xeomin

What is Xeomin?

Xeomin is the newest form of botulinum toxin used to
eliminate wrinkles on the upper face.   It is a pure protein
without added accessory proteins, lessening the likelihood
of antibody buildup. Therefore, Xeomin eliminates the
“immunity” concern; and it should not become less
effective with repeat treatments.   Xeomin is produced by
the bacterium Clostridium botulinum serotype A. Like
Botox and Dysport, Xeomin works by inhibiting the
release of acetylcholine resulting in muscles that are less
contracted, hence less wrinkled.   Xeomin’s effects are
confined to where it is injected; therefore treating one
area will not affect others.   Results can be seen about 7
days post treatment and can last about 4 months (both
equivalent to Botox).

How does Dr. Brandish use Xeomin?

Dr. Brandish injects Xeomin into the muscles on the
upper face. She can eliminate the horizontal lines of your
forehead that make you look old and worried. She can
minimize the vertical frown lines between your eyebrows
(the “11” lines) that can result in an angry expression.
She also injects Xeomin into the lines around the outer
corners of your eyes (the crow’s feet) to diminish
wrinkling there. She can inject Xeomin into a creased chin
to make it smooth. Dr. Davis can also inject Xeomin into
the outer eyebrows to raise them, “opening up” a hooded
eye. She can even inject Xeomin into the skin below the
nose to raise a nasal tip that is “drooping.”

  Call for Complimentary Consultation
                  Tel: 858-587-7067

How often will I need to get Xeomin for treatment of
my wrinkles?

For optimum results, Dr. Brandish recommends
treatment every 4 months. The more frequently you come
in, the better your results will be, since you want to
prevent the muscles from returning to baseline
contraction. By coming in for treatment just as muscle
activity resumes, you can continue to further relax the
muscles and iron-out even the deepest of folds.

Is Xeomin safe?

Yes. Xeomin has been used by physicians worldwide since
2005 and was introduced in the United States in 2010 by
Merz Pharmaceuticals, LLC. It will be launched for use
nationwide in March of 2012. Dr. Brandishs’ office was
one of the few selected sites to launch in November, 2011.

Are there any side effects from Xeomin treatment?

In rare cases, the product can spread to surrounding
muscles causing temporary weakness. In very rare
instances, drooping of the eyelid or asymmetry of the
face can appear. However, all of these side effects are
reversible (some immediately with added Xeomin) or last
at most just a few weeks. For this reason, we recommend
that you do not wear a hat, headband, or visor just after
your Xeomin treatment in order to minimize shifting of
the medication. Similarly, we ask you to avoid exercise for
48 hours after treatment. We also recommend that you
remain upright for 1 hour after your injections.

Less common theoretical side effects include problems
swallowing, speaking, or breathing if Xeomin spreads
away from the injection site to the deep neck muscles
(when treating neck bands). This would be extremely rare
and has never occurred with Xeomin, which is produced
by Merz Pharmaceuticals, a reputable European
pharmaceutical company. Xeomin has been thoroughly
tested and is FDA approved; which is why we feel safe
purchasing this product for use in our office.

How should I prepare for my Xeomin treatment?
There are certain things we recommend adhering to for
about a week prior to your procedure. These tips will help
reduce bruising, bleeding, and swelling during and after
the treatment.

Avoid the following:
•All pain relievers except Tylenol (acetaminophen): avoid
Aleve, Aspirin, Ibuprofen, Motrin, Naprosyn and even low
dose baby aspirin (unless recommended by your
physician).
•Vitamin E and all multi vitamins containing Vitamin E.
Foods high in Vitamin E should also be avoided such as:
sunflower seeds, dry roasted almonds, olives, papaya,
spinach, arugula, broccoli, blueberries.
•Cinnamon and horseradish
•Herbal remedies such as St. John’s Wort, Ginkgo Biloba,
Ginger Root, Fish Oil, etc.
•Alcoholic beverages (optional)

Take the following:
We recommend that you purchase Arnica tablets, which
can be bough in our office, Whole Foods or other health
food and vitamin stores. Follow the instructions on the
package; you can start as early as a few days before your
procedure. We suggest that you take them at least the
day before and the day of the treatment. You may also
want to take them after.

An alternative supplement to minimize bruising after the
treatment is Bromelain (Pineapple extract). You can take
500mg twice a day for 3 days following a procedure. You
should begin taking Bromelain the day of your treatment,
after the procedure has been completed. Bromelain can
be taken in addition to or instead of Arnica tablets,
though Bromelain should not be taken before the
treatment, only after.

Is there any special care that needs to be taken after
Xeomin treatment ?

We recommend the following after your Xeomin procedure.
•You must be upright for the first hour after treatment.
•If you wish to read, make sure you bring the document,
magazine, book, etc., up to eye level.
•Work the Xeomin into the muscles treated, i.e. forehead
(raise and lower your eyebrows), frown (move brows in
and out) and crow’s feet (smile and relax) repeatedly.
•Do not wear a hat, baseball cap, visor or a headband as
this will push the Xeomin down, resulting in a lower brow.
•Do not exercise for at least 48 hours after the
treatment. Avoid cardio training such as elliptical,
treadmill, biking and running. Avoid yoga and Pilates. You
may do stationary weight training, as long as your head
remains still.
•If you wish to apply makeup post treatment, make sure
you apply it upright on your forehead and downward on
your crow’s feet.

Call for Complimentary Consultation
         Tel: 858-587-7067