I can't have Botox, Dysport or Xeomon due to bad reaction. Need options!

I have been injecting Botox for aesthetic purposes since 1991. In all that time, I have only had one patient who developed flu-like symptoms following the treatment of the dynamic expression lines of her upper face. With the patient's permission, she was retreated (essentially re-tested) several months later with Botox and experienced a repeat of her flu-like symptoms. More recently, she agreed to a trial of Xeomin (which amounts to a Botox molecule stripped completely of all potentially allergenic proteins). Happily, she did not experience the flu-like reaction and was gratified with her aesthetic improvement.Since the problem described clearly seems to relate to the muscles of facial expression, treatment needs to be directed to them. Accordingly, it would seem that the simplest solution would be a trial of Xeomin, as I did with my patient. 

There is a procedure that I do using thermal energy that is used to treat the vertical glabellar lines. It is toxin free and is approved by the FDA. It is done under local anesthesia and  is either long lasting or permanent.  No toxin is used. Under local a tiny needle is inserted and the nerve is treated.  

Ulthera can be a great, and more permanent alternative to the neurotoxins (botox, dysport, etc). It is a non-invasive procedure that uses ultrasound energy to tighten and lift the skin on the face and neck. Many women prefer it to neurotoxin because it lasts several years.

I have had one patient in over ten years of Botox experience that had the same reaction. About a year later and saying she will never have it again, she had it again and she did fine.The alternative to a neurotoxin is a hyaluronic filler like Perlane. It doen't work as a neurotoxin, it works by taking up space and not allowing the muscle to contract.My office is in West Orange. Best wishes

Have you tried any of the other neurotoxin products on the market?  Xeomin for example, is processed much differently than Botox or Dysport and does not include the extra proteins that the other products have. This may have a lower risk of having any reaction--potentially.  If you truly want to avoid any further injections, there is a surgical procedure that is in the pipelines that you may be a candidate for where the specific nerves are "stunned" with a radiofrequency probe under the skin and is thought to have a response similar to use of neurotoxins.  My understanding is the results can last for upwards of 2 years but it isn't yet available for mainstream use.