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What is Preventative Botox?

Since it’s approval for cosmetic use in 2002, Botox® has surged in popularity and is currently the number one noninvasive aesthetic medical procedure performed in the United States. Botox, AKA botulinum toxin, is a neuromodulator that essentially ‘freezes’ facial muscles by blocking nerve signals. By doing so, Botox effectively reduces the ability of the muscle to have full movement and diminishes the overall appearance of fine lines and wrinkles that develop as a result of repeated facial expression. Botox is lauded in the world of cosmetic dermatology due to the ease and speed of performing injections and consistently stunning results with no recovery time involved.

Dr. Michele Green is an internationally renowned board certified cosmetic dermatologist and known to be one of the best Botox injectors in New York. She was one of the first dermatologists in New York City to incorporate cosmetic Botox injections into the treatment plans of her patients, introduce “baby Botox”  and has over two decades of experience with cosmetically injecting Botox. In her discreet Upper East Side office, she upholds a ‘less is more’ philosophy when it comes to Botox, providing patients with natural, beautiful results. Dr. Green not only utilizes Botox as a treatment for fine lines and wrinkles, but as a preventative measure for younger patients to keep those lines and wrinkles from forming in the first place.

The idea behind preventative Botox is that by having treatment before any forehead wrinkles or frown lines become permanently apparent, their development is actually halted altogether. Preventative Botox has gained an immense amount of recent attention and interest thanks to social media. Influencers on varying platforms have a powerful impact on trends in beauty, skincare, and wellness, and now more than ever before are opening up about the cosmetic procedures that they’re having done. This new wave of embracing preventative skincare as a part of self-care is encouraging more people to add preventative Botox to their anti-aging regimen for facial wrinkles and folds. More young men and women alike are now seeking out treatment with preventative Botox due to phenomenal results, essentially zero downtime, and ease of having the procedure.

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At What Age Can I Have Botox?

As we age, our skin loses the natural collagen and elastin due to a combination of the environment, sun damage, and genetics. Collagen and elastin are proteins which provide the skin with a firm foundation and help it ‘bounce back.’ Over time, the skin isn’t able to bounce back as easily, causing the expressive facial movements that we repeat to lead to the development of fine lines, wrinkles, and folds. Botox injections can help to soften the appearance of dynamic wrinkles, and many may wonder: when is the right time to start having cosmetic Botox treatments?

Botox has been approved by the FDA for treatment of individuals between the ages of 18 and 65. An increasing number of young people are seeking treatment with Botox injections and it is becoming commonplace to start with cosmetic Botox as early as mid-to-late 20’s and early 30’s. Administering Botox in a younger patient, just before or right when wrinkles start to form, can help slowdown the onset of deeper wrinkles from appearing.

Botox injections can also be used as a corrective measure for those who may have an aspect of their facial features that is out of symmetry with the rest of their face. In these situations, Botox can be used to help prevent wrinkles and lines forming in these areas. For example, Botox injections could help with a person’s natural tendency to frown by reducing the ability of the muscle movement in the area, keeping the muscles from contracting as much. Preventative Botox can be very effective in these cases since it can stop the individual from carrying out the facial movement that will eventually lead to a wrinkle forming. By stopping the motion from occurring, it will potentially stop the wrinkle from appearing in the first place.

When Should I Consider Starting Botox?

Botox may not be something that you thought you’d have to consider until later on in life. If you’re unsure as to whether or not Botox or preventative Botox might be right for you, and are waiting for a sign that it’s time, there are a few clues to look for that can potentially help you with making the decision. One potential sign that it might be time to consider an anti-aging  treatment such as Botox is when facial fine lines and wrinkles are visible even when the face is relaxed and at rest. It is normal for wrinkles to appear when making natural facial expressions, but if they remain when the face is completely relaxed, then in these situations Botox might be a solution for you.

Is it too early to start treatments for younger patients whose fine lines may not be visible when completely relaxed? No! The beauty of preventative Botox is that it can be just that- a preventative measure against developing those deep lines, wrinkles, and folds, like wearing sunscreen daily. An increasing number of patients in their late 20s-early 30s are turning to preventive Botox or ‘baby Botox’ as a means of preventing signs of aging from developing. Starting with preventative Botox can help you maintain a smooth, beautiful, youthful complexion in the long run.

Some of the main advantages of Botox injections as a treatment is that it is a proven technology, that offers the patient a non-invasive, quick to administer solution. The injectable treatment generally lasts for around three to four months, and can be done during a person’s lunch break. In addition to this, side-effects from the treatment tend to be quite minimal. Dr. Green can advise as to some of the key considerations and what issues to look out for.

woman having botox

Where is preventative Botox injected?

The most common areas of the face to have preventative Botox are the forehead lines, glabella (where the brow furrows), and the eyes (crow’s feet area). These areas are often utilized in expressive movement and by freezing the facial muscles in these areas before any signs of wrinkles and fine lines appear, their development can be postponed entirely. During a consultation with expert cosmetic injector, Dr. Green, you will discuss in which areas of the face it would serve you best to have preventative Botox injections depending on your facial structure and desired results. Botox is indicated for use in the following areas:

  • Forehead lines (worry lines).  The forehead is an area which tends to wrinkle even when we are young and can cause one to appear worried or stressed. Botox smooths out these forehead lines and leaves you looking relaxed and rejuvenated.
  • Glabella lines. The deep furrow which can form between the eyebrows can often make one look angry or as if they are scowling. Botox treats this deep wrinkle and just a small amount of Botox can make the frown lines (sometimes called “11″ lines due to their shape) look more relaxed.
  • Crow’s feet around the eyes.  Botox can remove the lines around the eyes which are most obvious when you smile or squint.
  • Neck lines or Cords. Botox can be used to minimize and smooth the lines around the neck in what’s called the “Nefertiti lift” by injecting the cords or platysmas bands.
  • Lines around the mouth.  Botox can be used to treat the smoker’s lines around the upper lip which is a sure sign of aging.
  • Pau d’orange of the chin.  Botox can be used to remove the texture and dimpling of chin wrinkles.
  • Frown lines around the mouth.  Botox can be used to lift the angles or corners, the DAOs of the mouth, to fix the sad-looking smiles.
  • Brow lift. Botox can be used to raise the brow and open up the eyes and subtly raise the brow.
  • Botox Masseter Reduction for Facial Slimming.  Botox can be used to non-surgically slim the face and make the appearance of a square-shaped jaw rounder.

How much is Preventative Botox?

The cost for preventative Botox will vary depending on a number of factors. The experience level of the cosmetic injector providing your preventative Botox treatment will be one of the contributing factors to total cost. It’s typically more expensive to have your treatment done with a board-certified dermatologist or a plastic surgeon, although, worth the investment considering you gain access to unmatched expertise and experience. Having Botox treatment with a nurse or with a medical spa may be less expensive, but may not guarantee the same satisfactory results. When you have your Botox with Dr. Green, you are in the care of a board-certified cosmetic dermatologist who is world-renowned for artistic, stunning results and who is known to be one of the best Botox injectors in the city of New York.

Another variable that impacts the cost of your preventative Botox treatment is the total number of areas treated. During your consultation with Dr. Green, you will discuss your desired results and the necessary areas of treatment to achieve those results will be identified.

The geographical location of the office in which you have your Botox treatment will also factor into how costly the procedure is. Botox injections should be regularly maintained for best cosmetic results and a follow up appointment should be made with your provider for three to four months after each treatment. By maintaining your preventative Botox you can keep fine lines and wrinkles away for longer and preserve a smooth, youthful, natural look.

Are there side effects of Botox?

Typically, there are no side effects associated with having Botox injections other than mild swelling at the injection sites, though this resolves on its own fairly quickly. Dr. Green likes to evaluate her patients two weeks after their treatment with Botox in order to assess treatment and determine as to whether any touch up is needed.

Other potential side effects of Botox include:

  • Localized swelling
  • Bruising at the treatment area
  • Pain at the injection site
  • Headache
  • Flu-like symptoms
  • Dry eyes or excessive tearing
  • Drooping eyelid or ptosis
  • Double vision
  • Blurred vision
  • Dry eyes

Immediate allergic reaction side effects which require immediate medical help include:

  • itching
  • rash
  • red itchy welts
  • wheezing
  • asthma symptoms
  • dizziness

Rare side effects of botulinum toxin products may result from the speak of toxin effects. The effect of botulinum toxin may cause:

  • Muscle weakness
  • Trouble breathing, talking, or dysphagia (trouble swallowing)
  • Vision problems
  • Bladder incontinence (loss of bladder control)
  • Hoarse voice
  • Neck pain
  • Paralysis

If you develop any of these serious side effects following Botox, further injection of Botox should be discontinued.

Patients should not receive Botox if they are allergic to any of the ingredients in Botox, or if they have had a previous allergic reaction to any other botulinum toxin product such as Myobloc, Dysport, or Xeomin.

It is important to remember that Botox is a prescription medicine that is injected into the muscles and can have potential side effects like any other medication. Botox injections should not be done when patients are pregnant or breastfeeding. Dr. Green will thoroughly review all of your medical history and current medications with you before treating you with Botox injections for facial wrinkles.

Additionally, it is important to tell Dr. Green if you have any muscle nerve conditions such as ALS or Lou Gehrig’s disease, myasthenia gravis, or Lambert-Eaton syndrome. Always let Dr. Green know if you are taking any prescription medications (including muscle relaxants, antibiotics for infection, allergy or cold medicines, sleeping pills), herbal supplements, or over-the-counter medications which could potentially interact with your Botox treatment. It is always advised to discontinue any blood thinners for at least one week before your Botox injections to prevent potential bruising after treatment.

Sometimes, after having Botox injections, patients may develop antibodies to the toxin. The development of antibodies makes subsequent treatments ineffective. If someone does happen to develop antibodies to Botox, there are other brands of botulinum toxin, such as Dysport(Manufactured by Galderma) and Xeomin (Manufactured by Merz) that can be used instead of Botox to provide long-lasting results.

IR 23 botox and juvederm before after FRONT 2 MGwatermark

Botox and Juvederm before and after

What to expect during preventative Botox treatment

Before having any preventative Botox injections, you can expect to have a formal consultation with Dr. Green. During your consultation you will discuss in depth your medical history, any prior experience with Botox or other cosmetic procedures, and your desired outcomes with treatment. Depending on factors such as your unique facial structure, the location and depth of any facial wrinkles and folds, and your desired result, Dr. Green will determine best course of treatment to help you to become the best version of yourself. If preventative Botox is something that is suited to you then treatment may be done on the same day as the consultation or scheduled for a later date given your preference and time allowance.

On the day of your preventative Botox treatment, Dr. Green will start by expertly and precisely marking the skin at the planned injection sites. The needle used to inject Botox is ultra-thin, making the injections themselves essentially painless. A topical numbing cream can be applied to the skin in preparation for treatment to make the procedure more comfortable, however, it is not required. Dr. Green will then inject your Botox, assessing treatment throughout the procedure. Many patients prefer to have “baby Botox” injected as a preventative treatment. Upon completion of the injections, ice packs are immediately applied to the area to prevent any swelling as well as provide comfort to the treatment area.

After having treatment with cosmetic Botox injections, you should be in an upright position for the first four hours. You should refrain from strenuous actives and exercise, facials, alcohol, blood thinners, or excessive heat exposure, including saunas or steam rooms for 48 hours. The full effects of your Botox treatment are reached two weeks after the injections take place. Dr. Green recommends that all of her Botox patients return to her NYC office two weeks after their initial cosmetic injections to make reassess the treatment to be sure that the Botox injections were effective and that they have achieved the best cosmetic results.

Can Botox be combined with other cosmetic treatments?

Absolutely! Dr. Green frequently combines Botox injections with various other cosmetic procedures such as facial dermal fillers, laser treatments, and chemical peels to artfully achieve total facial rejuvenation for her patients. For her patients, Dr. Green often pairs Botox injections with facial fillers such as Juvederm®, Restylane®, Belotero®, and Sculptra® in a liquid facelift. These fillers help to smooth out other areas of concern such as the nasolabial lines, smile lines, marionette lines, jaw line, and more. Dermal fillers can also be used to help restore lost facial volume in the mid-face, jowls, and jawline, and combining them with Botox provides complete facial rejuvenation.

Thermage is a treatment that helps tighten and contour skin in a single session with no surgery, no injections, and no downtime. Thermage stimulates the body’s natural renewal process by inducing collagen production, generating a lifting and tightening and providing smoother, firmer skin- without a facelift. When it comes to addressing the appearance of fine lines and wrinkles, and loose, sagging skin, Thermage® is an excellent non-surgical option for both facial and body skin rejuvenation. Results from Thermage are typically seen 4 to 6 months after treatment and can last for up to two years. Combining Thermage treatment and Botox injections can provide patients with a refreshed and rejuvenated appearance all without plastic surgery.

How often to get preventative Botox

The effects of Botox generally last three to four months. With continued use and relaxation of the muscles of facial expression, some patients find that their Botox injections last up to six months. Regular follow up on your Botox injections will provide you with the best cosmetic results and ensure that any fine lines and wrinkles are kept at bay to keep skin looking smooth, refreshed, and youthful.

Is there any downside to getting Botox in your 20s?

There is some debate as to whether having preventative Botox in your late 20s and early 30s is a poor choice in the long run. What’s important to note about skincare is that maintenance and consistency are key to upholding a beautiful, youthful complexion in over time. So long as you keep up with Botox injections, preventative Botox prevents you from developing fine lines and deeper wrinkles. Botox only makes you look younger looking once you start treatment and there is no threat that having Botox at a younger age will contribute to a more severely-aged appearance later on. If you stop having Botox injections, the muscles that control facial expression will be allowed to regain full range of movement and you will revert to the ability to wrinkle once again.

Is preventative Botox worth it?

Yes! Preventative Botox works to help prevent the development of deep wrinkles that tend to form as a result of repeated facial expressions. Botox cosmetic injections have a significant preventative effect when it comes to forehead wrinkles, crow’s feet, and frown lines. When thinking of Botox injections, it is best to think long term. Although Botox treats facial wrinkles in just minutes, the real value of Botox is in maintenance and prevention of new and deep wrinkles. When you have preventative Botox, you are investing in maintaining a smooth, youthful, beautiful complexion.

Choosing a Botox injector

It’s important that when you choose an injector to provide your preventative Botox treatment that you select someone who has the experience and the expertise to masterfully deliver natural, beautiful results. Having Botox injections with a board-certified dermatologist is typically more expensive than when having them with a nurse or at a medical spa, however, you then have access to a provider you can trust to give you the best cosmetic results and follow up.

Dr. Michele Green is a board-certified, internationally renowned dermatologist and an Allergan platinum Botox injector with over 25 years of experience. She was one of the first providers in New York City to offer cosmetic Botox injections and has treated some of the most discerning men and women in the world from her discreet Upper East Side office. Her background in art beautifully marries with the science of dermatology and she is consistently awarded the title as one of the best doctors in New York by Castle Connolly, the New York Times, Super Doctors, and New York Magazine. When you schedule a consultation with Dr. Green for preventative Botox, you can be sure you’ve chosen someone with the skill to provide you with beautiful results and become the best version of yourself.

How to Get Started with Preventative Botox

Dr. Michele Green is a board-certified dermatologist with over two decades of experience cosmetically injecting Botox and is known as one of the best Botox injectors in all of New York City. Her unique injection technique and ‘less is more’ approach to Botox injections will keep you looking and feeling refreshed, rejuvenated, and youthful. If you’re interested in learning more about Botox or preventative Botox injections to keep fine lines and wrinkles from appearing, please contact us online today  or call our New York City based office at 212-535-3088

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