When a company, such as Allergan, applies to the FDA for approval of a medication, they must apply for certain indications and must put on the application a range of ages for which they are applying. It does not mean that doctors can not, use it for off-label areas or younger or older ages once it is FDA approved. As long as my patients are healthy and have an appropriate indication for botox injections, and do not have significant laxity because of age, of other muscle groups that would be a problem with sagging because of interfering with ancillary muscle groups, I have injected botox in elderly patients. Botox and employment need not be restricted from a person just because they become 60 something years old!