Botox® & Xeomin®

Frequently Asked Questions about Botox®

What is Botox® treatment?

Botox® is a natural, purified protein that relaxes wrinkle-causing muscles, creating a rejuvenated appearance. The active ingredient in Botox® treatment is derived from bacteria in much the same way penicillin is derived from mould. It is manufactured in sterile laboratory conditions.

Botox® is a prescription-only medicine and treatment is only available from a qualified medical professional. It is registered for the treatment of crow’s feet (the lines that radiate from the corner of your eye when you smile or squint), forehead lines (the horizontal lines that form when you raise your eyebrows) and glabellar frown lines (the vertical lines that appear between your eyebrows when you frown).

How does Botox® treatment work?

Botox® can be used to relax specific facial muscles that cause dynamic wrinkles (these are the wrinkles that are formed during facial expression). Once the muscles are relaxed, you cannot contract them and continue to make the undesirable facial expressions. Thus, the lines gradually smooth and new lines are prevented from forming.

Botox® is used to treat:

  • Frown lines
  • Crow’s feet
  • Bunny lines
  • Grumpy face lines (DAO’s)
  • Gummy smile
  • Jaw slimming/Teeth grinding (TMJ)
  • Chin buckling (Mentalis)
  • Neck bands/Platysmal Bands
  • Excessive Sweating

What does Botox® treatment involve?

Botox® treatment is a non-surgical procedure whereby a small amount of Botox® is administered into selected facial muscles by a trained medical professional using a very fine needle. Generally, Botox® treatment takes around 10 minutes. Discomfort is typically minimal and brief, and no anaesthetic is usually required. The injection may sting for a few seconds but normal activities can be resumed soon after.

After the injection, it takes 2-3 days for the Botox® treatment to begin taking effect and about 7 days to see the full effect. The dose recommended for the treatment will vary depending on your individual situation and the severity of your lines. Your Doctor or Nurse will know what the best dose is for you and which muscles to inject to give you the best results.

How long does Botox® treatment last?

The effect can last up to 4 months before lines slowly begin to return. If you have repeat Botox® treatments, the effect tends to last longer.

Does Botox® treatment cause more wrinkles to form?

Botox® will relax the facial muscles that cause expression lines. It does not cause more wrinkles to form. If you choose not to have further Botox® treatments your muscles will eventually return to normal activity and your wrinkles will gradually revert to their pre-treatment levels.

Will facial expression be affected by Botox® treatment?

Botox® works specifically on the muscles treated. This means that any muscle left untreated, including untreated facial muscles, should not be affected by the Botox® treatment. Your Doctor or Nurse will determine the best dose for you and which muscles to inject to give you the best results.

Are there any side effects of Botox®?

In addition to its use for cosmetic reasons, Botox® treatment is also used to treat patients in a variety of therapeutic indications, including cerebral palsy in children, movement disorders (head, neck, shoulder, face), and axillary hyperhidrosis (excessive underarm sweating).

In the amounts used for the treatment of upper facial lines, the side effects are usually temporary and localised to the area of injection. Possible side effects include headaches, pain, burning/stinging, bruising, swelling or redness at the injection site, local muscle weakness, including drooping eyelids/eyebrows, swollen eyelids, skin tightness, tingling sensations, itching/aching forehead, nausea and flu-like symptoms.

How long has Botox® been used?

Botox® treatment has been used in Australia and New Zealand in therapeutic treatments for over 20 years. It was first approved for use in New Zealand in 1991.

Can Botox® treatment be combined with other products and procedures?

Many people use a combination of cosmetic products and/or procedures with Botox®. Your Doctor or Nurse will advise you as to whether or not you will receive better results if your Botox® treatment is combined with other products and/or procedures.


Xeomin® – the new Botulinum on the block!

Xeomin® is the purest form of Botulinum Toxin on the market today. It does not have the complexing proteins that its predecessors have, which can be one of the factors involved in treatment failure with the other forms of Botulinum Toxin.

In other words, if you are treated with this toxin only, you will have less likelihood of a strong immune reaction. The less pure the toxin, the stronger the immune reaction that can be triggered. Botox® has more complexing proteins and Xeomin® has none.

Like Botox®, Xeomin® works by paralyzing wrinkles. It blocks the signals from the nerves to the muscles. As a result, the targeted muscle cannot contract.

Xeomin® versus Botox®.

Botox® and Xeomin® have a lot in common, but they also have some important differences. Unlike its predecessors, Xeomin® does not need to be refrigerated. This may be an advantage when it comes to distribution. What’s more, Xeomin® is “naked”. There are no additives – just botulinum toxin type A. This may lessen a patient’s likelihood for developing antibodies to Xeomin®. When your body senses a foreign invader, it responds by creating antibodies and launching an attack. If this were to occur with a neurotoxin such as botulinum toxin type A, it may not have its desired effects.

Xeomin® is said to be more like Botox® than Dysport®. It takes about one week for the full effects of Xeomin ®injections to be realised, and once this occurs the results last from three to six months. Dysport®, Xeomin® and Botox® should not be used interchangeably.

What is Botulinum Toxin?

Botulinum toxin is a naturally-occurring protein produced by the bacteria Clostridium botulinum. Botulinum toxin type A – the active ingredient in Xeomin® – is produced commercially from C. botulinum serotype A.

How does Xeomin® work?

Xeomin® is injected into muscles to decrease their activity. Xeomin® blocks the release of a chemical messenger – acetylcholine – that conveys the signal from nerve terminals and causes muscle fibers to contract. Not all terminals are affected by botulinum toxin, so the muscles can still contract, just less forcefully.

Xeomin® is used to treat:

  • Forehead lines
  • Crow’s feet
  • Bunny lines
  • Grumpy face lines (DAO’s)
  • Gummy smile
  • Jaw slimming/Teeth grinding (TMJ)
  • Chin buckling (Mentalis)
  • Neck bands/Platysmal Bands
  • Excessive Sweating

Are all Botulinum Toxin products the same?

Not all botulinum toxin products are the same. This is reflected in the unique names for each product. The dose of Xeomin® may be different from other botulinum toxin products.

How is Xeomin® made?

In nature, C. botulinum produces the toxin in association with accessory proteins (toxin complex). Merz takes the toxin complex and employs a proprietary manufacturing process that isolates the therapeutic component and removes the accessory proteins to produce Xeomin®.

If you are interested in Xeomin® injections, please feel free to make a consultation with one of our Cosmetic Medicine Nurses.

If you are interested in learning more about Botox®/Xeomin® use for any of these treatments, please contact Clinic Eleven on to schedule a consultation with one of our Cosmetic Medicine Nurses.
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Please take the time to read our Botulinum Toxin Type A page as this informs you of the contraindications and side-effects of these treatments. Botulinum Toxin is a medicine and must be treated as such, only to be injected by a Registered Medical Professional.

All before and after photos on the Clinic Eleven website are genuine untouched photographs of our patients. Because results may vary from patient to patient the photos provide guidance only to the possible results. Your individual results may vary from those seen in the photographs for a variety of reasons. All before and after photographs are © Clinic Eleven.

BOTOX® is a prescription medicine containing 100 units of Clostridium Botulinum Type A toxin complex for injection. It is used for the treatment of severe frown lines and associated ‘crow’s feet’ around the eyes. It should be administered only by trained medical professionals. Talk to your specialists about the benefits/risks of this procedure in appearance medicine. Cautions: people with neuro-muscular transmission disorders, presence of infection at site of injection, pregnancy and lactation. Possible side effects include headaches, pain, burning sensation or redness at injection site, temporary local muscle weakness including eyelid droop, decreased sensation and nausea. If you have side effects or concerns, talk to your doctor. A charge applies. Allergan Pharmaceutical, Auckland.

Xeomin® is a Prescription Medicine containing 50, 100 LD50 Units of clostridium botulinum Type A toxin complex for injection. It is used for the treatment of frown lines on the forehead in adults. It should be administered only by trained medical professionals. Talk to your specialist about the benefits/risks of this procedure in appearance medicine. Xeomin treatment lasts about four months and further courses of treatment may be necessary. Cautions: Generalised disorders of muscle activity; Infection or inflammation at the proposed injection sites, pregnancy and lactation. Possible side effects: headache, pain, swelling or infection at injection site, local muscle weakness including drooping eye lids, lack of feeling & nausea. You will need to pay for this medicine. Discuss with your specialist if Xeomin is right for you. For more information or for a copy of CMI please contact the NZ distributor: NZMS Ltd: 2a Fisher Crescent, Mt Wellington, Auckland, Ph 09 259 4062.TAPS NA7621.

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