BOTOX® Cosmetic is a purified protein that is injected almost painlessly to relax the muscle that causes a wrinkle. This relaxation occurs over a few days after it is administered, and can last for months. Because the needle is so fine and only a small amount of liquid is used, the pain associated with the injections is minimal. Most patients compare the sensation to a bug bite. No sedation or local anesthetic is required, and you can resume normal activities immediately. Repeating the injections prior to full recovery of the muscle allows for longer duration of action. The areas most commonly treated with Botox Cosmetic include the “angry 11’s” between the brows, the crow’s feet, frown and worry lines, and lipstick lines. Pricing is dependent on the number of units of Botox needed to relax the muscle, and is determined individually at your consultation. Results are dependent on how well you take care of your face before and afterwards and are listed in the pre-treatment and post-treatment instructions. Other answers to commonly asked questions can be found here. Watch this video on how the Botox is administered.
Three types available:
- Botox Cosmetic (onabotulinumtoxinA). Botox is encased within a protein structure. This protein casing on Botox can cause immune reactions that can eventually block the actions on botulinum toxin when injected.
- Xeomin (Oncobotulinum Toxin). “Naked” botox. Recent head-to-head study with Botox Cosmetic showed identical effect and duration.
- Dysport (abobotulinumtoxinA). A different form from Botox or Xeomin
- Most people respond the same to all of these, but if we find your body is particularly responsive to one, we will continue to use that brand for your treatments.
What they do:
- Relaxes the muscles that causes a wrinkle
- Stops the flow of sweat glands (for hyperhidrosis)
Where it can be used:
- Glabella (angry 11’s between the brows)
- Crows Feet
- Worry Lines
- Lipstick lines (vertical lines extending from upper and lower lips from pursing the lips)
- Platysma (vertical neck bands)
- Masseter muscles (from teeth clenching)
- Muscles that cause migraines
- Begins to show effect four days after injection, but full effect at two weeks
- Will last 3 months on most people
- You will need the same dosage each time you get the injections every 3 months
We have are one of a few practices in Austin that are able to offer Xeomin. Here is a comparison between the two products…
There are a number of similarities between Xeomin and Botox. These are listed below –
1. Both Xeomin and Botox consist of the same basic ingredient – Botulinum toxin A, a toxin that this produced by the Clostridium botulinum bacteria. This neurotoxin acts by blocking the neuromuscular junction and has an effect on the skin and muscles it is injected into.
2. Both Xeomin and Botox exert their effect in around 7 days after it has been injected, with the effects lasting up to 6 months. The overall effect that results from Xeomin and Botox are the same.
3. Both Xeomin and Botox are measured in the same units, making it easy for the treating physician to measure up the required dose.
4. The cost of Xeomin and Botox are comparable, making administration of either drug a choice that can lie with the physician or the patient.
There are only a few differences between Xeomin and Botox. These have been listed below –
1. The basic structure of Xeomin and Botox are different, even though the toxin is the same. Botox is encased within a protein structure, while Xeomin lacks this protein covering and is in fact the ‘naked’ botulinum toxin. This protein casing on Botox can cause immune reactions that can eventually block the actions on botulinum toxin when injected. It is believed that this is an advantage that Xeomin bears over Botox as it results in no antibody formation with repeated injections of Xeomin.
2. Botox is stored in a freezer or at temperatures between 2 to 8°C. It therefore requires it to be transported in a freezer. On the other hand, Xeomin does not necessarily need to be stored in a freezer or refrigerator, making transporting the product a lot easier and even cheaper.
3. Xeomin is manufactured by Merz Pharma while Botox is manufactured by Allergan.
In most cases, Xeomin can be offered if patients develop antibodies to Botox.
Xeomin and Botox are very similar preparations of botulinum toxin A. Due to the lack of the protein casing and similar costs, preference to prescribe it depends on physician and patient choice.