When it comes to reducing fine lines and wrinkles, injectables like Botox and Xeomin are two of the most popular non-surgical treatment options available today. But how do you choose between the two? In this comprehensive guide, we’ll break down the key differences between Botox and Xeomin, their benefits, side effects, treatment longevity, and who is the ideal candidate for each. Whether you’re new to wrinkle relaxers or deciding which to try next, this article will help you make an informed decision.

What Are Botox and Xeomin?

Both Botox and Xeomin are injectable neurotoxins derived from botulinum toxin type A. They work by temporarily blocking nerve signals to the muscles, which softens the appearance of dynamic wrinkles (caused by facial movement) such as:

  • Crow’s feet
  • Forehead lines
  • Frown lines (glabellar lines)

Although they share a similar purpose, there are important differences in their formulation, onset, and usage.

Botox: The Industry Standard

What Is Botox?

Botox is a brand name for botulinum toxin A, produced by Allergan. It has been FDA-approved for cosmetic use since 2002 and is used globally for both aesthetic and medical treatments.

Key Benefits of Botox:

  • Proven Track Record: Over 20 years of clinical use
  • Fast-acting: Results typically visible within 3–5 days
  • Versatile: Also used for treating migraines, excessive sweating, and TMJ pain

Potential Drawbacks:

  • Contains accessory proteins which can cause resistance in some users over time
  • Slightly more expensive than Xeomin in some markets

Xeomin: The Purified Alternative

What Is Xeomin?

Xeomin is a newer injectable approved by the FDA in 2010. It is manufactured by Merz Pharmaceuticals and is known as a “naked injectable” because it does not contain the accessory proteins that Botox does.

Key Benefits of Xeomin:

  • Pure formulation: Contains only the active botulinum toxin (no additives)
  • Reduced risk of resistance over long-term use
  • Often more cost-effective than Botox

Potential Drawbacks:

  • Slightly slower onset: May take 5–7 days to see full results
  • Less brand recognition, though results are clinically proven

Botox vs. Xeomin: Key Differences

FeatureBotoxXeomin
FDA Approval Year20022010
Active IngredientBotulinum Toxin A + proteinsBotulinum Toxin A only
Onset of Results3–5 days5–7 days
Duration3–4 months3–4 months
Cost (per unit)Slightly higherOften slightly lower
Resistance RiskModerate (due to proteins)Lower (no proteins)

Who Should Choose Botox?

Botox may be a better choice if:

  • You want faster visible results
  • You’ve had good results with Botox in the past
  • You’re seeking multi-purpose treatment for migraines, sweating, or muscle spasms
  • You prefer a brand with a long track record and high name recognition

Who Should Choose Xeomin?

Xeomin may be a better option if:

  • You want a more purified formulation with fewer additives
  • You’re concerned about building resistance to Botox over time
  • You prefer a cleaner option for long-term wrinkle treatment
  • You want a similar result at a more affordable price

How Long Do Results Last?

Both Botox and Xeomin typically last 3 to 4 months, depending on your metabolism, muscle activity, and dosage. With consistent use, some people notice that their results last longer as facial muscles weaken over time.

To maintain results, it’s recommended to get touch-up treatments every 3 to 4 months.

Are the Side Effects the Same?

Yes, both Botox and Xeomin share similar side effects. Most are temporary and mild:

Common Side Effects:

  • Redness or swelling at injection site
  • Headache
  • Mild bruising
  • Temporary drooping of the eyelid (rare)

Less Common Risks:

  • Flu-like symptoms
  • Dry eyes or excessive tearing

Always consult with a licensed provider who understands facial anatomy and customizes your dosage.

Can You Switch Between Botox and Xeomin?

Yes! Some patients rotate between the two to prevent resistance or simply test which works best. If you’ve built up a tolerance to Botox or aren’t getting the same results, Xeomin might be a great alternative.

Cost of Botox and Xeomin in New Braunfels

At Skin Deep NB, we offer both Botox and Xeomin at competitive prices. While exact pricing depends on units used and treatment area, here’s a rough guide:

  • Botox: $11–$14 per unit
  • Xeomin: $9–$12 per unit

We offer consultation to determine the right number of units for your goals.

Still Unsure? Schedule a Consultation

Every face is unique, and so is every treatment plan. If you’re still debating Botox or Xeomin, we invite you to schedule a free consultation at our New Braunfels clinic. Our licensed injectors will assess your skin, explain your options, and design a customized plan.

Final Thoughts

Choosing between Botox and Xeomin doesn’t have to be confusing. Both offer powerful wrinkle-smoothing benefits with minimal downtime. The right choice depends on your skin sensitivity, past experience, and treatment goals.

Skin Deep NB proudly offers both injectables with personalized care in a medical-grade environment. Whether you’re seeking your first treatment or considering switching products, we’re here to help you look and feel your best.

FAQs

Is Xeomin as effective as Botox?

Yes, studies show Xeomin delivers similar results to Botox. It may take slightly longer to kick in but lasts the same duration.

How many units do I need?

It depends on the treatment area. For example, forehead lines may require 10–20 units. Your provider will advise during consultation.

Can men use Botox or Xeomin?

Absolutely! Men are increasingly choosing both options for a more youthful, relaxed appearance.