How old should you be to start Botox?

This is one of the most common questions I get.  The best way to provide an answer is to explain how Botox (aka Xeomin or Dysport) works.

Think of Botox, or any neuromodulator, as a preventative treatment for wrinkles.  These products act to prevent the formation of fine lines, rather than remove them.  The idea is that when the muscles of the face move, they pull and tug on your skin.  That repetitive motion of the pulling on the skin, over many years, creates wrinkles and fine lines.

In order to reduce the appearance of wrinkles, Botox is used to weaken those facial muscles.  The result is less pulling on the skin and fewer wrinkles.

So to answer the original question: earlier is better when it comes to starting Botox.  Ideally, you are treated with Botox before you start to form wrinkles and fine lines.  Consist use of Botox will continue to prevent those wrinkles and help you stay looking younger, longer.  Of course, starting at any age is also a good idea.  Any reduction in the muscles pulling on the facial skin helps improve the wrinkles you may already have and has also been shown to improve skin texture.

Personally I feel people in their late 20s and early 30s are ideal to start Botox.  Skin at that age is still healthy and elastic, but starting to undergo the early stages of aging. 

Start early, and you'll enjoy the benefits of continually looking good throughout your life.

Here's to the beautiful human face,
Dr. Yamamoto