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Botox in Your 20s & 30s

As we age, the muscle movement caused by the facial expressions that we make etch fine lines and wrinkles into the skin. These dynamic wrinkles, or wrinkles caused by repeated contraction of the muscles, frequently take the form of glabellar lines, which form between the eyes as a result of repeated furrowing of the brow, forehead lines, and crow’s feet that form at the corner of the eyes. In our youth, these lines will appear as the muscles contract but when the face is relaxed, signs of the wrinkles are erased and the skin is smooth. However, over time, the lines no longer fade when your muscles are relaxed and the wrinkles will remain visible on your face, forming static lines. These signs of aging can start to develop in your late 20s and early 30s when collagen and elastin production also start to decrease. It can feel frustrating to notice the formation of these wrinkles that can start to set in your 20s and 30s. These creases have young people wondering, is there a way to prevent these deep lines before they even develop?

Luckily, innovations in dermatology have led to what is known as preventative Botox, sometimes also referred to as “Baby Botox.” This Botox treatment method is best for patients in their late 20s and early 30s who are starting to develop static fine lines. When some patients hear “Botox,” they fear that the treatment is used to “freeze” their face and limit the muscle movement that allows for their expressive capabilities. But with an expert, board-certified dermatologist, such as Dr. Michele Green, preventative Botox in your late 20s and early 30s can be a highly effective method to smooth out static wrinkles that have started to develop and prevent the formation of deep wrinkles – all without freezing your face. Preventative Botox uses a smaller amount of the injectable primarily in the forehead, on the brow between the eyes, and around the corners of the eyes – all areas that are among the first to develop these lines.

P.C 28yr old female before After Botox lip flip MGWatermark

25-30 year old Botox for lips before & after

Board-certified dermatologist, Dr. Michele Green, has been performing Botox on patients of all ages at her Upper East Side, New York City office for over 25 years. Dr. Green was one of the first cosmetic dermatologists in New York to perform Botox injections and combine Botox with other anti-aging treatments such as Juvederm injections, and laser treatments. Her “less is more” philosophy, is what has made her consistently voted as one the best dermatologists in New York by Castle Connolly, The New York Times, Super Doctors, and New York Magazine. Whether is is the best skin care, facials, chemical peels, or preventative Botox injections, Dr. Green is here to help

What is Botox? 

Botox is the brand name for the Botulinum toxin type A injections created by the company Allergan. The treatment was approved by the US Food and Drug Administration (FDA) for cosmetic use in 2002 and has since become one of the most popular minimally-invasive anti-aging treatments in the United States. Botox has seen a particular rise in popularity with younger patients, as Botox treatments have increased by 28% since 2010 for patients between the age of 20 and 29, according to the American Society of Plastic Surgeons. Cosmetically, Botox is best used to smooth and prevent wrinkles on the face, in particular frown lines on the forehead, wrinkles between the eyebrows, and crow’s feet that appear around the eyes. The injection treats dynamic wrinkles, or wrinkles caused by repeated contraction of the muscle, to relax muscle at the injection site. No only does this smooth existing wrinkles, but for younger patients, it can train the muscle not to contract, thereby preventing the development of deep wrinkles.

How does Botox work?

Botox is a neurotoxin produced by a species of bacteria called Clostridium botulinum. Botox, also known as Botulinum toxin A or onaboltulinumtoxinA, acts as a neuromodulator, meaning it inhibits the muscle response where it is injected. This occurs as the Botulinum toxin A blocks the neurotransmitters at the injection site. As a result, the muscle no longer receives the signal to activate or contract and, consequently, the muscle relaxes, which smooths the skin. Cosmetically, this is an effective way to eliminate dynamic wrinkles on the face which are caused by repeated muscle movement due to certain facial expressions, such as a furrow in the brow, squinting when you smile, or frowning. When injected into areas such as the forehead or around the eyes, the Botox injections cause the muscles in those areas to relax. If a patient has already developed wrinkles in that area, Botox can help to soften the lines, reducing signs of aging. If a patient has not fully developed wrinkles yet, such as patients of a younger age, Botox injections can be used to help prevent those wrinkles from developing by deactivating the muscle, essentially teaching it never to contract, thus keeping the lines from ever forming.

What is preventative Botox?

Preventative Botox, sometimes also referred to as “Baby Botox,” is when patients opt to receive Botox before the full development of deep lines or wrinkles on the face. Wrinkles develop in stages throughout the natural aging process: first, you experience “stage one” wrinkles, which are typical during your 20s. For stage one, you would experience the appearance of wrinkles when you make certain facial expressions, such as furrowing your brow or smiling by crinkling your eyes, but when you stop making the expression and your face is at rest, the wrinkles disappear. Next, you may begin to experience “stage two” wrinkles in your early 30s, which occur when the dynamic wrinkles have become etched in your skin such that they are visible even when your face is relaxed. Stage two wrinkles begin to develop most commonly on the forehead, between the eyebrows, and around the eyes, areas where your facial muscles are very active in your expressions. In your early 30s, the production of collagen, which is the protein in you skin that keeps it tight and firm, also begins to decrease, thus beginning to make wrinkles more visible. The third stage, is characterized by more deeply etched lines. A good indicator of stage three wrinkles is when make up starts getting caught in the lines. The final stage, is stage four when the wrinkles are visibly deep on the skin. At this point in time, your skin may also appear looser due to the deduction in collagen and elastin production as you age.

Receiving Botox to prevent the onset of deep wrinkles is best to do when stage one wrinkles are just beginning to transform into stage two wrinkles, meaning that wrinkles appear when you make a certain facial expression and remain visible on your face for seconds, or even minutes, after your face relaxes again. Preventative Botox is when patients receive a small amount of Botox in the areas of the face where those lines are starting to develop, which relaxes the muscle in that area, smoothing out any lines that have started to develop. Further, the Botox prevents the muscle in that area from contracting, meaning that the dynamic wrinkles do not have a chance to form since the muscles there are not being activated. This is advantageous not only in that it keeps your skin looking smooth in the moment, but also, when the treatment is performed in moderation by an expert dermatologist, such as Dr. Green, it can mean that you will not need as much Botox in the future.

SG 27 3 weeks Before and After Botox RIGHT MGWatermark

Botox 3 weeks before & after

Why would you need Botox?

Botox is a non-surgical, cosmetic procedure that can reduce and/or prevent the appearance of fine lines and wrinkles on the face. Signs of aging such as wrinkles on the face can be distressing for some people and when looking for a safe and effective way to reduce the appearance of wrinkles, many patients turn to Botox. The development of fine lines on the face is a natural part of aging but wrinkles can be exacerbated by certain factors such as having experienced sun damage or being a smoker. As such, Botox can be used to treat winkles that have already developed or as a preventative measure.

Should you get Botox in your 20s?

When starting Botox, it is important to find an experienced dermatologist, such as Dr. Green, who will consider your individual needs. Patients can begin the process of preventative Botox when they begin to notice signs of stage two wrinkles, meaning wrinkles that appear as a result of a certain facial expression – such as frown lines or crow’s feet – and that do not go away immediately when the face is at rest. For some patients, the development of stage two wrinkles can begin in their late twenties. Perhaps you always furrow your brow when you concentrate or you are genetically pre-disposed to have strong forehead lines. If you are in your 20s and you do already notice those lines beginning to be etched in your face, you can consult Dr. Green about receiving small doses of Botox in the effected area. If you are not experiencing stage two wrinkles, however, you likely do not have a pressing need to receive Botox treatment. You can take care of the skin on your face in other ways, such as using moisturizer and always wearing sunscreen when you go outside. These skincare treatments can help to prevent early onset of wrinkles on the skin.

How often should you get Botox in your 20s?

The effect of Botox wears off after approximately three to four months following the procedure. As a result, in order for the effects to be maintained, you will need to receive the treatment again. You can receive the treatment as often as once every three months, however, in your twenties, you likely do not need the treatment with that frequency. For most patients, small doses every six to eight months will suffice for the prevention of deep wrinkles in your twenties. When you have your consultation with Dr. Green, she will take into consideration your specific need and aesthetic goals in order to develop the treatment plan that works best for you.

Is Botox worth it in your 20s?

When patients ask, do I need Botox at 20, the answer is: it depends. In the last ten years, the prevalence of people in their 20s receiving Botox treatment has risen by 28%. While this study, performed by the American Society of Plastic Surgeons, did not provide insight into why that number has risen, one potential reason is the rise of social media. Filters can be used to further perpetuate the idea that smooth, wrinkle-free faces are to be striven for and the platforms have also helped to destigmatize Botox treatment. For patients in their 20s who are striving to meet certain aesthetic goals, Botox can seem like the best place to start. If you are starting to experience dynamic wrinkles that are etched in your skin, your 20s can be a good time to begin preventative Botox. If you are in your 20s and considering this option, it is best to begin by consulting with board-certified dermatologist, Dr. Green, to be sure that this treatment plan is right for you.

Should you get Botox in your 30s?

When you reach your 30s, the body’s natural production of collagen and elastin decrease, meaning that the skin begins to lose it’s firmness and elasticity. As a result, wrinkles can start to look more defined as patients begin to develop stage two wrinkles, meaning that dynamic wrinkles are visible even when the face is relaxed. Botox is a safe and effective treatment that can eliminate the appearance of these wrinkles on the face. If you are in your 30s and noticing the appearance of etched dynamic wrinkles that you find unnerving or distressing, Botox can be an effective way to eliminate these wrinkles and prevent them from deepening.

EW 28 F botox masseter 2w FRONT

Botox in Masseter area, 2 weeks before and after

How often should you get Botox in your 30s?

When patients ask about the recommended frequency of treatments, the answer is: it depends. The effects of Botox wear off after approximately 3 to 4 months and once the effects have worn off, the treatment can be repeated. For some patients, this may mean receiving treatment every four months or so but for some, Dr. Green may recommend more time in between. The treatment schedule for each patient is based on their individual needs and aesthetic goals and can be determined during your consultation with Dr. Green.

Is Botox worth it in your 30s?

Patients in their 30s can receive Botox treatment in order to eliminate the early appearance of dynamic wrinkles on the face and prevent those fine lines from developing into deeper wrinkles. But the question of whether the treatment is worth it is up to each individual patient. if you are feeling worried about the signs of the natural aging process on your skin, you can consult with Dr. Green about your treatment options. Dr. Green is an expert in anti-aging skin care including Botox, filler, chemical peels, and topical skincare products. Together, you will determine the treatment plan that works best for you and keeps you feeling young and fresh.

What is the procedure for getting Botox?

To start the Botox treatment process, patients will have a consultation appointment with Dr. Michele Green at her New York City office. There, you will discuss your aesthetic goals and Dr. Green will address your treatment area. If you are in your 20s or 30s and are unsure about whether Botox is the right choice for you, Dr. Green will talk you through all of your anti-aging options to determine the treatment plan that is best for you.

If you have determined that preventative Botox is a step in your anti-aging plan, you can expect a simple and fast treatment procedure. On the day of your appointment, Dr. Green recommends avoiding any anti-inflammatory pills such as Advil or Aspirin, as they can increase the risk of bruising following the procedure. The Botox injections themselves are simple and cause minimal discomfort. If you would like, Dr. Green can apply a topical numbing cream to the treatment area to even further minimize any discomfort. The injections themselves will only take about ten minutes.  The treatment is quick to perform, especially because preventative Botox uses so few units of Botox for the treatment.

Following the treatment, you can expect some minor side effects such as redness and bruising at or around the injection site. There is no downtime following the procedure so you can immediately return to your regularly scheduled activities. Dr. Green advises that you do not massage or lay down on the treatment area directly following the procedure to avoid spreading the injection to other parts of your body.

How long until the effects are visible?

The results of Botox take a bit of time to reach full effect. You may start to see the muscle relax after several days but the peak of the treatment effect occurs 14 days after getting Botox injections.

How long do the effects of Botox last?

The effects of Botox can last for approximately 3-4 months, after which time you can return to Dr. Green’s office for a touch-up. The amount of time in between each treatment session is dependent on your specific treatment goals and needs and will be determined by Dr. Green. Botox is often compared with other liquid injection treatments such as Xeomin and Dysport. Xeomin is important to note for patients who are starting Botox treatment at a young age. While Botox has a preservative protein as an inactive ingredient, Xeomin does not, making it a purer form of the Botulinum toxin A. This is significant as, over time, the body can form an immunity to Botox as a result of the preservative protein. This is not the case for Xeomin, which has also been shown to have effects that last for up to six months. As such, Xeomin can be a good option for longevity of treatment both on an individual session basis and over time.

Frequently Asked Questions:

Many patients who have reached their 20s or 30s and are considering Botox have questions about the process. We have answered some of the most common questions for those who wish to get started with Botox below.

Can I get Botox at 20?

At 20 years old, it is likely that stage two wrinkles, or wrinkles that appear when you make a facial expression and stay etched on your face for some time after your face is relaxed, have not yet started to develop. The vast majority of 20-year-olds do not have any wrinkles that have etched into their skin. For that reason, Dr. Green does not recommend starting Botox as young as 20 years old. It is best to start preventative Botox treatment in your late 20s or early 30s.

Is 25 too early for Botox?

Many patients wonder, should a 25 year old get Botox? This is a question that is best answered on an individual basis, rather than as a generalization about an entire age group. If you are 25 years old and are starting to develop wrinkles that stay etched in the skin even when your face is at rest and you find that distressing, it might be good to consult with Dr. Green to see if starting Botox is the right option for you. Starting Botox at 25 can help to prevent the further development of dynamic wrinkles when it is administered carefully and in moderation by a board-certified dermatologist, such as Dr. Green.

IR 23 botox and juvederm before after LEFT MGWatermark

Female in her early 20’s – Botox and Juvederm before and after

Why do girls in their 20s get Botox?

Noticing signs of aging can be very distressing. With social media and so much time spent staring at your face in virtual meetings, the pressure to look a certain way can feel overwhelming. Botox offers an opportunity to prevent the symptoms of the natural aging process to provide youthful and smooth-looking skin.

How do I get started with preventative Botox today?

If you are beginning to notice fine lines around your forehead, or crow’s feet around your eye, which skin care is not improving, it may be time to consider Botox injections. Preventative Botox is one of the most popular treatments for patents in their late 20s and early 30s. Botox treatments are quick, painless, and effective. If you are considering dermal fillers and want an anti-aging plan, it is best to consult with Dr. Michele Green in her Upper East Side office. She will help you decide, based on your anatomy and cosmetic concern, whether it is the best time to start Botox injections. If you want to treat or prevent the appearance of fine lines and wrinkles, please contact us online today or call our New York City office at 212-535-3088 to learn how Dr. Michele Green can help you rejuvenate your skin and reduce the signs of aging with Botox injections and other cosmetic treatments.

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