Like Botox but Different — Xeomin

XeominEveryone has heard of Botox. Botox is one of the world’s most recognizable brand names. Botox is the neuromodulator that is the world’s most popular cosmetic procedure year in and year out. But at Matsuda Dermatology, we also offer Xeomin for our patients.

Like Botox, Xeomin is made from the botulinum toxin type A. But Xeomin consists of nothing but the toxin; it has no additives. This can be beneficial for patients who have had a reaction to Botox. Here’s some additional information from your friends at Matsuda about this alternative option.

What is Xeomin?

Xeomin is a neuromodulator. That sounds complex, but all it means is Xeomin is capable of stopping a muscle from contracting. Xeomin was originally approved by the FDA for the treatment of two conditions — cervical dystonia (a painful condition where the neck muscles contract involuntarily causing the head to twist to one side) and blepharospasm (involuntary tight closure of the eyelids). is a neuromodulator. That sounds complex, but all it means is Xeomin is capable of stopping a muscle from contracting. Xeomin was originally approved by the FDA for the treatment of two conditions — cervical dystonia (a painful condition where the neck muscles contract involuntarily causing the head to twist to one side) and blepharospasm (involuntary tight closure of the eyelids).

More recently, Xeomin was approved for cosmetic use for moderate to severe frown lines, lines between the eyebrows (the 11s), and other forehead lines. It is also effective on crow’s feet. These are the same approved uses of Botox. All neuromodulators are effective on the top third of the face.

How does Xeomin work?

Xeomin is made from the botulinum toxin type A, the same bacteria that cause botulism. A few decades back, doctors discovered that when delivered in very small amounts this toxin could temporarily paralyze a muscle. It does this by blocking the signals from the muscle’s nerves to the brain. Because the brain does not receive the message, it doesn’t contract the muscle. This can be very valuable in cases of involuntary muscle spasms such as those described above. The botulinum toxin type A has even proven effective in treating migraine headaches and excessive underarm sweating.

But it was when it was tried on facial wrinkles that the toxin became famous. When we perform common behaviors such as frowning or squinting, certain muscles contract and form wrinkles on the surface above. Over time those lines can become more permanent due to these repeated contractions. But Xeomin (and Botox and Dysport) stops the muscles from contracting, so the wrinkles on the surface don’t form or are far less apparent.

How is Xeomin different from Botox?

So, why would a patient opt for Xeomin over Botox? The difference between the two is purity. Xeomin contains nothing but the botulinum toxin type A. This has made some doctors coin the term “naked injectable” when talking about Xeomin. Botox has some added surface proteins in addition to the toxin. Some people can have a reaction to these proteins. In those people, Xeomin may not cause a reaction.

What’s the difference between Xeomin and Dysport?

Like Botox, Dysport has some added proteins. But Dysport spreads a little more than Botox or Xeomin so it can be a better option in areas where several injections are needed because it can spread to cover a greater area.

If you’ve had some reaction issues with Botox, Xeomin could be a better option for you. Call the team at Matsuda, 808-949-7568, to make an appointment or for any questions you may have about Xeomin, Botox, or Dysport.