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6 Things You Didn’t Know Happen When You Get Botox® or Xeomin® Injections

It may be a miracle in a bottle and the ultimate wrinkle eraser, but do you really know what’s going on when a single dose of any neuromodulator (BOTOX®, Dysport or XEOMIN®) gets injected?

Neuromodulators temporarily inhibit the nerves that signal certain muscles to contract. Once these muscles are weakened, they can’t make the movements that cause lines and wrinkles (you can still make facial expressions, but they may not be as exaggerated). After a few months, the muscles regain activity, the line-smoothing effects begin to diminish and the treatment needs to be repeated.

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*Individual Results May Vary

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1) Small bumps appear, but only last for a few minutes. 

Small bumps (pea-sized or smaller), filled with fluid (saline) that’s used to dilute the injection material – because neuromodulators come as a powder – tend to pop up right after an injection—literally seconds later—but no need to worry, they’ll disappear.   The bumps disappear once the fluid has been absorbed by the skin – typically within a few minutes.

2) Injections go to work in just 1 minute

Botox® and Xeomin® injections do not directly treat the wrinkle. The injection simply blocks the nerves that create muscle movement in the injected area.   It reduces muscle activity so that the wrinkle is no longer creased and reformed. When the muscle activity causing the folding stops, the body can start repairing these wrinkles. Although the effects of the injections will go to work within one minute, but patients should not expect to see full results for a few days, or possibly up to 1-2 weeks.

When the result of the injections are fully visible, patients will notice smoother skin in the treated area, especially the forehead. This is the result of the reduced amount of muscle activity in the area, which leads to smoother, more pliable skin. And smoother looking skin is younger-looking skin!

3) The results are not permanent

Botox results will start to wear off in three months, while Xeomin results typically last longer (4-5 months), and then you’ll need to do it again to maintain your smooth, wrinkle-free skin in the treated area. The chemical reaction that bonds the neuromodulator to muscle cells is permanent, but new nerves sprout connections to the muscle, so communication resumes after a few months. Once that muscle regains activity, any lines that were originally there will start to come back.

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To learn more, schedule your consultation with Dr. Schwartz by filling out the form on this page or by calling his practice at 913-451-8346. Premier Vein & Body by Schwartz serves patients throughout the Kansas City metro.

4) The more often you do it, the less you’ll need

The more frequently you get injections, the less product you’ll need over time. That’s because your muscles tend to have a longer response as the product is used more often. And, over time, the muscles have been weakened and aren’t as active, so the amount of product necessary to smooth out lines and wrinkles starts to decrease.

5) Not all injectors are equal

Just because neuromodulators are widely available, doesn’t mean you should let just anyone inject you. When put into the wrong hands and used incorrectly, a neuromodulator can “turn on you” and make you look frozen or distorted, or create a droopy eyelid if injected too low (or have more serious side effects).  Although each state has slightly different medical requirements, the state of Kansas requires your injector to be a board-certified physician, physician assistant or a nurse with a BSN. Keep in mind that experience and training counts – ask your provider just how long they’ve been injecting patients.

6) Future wrinkles can be prevented

While some doctors don’t feel that it’s necessary to inject neuromodulators before lines and wrinkles are evident, others feel using them proactively can prevent the formation of lines and wrinkles so that they never surface. If Botox® or Xeomin® are injected before a patient’s lines become etched in, you will be preventing the wear that causes the lines to form in the first place.


*Individual Results May Vary


Read from real patients about their experiences with Dr. Schwartz and his team at Premier Vein & Body by Schwartz.

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