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

Question

I had xeomin 4 days ago for wrinkles around forehead however i was very clear that i was very unhappy with the under my eyes.I am seeing improvement (great improvement) with wrinkles but minor improvement with eye circles (tear trough). I go back to doctor in 5 days for "touch ups". If i do not see the improvement under the eyes that i was very clear about my main concern and am told i need fillers to correct so i have to pay again. I loved the doctor and i know she was conservative.

J. Jason Wendel, MD, FACS · Answer

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.

Earl Stephenson, Jr., MD, DDS, MBA · Answer

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

Bryson G. Richards, MD · Answer

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!!

Jason Emer, MD · Answer

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.

Kristin J. Tarbet, MD, FACS · Answer

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..

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