Resistance to Botox - if I was to try Xeomin now would it work?

Question

I have built up resistance to Botox , dysport , I haven’t had any for 12 months , if I was to try xeomin now would it work

Nelson Castillo, MD · Answer

Thank you for sharing your question. Unfortunately there is no real way to know without trying Xeomin and gauging your results.

Jonathan Kulbersh, MD · Answer

Thank you for your question. Xeomin is often described as one of the purest forms of botulinum type A (Botox has additive proteins), so you may benefit from its quicker onset. However, the only way to find out is to try it. I recommend scheduling an in-person consultation with a reputable board-certified facial plastic surgeon, particularly one with extensive experience with injectables. Keep in mind that these treatments require precision in both dosing amount and needle placement to ensure an optimal outcome. In addition to injectables, you can explore microneedling, laser, and energy devices to address lines and wrinkles.

Jason Emer, MD · Answer

If Botox and Dysport is not an option for you, Xeomin is the next option. I suggest dermarolling at home to give the skin Botox-like effects with at-home treatment. See an expert. Best, Dr. Emer

Kenneth D. Steinsapir, MD · Answer

These products are so very similar that it is improbable that you will be satisfied with the change to Xeomin. True resistance, especially to cosmetic dosages, is rare. More likely your issue is significant enough that cosmetic botulinum is simply to up to the task of helping your issues.

Robert J. Applebaum, MD · Answer

I have a good deal of experience with patient's who developed Botox resistance in my training and practice. It seems to be more common in my patients who I inject with neurotoxins (Botox, Dysport, Xeomin) for medical reasons like uncontrollable spasms but also occurs in cosmetic patients occasionally. My experience is that Xeomin is likely to be effective after developing Botox resistance but you have to try it to be sure. I hope this helps.

Camille Cash, MD · Answer

It is possible that Xeomin may work if you have had resistance with Botox and Dysport, but you won't know until you try it.  Be sure that you see an experienced injector for your treatment.

Onir Spiegel, DDS, PhD · Answer

We've been using Xeomin in our center for nearly 10 years and love it. Xeomin typically kicks in the night of injection and lasts about 3-4 months similar to Botox, Dysport and Juveou. For those who are no longer respond to Botox or Dysport, Xeomin is the perfect alternative. And for those starting out with botulinum Xeomin is the way to go so you never develop any resistance.

Resistance to Botox - if I was to try Xeomin now would it work?

Answers (7)

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