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Botox/filler Should I Do It Now or Wait Til I'm Older and Really Need It?

36 yrs old and no Botox or anything yet but have noticed some slight crepiness under my eyes when I smile. It's not terrible but it bothers me sometimes. I don't want to change my looks and would hate to make the problem worse by messing with nature. Lol. Should I see how much longer I can hold off or attend to the problem now? I'm one of those " less is more" believers and would like very subtle improvement. Should I just try creams or laser? Which has less side effects: Botox or filler?

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14 Doctor Answers | Asked by Natural2011

Doctor Answers (14)
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When is the best time to have Botox?

There is really no predetermined age as to when one should have Botox treatment. If there is an area that bothers you, it does not hurt to try. Botox and filler are generally used for different purposes, and potential side effects are minimized when the injections are performed by an experienced physician. Botox is derived from Botulinum toxin type A, and will paralyze the muscles in a given area, causing wrinkles to smooth. Fillers are made of hyaluronic acid, and will actually fill in the... more

Botox, filler and laser to treat and prevent lines

You should consult an experienced dermatologist or plastic surgeon to assess your crepiness and determine which treatments would be best for you. Botox, filler and laser may all be appropriate treatments for you. These treatments complement each other to give a very natural look and are also preventative. You should also use sun protection.

Botox/filler use in lower eyelid region

Do not use botox in the lower eyelid region as it can cause a drooping eyelid called ectropion. Botox is better used in the crow's feet area of the eyelid. The best solution for minor crepiness in the lower eyelid region would be laser skin resufacing or chemical peel. Fillers are used to treat lines or grooves at rest, while botox treats dynamic lines formed when you animate. They both can be used in your 20's, 30's, and 40's toprevent deeper line formation as you age. more

Botox and Filler to Address Wrinkles

Botox would help address the fine lines around your eyes commonly referred to as “crow’s feet.” There are generally two types of wrinkles: static wrinkles and dynamic wrinkles. Fine lines caused by repeated muscular movement are a type of dynamic wrinkle. Botox, a muscular relaxer, prevents the movement of the muscle underneath skin thus helping prevent wrinkle formation of the overlying skin. If your main concerns are lines forming beneath your eyes then Botox... more

Botox and Filler as Wrinkle Prevention and Treatment

Thank you for your question. Botox and Dysport are commonly used for dynamic wrinkles (lines created by muscle movement) and fillers like Juvederm and Restylane are used for static wrinkles (wrinkles like nasolabial folds and marionette lines). Botox and Dysport are more commonly used to in a preventative fashion. Specifically the progression of fine lines around the eyes (Crow’s Feet) can be effectively slowed using Botox or Dysport by relaxing the underlying muscles that... more

Botox in Younger Patients

Many younger patients get botox to prevent wrinkles from forming later. Botox can not only improve wrinkle which occur when you move your face now, but also if done consistently can prevent future wrinkles from forming in the first place.

Botox

It is quite common for me to see patients your age in my office. Botox is one of the best things around for eliminating fine lines and wrinkles such as the ones you have. Rather than "plumping" like collagen and fat, Botox blocks the impulses that nerves send to muscles, essentially paralyzing the muscles and diminishing their ability to tense. Using a very fine needle, the surgeon injects Botox in small doses where the facial muscles are most active--between the eyebrow and at the sides of... more

Preventative fillers and Botox

I operate under the less-is-more philosophy like many others and absolutely do not try to change what people look like, but rather enhance it. I have people as young as 20 doing fillers and Botox in my office, and they do it for preventative measures, so they don't get the lines, wrinkles, etc. that their mothers and grandmothers and aunts etc. battle with. There is a lot to be said for preventative treatments, but in moderation. Visit a board-certified injector (or a few) for an opinion and... more

Botox and preventative treatments

Depending on whether or not you have "static" versus "dynamic" lines, that could help in making a choice to either include or not include preventative treatment. Consult with a well-trained and experienced injector for further assessment.

Sam Naficy, MD

80 reviews

Seattle Facial Plastic Surgeon

www.seattleface.com

Botox and fillers

Botox and fillers can give very natural results when done judiciously. I use these products all the time in people your age.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Never too early for good Botox or fillers

There is no correct time to start these treatments. In the right hands these injections are extremely safe, can look very natural and have some preventative effect. The goal is to simply look refreshed, rested and natural. In small doses, no one should know you have had anything done. That being said, I always encourage my patients to start with good skin regimen, such as creams and peels, and maintain that for life. All are safe in hands of a good dermatologist. Best of luck. more

Treating Wrinkles Early

I too operate under the philosophy that "less is more" which is why I think you should treat issues as they emerge rather than waiting. When you wait, the difference between your "old" and "new" face is more obvious. Botox prevents wrinkles, so I recommend starting with a small amount of Botox now, that way no one will ever notice you age in the first place. If you have some pre-existing wrinkles, you could use fillers for those, but creams can't penetrate to the area of the skin that... more

Botox/filler now or later for eye area

Generally speaking, the sooner you treat an issue, the better. For example, in your case, if you waited longer, the area under your eyes will most likely worsen and be more difficult to treat. If you treat it earlier, you can prevent it from getting worse. Since your issue develops with smiling, it occurs due to the muscle movement under your skin. Creams or lasers most likely would not have much affect. Fillers could help a bit, but Botox (or Dysport)... more

Botox sooner than later is recommended

Get Botox sooner than later so that you don't develop the permanent wrinkles. At early stages, the wrinkles are dynamic and occur when you smile or frown or wink. As you age, they become more permanent. So, early treatments will reduce the likelihood of forming permanent wrinkles.