Xeomin / Botox® Cosmetic Before and after photos in Houston, TX, Patient 59236 Xeomin / Botox® Cosmetic before and after, frontal. Xeomin / Botox® Cosmetic before and after, frontal. Prev Next Patient Info Gender: Female Procedure: Xeomin / Botox® Cosmetic Plastic Surgeon Paul Vitenas, Jr., M.D., F.A.C.S. Physician View profile page * Each patient is unique and individual results may vary.