As you age, wrinkles and fine lines develop from the years of making facial expressions. When you smile, frown, or look inquisitive, the repetitive muscle movements etch lines into your face. BOTOX® Cosmetic and Xeomin® are injectable wrinkle-reducers that can help soften these lines and wrinkles, creating a more youthful, vibrant appearance.
Dr. Laura Riehm of Skin Deep Laser MD offers these injectables to patients in the Fort Worth area. A graduate of Cambridge University and Baylor College of Medicine, she is committed to providing research-backed, FDA-approved aesthetic treatments in a safe and luxurious environment. Call her office or book online to learn how your look can benefit.
What Are BOTOX Cosmetic and Xeomin?
BOTOX Cosmetic and Xeomin are neurotoxin injectables that block nerve signals from reaching underlying facial muscles, temporarily relaxing them. This softens wrinkles and lines, smoothing your skin and creating a more youthful look. You won't end up expressionless after treatment. You'll simply appear softer and more relaxed.
Both BOTOX and Xeomin contain botulinum toxin type A. However, Xeomin is manufactured slightly differently, resulting in a purer compound without unnecessary accessory proteins. Because of this, some patients find Xeomin less likely to cause resistance over time.
Who Performs the Injections?
At Skin Deep Laser MD, we feel that only physicians with advanced training should inject neurotoxins into a person's face. Our owner and supervising physician, Dr. Riehm, is the only provider who performs injection treatments.
Common BOTOX and Xeomin Treatment Areas
BOTOX and Xeomin are most commonly used for frown lines between the eyebrows, on the crow's feet around the eyes, and on forehead wrinkles. These frown lines can make you look worried, angry, or just tired. Both injectables are particularly effective at softening these expressions.
Lesser-known areas that can be treated are "bunny lines" (wrinkles below the bridge of the nose), a "gummy smile," downturned corners of the mouth, and "smoker's lines" around the lips.
Painful migraines and tension headaches also respond very well to injections. BOTOX or Xeomin injected into the masseter muscles relaxes jaw clenching (bruxism), reduces tooth grinding, and relieves aching jaws.
Ideal Candidates for BOTOX or Xeomin
Good candidates for BOTOX or Xeomin are healthy adults who want to soften facial lines caused by repeated expressions, such as frowning, squinting, or smiling. These injectables work best for dynamic wrinkles, including crow's feet, forehead lines, and frown lines between the eyebrows.
Ideal patients are not pregnant or breastfeeding, have no active skin infections at the injection site, and do not have certain neuromuscular conditions. Candidates should also have realistic expectations — BOTOX and Xeomin smooth wrinkles temporarily but do not permanently change facial structure.
Do BOTOX and Xeomin Injections Hurt?
The injection of these neurotoxins does involve a needle, so you'll feel a slight pinch at all locations that receive a shot. The sensation is quick, though, and most people tolerate the treatments easily and with minimal discomfort. If you're concerned, talk to Dr. Riehm about using ice or numbing cream prior to treatment.
When to Expect Results From BOTOX or Xeomin Injections
Depending on the area, you will start to see results within 3-10 days. Full results occur within 5-14 days.
How Long Do BOTOX and Xeomin Last?
The effects of Botox and Xeomin are temporary. They last about 3-4 months, so you can come in for retreatment to maintain your look.
One of the benefits of Xeomin is that it is a purer version of the toxin. If you've been getting BOTOX for several sessions, but feel it's not just working as it once did, you may be experiencing "dose creep." In these cases, Xeomin might be a better option because it doesn't have some of the accessory proteins to which you may have become immune.
Average BOTOX or Xeomin Session Length
A typical BOTOX or Xeomin treatment session is quick and convenient. It often takes about 10 to 20 minutes to complete, although the exact duration depends on how many areas are being treated and the depth of the lines or wrinkles.
Because there's no need for anesthesia or recovery time, many patients schedule their appointments during a lunch break. After your provider cleans the area and performs a few small injections, you can immediately return to work or daily activities without interruption.
Why Choose Skin Deep Laser MD for BOTOX or Xeomin in Fort Worth?
Patients choose Skin Deep Laser MD for BOTOX and Xeomin because treatments are performed exclusively by Dr. Laura Riehm, a board-certified physician with years of medical experience and advanced aesthetic training.
Dr. Riehm's focus is on achieving natural, refreshed results—never a frozen or overdone appearance. The practice also uses FDA-cleared technology and follows a progressive approach that minimizes discomfort and downtime.
At Skin Deep Laser MD, patients receive honest recommendations, exceptional care, and high-quality results at a lower cost than most local providers. You'll be treated in a safe, physician-supervised setting where your comfort and satisfaction come first.
FAQs
Are There Any Side Effects After BOTOX Cosmetic or Xeomin Injections?
When administered by a qualified medical professional, BOTOX and Xeomin have a well-established safety record and are generally well tolerated. Most patients experience only minor, short-lived side effects.
Mild redness, swelling, or small bumps at the injection sites are common and typically fade within a few hours. Some people may also notice slight bruising or tenderness, which resolves quickly.
Rarely, temporary eyelid drooping or unevenness can occur if the product moves beyond the intended area. To reduce risks, follow all post-treatment instructions and avoid touching or massaging the treated areas.
What Should I Avoid After Getting BOTOX or Xeomin Injections?
Certain behaviors can interfere with your results. For at least 24 hours after your appointment, avoid:
- Touching, rubbing, or massaging the treated areas to prevent the product from spreading to unintended muscles.
- Lying down, bending over excessively, or engaging in vigorous exercise.
- Alcohol and blood-thinning medications, as they can increase bruising.
- Applying makeup (on the same day as the treatment).
Following these simple guidelines helps the injectable settle properly, supports even results, and minimizes the chance of irritation or unwanted side effects.
Can I Combine BOTOX or Xeomin With Other Aesthetic Services?
Yes, BOTOX and Xeomin can be safely combined with other aesthetic services for more comprehensive rejuvenation.
Many patients pair these injectables with dermal fillers to address both dynamic wrinkles and volume loss in the face. They can also be used alongside microneedling, chemical peels, or laser procedures, though your provider may space out treatments to avoid skin irritation.
During your initial consultation, your provider will create a personalized plan based on your goals, ensuring each treatment complements the other for natural, refreshed results.
Schedule a BOTOX or Xeomin Consultation Today
BOTOX Cosmetic and Xeomin are excellent tools for addressing wrinkles and refreshing your look. Our team at Skin Deep Laser MD can help you decide which approach is best for you. Contact us today at 817.263.7546 to book an appointment at our Fort Worth practice.
