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Xeomin®

Xeomin® Treatment

Xeomin® is a non-surgical wrinkle-relaxing treatment that can be used to rejuvenate your facial appearance. This cosmetic injection is a facial treatment highly recommended for men and women with extensive neuromodulator use. Xeomin® is free of accessory proteins, making its formulation purer than that of Botox® and Dysport®.

Sherisse Hill, RN, MSN, ARNP, FNP(C), is a top provider of Xeomin® in Issaquah, Washington. She is renowned for her aesthetic expertise and ability to deliver natural-looking results that both honor and enhance each patient’s unique look.

What Is Xeomin®?

This innovative, FDA-approved injectable neuromodulator contains botulinum toxin type A, the same active ingredient in Botox®, Daxxify®, and Dysport®. Xeomin® is best known for effectively smoothing away vertical wrinkles between the brows and horizontal forehead lines, but it can also be used to target lip lines, crow’s feet, and bunny lines.

In addition to releasing facial wrinkles, Sherisse can administer Xeomin® injections to resolve a range of other aesthetic concerns. The common Xeomin® treatments include

  • TMJ relief
  • Jawline contouring
  • Chin dimpling
  • Neck lines
  • Neck tightening
  • Non-surgical brow lifts
  • Downturned smiles
  • Gummy smiles
  • Nose slimming

What to Expect During Xeomin® Treatment Injections

After identifying the optimal injection sites for your facial treatment, Sherisse will use a fine-gauge needle to administer the Xeomin® injections. A topical anesthetic can be applied before your injections to minimize discomfort, though many patients do not find this necessary.

Xeomin® Aftercare

Xeomin® is a no-downtime cosmetic treatment, so most patients can get back to work and their daily activities right away. Take care not to rub the treatment area for the first three to four hours after your injections. You will also want to avoid engaging in strenuous exercise for 24 hours, as doing so sooner can cause the injected product to migrate.

Post-treatment tenderness, redness, or swelling can occur at the injection sites. These symptoms are usually mild and subside on their own in a short time.

Xeomin® Results

With Xeomin®, you can anticipate noticeable improvements within a week, with optimal results manifesting in three to four weeks. Xeomin® provides temporary enhancement, so retreatment is usually recommended at intervals of three to four months, depending on the patient’s unique response to the treatment.

Xeomin® FAQs

What is the difference between Xeomin®, Botox®, and Dysport®?

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Xeomin®, Botox®, and Dysport® all contain botulinum toxin type A, but Xeomin® has a uniquely purified formulation without additional complexing proteins. This can make it a better option for patients who have developed resistance to Botox® or Dysport®.

How long is an Xeomin® treatment session?

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A typical Xeomin® treatment session usually takes 15 to 30 minutes, making it a convenient option for those with busy schedules.

Can Xeomin® be combined with other cosmetic treatments?

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Yes, Xeomin® is often combined with dermal fillers or skin rejuvenation treatments to enhance facial aesthetics. Our Facial Harmonization treatment uses a customized blend of injectables to create natural-looking results and restore facial balance for adults seeking subtle, refined enhancements.

During your consultation, Sherisse can recommend a customized treatment plan based on your goals.

At what age should I start Xeomin® treatments?

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There is no set age requirement, but many patients start Xeomin® in their late 20s to early 30s as a preventative measure to slow the formation of deep wrinkles over time.

How long does it take for Xeomin® to work?

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Xeomin® injection results typically last 3–4 months, depending on the area treated, dosage, and individual muscle activity.

When will I see Xeomin® results?

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Xeomin® results manifest in three to four weeks.

Are Xeomin® injections safe?

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Yes. Xeomin® is FDA-approved and considered safe when administered by a trained injector. Mild swelling or redness at the injection site is common and temporary.

Real Patient Testimonials

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Loomis Hamilton
29 October 2026
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I truly can’t imagine where my mental and physical health would be without Sherisse and the entire team at SHADe. I’m so fortunate to have found such a wonderful place. They are super responsive, proactive, and I never have any doubt that my best interests are at the core of what they do. I’ve recommended them to multiple friends and family, and I’m so thankful for their care.
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Kasia Augustyn
27 October 2026
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I traveled from Philadelphia to Seattle just to see Sheriess Hill at Shade, and it was absolutely worth it. She’s incredibly knowledgeable, professional, and really listens. No one at home was able to address my concerns, but she did. I felt cared for, not rushed. Honestly, she felt like family. I’ll be back and I’ve already planned my next visit. Highly recommend.
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Jacob Liikala
27 October 2026
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Sherisse, Kira, and Jessica are fantastic. They take the time to listen, address every question or concern thoughtfully, and make sure you feel comfortable with your care. I really appreciate their professionalism and support - highly recommend them for anyone looking for a knowledgeable and attentive team.
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Kathi Murphy
21 October 2026
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They really listen to your needs and have a conservative approach to skin care! Wished they weren’t so far away from me.
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Holland Kaviani
2 October 2026
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I’ve been going to SHADe for nearly two years and have gotten multiple kinds of services. This is the longest I’ve ever worked with an aesthetic derm because this is the best care I’ve received after working with many other providers. Every appointment has been a great experience - punctual, every is super sweet and professional, and I’ve seen measurable improvements every step of the way. Sherisse and her team are so kind and patient with questions. I always feel like I’m in good hands.
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Jenny Katz profile picture
Jenny Katz
21 September 2026
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I’ve had such a great experience here so far! The owner Sherisse has the best energy! I’ve worked with both her and Kira who are both super friendly and also very knowledgable with their treatments. The entire staff & front desk make you feel comfortable from the moment you walk in! I feel like I’m just hanging out with friends during my time there. I’ve only had 2 sessions so far, so I’m still early in my process, but I do notice small improvements after each visit already. I feel like I’m on the right plan for my skin and really trust their expertise. I’m excited to see the results continue to build! Highly recommend if you’re looking for a personalized skin approach!
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Jenae Ghassemieh
5 September 2026
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Kira and Sherisse are great! Always happy with my treatment and feel taken care of.
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Nicole McBride
14 August 2026
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Sherisse is the best!!
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Courtney Bain profile picture
Courtney Bain
7 August 2026
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Sherisse is an amazing talented Doctor. I’ve gotten injectable treatments and skin treatments. Kira and Sherisse are both so professional, gentle and positive! I love that I can text Jessica with any questions or scheduling concerns and she always gets right back to me.
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saswati pal
5 August 2026
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I’ve been going to Shade for about a year now, and I can honestly say it’s one of the best decisions I’ve made for my skincare. The space is always spotless, relaxing, and welcoming, which makes every visit such a pleasant experience. What I appreciate most is that they genuinely care about their clients. They listen to your concerns, take your feedback seriously, and never make you feel like just another appointment. Their service is consistently thoughtful and professional. I first started seeing Sarah before she left for nursing school, and she was truly one of the best estheticians I’ve ever had. She was knowledgeable, gentle, and always made me feel comfortable. Now I’ve been seeing Kira for my Hydrafacial and Glass Lift facials, and she has been wonderful. She’s incredibly knowledgeable, explains everything she’s doing, and always tailors the treatment to what my skin needs. She genuinely wants you to leave happy with the results. I highly recommend Shade to anyone looking for quality skincare treatments and exceptional service. You can tell they truly care about their clients, and that’s what keeps me coming back.