We know Botox works by relaxing the muscle, which relaxes the overlying skin from constantly contracting with the muscle movement, so you don’t get wrinkles. The question is, what age should you get Botox? It all depends on a number of circumstances including skin, lifestyle and age. We explain the common areas of concerns for Botox for those in their 20s, 30s, 40s, 50s and 60s. We also delve into what exactly is preventative Botox and what age can you get it.

Fast facts

  • Preventative Botox are injections for your face that claim to keep wrinkles from appearing.
  • Botox is safe for most people as long as it’s administered by a trained provider. Common side effects include pain, swelling, and bruising at the site of injection. In rare cases, Botox can be toxic and lead to muscle weakness and other complications.
  • Preventative Botox is common enough that it’s fairly simple and convenient to have done. That said, it’s highly recommended that you go to a dermatologist or plastic surgeon who’s trained in Botox injection rather than a day spa or clinic.
  • Botox isn’t covered by insurance and costs between $400 to $700 per treatment.
  • Preventative Botox effectiveness may vary. It can’t stop wrinkles from appearing, but it can prevent you from seeing them.

What age should you get Botox?

It is possible to prevent the earliest fine lines from becoming deep wrinkles by using preventative Botox treatments. Patients must be 18 years or older to be able to get Botox. However, most experts agree that in most cases, patients at a good age for preventative Botox treatment are those in their mid-late 20s and early 30s who are prone to wrinkles.

What is preventative Botox?

When Botox is used preventatively, it prevents the formation of lines and wrinkles, as opposed to being used in a corrective way to correct existing and well-established lines and wrinkles.

Preventative Botox are injections that claim to prevent wrinkles. Botox (botulinum toxin) has been marketed for close to 20 years as a solution for the visible signs of aging on your skin. Preventative botox starts before any wrinkles or fine lines in your face are visible. Botox is the most frequently performed cosmetic procedure in the United States.

“If Botox is injected during the initial stages of fine lines, it will help to stop them in their tracks, says Dr. Debra Jaliman, a board-certified NYC dermatologist. “The ideal candidate is someone who has begun to see faint lines. When you see those faint lines, you’re seeing a future wrinkle.”

People in their mid-to-late 20s or even early 30s would be considered candidates for preventative Botox. “Twenty-five would be a good age to start if you have a very expressive face and lines,” explained Jaliman.




Botox isn’t cheap. Moreover, it’s not covered by insurance if you’re getting it for cosmetic or “prevention” purposes. “Botox usually goes for $500 per area [of treatment],” Jaliman told Healthline. That cost will vary depending on the level of experience of your provider and the cost of living where you get the treatment. “You might find places with less expensive prices but you risk complications,” she says.

“Complications are common, as these [injections] aren’t given by a skilled experienced professional,” Jaliman said.

On the bright side, the cost of a Botox treatment is pretty straightforward. There are no hidden costs often associated with many health procedures and skin treatments. While you need to be upright for about four hours after a Botox injection, you can go right back to work the same day, without any downtime.

Appointments are over quickly, too. They take anywhere from ten minutes to half an hour. If you spend a lot of money on preventative wrinkle creams or beauty treatments, you might be able to make the argument that preventative Botox will actually save you money over time.

What’s the difference between preventative and regular Botox?

Botox is a wonderful preventative treatment that softens the muscles that lead to wrinkles. Most patients wait until wrinkles appear before seeking Botox treatment. However, preventative Botox is used before wrinkles appear.

How it works

Some dermatologists believe preventative Botox will stop wrinkles from appearing altogether. Jaliman is one of them.

“When you start at a younger age there will generally be less fine lines and wrinkles to work with as you get older. You will need less Botox than someone who hasn’t had preventative Botox and starts at an older age.”

Botox targets the muscles of facial expression by blocking the nerve signals to those muscles. Because the majority of wrinkles are caused by repetitive movement of those muscles, botox limits those expressions to potentially prevent wrinkles.

Botox works differently than dermal fillers, which inject a gel or collagen substitutes to make your skin appear more firm. Botox is a nerve blocker.

Botox relaxes the muscles underneath your skin by blocking the nerve responses that tell your face to make certain expressions. Wrinkles are caused by your face making the same expressions, over and over again. Botox limits those expressions to potentially prevent wrinkles.

The idea is that if you can’t move the muscles in your face, the lines above them won’t form .In other words, the injections are said to stave off wrinkles for longer. But Dr Harris says there is no convincing scientific evidence that preventative Botox works.

Botox in your 20s

botox in 20s

In our 20s, our skin is relatively smooth, plump, and nearly wrinkle free. As we get into our late 20s dynamic lines can begin to appear. Dynamic lines are created from expressions such as smiling, laughing, or frowning. Once we stop the expression of smiling, laughing, and frowning, the wrinkle disappears.

The aim of getting Botox in your 20s is to prevent wrinkles happening in your early 30s. Botox in your 20s is best used as preventative measure to avoid the fine lines and wrinkles occurring and becoming a more permanent fixture when our facial expressions are resting. Many patients get Botox earlier as a preventative measure if they know they have an expressive face and are concerned their lines will become more established.

For those in their 20’s the typical areas of concern for Botox are forehead lines.

Botox in your 30s

botox in 30s

Yes, you may have noticed a few more wrinkles that weren’t there when you were 20, but they are not very deep yet. Being in your 30s, is still an age of preventative Botox for most patients.

For those in their 30s popular areas requiring some Botox attention in our 30s are the early appearance of crow’s feet caused by laughing or squinting (from the sun or sight issues) and brow lines. In the late 30s, bleeding into our 40s, a cause for concern area also includes lip lines (also known as lipstick or smoker lines). Botox at this point will help to stop the lines and wrinkles from becoming too deep-set.

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. The effects of Botox wear off after approximately 3 to 4 months and once the effects have worn off, the treatment can be repeated

Botox in your 40s

botox in 40s

At this age, our wrinkles can begin to deepen. In our 40s, you may notice the lines around your eyes becoming deeper, such as crow’s feet or forehead lines or drooping upper eyelid. You may also notice marionette lines (nose to mouth lines), which highlight potential jowls or turkey neck appearance. Once you get to the stage of your dynamic wrinkles sticking around even when your face is in a resting phase of no expressions at all, then it is time for Botox.

This age will likely require Botox in combination with another treatment such as Dermal Filler to to give hydration and replace lost volume, skin lifting treatment such as Ultherapy, or skincare such as AlumierMD to combat any dynamic wrinkle lines that are established.


Botox in your 50s

botox in 50s

Beyond your 40s, straight into your 50s is a popular age for the helping hand of Botox to keep you looking refreshed. For women and men in their 50s, the lines between the eyebrows become more pronounced. Especially women at this age, they can be more prone to lines and wrinkles due to menopause making their skin dry and more susceptible to wrinkles.

People in their 50s will want to tackle lax skin and loss of collagen too. So, Botox treatment is usually combined with dermal filler to help lift and tighten areas such as the jawline to improve the appearance and to treat loss of volume in the face and cheek area.

Botox in your 50s does not mean you have a zero wrinkle and stretched unrealistic look. Those in their 50s, simply want to soften the facial lines keeping the results natural. The goal is to simply look refreshed and rested but still look like you. Common areas of Botox focus are crow’s feet, frown lines and lifting the brows.

Botox in your 60s

botox in 60s

Similar to those in their 50s, you want to look fresh and rejuvenated in your 60s – not appear 40 years younger. The aim is to soften the lines, maintaining a natural result. The common request is to take away the tired and overly aged look.  To keep the happy expressions, just to soften them so it doesn’t distract from more beautiful features.

A popular treatment undertaken by those in their 60s is the ‘Nefertiti lift’. Botox is injected in the lower face to relax the muscles and provide a non-invasive lift to the jawline and mouth. The jawline and mouth can easily give away our age. At this age, concerns also include volume loss, which leads to hollow cheek and eye areas or marionette lines. This is why for this age range; we marry Botox with Dermal Fillers. Botox tackles the muscle contraction to relax, and dermal filler replaces and restores the volume loss that causes us to look sad, tired, or angry.

Procedure for Botox

The Botox procedure is fairly straightforward. Before your first treatment, you’ll have a consultation with your provider. That conversation will address your expectations for the treatment. You’ll also go over possible side effects and complications of Botox injections.

At your treatment appointment, you’ll lie down and be instructed to relax. You may be asked to make a certain facial expression, such as raising or furrowing your eyebrows. This helps the person giving you the injection see your facial muscles and fine lines. They can then aim the injection perfectly. The injection itself may feel a little bit painful, and you’ll most likely get more than one shot.

Once the injections have been administered, you may see bumps at the site of the injections for the first half hour or so afterward. You’ll need to keep your face upright for at least four hours. Exercising after your treatment is strongly discouraged.

Targeted areas

Botox is most popular in the lines between your eyebrows, the lines around your eyes, and the area above your forehead where your brow “furrows.” These are the most popular targeted areas for preventative Botox and the standard use of Botox, too.

Some people also use Botox to ward off “smile lines” around your lips or around your chin area. These areas are less popular and dermatologists sometimes advise dermal fillers in those areas, instead.

Final Thoughts on When to Start Botox

Although we can’t give you a definitive age when to start Botox, we hope this gives you a better understanding of who preventative Botox can work for and when it’s a good idea.

Botox at Elegancy Beauty Bar

We have the highest standards in all aspects of your experience here, and for us, maintaining those standards is extremely important: it’s about the quality of our products, cleanliness, training and exceptional customer service. To determine what’s best for you, discuss the pros and cons of each procedure with your doctor or dermatologist.

To learn more about our Botox treatment or our combination ,contact us.

Can Botox really be preventative?

When women in their 20s first consider getting Botox, prevention is often the primary factor, since the early signs of aging—such as crow's feet, forehead wrinkles, and fine lines—are beginning to show.

What age should you get preventative Botox?

If you want to prevent the earliest fine lines from becoming full-blown wrinkles, preventative Botox can be the solution. Botox is approved for patients who are 18 years and older and most experts agree that patients in their mid to late 20s and early 30s are at a good age for preventative Botox treatment.

What is the difference between Botox and preventative Botox?

Preventative Botox will prevent your lines from setting into deep wrinkles, whereas regular Botox reduces the appearance of wrinkles. Markey doesn't recommend getting preventative Botox until after your puberty ends, which is around 16 to 20 years old for girls and 16 to 18 years old for boys.

How long do preventative Botox last?

Results of preventative Botox are not permanent. For most people, the effect of Botox injections starts to disappear after twelve weeks. You won't need to make lifestyle changes following treatment, but you may want to schedule touch-up appointments every three months or so.

Why you shouldn't get preventative Botox?

There doesn't appear to be much research on the long-term effects of preventive Botox, positive or negative. It is possible that prolonged use of Botox in traditional or preventive amounts may cause muscles to weaken over time and give skin a thinner and looser appearance.

Does Botox make you look older after it wears off?

Will it cause you to look older? From a medical point of view, once the effects of Botox wear off, your face will NOT look older. Actually the opposite happens with certainty. Botox injections help you get rid of some of the unwanted wrinkles around the eyes, forehead, chin etc….

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