Does preventative Botox really work?

17 April 2015

In the past, we’ve turned to treatments as a solution to fix our current issues, be it fine lines, wrinkles or sagging skin. Now though, experts are recommending that patients use preventative measures from the age of 20 onwards, to minimise the need for more invasive procedures later down the line.

But does preventative Botox really work? New York-based Dermatologist Dr. Whitney Bowe investigates.


  • Early 20s

According to the American Society of Plastic Surgeons, 30 per cent of Botox users are women in their twenties. However, Dr. Bowe doesn’t recommend the treatment for lines and wrinkles for this age group  – instead, she says it’s a great solution for improving facial symmetry, such as droopy brows.

Women in this age group are advised to remain aware of their facial expressions. Using a retinol-based cream every night should help to prevent against early ageing while sunscreen can protect against damaging UV rays in the daytime.

  • Mid-20s

Those in their mid-20s don’t strictly need Botox, according to Dr. Bowe, but it can be a great solution to help discourage those expressions which eventually lead to more permanent wrinkles. Unless you have extreme sun damage, broad-spectrum sunglasses and an eye cream containing peptides should be enough to stave off those wrinkles at this age.

  • Late 20s

It’s not until patients are in their late 20s that Dr. Bowe starts to really see a need for treatments like Botox. Typical patients at this age have fair skin and have been exposed to the sun a lot while growing up. Additionally, patients may be those who exaggerate facial expressions unknowingly, such as squinters, frowners, smilers and eyebrow-raisers.  Botox can be used here to effectively retrain your muscles to react more gently, preventing etched-in wrinkles.

  • Early 30s

Here’s a quick test to see if you’re a good candidate for Botox: If you have to smooth your makeup each day because it keeps collecting in creases or lines then Botox could be the solution for you. Dr. Bowe recommends treatment every three to six months – those who smoke or have lots of sun damage may require treatments more often than those who don’t.

  • Mid-30s

If you have rolls of skin under each eye when you smile, this could be another instance where Botox can help. Treating this part of the skin allows the eyes to open more widely when the patient smiles, according to the Dr. It’s also an age where you might notice crow’s feet and wish to have them corrected.

  • Early 40s

“I have yet to meet someone over 40 who couldn’t benefit from Botox”, says Dr. Bowe. However, she adds that if these patients had come for treatment around five years earlier, a few injections would have sufficed. Leaving it until this stage may require additional Non Surgical treatments, such as Laser Resurfacing, costing the patient more money.


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Image Credit Attribution: mkrberlin/ iStock/ Thinkstock