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Xeomin: All About the Treatment for Under Eye Bags

David Fuller

Last Updated On: June 20, 2024

Did you know that under-eye bags aren’t solely caused by lack of sleep? Specialists have found that these bags can result from weakened tissue structures and muscles supporting the eyelids. While they usually don’t indicate a serious condition, they can be a cosmetic concern for some individuals.

Xeomin is a neurotoxin that effectively tightens muscles. Just as it addresses wrinkles, Xeomin can also treat under-eye bags. Its ability to produce natural effects has made it a popular choice for combating signs of aging.

The article delves into Xeomin’s efficacy in managing under-eye bags, covering its mechanism of action, treatment techniques, and patient selection criteria.

Key Takeaways

  • Xeomin, a botulinum toxin type A, has been approved by the FDA for various indications, including the treatment of under-eye bags.
  • The mechanism of action of Xeomin involves relaxing the muscles and reducing the appearance of dynamic wrinkles, making it an effective option for addressing under-eye bags.
  • Real-world case examples and clinical studies demonstrate the efficacy and safety of Xeomin for under-eye bags.
  • Practitioners should consider patient selection criteria, treatment techniques, and potential adverse effects when using Xeomin for under-eye bags to ensure optimal outcomes and patient satisfaction.

About: Operating since 2016, Med Supply Solutions is known for being one of the industry’s top and trusted suppliers of cosmetic and viscosupplementation products. If you’re looking to buy Xeomin online, contact our sales department for more information.

Mechanism of Action

Xeomin works by relaxing the muscles under the eyes, reducing the appearance of wrinkles and under-eye bags. Acting as a neuromodulator, similar to its treatment of cervical dystonia and frown lines, Xeomin targets the facial muscles contributing to bagginess. By calming these muscles, Xeomin gives the skin a smoother appearance. 

Patients are generally satisfied with Xeomin’s effectiveness for various indications. This less invasive option provides an alternative to surgery or fillers. With its detailed understanding of treating conditions like cervical dystonia, practitioners can apply similar principles around delicate areas like the eyes. Xeomin specifically targets dynamic wrinkles caused by facial movements, resulting in a more refreshed appearance.

Xeomin Under Eyes – Real-World Case Examples

Seeing how Merz Aesthetics’ Xeomin works for under-eye bags in real life shows just what it can do. People who have tried it share stories that light up their faces and satisfaction rates that speak volumes.

Image courtesy Beauty Blog Over 40

This patient, more than 40 years old, shares her memorable journey with Xeomin. After getting 40 units of Xeomin over a period of two weeks, her crow’s feet and forehead lines improved greatly.

Image courtesy of Align Injectable Aesthetics

This patient came in and expressed concerns about wrinkles and skin laxity following her recent weight loss. After consultation, she opted for Xeomin treatment to address the wrinkles, along with 2mls of cheek filler and 2mls of undereye filler. Following the procedure, the patient was highly satisfied with the results, experiencing significant improvement in both the appearance and texture of her skin.

Patient Satisfaction with Xeomin for Under Eye Bags

Patients express high satisfaction with Xeomin treatments for under-eye bags and wrinkles, often noticing improvement as early as day 2 post-treatment. This quick improvement is widely appreciated, with all patients reporting satisfaction. Xeomin offers a reliable option for smoothing under-eye wrinkles, with higher doses providing stronger benefits and minimal negative experiences reported.

Considerations for Practitioners

Choosing the right patients for Xeomin treatment is key to successful outcomes. Medical professionals need to assess several factors before proceeding with injections. It’s also smart to know what side effects might happen so you can talk to patients about them. Here’s a list of criteria to consider:

  1. Ideal candidates for Xeomin are adults with moderate to severe glabellar lines. Assess skin elasticity and condition, focusing on dynamic wrinkles caused by muscle movements.
  2. Review the patient’s medical history thoroughly. Xeomin should be avoided by those allergic to botulinum toxin or with skin infections at injection sites.
  3. Advise against Xeomin for pregnant or nursing individuals due to insufficient safety data.
  4. Discuss Xeomin’s limitations and effectiveness, especially for frown lines rather than under-eye concerns.
  5. Patients with certain neurological conditions may not be suitable for Xeomin due to potential side effects.
  6. Understand previous cosmetic treatments, especially neuromodulators or fillers, to avoid cumulative effects or interactions.
  7. Ensure patients understand and agree to follow post-treatment instructions for optimal results and reduced complications.

Treatment Techniques

After selecting the right patients for Xeomin treatment, medical professionals apply specific techniques. These strategies ensure safety and enhance patient outcomes.

  1. Assess the Treatment Area Carefully: Understand each patient’s unique facial muscle movements to identify optimal injection sites for effectively reducing under-eye bags.
  2. Follow Xeomin Reconstitution Guidelines: Use promptly after mixing according to manufacturer instructions to maintain effectiveness.
  3. Use Precise Dosing: Maximize benefits and duration by starting with minimal doses and adjusting based on results and patient feedback.
  4. Injection Technique Matters: Administer injections accurately using a thin needle at a slight angle to target muscles precisely.
  5. Monitor Xeomin Indications Closely: Observe post-treatment muscle responses to tailor future sessions and doses effectively.
  6. Provide Xeomin Post-treatment Instructions: Educate patients to avoid rubbing treated areas to prevent the product from spreading.
  7. Evaluate Xeomin vs. Dysport for Longevity: Understand product differences to advise patients accurately on expected results duration.
  8. Record Changes and Responses: Detailed records help track progress and refine techniques over sessions.
  9. Stay Updated with Xeomin FDA Approval Guidelines: Adhere to the latest safety standards and endorsed practices.
  10. Consider Xeomin Molecule Specifics: Understanding its molecular structure helps explain action mechanisms and potential advantages or concerns during consultations.

Potential Adverse Effects

After discussing treatment techniques, it’s vital to discuss the potential adverse effects of using Xeomin to treat under-eye bags. Medical professionals must be aware of this to ensure patient safety and manage expectations.

  • Redness at Injection Site: Mild and temporary, usually disappearing within days.
  • Bruising: Occurs if the needle hits a blood vessel during injection.
  • Swelling: Common but transient around the treated area.
  • Headache: Temporary and often resolves without medication.
  • Muscle Weakness: Rare, temporary weakness near the injection site or surrounding areas.
  • Droopy Eyelids or Eyebrows: Temporary if Xeomin spreads beyond intended muscles.
  • Eye Dryness or Tearing: Possible if muscles around the eyes are affected.
  • Allergic Reactions: Very rare but require immediate medical attention.


Xeomin effectively reduces under-eye bags by relaxing muscles, smoothing wrinkles, and enhancing facial appearance. Patients typically notice improvements within two days post-treatment. Its efficacy and minimal risk of resistance make it a preferred choice for both patients and practitioners seeking subtle yet significant enhancements.


1. What is Xeomin, and can it effectively treat under-eye bags?

Xeomin, a product from Merz Aesthetics, is similar to Botox and is primarily used to smooth out wrinkles such as frown lines. While not its primary function, some individuals have reported improvements in under-eye bags with Xeomin treatment.

2. How does Xeomin compare to Botox, and which has a longer-lasting effect?

Xeomin and Botox are both used to address facial lines. However, the duration of their effects can vary from person to person. Some individuals find that Botox lasts longer than Xeomin, although individual responses may differ.

3. Is Xeomin a quick solution? When can I expect to see results?

Xeomin provides relatively rapid results. Typically, patients notice improvements within 3 to 7 days after receiving Xeomin injections, making it a relatively quick fix for facial lines.

4. Can Xeomin be used for areas other than the forehead, such as the jawline?

Yes, besides treating frown lines, Xeomin can also be used to target the masseter muscle, which is located in the jaw. This can help achieve a softer or more defined jawline appearance.


Bags under eyes – Symptoms and causes. Mayo Clinic. Published 2018. https://www.mayoclinic.org/diseases-conditions/bags-under-eyes/symptoms-causes/syc-20369927

How to Get Rid of Bags Under Eyes: 17 Tips. Healthline. Published August 17, 2017. https://www.healthline.com/health/beauty-skin-care/how-to-get-rid-of-bags-under-eyes 



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