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.
"Awesome and efficient, thanks so much."- C.H. / Google / Jul 30, 2019
"I was so impressed with Dr. Mountcastle and his staff. I was nervous when I arrived but quickly relaxed. It was a new experience for me to have a cyst removed which was a weird sensation since it was on my face. I appreciated the doctor asking me every once in a while if I was okay. I didn't experience any discomfort during the procedure. I am so glad that my dermatologist recommended him. I would highly recommend Dr. Mountcastle!"- T.C. / Yelp / Jul 19, 2019
"I liked Dr. Montcastle very much. He took all the time I needed to explain everything to me. My concerns were not veins but he offered me good advice as where to go next. I was impressed by his considerable knowledge of my conditions. I'd recommend his practice. I had a very extensive ultrasound but did not find vein issues. Good to have ruled this out."- S.H. / Yelp / Jul 08, 2019
"Perfect environment. Staff was great. The doctor was excellent."- W.H. / Google / Jul 19, 2019
"Dr Mountcastle was great. I had an ambarrasing issue that has bothered me for years. He handled it the same day with the utmost professionalism. I would definitely recommend Dr Mountcastle."- G.D. / Google / Jul 17, 2019
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