Start battle against wrinkles early, says expert

Men and women in their 20s should think about starting Botox treatments if they can see themselves being concerned about wrinkles later in life. Debra Jaliman, one of New York’s most respected dermatologists, has written a book called “Skin Rules: Trade Secrets from a Top New York Dermatologist”, in which she talks about the use of Botox as a preventative measure against the visible signs of ageing.According to the latest figures from the American Society for Aesthetic Plastic Surgery, approximately 375,000 Botox treatments were administered to adults aged 19-34 in 2011, and while no-one needs Botox, many are choosing to have the anti-wrinkle injections to ward off the signs of ageing. “If you're someone who's going to care about lines, start early," said Dr Jaliman, author of the book already mentioned. "Your skin is a reflection of your overall health," she added. Dr. Jill Weinstein, a clinical instructor of dermatology, agrees that Botox can be used preventatively but she also believes that skin protection is key – from the sun, from pollution and from lifestyle factors such as smoking and drinking. "You can't undo the lines that are already there," Weinstein said. "You can just prevent them from getting deeper in the future." She also believes that deciding whether someone has Botox or not should be done on a case-by-case basis, perhaps by first conducting computerised skin analysis. "It's something you can't generalise. Everyone is different. It depends on genetics, sun damage, the kind of skin you have," she said.