Too Young for Botox?

I am frequently asked by friends and family when they should start getting Botox. There really is no “right” age for Botox. Some people may benefit from treatment in the late 20s, others may be able to wait until age 40.

My best recommendation is to start getting Botox when you need it.  How do you know if you need it?  Take a close look at your face in a mirror.  Botox is generally used between the eyebrows, around the eyes, and over the forehead.  The wrinkles that form in these areas when you smile, frown, or raise your eyebrows are called dynamic wrinkles because they appear with motion.  If you see wrinkles present even when your face is at rest, i.e. not moving, these are known as static wrinkles.  Looking at the pictures below, you’ll see deep lines over the forehead and between the eyes when the man is frowning (left side)- these are dynamic wrinkles.  On the right side, you can see that there are still some lines present even at rest- static wrinkles.

Static and dynamic wrinkles

Static and dynamic wrinkles

Botox works by paralyzing muscles, meaning it stops dynamic wrinkles. It will not, however, work on static wrinkles, as these are basically a crease in your skin, similar to a crease in a shirt that has been folded too long.  My general recommendation is: if you notice that you are starting to form static wrinkles, this is the perfect time to get Botox.  The Botox will prevent these lines from becoming deeper.  And over time, the underlying skin will remodel and the lines will soften (provided you continue to get Botox).  Some people notice static wrinkles in their twenties and others not until their late thirties, so there is no perfect age to start.  If you are unsure, I recommend scheduling a consultation with a Plastic Surgeon: he or she can tell you if you will benefit from Botox now, or if you can wait a few years.

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Disclaimer: This webpage is for general information only. It is not intended to diagnose or treat any medical illness, or give any specific medical advice. Because medical knowlege is constantly evolving, I cannot guarantee the accuracy or timeliness of any information in this blog.

Questions? I'll do my best to answer any questions left in the comments!