Wrinkles in my mid-twenties, is it too early to start Botox? Are there other procedure options? (photo)

Thank you for your question and photo. A conservative amount of Botox can diminish the appearance of dynamic wrinkles around the eyes and mouth. Though you aren’t necessarily too young to start Botox injections, you can also consider RF microneedling treatments to treat the lines you’re referring to.
RF microneedling can reduce the appearance of fine lines on the face by creating micro-channels in the dermal layers and encouraging elastin and collagen production. While Botox injections will need to be readministered every 3-4 months, the results from RF microneedling can last many years for some patients. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon or injector who can determine the best option for you.

Hi @tw1730! 25 is a great age to start Botox for dynamic wrinkles. I also recommend a skincare routine that incorporates Vitamin C and Retinol. I hope this was helpful!

Hi tw1730,
People get Botox for different reasons. Patients in their 20s are often looking to preemptively prevent wrinkles before they start. Wrinkles form in response to repetitive creasing of the skin. In the crows feet region, which is where your pictures show, this is the result of the orbicularis oculi muscle. This sphincter muscle goes around the eye, and when it contracts it produces radial wrinkling.
Botox can decrease the function of the lateral (outside) aspect of the orbicularis muscle, stopping the wrinkles from occurring with muscle activation, and as a consequence decreasing the likelihood the wrinkles will form on a long-term basis. In addition, the lateral or outside tail of your brow appears to sit low, and Botox can have the additional benefit of allowing the tail of your brow to float slightly upward.
I would suggest meeting with board certified plastic surgeon to discuss the benefits of Botox to your crows feet.
Hope this helps.
Best,Christopher Pannucci MDBoard Certified Plastic SurgeonPlastic Surgery NorthwestSpokane, Washington

"I suggest reaching out to an expert for a formal consultation. I like to recommend my patients start a combination of facial rejuvenation treatments.

1) Skincare with products and microneedling/PRP
2) PDT Light Therapy a few times per month with growth factors
3) Laser treatments like Clear + Brilliant regularly and others (Fraxel, Moxi, Viva, CO2, Erbium, Halo) a few times per year
4) Sculptra injections a few times per year for collagen production with fillers like Juvederm, Restylane, Belotero, Radiesse, and/or Bellafill
5) Thermage/Ultherapy for yearly skin tightening with or without PDO or cone-based Instalift threads for lifting
6) Botox every 2 to 3 months to stop movement lines and prevent lines at rest

Best, Dr. Emer."

Botox it Is a wonderful option for improving wrinkles of the forehead/eyes and it can be very addictive because people love what they see. There are also many other options such as laser and chemical peels that can further improve the skin itself. Botox works by relaxing the muscles and usually needs to be repeated every 3 to 6 months. Surgery is another option but obviously more invasive and has scars.

I would recommend that you see a board-certified plastic surgeon in your area that is a member of both ASPS & ASAPS and performs a lot of facelifts but also offers all the nonsurgical options such as Botox injectables and laser treatments. Go over your concerns with them and make sure you walk out of there with several options.

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For quite a few years already, the use of Botox and fillers at early ages such as early twenties is considered to be "prejuvenation," i.e. their use intended to prevent the signs of aging, such as wrinkles, before they become etched into the skin. Keeping the horse in the barn is a lot easier and less expensive than chasing after it after it has escaped. Botox works well for treating dynamic (with movement) wrinkles of the upper face, such as periorbital crow's feet, such as it sound like being described here. Botox would not be recommended for those movementrelated wrinkles around the moiuth, since its use there may lead to distortion of the smile. Instead a resilient, cohesive, low viscosity HA filler injected with the appropriate technique below these lines can serve to diminish the wrinkling with motion there. Expensive "bells and whistles" gizmo light and energy-base devices, like fraxel lasers, etc.are surrounded by a whole lot of marketing hype to promote their use, but woefully little hard science to back them up. So a healthy dose of "buyer beware' when it comes to considering these would be wise. Best of luck.

It is never too early to begin taking care of your skin! Botox is a great treatment to begin early to prevent future wrinkles. We also recommend using medical grade skin care products such as Transform MD and wearing sunscreen every day.

Hi there! If you're seeing wrinkles in certain spots like around the eyes, Botox may be a good option to soften them. If the lines are related to smiling, they can be diminished but not always to the degree that more stagnant lines can. You're not too young to consider evaluation for Botox. The results start typically in 5-7 days with a longevity of about 3 months in most. Other skin care regimens can certainly help. Mopheus8 may be a nice starting point. Hope this helps!

Thank you for your question. You're absolutely on the right track. It's very common for patients in their 20s to start botox treatments for prevention. Combine this with light treatments such as Moxi, as well as regular use of SPF during the day and retinol at night, and you'll be doing all the right things. All the best!
-Dr. P

Now is great time to start Botox! Starting in our mid-20's, we start to notice the beginning of static lines that form as a result of our expressions. Botox is preventative in that it prevents those lines from becoming full on static creases (that usually require laser resurfacing to remove) from forming in the first place. By treating you with a modest amount of Botox in the problem areas, we are decreasing the force of contraction of the muscles. The less the muscles contract, the less the skin bunches and creases in the folds- which is what contributes to the formation of static lines and creases. The "softening" you would get from keeping up with the treatments would continue to improve over time as well.