Hello Doctors, I've been having Botox in past years on my jaw to help my TMJ and strong masseter muscles but it looks like that I've become resistant to Botox. Should I try Xeomin? Will it work to people who is already immuned to Botox? Thanks!
February 20, 2019
Answer: Improving wrinkles with botox/xeomin/dysport and fillers; antibodies? Fraxel or radiofrequency venus viva/intensif; microneedle antibodies are rare, but it is common for people to need higher doses as time goes on. switch to xeomin or Dysport and see what happens.A combination approach would give the most improvement. Movement lines and superficial wrinkles improve best with botox, dysport or xeomin. Fine wrinkles need lasers like clear and brilliant, fraxel or erbium or co2; radiofrequency like venus viva or intensif microneedling RF; microneedling with PRP and stem cells; aquagold treatment; or soft fillers like belotero, restylane silk or refyne, revanesse versa, or juvederm volbella. Deep wrinkles can be improved with a combination of Botox and/or fillers for the lines themselves and to build anatomical support with Sculptra for collagen building. Agressive deep peeling like phenol/TCA and J plasma can be used for deeper scarring or wrinkles. Ultherapy is great for lifting of this are and thermage is great for tightening and improving overall texture. Montly facialis like silk peel, dermalinfusion, salt facial, and microneedling with retinol masks can really help fine wrinkles and pore size. You really need a combinaation apporach and proper daily skin care and sun protection for the best results. Please consult with an expert. Best, Dr. Emer.
Helpful 1 person found this helpful
February 20, 2019
Answer: Improving wrinkles with botox/xeomin/dysport and fillers; antibodies? Fraxel or radiofrequency venus viva/intensif; microneedle antibodies are rare, but it is common for people to need higher doses as time goes on. switch to xeomin or Dysport and see what happens.A combination approach would give the most improvement. Movement lines and superficial wrinkles improve best with botox, dysport or xeomin. Fine wrinkles need lasers like clear and brilliant, fraxel or erbium or co2; radiofrequency like venus viva or intensif microneedling RF; microneedling with PRP and stem cells; aquagold treatment; or soft fillers like belotero, restylane silk or refyne, revanesse versa, or juvederm volbella. Deep wrinkles can be improved with a combination of Botox and/or fillers for the lines themselves and to build anatomical support with Sculptra for collagen building. Agressive deep peeling like phenol/TCA and J plasma can be used for deeper scarring or wrinkles. Ultherapy is great for lifting of this are and thermage is great for tightening and improving overall texture. Montly facialis like silk peel, dermalinfusion, salt facial, and microneedling with retinol masks can really help fine wrinkles and pore size. You really need a combinaation apporach and proper daily skin care and sun protection for the best results. Please consult with an expert. Best, Dr. Emer.
Helpful 1 person found this helpful
Answer: Yes Xeomin lacks the accessory protein that leads to antibody formation. It is worth a try to see if you respond to Xeomin.
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Answer: Yes Xeomin lacks the accessory protein that leads to antibody formation. It is worth a try to see if you respond to Xeomin.
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