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Procedures

Cosmetic Procedures  Botox and Xeomin Treatments

Botox and Xeomin


Botox
is the trade name for onabotulinumtoxinA.   Xeomin is the trade name for incobotulinumtoxinA. They are very similar drugs, marketed by different companies, that relax muscles. They have similar dosage, duration and effectiveness. These injections have been used for more than a decade in children and adults to reduce facial muscle spasm. Botox and Xeomin have also been effective in correcting double vision due to muscle imbalance, abnormal sweating, and headaches caused by muscle strain.

 

By injecting minute amounts of Botox or Xeomin directly into specific muscles, wrinkles such as crow's feet, frown lines, and forehead wrinkles can be greatly reduced or eliminated by relaxing the muscles that cause them. The treatment takes effect in approximately five to seven days and lasts for three to six months at a time. The treatment can then be repeated multiple times, and longer lasting results may occur with repeated injections.


Dr. McBride’s Unique Botox and Xeomin Treatment Technique


Dr. McBride has developed a unique approach to injecting Botox and Xeomin which reduces needle marks on the face, and reduces discomfort dramatically. He applies a vibrator to the face during all injections to almost completely eliminate discomfort. He also uses the vibrator to spread the Botox or Xeomin so it is perfectly even.

Only one injection is made at each site (compared to 3 to 6 with other surgeons).   Dr. McBride uses the smallest needle available and goes through the skin at only one point for each muscle.  He then moves the needle around in the tissue under the skin, which is not as sensitive as the skin, to complete the injection. His assistant immediately applies pressure to the site which almost completely prevents bruising.  This approach lets him easily inject multiple areas with almost no discomfort or bruising.

The Advantages of Dr. McBride’s Botox and Xeomin technique include:

  • Reduced needle marks on the skin
  • Almost no bruising
  • Almost no swelling
  • Almost no discomfort

Botox and Xeomin are effective for lines and wrinkles that occur when the facial muscles are used. They are generally not effective for lines that are present when the face is relaxed, unless the lines are right over the muscles that can be treated with Botox or Xeomin . Since we do not want to eliminate the movement associated with most normal facial expressions, Botox and Xeomin can only be used in certain areas.
 

Botox or Xeomin treats:

  • Forehead lines
  • Crow's feet lateral to the eyes
  • Frown line areas above the nose
  • “Bunny lines” on the side of the nose during smile
  • Puffy overactive muscles in the lower eye lid
  • Muscles that raise the upper lip too high during smile
  • Muscles that pull the corners of the mouth down creating a sad look
  • Vertical lines in the neck caused by overactive muscles

 

Botox and Xeomin Units  -  What You Need to Know

Why do some doctors charge $200 for muscle relaxers and others charge $350?  It is usually because one doctor uses many more “units” of botulinum than the other, so the effect will be better and last longer.  The dose of most medicines is measured in mg, or milligrams. Botox and Xeomin are measured in “units”.  The higher the number of units injected, the bigger the muscle that can be weakened and/or the longer it lasts.

Botox and Xeomin come as a powder, with 100 units in a vial.  Sterile salt water is added to the vial to dissolve the powder and make a solution that can be injected.  Dr. McBride adds only one cc (cubic centimeter) of water to the vial to make the strongest solution.  Some other doctors add 2 or more cubic centimeters, making it more dilute.  If 2 cc are added, then twice as much solution must be injected to obtain the same result.

It is not the volume of the injected Botox or Xeomin solution that is important, it is the number of units injected. The larger the volume injected, the more discomfort is felt, and the greater the chance that the Botox will spread to muscles that you do not want to weaken.  Therefore, Dr. McBride uses the most concentrated solution.

Dr. McBride finds that women typically get four months, or longer, effect from 24 units of Botox or Xeomin injected in the crow’s feet or frown lines.  Some patient’s muscles require a larger dose than others.  Men’s muscles are more resistant to botulinum, and may need 50% to 100% more units for each area to get the same duration.

If you want to spend less on a Botox or Xeomin treatment, you should simply ask to have fewer units injected.  The effect will be shorter, so you will need to repeat the treatment more often.  If you are considering Botox or Xeomin, let Dr. McBride help you decide what is best for you.

If you do not obtain the result you desire after ten days, please come in for re-evaluation. We can easily augment your result with additional Botox or Xeomin.

Side Effects

 
Side effects and complications have been minimal. Occasionally, slight swelling and/or bruising may last for several days after an injection. On rare occasions an adjacent muscle may be weakened for several weeks after an injection. This may cause a slight lowering of the eyelid, or some double vision. This will resolve as the effect of the Botox or Xeomin fades.
 
Botox and Xeomin are extremely safe for cosmetic use. It is not a permanent treatment. When the lines start to re-appear, a simple repeat treatment is all that is necessary to maintain the desired result.