Wrinkles are caused by bending and folding of the skin in response to the underlying muscles contracting. With repeated folding over years the collagen in the dermis atrophies (thins) and a static wrinkle is formed - leaving wrinkles even when the muscle is not contracted. By starting Botox early, you prevent the years of strain on the skin which leads to deep wrinkles.
Botox works by paralyzing the underlying muscles, which prevents the muscle from contracting and folding or bunching up the skin. The face has several dynamic muscles which are all in balance. When Botox is injected, it needs to maintain an aesthetic balance, which minimizes the look of paralaysis while maintaining natural animation.
If you have deep wrinkles, Botox can prevent the worsening of the wrinkles but a filler may be required to support the atrophic (thin) dermis causing the wrinkle.
I think it is best to address the skin at the cellular, structural and mechanical levels.
From a cellular level, you need to have good nutrition, skin moisturizers and a SPF containing product to prevent sun damage.
From a structural level, may you need to boost the integrity of the skin with a retinoid such as Retin-A. Additionally, you need to address the texture of the skin with a peel or an alphahydroxy acid (AHA) containing product. Finally, you may need to address the tone of the skin with an evening agent such as hydroquinone.
From a mechanical level, you need Botox to relax the muscles causing your current wrinkles and to reduce the stress on the skin to prevent new wrinkles.
With the above approach you can see dramatic changes in your current skin and you are making an investment in your future appearance.
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