The Great Neurotoxin Debate: Botox vs. Xeomin

By Victoria Murphy, NP

New products in the aesthetic world seem to pop up daily and with all the hype, you might be wondering which neurotoxin is right for you.

What are Neurotoxins, and How Do They Work?

All neurotoxins work in the same way by temporarily relaxing the muscles of the face to soften deep lines and wrinkles. Two of the main neurotoxins available today are Botox® and Xeomin®. Botox has been around for over 20 years and has become a household name making it the most popular toxin available. Its counterpart, Xeomin has been around since 2011. Both toxins are dosed similarly, treatment results are visible in as little as 3-5 days with full results in 10-14 days, and results typically last 3-4 months.

What are the Differences Between Botox and Xeomin?

So, what is the difference between Botox and Xeomin? The main difference between Botox and Xeomin is that Botox contains protein additives which can cause an antibody response over time commonly referred to as “resistance”. Although rare, a small percentage of patients may develop resistance to certain neurotoxins over time making treatments less effective. Xeomin is double filtered to remove these proteins reducing the risk of treatment resistance.

Should I Choose Botox or Xeomin?

Both Botox and Xeomin are effective treatments, and one is not necessarily better than the other. Think about it this way; there are many medications available to treat blood pressure but not every patient responds the same to each medication, some medications work great for some patients while others work better for other patients. It is the same with neurotoxins! Length of treatment results, variability in treatment results, and requiring higher doses to achieve the same results are all factors to consider when choosing your toxin. Make sure to discuss which treatment option is best for you at your next visit.

We look forward to seeing you soon! To schedule your consultation with Spiro Plastic Surgery, contact us online or call (973) 736-5907 today.


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Graphite/Pencil Hybrid-Painting by Dr. Scott Spiro