Merz North America Inc. says that the active ingredient in Xeomin is “botulinum toxin type A,” while the inactive ingredients are “human albumin and sucrose.” But, what really are these ingredients? What are the aesthetic uses of Xeomin? What are their medical counterparts?

Xeomin’s Medical Uses

“Xeomin is a prescription medicine used in adults that is injected into glands that make saliva and is used to treat long-lasting, or chronic, drooling (sialorrhea),” explains Merz North America Inc. It can also be used to “treat increased muscle stiffness in the arm because of upper limb spasticity; treat the abnormal head position and neck pain with cervical dystonia; and, treat abnormal spasm of the eyelids (blepharospasm) in adults.”

Back in 2010, the United States’ Food and Drug Administration first approved Xeomin for the treatment of blepharospasm and cervical dystonia in adults. “Blepharospasm is an abnormal, involuntary blinking or spasm of the eyelids,” says the United States’ National Institute of Health. While “cervical dystonia produces excessive muscle contractions in the neck. These muscle contractions cause involuntary movements and awkward positions of the head, neck, and sometimes shoulders,” says the Dystonia Medical Research Foundation. Ultimately, involuntary muscle movement is what characterizes both of these conditions.

Warnings and Side Effects

While Xeomin has proven true to its claims, the FDA’s approval is not without warnings, though. It is possible for Xeomin to weaken certain muscles to the point wherein one can have issues swallowing, breathing, or speaking. However, such adverse effects were only reported by 3.8% of individuals in a clinical trial.   

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Aesthetics via Prescription

Since Xeomin is a muscle relaxer, it can also treat frown lines, brow wrinkles, and crow’s feet. Globally, Xeomin was introduced in 2005, but in the United States, it garnered attention in 2010.

In fact, the active ingredient in Xeomin, as aforementioned, is botulinum toxin. Yes, the very same ingredient in Botox and Dysport — BOtulinim TOXin! But, what’s the difference?

Xeomin v. Botox

In Botox, specific proteins coat the botulinum causing antibodies to form. Unfortunately, this can sometimes reduce the efficacy of the product.  However, proteins do not coat the toxin in Xeomin. Therefore, antibodies are non-existent! The freeform toxin is able to directly interact with the body.

Side Effects

Your doctor will use a fine needle, so, the entire procedure will be virtually pain-free! Treatment only requires about 10 minutes. To clarify, there may be a slight burning sensation during the injection. But, to minimize any burning sensation, you can use an ice pack post-op.

Length of Results

Results typically last three to four months before additional treatment may be necessary.  Still, keep in mind that results may vary.

Have any questions about Xeomin? Do you think you’re a good candidate? Don’t hesitate to schedule a consultation! If you’ve had unsatisfactory results with Botox or Dysport, you might respond positively to Xeomin.



The information provided herein has been reviewed for accuracy, but cannot be guaranteed to be free of infallalacy. The information herein does not qualify as a diagnosis nor does it substitute a consultation with a licensed physician.

© 2019 ALLIED MEDICAL AND DIAGNOSTIC SERVICES LLC. ALL RIGHTS RESERVED.

Published: 20190206
Revised: 20190823

Post Author: Dr. Mirza

With over 15 years of experiences as a licensed physician, Dr. Muhammad Mirza is very knowledgeable in cosmetics. Having specialized in neurology, our doctor knows exactly how to contour cosmetic products to your needs perfectly. Dr. Mirza takes his knowledge and shares it on his website, in his offices, and across various other platforms.