As skin matures over time, it loses its natural elasticity. Facial furrows and folds become more apparent, and cause persistent wrinkles and lines. One solution to this is Xeomin (similar to BOTOX), a prescription derma drug that is injected into the facial muscles to reduce the appearance of wrinkles and frown lines. Xeomin is made from botulinum type A, bacteria that create botulism, which blocks nerve activity in the muscles and causes a short-term reduction in muscle activity. This injectable can also be used to treat cervical dystonia and eye muscle conditions caused by nerve disorders, like uncontrolled blinking and spasms. Dr. Timothy Mountcastle offers Xeomin injections at both of the Mountcastle Plastic Surgery & Vein Institute locations in Ashburn or Reston, VA.
What to Expect
Xeomin is usually a 10 to 20 minute procedure. The doctor will inject Xeomin directly into the patient’s facial muscles. Injections may be administered to more than one area at a time, depending on the condition being treated. Patients may be asked to use eye drops, special contact lenses or other devices to protect their eyes during the procedure. No anesthesia is required, but the doctor can use a topical anesthesia or cold pack to prevent or reduce any patient discomfort.
"Excellent service and results. Everyone was smiling the minute I walked in the door. Dr. Mountcastle was very professional, and the results were better than expected."- N.B. / Google / Feb 19, 2020
"Always a good visit to Dr Mountcastle's office"- L.G. / Facebook / Feb 14, 2020
"Dermatologist referred me, I was VERY nervous about the removal of my cyst. Dr. Mountcastle explained every step before he did anything. While I was waiting for the medicine to numb me a nurse sat in room with me I was talking a mile a minute and told her I talk a lot and am very random when I'm nervous lol, she told me to talk away if helps. The procedure was very quick and painless. Week later stitches out and I couldn't believe how well it looks it honestly and truly doesnt look like I had stitches and it was on my face. I am very pleased. Thank you so much!"- M.S. / Facebook / Feb 10, 2020
"My dermatologist referred me to Dr. Mountcastle. Both he and his office staff were very professional and easy to work with. I am not the best nor any easy patient and I would not hesitate to recommend him."- B.Z. / Facebook / Jan 28, 2020
"Maria is amazing! I just had my second session of laser hair removal done and I'm very happy with the results so far. Maria is very professional, super nice and makes you feel comfortable during the process. Highly recommend! The receptionist was also very helpful/informative and answered all my questions while I was booking future sessions."- S.V. / Yelp / Jan 28, 2020
After the Procedure
Patients may not begin to see results or improvements until 7 days after receiving Xeomin injections. Some patients may experience side effects including neck pain, dry eyes, headache, eyelid swelling or bruising, and pain or redness at the injection site. Results typically last 3 months. Patients should not receive Xeomin injections within 3 months of the last Xeomin treatment.
Xeomin or BOTOX?
Xeomin is different from BOTOX because it does not contain any additives, which lessens the chances of patients building antibodies against the medication. Patients should not use Xeomin with other botulinum products. During a consultation, the cosmetic surgeon can determine the best botulinum product for each patient.
Yes, Xeomin is an FDA-approved product. Based on two US clinical trials, Xeomin is a safe and effective treatment for adults with cervical dystonia, blepharospasm, facial lines, wrinkles and folds. The US is the 20th country to approve the prescription medication.
Medications and Xeomin?
Medications, such as cold and allergy medication, muscle relaxers, sleeping aids and urinary medications can increase the chance of Xeomin’s side effects. Patients should notify the cosmetic surgeon if they are currently using any blood thinners or antibiotics.
Missed a Treatment?
Patients should not worry if they missed a Xeomin treatment. Xeomin injections have a temporary effect, and are given months apart. Missing a dose is not harmful to patients.
Plan Your Procedure
- Average Cost
- $200 - $600
- Procedure Recovery Location