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Botox in Your 20s & 30s

Over time, the repeated facial expressions that we make cause fine lines and wrinkles to become etched into the skin. These are called dynamic wrinkles, and are most prevalent as forehead lines, crow’s feet, and the glabellar lines (also referred to as the frown lines or 11’s). It may seem too early to think about preventing or treating signs of aging in your late 20s and early 30s, however, as we age, levels of natural collagen and elastin in the skin begin to deplete at a faster rate than they are produced. Collagen and elastin are proteins in the skin that contribute to its firmness and elasticity. With less collagen and elastin, the skin is far more susceptible to developing signs of aging such as dynamic wrinkles. This has caused many young people to wonder about how to best prevent facial creases from forming in the first place and, often, the answer is: Preventative Botox.

Preventative Botox, also referred to as “Baby Botox”, is a treatment method that is best suited to patients in their late 20s and early 30s. This Botox treatment is designed to prevent fine lines and wrinkles from forming by injecting small amounts of the neurotoxin into different areas of the face to relax the muscles that are responsible for facial expressions. Botox has skyrocketed in popularity since its FDA-approval for cosmetic use in 2002, and is currently the most highly sought after non-invasive cosmetic procedure in the United States. Considered to be the ultimate cosmetic treatment for eliminating the appearance of dynamic wrinkles, Botox is often referred to as ‘liquid gold’ in the world of cosmetic dermatology due to the ease and speed of performing the injections, consistently stunning results, and zero recovery time involved. Now more than ever, young people are choosing to take advantage of the benefits of Botox.

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

25-30 year old Botox for lips before & after

If you’re starting to see evidence of fine lines and wrinkles, or looking for a way to keep them from showing up in the first place, it may be time to start Botox. It’s crucial that Botox treatment, including preventative Botox, is performed by an experienced injector with the expertise to deliver the ideal cosmetic results- no one wants to look totally ‘frozen’! Dr. Michele Green in New York City was among the first dermatologists to offer cosmetic Botox injections, and has over 25 years of experience providing what is described as the “best Botox in New York”. For her holistic approach and ‘less is more’ philosophy when it comes to facial rejuvenation, she is consistently recognized by Castle Connolly, New York Magazine, and Super Doctors as one of the best physicians in NYC. Whether you are exploring preventative Botox for the first time or looking to optimize your anti-aging approach, Dr. Green will work with you to create a customized treatment plan that addresses your specific skin concerns and delivers your ideal cosmetic results.

What is Botox?

Botox is the brand name for the injectable neurotoxin, Botulinum toxin type A, made by the pharmaceutical company Allergan. Botox treatment was FDA-approved for cosmetic purposes in 2002, and is now the most popular non-invasive cosmetic procedure in the United States. Botox has recently become particularly popular with younger patients. The number of patients undergoing Botox treatments between the ages of 20 and 29 has increased 28% since 2010, as reported by The American Society of Plastic Surgeons. Botox is used to smooth and prevent dynamic wrinkles on the face, most commonly to target frown lines, forehead lines, and crow’s feet. Dynamic wrinkles are those which are caused by repeated contraction of facial muscles. Relaxing these muscles with Botox not only eliminates the appearance of existing wrinkles, but for younger patients, it can actually prevent the development of fine lines in the first place. Botox can also be used for the treatment of neck lines, non-surgical jaw slimming, as well as lip flip. The indication for Botox has also expanded to treat certain medical conditions, such as symptoms of hyperhidrosis or excessive sweating, TMJ, and migraines as well as blepharospasm and cervical dystonia.

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 to contract less, thus keeping the lines from ever forming.

Why would you need Botox?

Botox is a non-surgical, minimally-invasive 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 wrinkles that have already developed or as a preventative measure.

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

When to start preventative Botox

A common question we receive from younger patients is “what is the right age to start Botox?” The answer to this question is dependent on the individual’s needs and aesthetic goals. It is reasonable to start considering preventative Botox treatments when you start noticing the formation of fine lines in your 20s or 30s, as most people typically start noticing deeper wrinkles in their 40s. Receiving small concentrations of Botox in commonly wrinkled areas like forehead, glabella, and eyes will prevent the muscle in that area from contracting, thereby preventing dynamic wrinkles from forming. Also, consider the rate at which your skin seems to be aging. If you have a history of smoking or excessive sun exposure, your skin will age faster due to sun damage and oxidative stress; therefore, you may need to start Botox treatments sooner. Botox can be used to treat both existing wrinkles and fine lines and wrinkles as well as prevent future ones from developing. Preventative Botox or “Baby Botox” should be performed by an experienced, board-certified dermatologist to ensure the risk of side effects are minimal and achieve the best results.

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 brows when you concentrate or you are genetically predisposed 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 affected 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 its 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, fillers, 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.

How often should you get Botox in your 40s?

The positive effects of Botox typically lasts three to four months. In your 40s, the rate of collagen and elastin synthesis continues to decrease, and you will likely notice deeper wrinkles, more fine lines, and skin laxity or loose skin. In order to maintain the smooth, youthful-looking complexion in your 40s, it is best to receive Botox treatments every three to four months or three to four times per year. Dr. Green is very experienced in anti-aging treatments and skincare, and she will carefully listen to your specific concerns and create a customized treatment plan that works best for you.

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 medications 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. A cold pack will be applied to the treated areas immediately following the injections to minimize bruising and swelling. There is no downtime following the procedure so you can immediately return to your regularly scheduled activities. Dr. Green recommends keeping your head upright for four hours following Botox injections and avoid strenuous exercise for 24 hours post-treatment. She also 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.

When should you start Botox?

The answer to “what is the best age to start Botox?” is: it depends on personal preference and aesthetic goals. People start Botox treatments at various stages of life. Those in their 40s may be noticing dynamic wrinkles that are present on areas of the face, commonly forehead and around the eyes, even when the face is relaxed and decide they want to undergo Botox injections to smooth out the skin. People in their 30s may be noticing fine lines without muscle contraction and notice deeper wrinkles form when they raise or furrow the eyebrows. In order to prevent dynamic wrinkles from forming, people in their 30s may start Botox treatments. Recently, there is a higher prevalence of people in their 20s starting Botox treatments as a preventative measure. This is not to say that people in their 20s don’t experience fine lines and wrinkles, as sun damage and smoking can exacerbate and accelerate signs of aging. It is reasonable for patients in their 20s to start preventative Botox using a smaller concentration of Botox to train the muscle to contract less, thereby avoiding the formation of dynamic wrinkles. It is up to you to decide whether you want to start Botox treatments, but it is imperative that you research experienced, board-certified dermatologists like Dr. Green who will carefully listen to your concerns, perform a thorough assessment, and determine whether Botox is the right treatment for your aesthetic goals.

When do you start seeing Botox results?

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

When will Botox start to work?

This is a common question asked by patients who may be considering Botox injections to look their best for a specific event planned ahead, such as a wedding. You may notice the effects of Botox starting around one week after the injections, and the full effect of Botox is typically noticed two weeks post-treatment. For this reason, Dr. Green recommends a follow-up appointment two weeks after the Botox treatment to reassess and see if any touchups are necessary. If you have a pending important event, make sure you allow plenty of time to ensure you look your best on that specific date.

When does Botox start to wear off?

The effects of Botox can last for approximately 3-4 months, after which time you can return to Dr. Green’s office for maintenance. 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.

What age should I start Botox?

The best age to start Botox does not exist because it all depends on the individual. Many patients start Botox treatments as a preventative measure in their 20s and 30s. A lot of patients start Botox treatments in their 40s and 50s as they notice deeper wrinkles etched into their skin and seek to smooth them out. There is no magical number for the perfect age to start Botox. However, if you are noticing fine lines and deeper wrinkles when raising or furrowing your eyebrows that don’t immediately resolve when your face is relaxed, it can be a good time to start Botox treatments. Many people will notice in their 20s and 30s that they are starting to develop wrinkles in the same areas of the face as their mother or father, in which Botox injections can help prevent those deep wrinkles from forming.

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.

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 ourselves in virtual meetings, the pressure to look a certain way can feel overwhelming. Botox offers a safe and effective opportunity to prevent the symptoms of the natural aging process to provide youthful and smooth-looking skin. Botox became the number one non-invasive cosmetic procedure in recent times according to ASPS 2020 Plastic Surgery Statistics Report. Noticing signs of aging can be disheartening, even in your 20s and 30s. Thankfully, nonsurgical cosmetic treatment options like Botox are available to help you feel confident and young. Social media has helped destigmatize dermatologic procedures like Botox and dermal fillers, and Botox, with decades of use, is the perfect option to prevent fine lines and wrinkles.

How do I get started with preventative Botox today?

Botox has been established as the number one cosmetic treatment for diminishing the appearance of dynamic fine lines and wrinkles. The right age for starting Botox might be slightly different for every individual, depending on their unique skin concerns and aesthetic goals. If you are interested in achieving and maintaining a smooth, beautiful, youthful complexion, Botox treatments may be the non-invasive solution for you. The fact that Botox injections are quick, safe, painless, and produce consistently stunning results has lead preventative Botox to be one of the most popular cosmetic treatments for patients in their late 20s and early 30s. Having your Botox treatment with a board-certified cosmetic dermatologist and expert injector, like Dr. Michele Green in NYC, guarantees that you’ll look and feel like the very best version of yourself. Dr. Green is an internationally renowned expert in the field of cosmetic dermatology with over 25 years of experience providing what is referred to as “the best Botox in New York”. Embracing a ‘less is more’ philosophy and holistic approach to facial rejuvenation treatment, Dr. Green creates a customized treatment plan for every patient that caters best to their unique concerns and personal cosmetic goals, utilizing the most cutting-edge treatments and innovative techniques. To learn more about non-invasive anti-aging cosmetic procedures such as preventative Botox, dermal fillers, chemical peels, microneedling, and laser treatments, among others, contact us online today or call our New York City office at 212-535-3088.


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