botox_injectionBoth Botox and Xeomin are prescription medications that can be used to treat a variety of conditions. When used for wrinkle reduction, Dr. Rafi will inject appropriate amounts of the medications under the skin to partially and temporarily paralyze the underlying muscle. That paralysis prevents you from the squinting or scrunching that are the cause of the wrinkles while still allowing you facial expressiveness!

What is the difference between Botox and Xeomin?

Botox and Xeomin are both made from purified botulinum toxin type A (BTX-A) and can be used in almost identical ways. Xeomin has had the proteins further neutralized. This means that there is a reduced risk of allergic reaction and that, unlike Botox, it does not need to be refrigerated before use.  The allergic risk of Botox is minimal, however, and it has been approved by the FDA to treat more than Xeomin has.

What can be treated with Botox and Xeomin?
Botox and Xeomin can both be used to treat wrinkles in a variety of facial areas. Most popularly, they find use in the crows feet, glabellar area (the frown lines between your eyebrows), forehead lines, “bunny” lines (the wrinkles across the top of your nose when you scrunch your face), lip lines and marionette lines (corners of the mouth). Facially, they can also be used to help shape the eyebrow, to correct for drooping or asymmetrical eyelids, to address gummy smiles, to help a dimpled chin and more! They can also be used on the platysmal bands of the neck.

Botox and Xeomin are also used to do more than treat wrinkles. They have seen success in the treatments of hyperhydrosis (excessive sweat), migraines, neck pain and spasms, overactive bladder, head tilting, abnormal eye twitching or spasms, crossed eyes, muscle stiffness associated with upper limb spasticity and more! Dr. Rafi will help determine what uses suit your needs and will be medically safe and effective for you.

What happens during a Botox or Xeomin treatment?
Like all of our cosmetic treatments, Botox or Xeomin treatments begins with an in-depth assessment of your skins current state. Dr. Rafi will assess the degree and depth of the wrinkles in question and work out how many units will be needed to address the issue. Finally, she will explain what she has found as well as what results you can reasonably expect.

After the assessment is done, Dr. Rafi will work with you to determine whether topical pain management is needed (a quick swipe of lidocaine cream) and will begin injecting the appropriate areas.

How long does it take?
Plan to be with us for an hour to an hour and a half, depending on how many areas need to be treated. The actual time for injections is quite fast, but Dr. Rafi likes to ensure that each of her patients is given a thorough assessment before treatment begins.

Does it hurt?
Pan management is offered in the form of a lidocaine cream if Dr. Rafi feels that is is needed.  As with most injections, the sensation is a sharp prick followed by a slight stinging sensation.

How long is the recovery time?
Aside from some minor redness and swelling, most patients have no recovery time at all. Dr. Rafi has several patients who come in for Botox or Xeomin on their lunch breaks!

Is it safe?
There is a slight risk of allergic reaction. Rare cases of bronchitis and upper respiratory infections have been reported. Other possible side effects include dry mouth, pain at the injection site, blurred vision, urinary tract infection or more. Notify Dr. Rafi immediately if you suspect any reaction.

Can anyone do it?
No. Botox and Xeomin are not to be used by patients with a history of allergic reaction to botulinum toxin products or anyone who has an active skin infection at the proposed injection site.

Is Botox or Xeomin for wrinkle reduction covered by insurance?
No. Most cosmetic procedures are not covered by insurance.

How many treatments are needed?
As the effects of Botox and Xeomin are temporary, it is recommended that our patients repeat the injections every 3-6 months. The effects will wear off gradually and naturally, and repeated injections are completely voluntary.

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