Xeomin, a prescription-strength wrinkle treatment, is similar to BOTOX in that it is made from a toxin, botulinum type A, which relaxes the underlying muscles that cause wrinkles. The associated muscles’ nerve activity is blocked which temporarily calms the muscles down and this results in a reduction in the appearance of wrinkles. Denver plastic surgeon, Dr. Manish Shah, injects Xeomin because it doesn’t contain any additives, which reduces the probability that a patient will be resistant to it. Dr. Shah administers Xeomin to treat facial furrows such as moderate to severe lines found between the eyebrows and frown lines to provide patients with a more relaxed, well-rested appearance.
"My Muscle Wall Gave Way Giving my Abdomen an Unsightly Large Buldge - Denver, CO - I met Dr Shah in 2007 when he did a face lift for me. I was really happy with the results. When I found out no amount of diet and exercise would remedy the problem with my abdomen I contacted him. and even through I no longer live in Colorado, I knew he was the doctor I wanted to perform my surgery.I am a little over four weeks after surgery and I am thrilled with the results. I am 66 years old and healing well and now I have the tummy I have dreamed of having.Thank you Dr Shah I appreciate your skill and care!"- D. / RealSelf / Sep 05, 2015
"I had been contemplating a revision rhinoplasty after not being fully happy with my first rhinoplasty. I went to several doctors and all told me to put fillers into my nose. I wasn’t comfortable with that as I wanted a permanent fix. I had a few issues with my nose and overall I felt the nose just didn’t fit my face. After talking with Dr Shah I finally felt like I was being heard! I am now 6 or so weeks post revision and I can say all the “problem areas” I was concerned about were corrected. The results are far beyond my expectations! I am also a little bit of a worrier and I’m concerned about persistent swelling occurring again. Even though my follow up is several weeks away, he fit me in sooner to hear my concerns. Having a Dr willing to see you when you feel concerned or worried is worth everything! So not am I only over the moon with my results, I feel as though I can come to him with concerns along the way and he will listen. I would highly recommend Dr Shah to anyone considering rhinoplasty or revision rhinoplasty. He is truly and artist and did a wonderful job creating a nose that fits my long, angled face! I am So thankful and so happy!!! Thank you Shah team!!!"- M.N. / Google / Jul 25, 2019
"I went to MANY surgeons for rhino/septoplasty consults before finding Dr. Shah. The second I met him I knew he was the surgeon I wanted to perform the rhinoplasty. He is compassionate and thoughtful in his approach and explains the procedure very thoroughly. He wants the patient to be educated in his reasoning for what he does and make sure everyone is on the same page. He was one of the only surgeons that I felt truly took the time to understand what I wanted in a final outcome, as well as being very realistic with the results and making sure my breathing was optimal after surgery. I was able to see what the final outcome would be, and he was great at tweaking things to fit what I was wanting. He answered every single question I had pre AND post-op, (and was available for any questions I had while recovering, which most surgeons don't do). It has now been one month post-op, and I could not be more thrilled with my nose. Although I am only one month out, my nose is already everything I wanted and so much more, and my breathing is better than ever. Dr. Shah is truly a miracle worker. I cannot wait to see how it continues to change throughout the next eleven months. Dr. Shah represents the very genuine and sincere side of healthcare that is so rare to find nowadays."- L.U. / Google / Jul 17, 2019
"Dr. Shah and his entire staff are absolutley amazing! Everyone at Shah Aesthetic Surgery is extremely sweet and very knowledgeable, it brings a sense of comfort while going through each and every step with them. I wanted a rhinoplasty for years, it was something I thought about every time I looked in the mirror. After breaking my nose playing sports years ago and disliking it even more, I finally scheduled a consultation with Dr. Shah and knew about 30 minutes in that he was the surgeon for me. Dr. Shah sat down with me, anwsered every single question, went over every option available, explained to me in detail everything that would be done, (I didn't know I had a deviated septum as well) and was able to show me what the outcome would look like on me with computer software. I am so incredibly happy with the outcome, my only regret is not finding Dr. Shah sooner! I can't thank the entire team at Shah Aesthetic enough for everything they have done for me, especially helping me gain the confidence I have alway struggled with!"- M.K. / Google / Jul 14, 2019
"I am so happy I chose Dr. Shah for my rhino/septoplasty. He is compassionate and thoughtful in his approach and explains the procedure very thoroughly. He wants the patient to be educated in his reasoning for what he does and make sure everyone is on the same page. He took the time to understand what I wanted in a final outcome, as well as being very realistic with the results and making sure my breathing was optimal after surgery. He answered every question I had pre and post-op, (and was available for any questions I had while recovering, which is rare to find). It has been one month post-op, and I could not be more thrilled with my nose. Although I am only one month out, my nose is already everything I wanted and so much more, and my breathing is better than ever. Dr. Shah is truly a miracle worker. I cannot wait to see how it continues to change throughout the next eleven months. Dr. Shah represents the very genuine and sincere side of healthcare that is so rare to find nowadays"- L. / Healthgrades / Jun 26, 2019
What to Expect
Xeomin is an in-office procedure that is usually performed in less than 30 minutes. Prior to treatment, ink marks will be made to the injection sites on the face, and a fine needle will deliver the product directly into the skin. Xeomin is most effective in treating frown lines, crow’s feet, forehead furrows, and wrinkles around the chin area. There is no pain during the injection, but numbing creams may be applied to ease any discomfort caused by the injection prick. Mild swelling and redness may appear on the injection area, which usually subsides after a few hours. After a Xeomin treatment, there is no downtime, and most patients may resume normal activities.
Plan Your Procedure
- Procedure Recovery Location
Is BOTOX Better?
Xeomin is purely botulinum toxin type A unlike BOTOX (or Dysport), which has additives. This decreases the chances of the patient’s immunity to the medication. There is also the ease of distribution as Xeomin doesn’t require refrigeration. Other than that, both provide the same effect in treating facial cosmetic issues.
Is This Safe?
In the hands of a well-experienced practitioner, muscle relaxants are safe. The effects are also temporary, so if the patient is dissatisfied with the results, they can be rest assured that these results will not last forever. Xeomin has been proven by the FDA to be safe and effective to use.
Combined With Fillers?
A growing trend nowadays is a “liquid facelift” in which both muscle relaxers and derma fillers are combined in a single treatment. It is a noninvasive way of rejuvenating the facial appearance without surgery. Most patients who prefer this method believe the temporary and safe results outweigh the risks of a surgical procedure.