Xeomin is a purified strain of botulinum toxin type A that, similar to BOTOX, is injected into certain facial muscles to soften the appearance of dynamic wrinkles. Dynamic wrinkles, as opposed to static wrinkles, are the result of repetitive facial expressions, like frowning, laughing, and squinting. After the course of many years, the muscles used for these expressions stay slightly contracted, which creates lines that stay visible even when you relax your face. Xeomin fully relaxes these muscles so the skin can appear smooth. Pacific Skin and Cosmetic Dermatology San Francisco & Marin is proud to offer many cosmetic and medical dermatology services, including Xeomin nonsurgical wrinkle relaxer treatments. If you would like to learn more about Xeomin, schedule a consultation with our board-certified dermatologist, Tracy Evans.
"Dr. Evans has performed Mohs surgery on my face twice and I could not be happier with the results. For the past couple decades, I have spent almost every Summer in the South of France because I have family and friends there. Of course it is a sunny place with lots of gorgeous beaches and other outdoor activities. I guess I got a little too much sun exposure on these trips, especially since I have fair skin and blue eyes. When I first found out I had a basal cell spot on my face I was very upset, but Dr Evans and her staff are absolutely amazing!!! I had never had any surgery on my face and I was worried about it, but I truly felt I had the kind of empathy and care that you would get from a family member or a great friend, from Dr. Evans and everyone else on her team. Dr. Evans did such a great job on both surgeries and they have healed so well, so much so that no one even notices that I have had two surgeries on my face. I have been going to her office for years now with regular skin checks and I have to say I am extremely impressed with the entire staff. In addition to the Mohs surgery, and after I had basal cell a second time, I decided to get Fraxel Laser done at Dr. Evans office. A lot of people do this for cosmetic reasons, but I did it because I found out that Fraxel can help reduce the chance of getting basal cell in the future. As a guy, I did not see myself spending thousands of $’s on laser for my face the first time, but after I got the 2nd basal cell on my face I decided it was worth the money if it reduced the chance of more basal cell in the future. I was very pleased with the Fraxel procedures and I have not had another basal cell issue since I had it, so I am very happy with the decision. The Fraxel laser procedure also evened out the toning on my face, so that was great as well. I highly recommend the Fraxel Laser to anyone who wants to potentially reduce the chance of basal cell, and I also have been taking Nicotinamide (a special form of vitamin B) which can also potentially reduce future basal cell issues, and I use a DNA enzyme repair cream at night which reduces the chance of basal cell. As I said before, I have not had basal cell since I had the Fraxel and I think taking Nicotinamide and using the DNA enzyme repair cream all have helped. After all this I realize how important skin care is and I am grateful that I got such great care. Most of my friends never go to a dermatologist and have an ignorance is bliss attitude, but with Dr. Evans and her amazing team, I am much more aware of how important it is to get regular checks and what can be done to maintain my skin going forward. My skin looks great and people think I look much younger than my actual age. One final point: I also have a couple friends that have HMO insurance that also have had basal cell. They have had surgeries at their HMO and I can tell you the care and the results they received are not even close to the care and outstanding results I have had with Dr. Evans. In some cases, the HMO made my friends wait a long time before they could even get the Mohs surgery and they also made mistakes, and their results in terms of scarring and healing were not the best. There is no way I would trust an HMO to do this surgery. At this point, I would only trust Dr. Evans with something this important. Thanks to Dr. Evans, Clarence, Shantelle, Kirstie, Danielle, Leslie, and the entire team! You all have helped me in a difficult situation more than once and I got through it as if nothing ever happened because of your amazing care and skills!"- E.R. / Yelp / Sep 25, 2021
"I want to write this review for Dr Evans’ staff and specifically for Krystal and Ava. I have been treated there 4 times this year. Each time I go I feel like my health and happiness is the most important thing in the world to both medical and administrative staff. I am not just the next person in their busy day that needs treatment and a means for the practice to make money. I am made to feel the same way as when I fly first class or stay in a world class hotel. The entire experience from the time I walk in the door until I walk out again is unlike anything I have experienced at any doctor or dentist or any medical facility. They are professional and compassionate with a great "bedside" manner. I am cared for as a patient and valued as a human each visit."- S.G. / Yelp / Sep 01, 2021
"Dear Tracy Evans M.D. Thank you_Thank you_Thank you. For your amazing expertise and talents. I could not be happier with my care. Everyone on your staff is so competent and awesome. So grateful, Deb Protheroe"- D.P. / Google / Jul 11, 2021
"Excellent, thorough medical care for the skin. I appreciate the fact that Dr Evans monitors my skin every 6 months for medical issues and catches anything amiss early. Knowledgeable staff to help with skin care products after medical needs met. Beautiful relaxing spa like waiting area."- B.F. / Google / Jun 11, 2021
"I was in desperate need of a quick remedy to extract my pores and hydrate my face. Mallory recommended the hydrafacial treatment for me. The whole treatment was quick, only taking about 30 minutes, and very affordable with NO down time! Mallory was an absolute gem! Prior to the treatment, she explained the process and made sure I was comfortable. I would highly recommend Dr. Evans team at Pacific Skin Dermatology. Can’t wait for my next treatment!"- K.K. / Yelp / May 30, 2021
Xeomin is very similar to both BOTOX and Dysport in that it works to relax certain facial muscles to soften dynamic wrinkles. It can be used to address dynamic lines on the forehead, between the brows, and around the eyes, though it is very important that your injections are performed by a professional for these delicate areas.
The main difference between Xeomin and the other wrinkle relaxers on the market is that Xeomin does not contain any additives — it is pure type A botulinum toxin. This can be beneficial for patients who have used BOTOX or Dysport long-term and have developed antibodies to the additives they contain. If you are interested in having a wrinkle relaxer treatment, it is important to discuss your past treatments, your medical history, and your current medications with Dr. Evans at your consultation.
At Pacific Skin and Cosmetic Dermatology San Francisco & Marin, we perform our Xeomin injections as an outpatient treatment at our San Francisco and Corte Madera offices. Most patients do not need any topical or local anesthesia as the treatment moves very quickly and is usually not uncomfortable. First, the areas of your face we are treating will be cleaned, and then your Xeomin injections will be performed with a fine-gauge needle. The whole process should not take a full half hour, and then we will apply pressure and cold compresses for a few minutes before you leave. This helps to stop any minor bleeding and reduce swelling or bruising.
What to Expect
You can leave our office immediately after your Xeomin treatment to resume your normal routine, but exercise and other strenuous activities should be avoided for at least 24 hours. You will need to sleep with your head elevated and use cold compresses periodically to speed healing and results. For a few days after a Xeomin injection, you may have some redness, swelling, and bruising at the injection sites, but this should heal on its own, and you can cover it with cosmetics if you want. The results with Xeomin are usually visible after four days and can last up to three months. Dr. Evans or one of her professional team members will talk to you about scheduling any maintenance injections at Pacific Skin and Cosmetic Dermatology San Francisco & Marin.
Frequently Asked Questions
How much does Xeomin cost?
The cost of your Xeomin treatment will depend on the number of injections needed to address your unique concerns. During your initial consultation, we will discuss your cosmetic goals so your treatment plan can be created. Then your cost can be estimated. Pacific Skin and Cosmetic Dermatology San Francisco accepts many forms of payment and frequently has specials on injectable treatments, like Xeomin.
Is Xeomin or BOTOX better for me?
Both Xeomin and BOTOX are injectable wrinkle relaxers made with a purified strain of botulinum toxin. Dr. Evans and the professional team at Pacific Skin and Cosmetic Dermatology San Francisco understand the subtle differences between Xeomin and other wrinkle relaxers so they can determine which is better for each patient. During your initial consultation, we will help you decide if Xeomin or BOTOX is right for your goals.
What's the difference between Xeomin and fillers?
Xeomin is a wrinkle relaxer that improves the appearance of dynamic facial wrinkles, especially the frown lines between your eyebrows (glabellar lines). A wrinkle filler addresses static wrinkles and restores volume. Be sure to tell Dr. Evans your specific concerns and goals so she can determine if you should get Xeomin, a dermal filler, or a combination of both.
Does Xeomin have side effects?
Xeomin is approved by the Food and Drug Administration (FDA) as a cosmetic wrinkle treatment and can be safely used on most patients. During your initial consultation, we will ask several questions, including any known allergies and all medications, herbs, and supplements you are currently taking. You should be open and honest to avoid any complications or side effects.
How often should I get Xeomin injections?
Improvements from a Xeomin treatment can last up to three months. Each patient will metabolize the injection at a different rate, which will determine how long his or her results last. During your initial consultation, we will discuss how often you should schedule appointments to touch-up your results.
Smooth and Relaxed
Age brings some wonderful gifts, such as wisdom and experience, but it can also come with unwanted changes, like lines and wrinkles, on the face. Xeomin injectable wrinkle relaxer treatments can relax and smooth dynamic facial wrinkles to rejuvenate your appearance. Contact Pacific Skin and Cosmetic Dermatology San Francisco & Marin to schedule your consultation. Tracy Evans, MD will perform a full evaluation to determine whether Xeomin or another wrinkle relaxer is best for you.
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