Botox · Xeomin · Dubai
Xeomin in Dubai
Xeomin (incobotulinumtoxinA) by Merz Aesthetics is the “naked” neurotoxin — purified to remove all complexing proteins found in Botox and Dysport. This makes it the purest available botulinum toxin formulation and may reduce the risk of antibody formation with repeated use. Dr Azra Vaziri includes Xeomin in her multi-brand neuromodulator approach at her Dubai clinic on Sheikh Zayed Road.
Xeomin in Dubai at a glance
Dr Azra offers Xeomin in Dubai — the pure, protein-free botulinum toxin. Lower resistance risk for frequent Botox users; same results as standard Botox.
- Product
- Xeomin (incobotulinumtoxinA) by Merz Aesthetics
- Unit Ratio
- 1:1 with Botox (same units, same effect)
- Onset
- 3–7 days (full effect at 2 weeks)
- Duration
- 3–6 months
From AED 3,000 · Performed by Dr Azra Vaziri at Prof Sakla Spanish Eye Clinic, Dubai
| Product | Xeomin (incobotulinumtoxinA) by Merz Aesthetics |
|---|---|
| Type | Purified botulinum toxin type A — no complexing proteins (“naked” neurotoxin) |
| Unit Ratio | 1:1 with Botox (same units, same effect) |
| Onset | 3–7 days (full effect at 2 weeks) |
| Duration | 3–6 months |
| Procedure Time | 15–30 minutes |
| Price | AED 1,500 for the upper face (standard AED 1,700) |
| Regulatory Status | FDA-approved, CE-marked. Room temperature storage (no cold chain required). |
What Makes Xeomin Different
Botox and Dysport contain the active botulinum toxin surrounded by complexing proteins (hemagglutinins and non-toxic proteins). These proteins don’t contribute to the treatment effect — they are remnants of the manufacturing process. Over time, your immune system can develop antibodies against these proteins, potentially reducing treatment effectiveness.
Xeomin’s XTRACT purification process removes all accessory proteins, leaving only the 150-kDa active neurotoxin. This “naked” formulation has two key advantages: lower immunogenicity (reduced antibody risk with repeated treatments) and room-temperature storage stability (the complexing proteins in Botox and Dysport are what require refrigeration).
Xeomin is 1:1 unit equivalent with Botox — meaning the same number of units produces the same effect. It treats all the same areas with identical technique and dosing. Dr Azra Vaziri recommends Xeomin when clinically appropriate, particularly for patients with frequent treatment schedules or diminishing response to other brands. If you are unsure which neuromodulator suits you best, book a consultation and she will advise you on the day.
Advantages of Xeomin
- No complexing proteins — the purest commercially available botulinum toxin formulation. Only the active 150-kDa neurotoxin reaches the injection site.
- Lower antibody risk — removing accessory proteins may reduce the chance of your immune system developing neutralising antibodies that diminish treatment effectiveness over time.
- 1:1 unit equivalence with Botox — no learning curve for patients or clinicians. Same dosing, same injection points, same results.
- Room temperature storage — Xeomin does not require refrigeration before reconstitution, which eliminates cold-chain concerns and ensures consistent product quality at the point of injection.
- FDA-approved and CE-marked — extensive clinical evidence supporting safety and efficacy for both cosmetic and therapeutic use across all standard treatment areas.
- Ideal for frequent users — patients who get neuromodulator treatments every 3–4 months benefit most from Xeomin’s lower immunogenic profile.
- Same onset and duration as Botox — results appear in 3–7 days with full effect at 2 weeks. Duration of 3–6 months depending on the area and individual metabolism.
- Not sure whether Xeomin’s lower antibody-risk profile applies to you? Book a consultation and Dr Azra will review your treatment history before recommending a brand.
Xeomin vs Botox vs Dysport
All three are botulinum toxin type A and work by the same mechanism. The differences are in formulation, onset, and protein content. For a deeper analysis, see our full brand comparison guide.
| Factor | Xeomin (Merz) | Botox (Allergan) | Dysport (Galderma) |
|---|---|---|---|
| Complexing proteins | None (naked toxin) | Present | Present |
| Antibody risk | Lower | Standard | Standard |
| Unit ratio (vs Botox) | 1:1 | — | 2.5–3:1 |
| Onset | 3–7 days | 3–14 days | 2–5 days |
| Spread | Moderate | Precise (stays put) | Broader diffusion |
| Storage | Room temperature | Refrigerated | Refrigerated |
Who Is Xeomin Best For?
Dr Azra may recommend Xeomin specifically in the following situations:
Frequent Botox users — Patients who get neuromodulator treatments every 3–4 months may benefit from the lower antibody risk. Switching to Xeomin periodically or permanently can help maintain long-term responsiveness.
Patients noticing diminishing results — If your Botox or Dysport seems to wear off faster than it used to, or you need more units to achieve the same result, this could indicate antibody formation. Xeomin’s protein-free formulation may restore full responsiveness.
First-time patients — Starting with Xeomin from the beginning may prevent antibody development entirely, giving you a longer effective treatment lifetime with neuromodulators.
Patients who prefer the purest option — Some patients simply prefer a formulation that has been stripped of everything unnecessary. Xeomin is the “clean” choice — only the active ingredient, nothing else.
For patients seeking lower-dose treatment regardless of brand, see our Baby Botox page. Xeomin can also be used in a Baby Botox approach. To find out which of these applies to you, arrange a consultation with Dr Azra.
Trained by Merz on Xeomin — Who Injects Yours
There is a difference between a clinic that stocks Xeomin and one that has taught other doctors how to inject it.
Every Xeomin appointment at this clinic is assessed and injected by Dr Azra Vaziri herself — a DHA- and DOH-licensed aesthetic physician with more than 20 years of experience, practising aesthetic medicine since 2004.
Training on this exact product
- Belotero and Xeomin injection workshops — Merz Aesthetics distributor in Iran (2015–2023) — she ran the training workshops for Xeomin, the product this page is about.
- Think-In, Anatomy & Aesthetic Treatment Workshop (2023) — facial anatomy training, which is what decides whether a neurotoxin lands in the muscle you meant.
- Speaker — IMCAS World Congress 2024 (Paris), and Dubai Derma in 2023 and 2026
Xeomin Pricing by Treatment
| Treatment | Original Price | Discounted Price |
|---|---|---|
| Masseter | AED 3,200 | AED 3,000 |
| Gummy Smile | AED 700 | AED 600 |
| Migraine | AED 3,900 | AED 3,500 |
| Under Arm | AED 3,400 | AED 3,100 |
| Lower Face | AED 1,400 | AED 1,200 |
| Upper Face | AED 1,700 | AED 1,500 |
| Full Face | AED 4,100 | AED 3,700 |
| Nefertiti Lift | AED 3,200 | AED 3,000 |
| Trap Tox | AED 3,900 | AED 3,500 |
| Lip Flip | AED 1,200 | AED 1,000 |
| Baby Botox | AED 1,700 | AED 1,500 |
| Korean Tox | AED 1,700 | AED 1,500 |
How Xeomin Treatment Works
Consultation
Dr Azra assesses your treatment history, muscle activity, and whether Xeomin is the right brand choice for your goals. Book yours →
Mapping
Injection points are mapped precisely. You’ll make expressions to identify active muscles and optimal placement.
Injection
Xeomin injected using fine needles at mapped points. 15–30 minutes. Brief pinch sensation. No anaesthesia needed.
Results
Effects appear 3–7 days. Full result at 2 weeks. Review at 2–4 weeks if needed. Aftercare guide →
Results Timeline: What to Expect After Xeomin
Xeomin follows the same predictable timeline as every botulinum toxin type A. Knowing what happens at each stage helps you plan treatment around events and reassures you through the first few days, before the effect has fully settled. The result is always judged at the two-week mark, never on the day of treatment, so there is no need to worry if you look unchanged in the first 48 hours. If you have any concerns during this period, contact the clinic.
- Day 0
Treatment day
Injections take 15–30 minutes. You return to normal activity straight away; the small raised bumps at each point settle within an hour.
- Days 3–7
First softening
The treated muscles begin to relax. Movement eases and expression lines start to look smoother as the neurotoxin takes hold.
- Week 2
Full effect
The complete result is now visible. This is when Dr Azra reviews the outcome and adds a small top-up if any area needs balancing.
- Months 3–6
Gradual return
Movement slowly returns as the effect wears off. Most patients rebook every 3–4 months to keep their result consistent over time.
Before and After
Anti-wrinkle injections — forehead lines relaxed, natural brow — treated by Dr. Azra Vaziri, Dubai.
Anti-wrinkle injections — deep forehead lines smoothed in a male patient — treated by Dr. Azra Vaziri, Dubai.
Photographs published with the patients’ written consent, in line with UAE medical advertising regulations. Individual results vary.
Xeomin Safety and Side Effects
Xeomin has an extensive safety record and is both FDA-approved and CE-marked for cosmetic and therapeutic use. Because the formulation contains only the active neurotoxin and none of the accessory proteins, its side-effect profile is the same as other botulinum toxins — almost always mild, localised, and short-lived. Serious reactions are rare when treatment is carried out by a qualified medical injector who maps each muscle precisely.
Common, temporary effects
These settle on their own and need no treatment. Makeup can be worn the next day.
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If anything worries you, contact the clinic.
- Minor bruising, redness, or swelling at the injection points
- A mild, short-lived headache in the hours after treatment
- Slight tenderness that fades within a day or two
- A brief feeling of tightness as the muscles begin to relax
When Xeomin is not suitable
Dr Azra reviews your full medical history at every consultation before treating.
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Rare effects such as temporary eyelid or brow heaviness can occur if the toxin spreads slightly beyond the target muscle. Careful placement by an experienced injector makes this uncommon, and any such effect is temporary, resolving as the product wears off. If you have had a reaction to a botulinum toxin in the past, tell Dr Azra at your consultation — switching to the protein-free Xeomin formulation is often part of the solution.
- Pregnancy or breastfeeding
- Neuromuscular conditions such as myasthenia gravis or Lambert–Eaton syndrome
- A known allergy to any Xeomin ingredient
- An active skin infection at the intended treatment site
Xeomin Aftercare
Xeomin aftercare is identical to Botox aftercare:
For complete post-treatment guidance including sleep position, skincare, and when to schedule your next session, see our Botox aftercare guide.
- Avoid rubbing or massaging the treated area for 24 hours
- Stay upright for at least 4 hours after treatment
- Avoid strenuous exercise for 24 hours
- Avoid saunas, steam rooms, and hot yoga for 48 hours
- Avoid alcohol for 24 hours
- Results appear within 3–7 days; full effect at 2 weeks
- Schedule a review appointment at 2–4 weeks if desired
See also: Compare all brands
Frequently Asked Questions
What is Xeomin?
Xeomin (incobotulinumtoxinA) is a botulinum toxin type A manufactured by Merz Aesthetics. Unlike Botox and Dysport, Xeomin is purified using XTRACT technology to remove all complexing proteins, leaving only the 150-kDa active neurotoxin. This “naked” formulation may reduce the risk of antibody formation with repeated use.
Is Xeomin as effective as Botox?
Yes. Clinical studies confirm Xeomin is equivalent in efficacy to Botox. It uses a 1:1 unit ratio — the same number of units produces the same effect. The difference is the absence of accessory proteins, not potency. Full comparison guide →
Why would I choose Xeomin over Botox?
Xeomin may be preferred if you get Botox frequently and want to reduce antibody formation risk, if you’ve noticed diminishing results over time, or if you prefer the purest available formulation. Dr Azra recommends Xeomin when clinically appropriate based on your treatment history and goals.
How long does Xeomin last?
Xeomin typically lasts 3–6 months, comparable to Botox. Results appear within 3–7 days, with full effect at 2 weeks. Duration depends on the treatment area, units used, and individual metabolism.
Does Xeomin cost the same as Botox?
Xeomin pricing is comparable to Botox because it uses the same 1:1 unit ratio. Treatment with Dr Azra starts AED 1,500 for the upper face (standard AED 1,700), depending on the area and number of units required. Units guide →
Can Xeomin treat all the same areas as Botox?
Yes. Xeomin treats all the same areas — forehead lines, frown lines, crow’s feet, masseter, lip flip, bunny lines, gummy smile, Nefertiti lift, and hyperhidrosis. The technique and dosing are identical to Botox. Aftercare guide →
Book a Consultation
Dr Azra Vaziri — DHA & DOH licensed aesthetic physician with 20+ years of experience in Dubai & Abu Dhabi.
