Healthy Smiles Dental
Matthew T. Kingston, DMD
First time Botox Client Special – First 20 units at $10/unit and 20+ $12/unit
Dr. Kingston began using Xeomin in his practice to help patients with bruxism and TMJ issues. We also have many patients that have it placed for their fine lines and wrinkles at the time of their cleaning appointments. Xeomin and Botox are very similar with the main difference being that Xeomin does not have any additives and that is primarily what we use in our office.
For TMJ, the injection of Xeomin can last anywhere from 3 to 5 months, and can reduce or eliminate your jaw pain.
An injection of Xeomin, or incobotulinumtoxinA, into the muscle will relax it and this will reduce the tension in the jaw. This keeps the strain on your TMJ lower, alleviating jaw pain. If you grind your teeth, having a less tense jaw might even solve that problem for you too.For all other injection site areas Xeomin can last 3-4 months. This can range from patient to patient but the average is the 3-4 months. It is also common for
first-timers to notice that it may not last as long initially but may last longer after the second treatment. Everyone has a unique experience and results may vary.
Neurotixins generally take effect in 3-5 days but it is common to not see your full and final results for 7-10 days.
In an ideal situation it is prudent to follow some simple guidelines before
treatment that can make all the difference between a fair result or great
result, by reducing some possible side effects associated with the
injections. We realize this is not always possible; however, minimizing these
risks is always desirable.
● Avoid Alcoholic beverages at least 24 hours prior to treatment
(Alcohol may thin the blood increasing risk of bruising.)
● Avoid Anti-inflammatory / Blood Thinning medications ideally, for a
period of two (2) weeks before treatment. Medications and
supplements such as Aspirin, Vitamin E, Gingo Biloba, St. John’s Wort,
Ibuprofen, Motrin, Advil, Aleve, Vioxx, and other NSAIDS are all blood
thinning and can increase the risk of bruising/swelling after
● Schedule your appointment at least 2 weeks prior to a special
event which may be occurring, i.e., wedding, vacation, etc. etc. It is
not desirable to have a very special event occurring
The guidelines to follow post treatment have been followed for years, and
are still employed today to prevent the possible side effect of ptosis. These
measures should minimize the possibility of ptosis almost 98%.
● No straining, heavy lifting, vigorous exercise for 3-4 hours following
treatment. It is now known that it takes the toxin approximately 2
hours to bind itself to the nerve to start its work, and because we do
not want to increase circulation to that area to wash away the Botox® from where it was injected. This waiting period continues to
be recommended by most practitioners.
● Avoid Manipulation of area for 3-4 hours following treatment. (For the same reasons listed above.) This includes not doing a facial, peel, or micro-dermabrasion after treatment with Botox®. A facial, peel, or micro-dermabrasion can be done in same appointment only if they are done before the Botox®.
● Facial Exercises in the injected areas is recommended for 1-hour following treatment, to stimulate the binding of the toxin only to this localized area.
● Do not lie down or bend over for 3-4 hours following treatment. (This instruction has been employed for years by some practitioners, although, we have not been able to find out the main reason for this since many practitioners inject while the patient is in a lying position. Many practitioners do not adhere to this anymore.
● It can take 2-10 days to take full effect. It is recommended that the patient contact office no later than 2 weeks after treatment if desired effect was not achieved and no sooner to give toxin time to work. Makeup may be applied before leaving the office. Some practitioners recommend avoiding Retin-A, Glycolic acid, Vitamin C, and Kinerase for 24 hrs to the treated areas.
For more information on Xeomin: https://www.xeominaesthetic.com/professionals/product/
For more information on Xeomin/Botox procedures: https://www.facialesthetics.org/botox-procedures/