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Why is My Botox® Wearing Off So Fast?

While our facial expressions help make us unique, they also contribute to the formation of lines and wrinkles. At first, these lines may only appear when you laugh, smile, or frown, but over time, you may notice that you can still see them at other times. Neuromodulators, such as Botox Cosmetic, Dysport, Xeomin, or Jeuveau, are injected to treat dynamic wrinkles, including frown lines and crow’s feet. Although Botox® is the most well-known and highest-selling neuromodulator, Dr. Craig Schwartz actually prefers to use Xeomin® to smooth facial lines and wrinkles, especially in patients who have developed antibodies to Botox, decreasing the effects of Botox.

What is Botox® (Botulinum Toxin)? 

If you asked most people to name an aesthetic treatment, many of them would mention Botox®. The worldwide popularity of this wrinkle-smoothing treatment comes from its safety, effectiveness, and convenience, but options like Xeomin® are equally, if not more, effective. Botox® is delivered by injection and used to target the facial muscles that create lines and wrinkles. It relaxes the muscles, allowing your skin to become smooth and wrinkles to disappear.

Botox & Dermal Fillers

How Do Botox® and Xeomin® Work?

The botulinum toxin in Botox® and Xeomin® works by targeting facial muscles that crease and tug on the skin. When injected, Botox® travels to the facial nerves. It temporarily stops them from releasing a signal called acetylcholine that tells facial muscles to contract. Without these signals, the muscles relax and free the skin from pulling and creasing. 


Since the effects of botulinum toxin are temporary and do not harm the facial nerves, Botox® can be used safely for a wide range of medical and aesthetic purposes. Botox® and Xeomin® are the safest and most effective ways to address facial lines and wrinkles caused by muscle movement. Dr. Craig Schwartz provides all Xeomin® injections himself to ensure safe and aesthetically pleasing results. 

Why is My Botox® Wearing Off So Fast?

Each person’s body responds differently to Botox® or Xeomin®, and it may last longer for some people than others. Most people will see their initial Botox® results appear within a few days of their injections. Full results develop within seven to ten days. This timeline may vary depending on your response. 


While all the brand-name neurotoxins out there (Botox, Dysport, Jeuveau, Xeomin, Daxxify) utilize botulinum toxin A, there are some subtle nuances among them when it comes to what else is in the ingredients. For example, the first three brands contain stabilizing proteins, while Daxxify is made with a peptide, and Xeomin has no proteins. It’s why injectors, including Dr. Schwartz, often have a preference.


Most people find that Botox® lasts three to four months. However, your experience may be different. Many patients who have had Botox® regularly for some time may find that their results last longer than usual because their muscles have become accustomed to their relaxed position. Others may remove Botox® unusually quickly and need treatment more often. Most frequently, though, this tends to happen in patients who have been getting the same brand-name neurotoxin containing proteins for years and need to change it up. 


Because there are accessory proteins with Botox®, there may be a chance a patient will develop antibodies to the injectable, and this could prevent it from having its desired effect. Because Xeomin® is purified without the extra proteins, there isn’t a chance those additional protein antibodies will form. If your Botox® is wearing off too fast, you may benefit from switching to Xeomin®. This effective treatment lasts longer for many people, and switching to Xeomin® is likely to restore your great results. 

What Do Botox® and Xeomin® Treat?

Botox® and Xeomin® treat the following aesthetic concerns:

  • Crow’s feet at the corners of the eyes
  • Horizontal forehead lines
  • Vertical lines between the brows (glabellar lines or the 11s)

It is also approved to treat medical conditions such as muscle spasms, migraines, and excessive sweating. While you have other options for treating hyperhidrosis of the underarms, (excessive sweating), Botox® is still used almost anywhere you want to control muscle contractions without causing nerve or muscle damage.

Consultations Available Now

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.

Is There Any Downtime After Botox® or Xeomin®?

Your Xeomin® injections can take as little as 15 minutes, and most people either feel nothing or a minor pinch. You can leave your appointment and return to work or other activities immediately with no downtime. Some people notice minor swelling or bruising in the injection area that fades within a few days. 


You should avoid rubbing your face for several hours after getting Xeomin®. Wait till the following day to resume your exercise routine, and do not get any other facial procedures within a few days of getting your injections. In general, Botox® is an easy, convenient “lunchtime” treatment that fits into the busiest schedules. 

Am I a Good Candidate for Botox® or Xeomin®?

Botox® and Xeomin® are safe and effective for most people but are not recommended for everyone. Good candidates for these treatments should be 18 or older and have reasonable expectations. There is no “right” age to start this treatment, and many younger individuals now have Xeomin® as a preventative treatment to keep facial lines from forming. 

Do I Need Xeomin® or Dermal Fillers?

Xeomin® and dermal fillers are injectable anti-aging treatments that can be used to address lines and wrinkles, but they work in different ways. Xeomin® addresses dynamic lines and wrinkles caused by facial motions, and dermal fillers smooth wrinkles by restoring lost facial volume. Most people will develop both types of lines and can benefit from both treatments. Dr. Schwartz may recommend dermal fillers if you have areas of lost volume.


*Individual Results May Vary


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

Take the Next Step

If you are interested in Botox® or Xeomin®, please call us at (913) 451-8346 or complete our online contact form, and one of our trusted staff members will reach out to you. Premier Vein & Body is located in Kansas City, MO, just past the State Line, and proudly serves Leawood, Overland Park, Johnson County, and the entire Kansas City metro area.

** This blog provides general information and discussion about medicine, health, and related subjects. The words and other content in this blog and any linked materials are not intended and should not be construed as medical advice. If anyone has a medical concern, they should consult with an appropriately licensed physician.

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