If you have frown or forehead lines, crow’s feet, smile lines around your eyes, or all of these, Xeomin injections will make you appear more relaxed and less tired. If you received Botox or Dysport and found that your improvement is less than expected, didn’t last as long as it should, or has decreased for a given dosage, you may respond better to Xeomin. Our experience shows that people who respond poorly to Botox often respond well to Xeomin. Failure to respond to Botox may be due to the formation of antibodies to proteins that surround the active ingredient of Botox. Since the active ingredient of Xeomin is not coated with protein, antibodies do not form and the patient responds better. You should not have Xeomin if you are pregnant, have an infection at the site of Xeomin injection, or have multiple sclerosis, myasthenia gravis, or Lambert-Eaton syndrome. If you have any neurological disease or history of temporary paralysis, loss of vision, or double vision, you should not have Xeomin injections. These disorders may increase the risk of complications with Xeomin injection and worsen an underlying disorder.