The demand for non-surgical, minimally-invasive treatments to correct the signs of aging has been high for decades and seemed to have been met fully and completely with the development of BOTOX Cosmetic. While we offer BOTOX in our Spring Lake dermatology practice, we are also proud to provide wrinkle-reduction with Xeomin. Here, we want to discuss how the two products differ in an attempt to answer the question “is Xeomin better than Botox?”
Botox was first approved by the FDA in 2002, and only for the treatment of frown lines between the eyebrows. Oh, how times have changed! Today, we routinely use this and other neuromodulators for lines on the forehead and around the eyes, for migraine headaches and excessive sweating, and to restore a nice upward curve to the corners of the mouth. Xeomin is the “new kid on the block,” having gained FDA approval in 2010. It is important to note that, like many other cosmetic treatments, Xeomin was widely used in other countries as early as 2005.
Same neurotoxin, Different Protocols
One of the reasons that there may be a bit of confusion regarding BOTOX and Xeomin is that each product contains a purified form of botulinum toxin A. This means that, when injected into the muscles on the face, neck, or another area, the mechanism of action is the same. Both BOTOX and Xeomin inhibit the release of a chemical that enables nerve endings to receive neurotransmission. These products blunt the receptors in muscles so they do not contract as they normally would. This has huge therapeutic and cosmetic value. So, why would we have more than one product that does the same thing?
The primary difference between these two cosmetic prescription drugs is that Xeomin has been developed uniquely. Whereas BOTOX is purified and then compounded with preserving proteins, Xeomin is purified so extensively that no preservatives are needed. This is why Xeomin is described as the “naked BOTOX.” As a result of purification, Xeomin may work better in cases where the desired outcome was not achieved with another neuromodulator.
The Bottom Line
The good news about BOTOX and Xeomin is that it’s not an “either/or” thing. One is not better than the other. While Xeomin is more purified, there are cases for which BOTOX may be better suited. To determine which product is most appropriate for you, Dr. LoBuono performs a thorough consultation before treatment.