Nowadays, aging gracefully is a part of life and how we choose to do it is a personal decision – diet, exercise, sunscreen, skin care, and yes, even when to start Botox.

While wrinkles are a natural part of the aging process, they can be distressing for many. More than age, the question of when (or if) to use Botox depends more on an individual’s skin, genetics, and lifestyle than it does on age, but this is an overview of what Botox can offer by starting in the decades 20’s/30’s/40s.  

Botox is the brand name for the neurotoxin botulinum toxin A, a muscle-relaxing agent. Botox relaxes muscles in the face that cause wrinkles, thereby reducing visible signs of aging.   Botox is extremely safe and is effective at treating and preventing wrinkles.  Botox is the most popular non-surgical cosmetic treatment, with more than 6 million Botox treatments administered each year.

Starting Botox in your 20s

Superficial lines may start to appear in a client’s 20’s, but typically wrinkles have not.  Botox injections at this age will erase fine lines and retrain muscles from over-expression.  Botox at this age is often preventative. Typically 1-2 treatments a year will suffice.

Botox in your 30s

In the 30s, real lines between the brows, creases in the forehead, and wrinkles around the eyes may appear.  Botox treatment will treat these lines and prevent them from becoming permanent. 2-4 treatments a year are often needed.

Botox in your 40s

In the 40s, other aging processes have begun to occur, such as loss of volume and elasticity in the face, adding to the visibility of wrinkles, and if Botox has not been started, it is likely the time to start.  Botox will both treat wrinkles and prevent the deepening of wrinkles, but additional modalities may be needed if wrinkles are already present and if Botox has not been used before.

I hope that this helps shed some light on when might be a good time for you or someone you know to start Botox.



Kathryn Wells George, MD