muscles without paralyzing them. You retain natural brow movement and expression. The goal is refreshed, not rigid.
Most patients see initial smoothing within 3 to 5 days. Full results settle by day 14. Xeomin's onset is similar to Botox, though some patients report slightly faster initial response due to the absence of complexing proteins.
Absolutely. Xeomin uses a 1:1 unit ratio with Botox, making the transition straightforward. Dr. Fakhre often recommends switching for patients who have noticed declining Botox duration after years of treatment.
Pricing depends on the number of units needed for your specific treatment areas. Dr. Fakhre provides a personalized quote during your consultation. Schedule your Xeomin consultation to discuss pricing and treatment options.
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