Xeomin, the latest botulinum toxin injectable to receive FDA approval for use on frown lines, was featured on a recent episode of ABC’s "The Doctors." Merz’s Xeomin offers patients a third choice — in addition to Botox and Dysport — for those wanting botulinum toxin injections. Xeomin works in the same way as the other two do, with a few differences. New York dermatologist Dr. Neil Sadick explains that the major difference is in the manufacturing process. All proteins are removed from Xeomin, so potentially there could be less incidence of adverse events that could occur with this toxin, according to Dr. Sadick. Patients are happy with Xeomin, according to Dr. Sadick, who says the results are very natural, and like other toxins, Xeomin has a very low side effect profile. He said that about 3 million toxin treatments are performed each year in the United States.

Does Xeomin last as long as Botox?

Xeomin lasts about the same amount of time as Botox and Dysport, which is usually between 12 to 16 weeks. Dr. Sadick says that most of his patients only come in about once or twice a year for botulinum toxin treatments.

When will you see results?

Xeomin, Botox and Dysport are not like dermal fillers, such as Juvederm, and results are not seen immediately. Botulinum toxins take about two to three days to set in. The maximum effect is seen in about five to seven days. Xeomin is now available at Will Surgical Arts in Frederick County Maryland. For those who don't like needles, try medical grade skin care products to fight the signs of aging.