Prejuvenation: What is the right age to start Botox?

“Hi Dr. Will, my name is Amanda.

Put simply, I have two wrinkles on my forehead. The deepest one is there all the time. I have named her Janet. I don’t like Janet. Janet has a friend who stops in once in a while right below her… her name is Tammy. Tammy comes and goes, but has been showing up more and more lately, and I really don’t like the two of them together.

I am 27. I would like Botox to make Janet and Tammy to go away.”

My first thought is that I miss the day that I could count my wrinkles! But in all seriousness, this is a very important question: When is a good age to start Botox? There is a definitely a new trend among 20-somethings across the states to get Botox and dermal fillers, particularly in a preventative way - called “prejuvenation.”

Frown lines and expression wrinkles – literally all wrinkles - are due to the repetitive folding of the skin. The theory behind preventative Botox is simple: injecting earlier, you can keep wrinkles from happening in the first place, rather than attempting to fix them after they have become rooted.

Another area that I like to preventatively treat is the mouth angles. By injecting Botox into the muscles that control the downturn of the sides of the mouth one can prevent the formation of those particularly deep “marionette” lines. From an injector’s perspective, marionette lines are very hard to treat once they have formed without minimally invasive procedures like PDO threads.

So if the goal is prevention, how early can a patient start treatments?

The answer is simple! Whenever you start to notice and become bothered by frown lines, forehead lines, or the like - it’s time. If you are starting to notice fine lines coming through, and really want to prevent them from turning into deeper permanent wrinkles at rest, it’s time for a consultation.

From legal standpoint, Botox is FDA-approved and available for patients 18 and older. Most patients typically start using Botox at age 30, but if your particular lifestyle is more wrinkle-intensive (like the South Florida sun, regular intense exercise, regular “adult beverages”) that age can drop to the 20s to benefit from preventative Botox treatments. Your provider can decide if you are a candidate and what the treatment options are – get a consultation, and have faith in your provider!



Dr. Wil

Dr. Will Richardson Dr. Richardson is Board Certified Dermatologist, global author and personal and professional development coach.

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