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
"Focused on patient satisfaction - Dr. Shah and the entire staff are very caring. I had liposuction over a year ago and they continue to see me and invite me in on a regular basis for follow ups. I also see Dr. Shah for Botox injections every couple of months. Dr. Shah will take care of you and make sure you are happy."- L. / RealSelf / Aug 06, 2017
"Fantastic crew and Dr. Shah is very honest , explained everything well and clearly , make me feel confident"- D. / Google / Jul 03, 2017
"Dr. Shah is great. I'm in my 50's and he has removed years of aging and sun damage from my face without surgery and without making me look like I've had anything "done". The most interesting thing so far has been the diamond polar treatments to tighten up the skin along my jawline. I recently did the Perfect Peel which was the best chemical peel I've had and I've had a few. I also like the fact that he does all the botox and filler injections himself instead of some offices where they have an ae"- K. / Healthgrades / Jun 22, 2017
"Dr. Shah is a physician artist - I live in northern Colorado and have been to a couple of plastic surgeons in my area. My first ps did my first BA in 1999 and the second BA for replacements 17 years later. I was never completely happy with either procedure/result.My second ps does my coolsculpt and botox, both very minor procedures. When I asked him about a lower facelift he said "too early for you, wait about 10 years"..."- T. / RealSelf / Jun 22, 2017
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.