When injected with 30 units of Xeomin in glabella can you inject 20 units of botox in glabella 2 weeks later?

Question

Will there be an adverse reaction?

Michael A. Zadeh, MD, FACS · Answer

There is no adverse reactions if Botox is injected after Xeomin and the two can be used interchangeably. The question is, why would you want to do that? If your muscle has been sufficiently weakened then there's no point in adding more.

Michael P. Morrissette, DDS, FACS · Answer

I recommend that you visit an experienced injector. In my practice I treat the area to obtain the desired effect. The number of units necessary for a "touch-up" at 2 weeks is usually significantly less than 20 but I have seen patients requiring more neurotoxin in this area.

Kenneth D. Steinsapir, MD · Answer

Sure, it is possible to safely do this.  I have many patients who get 50 units of Xeomin or Botox along the brow for the Microdroplet Lift treatment that I perform.  The question here is what is actually going on with you and what problem are you looking to solve.

Jason Emer, MD · Answer

No, there won't be an adverse reaction between Botox and Xeomin. I recommend getting a formal consultation with an expert.  You can always add more toxin but you cannot remove it.  Best, Dr. Emer

Michael I. Echavez, MD · Answer

I would not expect any problems with injecting Botox to the glabella 2 weeks after Xeomin was injected there.  The dosing would be up to the physician treating you.

Monika Soni, MD · Answer

Thank you for your question. There is no problem receiving Botox 2 weeks after Xeomin treatment. However, I do not understand why you would need 20 units on Botox on top of 30 units of Xeomin. 50 units to glabella region is too high of a dose. I recommend seeking out an expert injector.

Hardik Soni, MD · Answer

Thank you for your question. There is no problem receiving Botox 2 weeks after Xeomin treatment. However, I do not understand why you would need 20 units on Botox on top of 30 units of Xeomin. 50 units to glabella region is too high of a dose. I recommend seeking out an expert injector.

Alex Eshaghian, MD, PhD · Answer

Thank you for
your question Lillian76915. Botox and Xeomin are purified proteins used to address wrinkles associated with facial expression such as the vertical lines seen between the brows when one frowns. Although there is no contraindication to adding 20 units of Botox two weeks after a treatment with 30 units of Xeomin, I would ask why one would want this. 30 units of Xeomin should suffice to address these wrinkles. If more is necessary, I usually recommend 4-10 units in the area for my patients. Please consult with
a doctor for specific recommendations. Good luck!

Melvin Elson, MD · Answer

there is no problem getting more toxin after 2 weeks and the two are essentially the same but 50 units of Botox or Xeomin in the glabellar area is a high dose

Michele S. Green, MD · Answer

I often add a small amount of Botox two weeks later to patients in follow-up.  It should be perfectly fine as long as you wait two weeks to evaluate the area.  Best. Dr. Green

When injected with 30 units of Xeomin in glabella can you inject 20 units of botox in glabella 2 weeks later?

Answers (12)

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