Xeomin Treatment

Xeomin (incobotulinumtoxinA) is a prescription-strength injection, used mainly to treat conditions associated with cervical dystonia, such as uncomfortable positioning of the head and neck, and spasms of the eyelids (blepharospasm). Xeomin has now been approved for a cosmetic use as well: improving the appearance of frown lines between the eyebrows.

Who is a candidate?

Any adult-age individual can be given Xeomin with a doctor's approval. If you have a known adverse reaction to BOTOX or cosmetic injections, inform your physician.

Patients with neck stiffness or pain, eyelid spasms, or mid-brow wrinkles are the most common candidates for Xeomin.

Different Treatments

Xeomin can be used to treat three general conditions:

1) Cervical dystonia

2) Blepharospasm

3) Frown lines in the middle of the eyebrows

Are Xeomin treatments permanent?

The effects of Xeomin are normally not permanent. Repeated treatments are usually needed, and should be determined by clinical response, but should not be more often than every 3 months.

How it is performed

The injection will be given by needle into the affected muscle. Sometimes multiple small vials of the ingredient are needed, and can be placed into several sections of the muscle. This is usually a safe a painless procedure. Any adverse reactions should be reported to your doctor.

Xeomin vs. BOTOX

Xeomin and BOTOX are both neurotoxins, but have slightly different indications and effects. Xeomin, unlike BOTOX, is an unadulterated botulinum toxin type A. BOTOX contains added, artificial ingredients. This "cleanliness" of Xeomin may result in improved physiological response, because the body tends to reject additives and foreign elements.


The initial effects of Xeomin can occur within a week, and signifigant results usually last between three to six months. These outcomes are not significantly different from those of BOTOX.


There is essentially no recovery period involved with Xeomin. The patient receives the injection, and awaits the effects to take hold. Adverse effects, though rare, include painful swallowing, neck pain, dry eyes, and headache. Report any ongoing (greater than three weeks) or severe side effects to your doctor.

Is Xeomin covered by health insurance?

Mesotherapy is considered to be a cosmetic procedure so most health insurance providers will not cover the treatment. It is always a good idea to see what one’s health insurance may cover and to speak with a dermatologist about what options are available.

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