How Often Should One One Use Botox if You Are 34 and a Smoker?

Smoking has no effect on Botox; however, smoking affects the small vessels, producing premature aging.  Everyone is different; some patients want followup treatments at 4 months but I saw someone today who remained happy for 9 months.  This is a personal and financial decision.

If too much Botox is injected around your mouth, you may not be able to speak or eat properly, so only a small amount is injected.  Puckering with smoking will wear it off more quickly, so the lasting effect of the Botox will vary.