What Is the Best Age to Get BOTOX?

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This has to be one of the most asked questions I get at dinner parties. ‘Hey Davin, do you think I need Botox yet?’ In most cases, the answer is NO.

That said, you would be shocked to hear that I Botox at least half a dozen teenagers per week. However, it's not so the reason you're thinking, but for a condition know as hyperhydrosis (excessive underarm sweating). Botox can reduce sweating by up to 95%, and this treatment for hyperdrosis is subsidised by Medicare.

Now I know what you're thinking: If I sweat in my frown line or forehead area, will Medicare pay for Botox? The answer is no. So this leaves us with the question of when to get Botox? My catch phrase is, "If it doesn't crinkle, it will not wrinkle." Every Botox injector had their own opinion regarding the best age, but I thikn it's extremely variable. Some patients should start in their early 20s, others in their late 30s.

If you can see a very faint line that represents a static wrinkle, it's probably time for Botox. The most common cause of static lines are genetic, though the more expressive you are with your muscle movement, the higher the chances of wrinkling.

The first place most people notice lines is in the forehead area, followed by the area between the brows, known as the glabella. Lastly, bunny lines and smile lines known as crow’s feet will appear.

If you're considering Botox for wrinkles, here are some facts to keep in mind:
  • How much Botox you require depends on how strong your muscles are.
  • Botox injectors vary considerably in both technique and how much Botox they place. (I like the natural look and tend to still allow the muscles some movement.)
  • Each area will have an ideal amount of units that is needed to complete the job, namely preventing that wrinkle.
    • The forehead typically requires 18 to 22 units
    • The frown lines (glablella) may need 25-28 units 
    • Eye bags (if suitable) may only require 2 units
    • Crow’s feet typically require only 8 units per side
  • If you are a first time Botox patient, it may take 15 minutes to perform the procedure. Subsequent procedures may take only 5 minutes.
  • Botox usually last for 3 to 4 months, though once your muscles fatigue from continued use, Botox will last longer.
  • The procedure is safe, however you can not get muscle relaxants if you are pregnant.

Stay safe, stay young.


Dr Davin Lim
Laser and Aesthetic Dermatologist

BRISBANE, Australia

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Brisbane Dermatologist