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What to Do When BOTOX® Stops Working

When BOTOX® was first introduced, it almost seemed like a miracle cure for wrinkles as patients could erase their facial wrinkles without resorting to plastic surgery. BOTOX® is the most popular non-surgical cosmetic treatment, and some women are BOTOX® obsessed, getting their treatments every few months since they were in their twenties. As great as BOTOX® is, some patients do run into a problem after a while when their BOTOX® treatments just do not seem to work as well anymore. BOTOX® works by paralyzing facial muscles so that the patient can no longer crinkle their face to form laugh lines and other facial wrinkles and creases, but some patients will eventually build up a resistance to BOTOX®. BOTOX® resistance is relatively common, with an estimated one in two hundred patients experiencing this problem. When some patients get too many BOTOX® treatments, their body starts to produce antibodies to fight the proteins in BOTOX®, blocking its ability to do its job. When this happens, no matter how many BOTOX® injections you give your patient, their lines and wrinkles will remain.

So what can you do when faced with the problem of BOTOX® overload? You can try switching to a different brand of wrinkle relaxer. Although they are all based on botulinum toxin, different brands of wrinkle relaxers have different formulas that may be more effective for some patients. One example is XEOMIN®, which is Botulism Toxin Type A, like BOTOX®. Just like BOTOX®, XEOMIN® is a neurotoxin that blocks nerve impulses and paralyzes your patients' muscles so that wrinkles cannot form. However, the formula of XEOMIN® does differ from BOTOX®. XEOMIN® does not have the proteins that BOTOX® has, which means your patients are less likely to develop a resistance to XEOMIN®.

Although BOTOX® is a better-known brand and some patients will ask for it by name, Merz Pharma's XEOMIN® can often take over the wrinkle-fighting duties when BOTOX® no longer works. XEOMIN® does take a few days to take effect after an injection, but it can last about three to six months, similar to BOTOX®.

One thing to keep in mind when switching from BOTOX® to XEOMIN® or another botulinum toxin formula is that the dosages may not be the same. You should make sure to give your patients the correct amount of the particular formula have chosen to get the desired effects. When you give your patients the correct dosage of XEOMIN®, they can get the same results they remember from when they first started getting BOTOX® injections. Their facial wrinkles will be smooth again, giving them a younger-looking appearance.

If your patients are telling you that their BOTOX® injections are not working as well lately, you can reassure them that there are similar alternatives that could help them. Try switching to XEOMIN® injections and your patients should get the results they expect. Even after years of BOTOX® use, there is still hope for your patients to keep those glabellar lines and wrinkles at bay. If you use BOTOX® exclusively in your aesthetic clinic, be sure to keep some XEOMIN® in stock as well to help your BOTOX®-tolerant patients smooth their facial wrinkles.

You can buy XEOMIN® 100U from Medica Depot HERE.

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