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. she 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.”

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.

Xeomin

Cosmetic Laser & Skin Rejuvenation Clinic
3252 Holiday Court, Suite 229
La Jolla, California 92037
Call for consultation
Tel: 858-587-7067

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