Xeomin 25 Units, 12 Days Out, Not Working? (photo)

In most cases where inadequate correction occurs with neuromodulator injections, the problem can be solved with adding additional neuromodulator (Xeomin in this case). Be sure to speak with your injector regarding any post-injection concerns.While some injectors will charge by the area, and others will charge by the unit, each injector is different on how they handle the need for additional units and the fees involved. Personally, I want to make sure my patients get a good result and are happy, so I work toward that goal and costs are a secondary concern.Always see an expert physician injector.All the best,

Thank you for your
question.It appears that you have strong corrugator muscles which may require more units of Xeomin/Botox to achieve your desired results. Discuss your concerns with your provider at your follow up appointment for additional options. To be sure what is best for you, 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.

Hi Kat, I feel your frustration, and I sometimes have patients who need a little more to smooth things out.  Be up front with your frustrations.  Xeomin absolutely will work, but you will need more.  Talk about alternatives also.  So, go back in, tell them you are frustrated, and see if they can cut your some slack on fees.  This is how I handle it.  All the best, "Dr. Joe"

Xeomin is an excellent alternative to Botox and works well. Discuss your concerns with your physician. Our office has seen excellent results with Xeomin injections. Raffy Karamanoukian MD FACSLos Angeles

You seem to have strong corrugator/procerus muscles and would benefit from a higher dosage of Xeomin to see full correction. Contact your provider for further assistance, you may want to continue using Botox if you're not seeing a significant difference with Xeomin

Hi there, as mentioned by the other provider, Xeomin requires a special reconstitution procedure and if not followed correctly the Xeomin will not be potent enough. That being said, since you have quite deep lines between your brows, 25 units may be under dosing. For lines that are visible at rest and with active brow muscles, a dose of 30-40 units would address the concerns further.

I would follow up with your provider for recheck as you indicated. Typically this is not  the result you would expect from 25 units in the glabellar area.

It does not look like the Xeomin injections were effective.  You have waited an adequate amount of time for the full response.We do not know if the amount injected was the same, whether the concentration was the same.You also had a different injector who may not have been experienced as the first person who injected you. Maybe the pattern and depth of injection was different.Go back and speak to the head doctor at the office where you were treated and explain you concerns.  I am sure they will work things out to your satisfaction. 

Please discuss your concerns with your injector.  You may require more units of Xeomin or you may be a better candidate for Botox.

Thank you for your question.

I am sorry to hear that you feel not happy with your treatment results. You had a normal dose. However, 3% of Botulotoxin users (regardless what type of product: Botox, Dysport, Xeomin) can become resistant to the effect of toxin. It looks like you one of these people. Discuss this with your practitioner.