Question: I had Botox injected into my forehead last month. I love the results so I’d like to start having injections for my crow’s feet as well. Even though the injection will be in a different area, is it safe to have Botox this close to my last injection?

Answer: It is certainly safe to have Botox in another area of the face one month after you have had it in the forehead.  The question really then becomes when would you get your next injection performed so that you can have these coordinate together.  More than likely, I would recommend a repeat injection three months after your crow’s feet injection so that both the forehead and the crow’s feel area can be treated; however, if you feel the lines in your forehead are coming back prior to that, you could space them again but this time maybe only two weeks apart and then on your third injection time you can go ahead and treat them together.

Question: What is xeomin? I heard it’s similar to Botox.

Answer: Xeomin is a newer neuromodulator very similar to Botox in the fact that the active molecule is botulinum toxin A, but Xeomin has no associated proteins to protect the molecule. The studies that have been performed thus far seem to show that Xeomin is not quite as potent as Botox on a unit per unit basis but, in the big picture, we really should not be comparing units to units of any of the neuromodulators since they are distinctly different molecules and act in a different way.