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The Go-to Guide for Pre-Wedding Injectables

A dermatologist-approved timeline for those considering aesthetics treatments before they walk down the aisle.

As much as weddings and all their components have evolved, becoming more individualized and veering away from tradition, one sentiment (aside from, you know, being in love and wanting to spend the rest of your lives together) has remained pretty universal among engaged couples: the desire to look your best while walking down the aisle. What have changed are the steps to get there. For instance, it's not uncommon these days for brides- and grooms-to-be to incorporate aesthetic treatments, like injectables, into their beauty regimens as they prep for the big day.

Thanks to innovations in — and the widespread use of — cosmetic dermatology, it's now more accessible than ever to get a little refresh for the most photographed day of your life. Still, you'll want to start planning early to determine the right treatments and timing so that your desired results are visible by the time you say, "I do."

We spoke with two board-certified dermatologists about what people should know when it comes to planning pre-wedding injectables. Read on for their tips.

Engaged? Start planning now

"As soon as you get engaged, it's a good time to also engage with your dermatologist to plan for your big day," advises Dr. Doris Day, a board-certified dermatologist in New York City. "Many brides consider anti-wrinkle injections, and this is often a great idea."

If you don't already have a doctor you trust, Dr. Day suggests looking for "an experienced and accredited doctor that listens to your beauty goals and provides their advice on the best way to achieve them." Since various injectables can affect patients differently, it's important to work with someone who knows your skin and can make informed recommendations. "The mutual trust between patients and their doctor is invaluable to ensure the best outcome — it is also important to have the office take photos before, and sometimes even after, every treatment," she adds.

A consultation will typically involve a complete skin evaluation with recommendations for the best skin-care products as well as in-office treatments. If you're considering injectables, the doctor should "carefully assess your face at rest and with animation to determine the correct treatment that will best fit your needs," explains Dr. Michelle Henry, a fellow board-certified dermatologist in New York City.

Know the risks

Your doctor should also explain the potential risks and side effects of various treatments, and any practices that help to mitigate them.

"Injectables are not for everyone and may cause serious side effects," says Dr. Day. "Each doctor has their checklist of what to do or avoid before receiving them. Every treatment has some risks; having the right injector and a complete conversation about risks and benefits is essential."


Find the right type of treatment for you

Injectables are becoming commonplace among adults of various ages and gender identities, especially over these past years, as most people have been staring at themselves on their monitors and noticing their frown lines.

"We've definitely seen an increase of younger adult patients seeking treatments," observes Dr. Henry. "Many of my patients are interested in treating the lines as soon as they appear."

The type of injection you choose may depend on your desired effect and the area you want treated. For instance, one of the most common treatable areas of concern is the glabellar lines, a.k.a. "11s," or vertical lines which often form between the eyebrows — a result of frowning and squinting.

"If you are an adult with moderate to severe glabellar lines, Xeomin® (incobotulinumtoxinA) may be right for you," says Dr. Henry. Xeomin, which has been around for 10 years, is the first FDA-approved anti-wrinkle injection for frown lines that is uniquely purified to remove unnecessary proteins. All toxins contain protein, but additional protein that is unnecessary increases the risk of resistance to the treatment, meaning it may not work as well the next time the patient is treated. Xeomin is double filtered; its active ingredient contains only what is needed for treatment.

Don't get injected right before the big day

The fact that patients are less likely to develop treatment resistance to Xeomin, makes it a good option for those who plan on receiving injections regularly after the wedding.

"It is important to work with your doctor to set up a treatment plan, and get treated well before the event to ensure you are happy with the results before the big day," advises Dr. Day. "However, Xeomin should not be administered any sooner than every 12 weeks (or three months)."

Plus, while Xeomin typically lasts three-to-four months, the full effect typically occurs within seven days, so it's important to plan ahead. As with all injectables though, results vary from person to person.

Per Dr. Henry, "If someone is planning for an injectable, I typically recommend scheduling the treatment two to three weeks in advance so that they can follow up with their provider to discuss their experience."

About XEOMIN® (incobotulinumtoxinA)
XEOMIN® (incobotulinumtoxinA) is a botulinum toxin type A approved by the U.S. Food and Drug Administration (FDA) to temporarily improve the look of moderate to severe frown lines between the eyebrows (glabellar lines) in adults. For more information, including Full Prescribing Information and Medication Guide, please visit See below for Important Consumer Safety Information.

Read the Medication Guide before you start receiving XEOMIN (Zeo-min) and each time XEOMIN is given to you as there may be new information. The risk information provided here is not comprehensive. To learn more:

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  • Talk to your health care provider or pharmacist
  • Visit to obtain the FDA-approved product labeling
  • Call 1-866-862-1211

XEOMIN is a prescription medicine that is injected into muscles and used to improve the look of moderate to severe frown lines between the eyebrows (glabellar lines) in adults for a short period of time (temporary).

It is not known if XEOMIN is safe and effective in children under 18 years of age.

XEOMIN may cause serious side effects that can be life threatening. Call your doctor or get medical help right away if you have any of these problems anytime (hours to weeks) after treatment with XEOMIN:

  • Problems with swallowing, speaking, or breathing can happen within hours to weeks after an injection of XEOMIN if the muscles that you use to breathe and swallow become weak. Death can happen as a complication if you have severe problems with swallowing or breathing after treatment with XEOMIN.
    • People with certain breathing problems may need to use muscles in their neck to help them breathe and may be at greater risk for serious breathing problems with XEOMIN.
    • Swallowing problems may last for several months, and during that time you may need a feeding tube to receive food and water. If swallowing problems are severe, food or liquids may go into your lungs. People who already have swallowing or breathing problems before receiving XEOMIN have the highest risk of getting these problems.
  • Spread of toxin effects. In some cases, the effect of botulinum toxin may affect areas of the body away from the injection site and cause symptoms of a serious condition called botulism. The symptoms of botulism include: loss of strength and muscle weakness all over the body, double vision, blurred vision and drooping eyelids, hoarseness or change or loss of voice, trouble saying words clearly, loss of bladder control, trouble breathing, trouble swallowing.

These symptoms can happen hours to weeks after you receive an injection of XEOMIN. These problems could make it unsafe for you to drive a car or do other dangerous activities.

Do not use XEOMIN if you are allergic to XEOMIN or any of the ingredients in XEOMIN (see the end of this Guide for a list of ingredients in XEOMIN), had an allergic reaction to any other botulinum toxin products such as rimabotulinumtoxinB (MYOBLOC®), onabotulinumtoxinA (BOTOX®, BOTOX® COSMETIC), or abobotulinumtoxinA (DYSPORT®) or have a skin infection at the planned injection site.

Before receiving XEOMIN, tell your doctor about all of your medical conditions, including if you:

  • have a disease that affects your muscles and nerves (such as amyotrophic lateral sclerosis [ALS or Lou Gehrig's disease], myasthenia gravis or Lambert-Eaton syndrome)
  • have had any side effect from any other botulinum toxin in the past
  • have a breathing problem such as asthma oremphysema
  • have a history of swallowing problems or inhaling food or fluid into your lungs (aspiration)
  • have bleeding problems
  • have drooping eyelids
  • have plans to have surgery
  • have had surgery on your face
  • are pregnant or plan to become pregnant. It is not known if XEOMIN can harm your unborn baby.
  • are breastfeeding or plan to breastfeed. It is not known if XEOMIN passes into breast milk.

Tell your doctor about all of the medicines you take, including prescription and over-the-counter medicines, vitamins and herbal supplements. Talk to your doctor before you take any new medicines after you receive XEOMIN.

Using XEOMIN with certain other medicines may cause serious side effects. Do not start any new medicines until you have told your doctor that you have received XEOMIN in the past. Especially tell your doctor if you

  • have received any other botulinum toxin product in the last four months
  • have received injections of botulinum toxin such as rimabotulinumtoxinB (MYOBLOC®), onabotulinumtoxinA (BOTOX®, BOTOX® COSMETIC) and abobotulinumtoxinA (DYSPORT®) in the past. Be sure your doctor knows exactly which product you received. The dose of XEOMIN may be different from other botulinum toxin products that you have received.
  • have recently received an antibiotic by injection
  • take muscle relaxants
  • take an allergy or cold medicine
  • take a sleep medicine

Ask your doctor if you are not sure if your medicine is one that is listed above. Know the medicines you take. Keep a list of your medicines with you to show your doctor and pharmacist each time you get a new medicine.

Possible Side Effects
XEOMIN can cause serious side effects that can be life threatening including allergic reactions. Symptoms of an allergic reaction to XEOMIN may include: itching, rash, redness, swelling, wheezing, asthma symptoms, or dizziness or feeling faint. Tell your doctor or get medical help right away if you get wheezing or asthma symptoms, or if you get dizzy or faint.

See “Warnings.”
The most common side effect of XEOMIN in people with glabellar lines include:

  • headache

These are not all the possible side effects of XEOMIN. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

General information about the safe and effective use of XEOMIN
Medicines are sometimes prescribed for purposes other than those listed in a Medication Guide. You can ask your pharmacist or doctor for information about XEOMIN that is written for health professionals.

Active Ingredient: botulinum toxin type A

Inactive Ingredients: human albumin and sucrose
Please see XEOMIN® Full Prescribing Information and Medication Guide.
Intended for U.S. audiences only.