Is preventative botox an effective solution?

I have heard it's best to start young with Botox and filler to avoid deep lines and wrinkles. At what age should I begin looking into Botox and filler to maintain my looks?


F, 31, Iowa

I can appreciate your desire to "stay ahead of the curve" and maintain a youthful look. The fact of the matter is every one is unique. The use of fillers and Botox injections can be very effective in staving off the tell tale signs of aging, ie, wrinkles, crows feet, loss of facial fat volume. Much has to do with lifestyle at your age. Avoiding excessive sun exposure, avoiding the dehydrating effects of excessive alcohol use, and getting enough sleep and exercise is every bit as important, and probably moreso, as the needle. Most women do not begin to show the effects of sun, alcohol etc until the mid to late thirties. At that point, consultation with a Board Certified Plastic Surgeon or Dermatologist specializing in facial aging can be helpful. Establishing a relationship with a doctor you feel comfortable with is important. Photos can be taken to chronicle changes and note where "a little help" may be necessary.

Best Wishes,
Dr. Morrissey

I like to see Botox (or dysport) patients as preventative. Lines on the forehead, between the eyes and outside the eyes ( called crows feet) are simply creases that occur with repeated facial movement- think surprise or concerned look. Endotoxins prevent muscl movement so are keeping the creases at bay. The age to start is personal- look in the mirror and make expressive faces- see what lines are forming, look at older family members

Fillers are really not the same . With a few exceptions ( sculpta is an exception) they are not creating collagen but simply "filling" space. 

I do believe limiting sun, daily sunscreen, moisturizer, a daily protective serum are the most important considerations to begin at an early age

jack Peterson MD


Every time you smile, frown, squint, raise your eyebrows, furrow your brows when concentrating  you will end up making folds in your skin.   Over time, these folds become permanent creases and wrinkles.  Just like if you fold a piece of paper over and over again.  Botox relaxes the muscles in the face to minimize movements in those areas most prone to form creases. Especially around the eyes and forhead.  Some people are more prone then others to have wrinkle prone skin. If you have fair skin color or a very thin some damage skin the earlier you use Botox the better.    Starting in your late 20s or 30s is not unusual.