Xeomin® (incobotulinumtoxinA)

Xeomin® is the latest cosmetic injectable approved by the FDA to treat facial lines and wrinkles.

Xeomin®, like Botox® and Dysport®, are commonly used to treat dynamic wrinkles. Dynamic wrinkles include the forehead lines, fine lines around the eyes, and the furrows between the eyebrows.  Xeomin® works by targeting the wrinkle causing facial muscles in order to eliminate these dynamic lines. Xeomin® can provide a very natural appearing and dramatic improvement in your appearance.

What is Xeomin®?
Xeomin® is a medically derived sub-unit of botulinum toxin type a called incobotulinum toxin a. Xeomin® weakens the muscles into which it is placed, improving the appearance of fine lines and wrinkles.

What is the difference between Xeomin®, Botox® and Dysport®?
On a molecular level, Xeomin® is different from Botox® and Dysport® in that it does not contain any protein additives when packaged. The potential benefit of this is mainly for the rare patient who stopped responding to Botox® treatments because of the development of antibodies to the proteins.

How does Xeomin® work?
Xeomin® works by weakening the muscles of facial expression that insert onto the surface of the skin. Weakening the pull of these muscles on the skin causes the visible wrinkles to flatten out. Over time, cumulative benefits are observed as the skin remodels without the negative influence of the wrinkle-creating facial muscles.

What areas can be treated with Xeomin®?
Xeomin® is used to treat dynamic facial wrinkles. Areas most commonly treated by Xeomin® include crow’s feet (lines around the eyes), worry lines between the eyebrows, and the lines across the forehead.

How long does it take for Xeomin® to work?
The effects of Xeomin® are usually seen within 5 days. It will take up to 10 days to see the final results from the treatment.

How long does Xeomin last?
Xeomin® treatment lasts anywhere from 3-6 months.

Can I switch to Xeomin® if I have used Botox® or Dystport® in the past?
Yes. Since Xeomin® acts in the same physiologic method as both Dysport® and Botox®, the products are interchangeable.

Botox no longer works for me. Will Xeomin®?
This is actually a benefit of Xeomin®. Xeomin® is a “naked” molecule meaning that it does not contain the protein additives that Botox® and Dysport® have. Some patients can develop resistance to the additives within Botox. Xeomin® does not contain any protein additives and therefore will work in these patients.


Before Xeomin Treatment:

After Xeomin Treatment: 14 Days:

After Xeomin Treatment: 30 Days:



$13 Per Unit

  • Glabellar Lines Administration (between the brows): 2-4 units into each of the 5 sites.

  • Lateral Canthal Lines Administration (outer eyes): 2-4 units into each of 3 sites per side (6 total injection points).

  • Forehead Lines Administration: 2-4 units ) into each of 5 forehead line sites.


Why does the cost of injectable wrinkle relaxer and injectable filler vary? Numerous things account for pricing differences with injectables:

1. Your injector: Remember, you are not only paying for the injectable medication, you are paying for the education, experience, and expertise of the injector. You will see prices vary depending on the experience and credentialing of cosmetic injectors. For example, a nurse injector (RN) may cost less versus a physician or aesthetic nurse practitioner. The training and education needed to achieve credentials for an RN is significantly different than a provider with a doctorate or specialized degree. Does this mean the RN may not be as good at injections? Absolutely not. The skill of the injector depends on not only their education, but also their experience and "eye" for aesthetics. We support all injector education levels and promote continued learning and shadowing for new injectors. There are also benefits to having an ARNP or MD performing your injections when they hold a specialty degree in Dermatology or Plastic Surgery. These providers have the experience of performing countless surgeries, injections, and other procedures on the head and neck, which gives them expertise in anatomical locations of important structures that can be compromised during your treatment including arteries, veins, and nerves. This type of injector also has significant training and experience during emergency situations and carries the ability to abort, reverse, or use reach out to specialist colleagues to correct the rare, but potential negative outcomes that can occur with injectable fillers and wrinkle relaxers. For example, if your plane starts to hit a bit of turbulence, which then causes significant decrease in elevation and potential crash, wouldn't you want a pilot who has the knowledge, experience, and skill to take charge of the situation in a calm and collected matter even when under significant stress? 

2. Geographical location. Depending on your location in the country, treatment costs will vary. Factors include whether or not your provider provides a service in a rural or urban area. Most practices will compete with one another to provide the lowest pricing available for that region. At Salish Coast Medical Aesthetics, our pricing is based solely on market product cost + your provider experience/credentialing. We feel that it is important to not allow financial competition to determine our pricing as studies have shown that this can adversely affect the quality of care you receive if the service is discounted (for example, if a discounted procedure is performed the patient can sacrifice the accountability a provider will take due to this being a discounted price and the patient should be "happy with any result because they did not pay full price"). We let for our years of experience, expertise, and credentialing represent the pricing for our injectable procedures. 

3. Lastly, product sourcing. Did you know that anyone can access injectable aesthetic medications by purchasing these products out of country, from non-reputable sources, and at discounted prices for expired or damaged product? Your aesthetic injector must be able to provide written proof of valid contracts directly from the medication manufacturer. This is a layered approach of security that manufacturers and state laws have put in to place to ensure that patients are being provided with authentic products from credentialed providers. We encourage you to ask not only where the products are sourced, but also to ask to see expiration dates on packaging from products you may receive. We also encourage patients to ask what products are used as diluents and where their medical supplies are sourced from. All reputable cosmetic practices should source all medications from manufacturers along with medical supplies from reputable sources such as McKesson, Henry Schein, MedLine, etc.

*There is currently a shortage in saline used for diluting wrinkle relaxers. Verify with your provider where your diluent was sourced and what type is used to further ensure they are using safe and medically acceptable saline for intradermal and intramuscular injections. Vial must be marked as sterile diluent for intradermal and intramuscular injections.