Expression lines · Personalized treatment
Botox & Xeomin
Botox and Xeomin temporarily relax selected facial muscles to soften expression lines. At Therapeutic Elements in Lebanon, PA, treatment is tailored to your anatomy, natural movement, and goals.
Updated
What are Botox and Xeomin?
Both are prescription botulinum toxin type A treatments, also called neuromodulators. They reduce the muscle activity that contributes to lines from frowning, smiling, and raising your eyebrows. They do not add volume like a dermal filler.
Which areas can be treated?
Your provider will assess your facial movement and explain which product and areas are appropriate. Approved uses differ by product; some treatments, including lip flips and gummy-smile treatment, are off-label. Off-label means a use is outside the product's FDA-approved labeling.
- Forehead lines
- Frown lines between the brows, or the “11s”
- Crow’s feet
- Neck bands
- Selected lip, chin, and lower-face concerns after assessment
Botox vs. Xeomin
Botox contains onabotulinumtoxinA. Xeomin contains incobotulinumtoxinA and is manufactured without accessory proteins. Both temporarily reduce targeted muscle activity, but neither is automatically the better choice for everyone.
Your previous response, anatomy, treatment goals, and medical history help guide product selection. Dosing units are specific to each product and should not be treated as interchangeable.
What happens at your appointment?
Your provider reviews your health history, medicines, prior injectable treatments, and goals, then assesses how your face moves. If treatment is appropriate, small injections are placed in selected muscles. The plan aims to soften lines while preserving a natural-looking expression.
When will results appear, and how long do they last?
Changes may begin within the first several days and continue developing over the following weeks. Many patients notice improvement around two weeks, although full effect varies by product and treatment area and can take longer. Results are temporary and generally last several months; your provider will discuss follow-up and maintenance.
Recovery and important considerations
Temporary injection-site redness, swelling, or bruising can occur. Your provider will explain aftercare, activity guidance, and when to contact the practice. Discuss allergies, nerve or muscle conditions, pregnancy or breastfeeding, and all medications before treatment.
Unwanted weakness or eyelid drooping can occur. Seek urgent medical help for problems swallowing, speaking, or breathing after treatment. Review the product’s safety information with your provider.
Looking for therapeutic Botox?
Therapeutic Elements also lists therapeutic botulinum toxin treatments for medical concerns. These require a separate clinical assessment and treatment plan. Cosmetic wrinkle treatment and treatment for a medical condition have different goals and dosing considerations.
Pricing and consultation
Cosmetic neuromodulators start at $11 per unit on the practice’s treatment menu. Confirm your product, dose, and total price at consultation.
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Individual results vary. A consultation is required to determine what is appropriate for you.
View All ResultsFrequently asked questions
How much does Botox cost in Lebanon, PA?
Therapeutic Elements lists cosmetic neuromodulator treatments starting at $11 per unit. Your total depends on the product, areas treated, and prescribed dose. Confirm product-specific pricing and your total at consultation.
Is Xeomin the same as Botox?
They are different botulinum toxin type A products used to temporarily relax targeted muscles. Xeomin is made without accessory proteins; Botox has a different formulation. Your provider recommends the product and dose for you.
Will Botox make my face look frozen?
The practice’s goal is a refreshed appearance that respects your natural expression. The result depends on anatomy, dose, placement, and individual response, so discuss how much movement you want to retain.
Does a lip flip add volume?
A lip flip changes the activity of selected muscles around the lip; it does not add volume like filler. It is an off-label use and requires assessment of your anatomy and goals.
Can Botox treat acne scars or loose skin?
Botox targets muscle-related expression lines. Skin texture, scars, and laxity may call for a different approach, such as microneedling, resurfacing, or a skin-tightening consultation.
How do I prepare for Botox or Xeomin?
Bring your medication list and details of previous injectable treatments. Ask the team for your preparation and aftercare instructions. Do not stop prescribed medicines without the prescribing clinician’s guidance.

Medical expertise behind every recommendation.
Therapeutic Elements is led by Melissa Pietras, PA-C, founder, Army veteran, and clinician with over 18 years in medicine spanning emergency medicine, cardiothoracic surgery, and neurology. Dr. Gayle Ryan, MD, a general surgeon with more than 25 years of experience, oversees all procedures as Medical Director.
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Further information
Begin with a conversation.
A consultation with no pressure, just an honest medical opinion.
This page is general information only and is not medical advice. A consultation is required to determine what is appropriate for you.