Not the results I wanted. Xeomin for tear troughs, lines...fillers

Thank you for your question. I think filler is the better option for the inner lower eye. It will help to fill the area. Best of luck!!

Thank you for your question in regards to Xeomin. It is best to have a follow up appointment with possible touch up two weeks after initial injection. This way, Xeomin has time for complete 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.

XEOMIN® is not FDA approved for use on the lower eyelids.  It is not surprising that did not get the result you desired. 

I am unsure the exact question.  5 days isnt enough to see the results of xeomin, you should wait 10-14 days for treatment.  As for the under eyes, fillers should be done conservatively there and if more is needed then please speak to your physician.  Cannula injections limit complications.  Best, Dr. Emer.

It will take 2 weeks for the full effect of your treatment to be seen. However, Xeomin will likely have no effect on tear troughs. Fillers are indicated for that region..

Thanks for posting. You have 2 separate things going on from the sound of it. First, you have dynamic lines (lines of the forehead and crows feet) These are lines caused by movement of the underlying muscle. These were appropriately treated with Xeomin and should do well. For under the eye, or tear trough area, it sounds like you need volume (ie fillers). If the volume is replaced and the skin still seems lax or wrinkled consider laser treatments. Be well, Dr. M

Hello,I would have to see your face in order to see what suits your needs best.  However from what your explaining fillers would be best for the under eye area.

I am sorry you are not happy with your treatment.  It sounds like the Xeomin was effective on the forehead, but did not effect the tear troughs.  This is not surprising since Xeomin does not address that problem!  In my practice, we inject Belotero into the tear troughs.  This is a separate procedure with additional material, so I would expect your doctor to charge you.  

Glad you had good results on the forehead for lines as this is what Xeomin is indicated for.  Tear trough will not respond to any botulinum toxin.  Since it is a concave area, it needs to be filled with filler

I'm glad you liked your doctor - but I'm not sure you got accurate information!  While there are no absolutes, my general preference is to treat areas at and above the level of the eyes with neurotoxins, such as Botox and Xeomin.  If desired, treatment of the tear troughs and any other hollows, or where additional volume is the goal, you'll need a filler.  For the tear troughs, that would normally be a HA (hyaluronic acid) such as Juvederm, Restylane, Belotero, etc.When you go back...have a calm discussion with your doctor and explain (again) what you'd like done, and then go over the pluses and minuses of each possible treatment, before even getting to the cost.  There may a very good and simple reason why your doctor made those recommendations.I hope that this helps and good luck,Dr. Alan EnglerMember of #RealSelf100@RealSelf