Dynamic wrinkles form throughout the face after a lifetime of facial muscles contracting to form expressions like smiles, frowns, and more. Xeomin is an injectable wrinkle relaxer that is made from botulinum type A and it minimizes the muscle activity where it is injected. Similar to BOTOX, Xeomin paralyzes the facial muscles that frequently contract and this prevents the resulting lines and wrinkles while also smoothing the area. New York plastic surgeon, Dr. Dana Khuthaila has had great success with Xeomin treatments at her Midtown Manhattan office and her patients enjoy their softer facial appearance and expressions. Xeomin is also approved to treat certain symptoms of nerve disorders, such as uncontrolled blinking and spasms caused by cervical dystonia and some eye muscle conditions.
What to Expect@headingTag>
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.
"24 and Baby Faced - I went to Dr. Khuthaila for "facial slimming botox" - it's a procedure where botox is injected into your masseter muscles (your jaw) and gradually paralyzes the muscle causing the muscle to atrophy overtime. For my first session i had 40 units put in, Dr. Khuthaila used a vibrating tool as a distractor as she administered the injection. It was completely painless and it was done in what felt like under two minutes. There was some slight bruising on the side of my face which I promptly covered up with makeup and went back to work right after. I have to preface this with this. I have a theory that I have especially hypertrophied masseters because I used to chew gum while I lifted weights. I've also always had a round wide-ish face and I've been looking into invasive asian cosmetic procedures for years. I decided to try this to see if I could go about it differently. I'm a personal trainer, fit, at my goal weight, 20% body fat and I know this is the smallest my face is going to get. You can make your face appear smaller by reducing your body fat, and I had just hit my ceiling. The first week really didn't garner a noticeable difference in my eyes. My face was still pretty round and not "v'd". I went back for a touchup (10 units) a week and a half later because Dr. Khuthaila noticed a bit of asymmetry with my jawline. (Probably because I chew with my right side, also a theory) About two weeks out I woke up and noticed that my chin looked especially prominent and I could not stop staring at myself throughout the day. It really was working. In fact, I felt like I had a new face. So all and all the procedure works, but it takes time and the changes are subtle. "- J. / RealSelf / Apr 08, 2017
"22 Year Old Unhappy with Profile of the Nose - I always felt that my profile was missing something but I didn't know what I wanted to correct. I realized after taking countless profile selfies that the tip of my nose was lacking perky-ness (If that any makes sense). I've thought about having a rhinoplasty to correct it but I didn't want to break my nose in the process being that all I wanted was structure to the tip. Dr.Khuthaila recommended we try a non surgical temporary treatment and we proceed from there. I was amazed with how quickly and instantly the results were! My nose has the perfect uplift I was looking for and she saved me from going under the knife when it truly was not necessary. The result is exactly what I wanted and I cannot thank her enough for all her help and support. <3 "- S. / RealSelf / Apr 06, 2017
"Best Plastic Surgeon in NYC! Love my Botox! - Dr Dana Khuthaila is amazing! After turning 30 I was interested in less invasive procedures to spruce up my face. I started to get annoyed at the lines starting to become permanent on my forehead. Dr Khuthaila suggested I try Botox in the forehead and between my eye brows to smooth everything down and get rid of those lines...(I also have thick forehead muscles that bulge up when I squint). Being a professional and expert injector she used the perfect amount of the Botox that gave my eye brows a nice little lift and totally smoothed out my forehead, I still have movement and I certainly do not look "overdone" which was one of my main concerns. Everyone keeps complimenting me on how refreshed and rejuvenated I look, even my husband can't quite figure out why I am looking exceptionally awesome these days! The injections were painless and she even used a really cool vibrating gadget that helped distract me from any pain (which I did not feel at all). She took her time, explained everything in detail and gave me great post op care instructions. Her office is spectacular with overlooking views of Central Park...million dollar view for sure! Her staff is warm,welcoming ,always smiling and so amazing at confirming appointments AND they even called me the next day to see how I was feeling after the injections...totally thoughtful follow up care, they make you feel like family! Hands down she is the best, her surgical work as well is beyond incredible. I will be back for more Botox and her injectable filler work is flawless as well."- M. / RealSelf / Mar 31, 2017
"I LOVE Dr Khuthaila. She is one of the very few doctors that will not only do an amazing and meticulous job, but will take her time to explain the procedure and answer all questions along the way, and do it with the integrity of a true professional and with the best interest of the patient in mind first and foremost. I saw many plastic surgeons before I found her, at the recommendation of a very close friend, and once you meet her, you will immediately understand why her patients love her so much. She's treated me and my mom, I've recommended her to friends and will keep going back to her. She is 5 star all around. As an added bonus, her gorgeous office overlooks Central Park and is close to wonderful restaurants and the nice shops on 5th and Madison. Thank you Dr Khuthaila!!!"- S.M. / Yelp / Aug 23, 2016
"Excellent experience - I am very picky, before the procedure I had 7 consultations with 7 different drs. She was by far the most detailed, honest and explained exactly what shall I expect. The procedure was very smooth, I didn't feel a thing, healing process was much faster than my friends who did it with other Drs I was able to go out 2 days after the procedureToday I am 2 weeks after And I have no visible scared or bruises Oh and the most important thing is She phoned to check on me and they have me a number to text or call if I have any questions and I did text many times and they reply fast and efficient Excellent experienceHighly recommended"- K. / RealSelf / Mar 30, 2017
After the Procedure@headingTag>
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?@headingTag>
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?@headingTag>
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?@headingTag>
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
- Recovery Time
- 1 Week
- Average Procedure Time
- 30 Minutes - 1 Hour
- Post-op Follow-up
- 2 Weeks
- Procedure Recovery Location