Is there an alternative to Botox/Dysport? Xeomin?
Dr. Dean Kane Q & A
Q. I have used them for years but became allergic to all of them about two years ago. When injecting any of these three, I get blotchy and itchy and no results. Would a good dose of Prednisone, taken a few days before and after, help in suppressing this allergy?
A. Currently, there is no other neuromodulator injectible drug FDA approved in the USA for wrinkle reduction with a muscle relaxer such as Botox, Dysport or Xeomin. BUT, there are other options.
The art of selectively weakening muscles to rebalance their contraction or pull is being explored with topical medications and/or freezing the muscle / nerve junction. Endoscopic advancements have diminished muscle thickness by excising the muscle mass of the corrugator years ago and are still performed today.
Considering that the muscles that Botox, Dysport and / or Xeomin are used on cosmetically are to reducewrinkling of the skin, there are other options at the level of the skin to:
If it is the furrows and wrinkles of the forehead and crow’s feet you speak of, I have found Restylane Silk filler to work very well in this off-labeled area.
It is most interesting that you have a “allergic” reaction to all 3 drugs particularly when Xeomin is considered to be pure and with the least amount of preservative in it. You may wish to consult an Allergist to identify this cause.
Seek consultation with a well versed, Board Certified Plastic Surgeon or ENT Facial Surgeon to examine you and review your other options. Good luck!
- redrape surgically lax skin
- tighten with peels and laser
- firm with Sculptra, and / or
- shrink with retinoids.