When will the toxin start acting? Will it? Visiting Europe. Just had Bocouture (Xeomin) injected 4 days ago. Product didn´t feel like Vistabel when injected and it seems to take longer than my usual Botox to work. Had used Vistabel 3 times before and my experience was that by day 4 my forehead was done with the overactive expressions. On my 4th day post Bocouture now and my forehead has a life of its own. What can I expect? What can I do besides waiting? thnx
4th Day Post Xeomin. Muscles Still Active. When Will the Toxin Start Acting? Will It?
Doctor Answers 20
Wait a week
Xeomin sets up like any other neurotoxin
There is a commonly held misconception, which is also perpetuated by many injectors, that because Xeomin doesn't have complexing proteins and is a "naked molecule" that it should "set up" quicker in all people. This has not been seen in the clinical studies that have been done, and while in some people Xeomin might set up overnight, just like Botox might for some people, the majority of people do not see full results of any of the neurotoxins for 5 to 7 days after injection.
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Xeomin or Botox for wrinkle treatment
Xeomin and its product for cosmetic use Bocouture made in Germany by a company called Mertz. Compared to Botox and its cosmetic preparation Vistabel, it contains less stabilising proteins. Hence it is considered to cause less allergies. It is also temperature insensitive before reconstitution. Otherwise all comparative studies of these preparations showed them to be equally effective.
3% of botulinum toxin users eventually start producing high level of anti-bodies to the toxin, and the treatment stops helping to reduce their wrinkles. The other explanation of failure of the treatment might be that the injector was not using adequate doses or Xeomin was already inactive if it had been reconstituted longer that 1 week .
Xeomin and Botox are fairly similar
Xeomin, similarily to Botox, works in about 4 to 7 days for most patients. I typically recommend patients wait a week to determine how effective their dose was. If the dose was inadequate, additional botulinum toxin may be necessary. Although there are guidelines for botulinum toxin dosing, dosing and location must be individualized to each patient's anatomy for optimal results.
When will Xeomin start working?
You should see results starting on the third day with full effect of the toxin being noticed on the 7 th day. Give it another few days.
4 days post Xeomin
At 4 days post-injection with Xeomin, patients are counseled just to be patient and see what the final results will be. Some patients will not even be responding at 4 days. By 10-14 days post-injection, the final results should be evident, and a determination can be made on how to proceed.
Always see an expert physician injector.
All the best,
Muscles still active 4 days after Xeomin
Thank you for your question in regards to Xeomin. Botox and Xeomin are consistent with each other as far as how long it will take to see results (up to 14 days to see full relaxation). The amount of units and injector could be possible factors, although it is still too soon to see full correction. To be sure, see two or more board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have treatment. I hope this helps.
From my experience, it takes xeomin about 5-7 days to become fully active. I typically tell patients to wait a good 10 days before they decide that they want additional product. If you over inject a toxin you're essentially wasting your money - your body disposes extra toxin as waste. Be patient and give it time to kick in.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.