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Dermal Fillers

What Age Should You Get Botox?

Botox is a popular injection administered to improve skin health and appearance. Please keep reading to learn more about Botox, when you should start using the injection, its benefits, possible side effects, and how long the anti-wrinkle toxin takes to work.

More clients are embracing non-surgical, minimally invasive procedures to enhance their looks. Various injections can be administered to relieve skin conditions like acne and eczema. Procedures like dermal filler injections enhance facial plumpness and improve skin hydration. Botox injections are popular for relieving dynamic wrinkles and alleviating smoke lines around the mouth. In addition, the procedure is effective and can be administered in less than an hour. Botulinum toxin can be administered in facial areas, including the forehead, the corners of the lips, the eyebrows, and the chin. Factors like the patient’s muscle mass, gender, and age determine how long the procedure lasts. The injection is given to persons above 18 years; it is illegal to administer cosmetic Botox to patients below 18 years, although such patients may receive it for medical reasons.

What is Botox?

 Botox is obtained from Botulinum toxin. It is used in smaller doses and can be injected into various facial areas. The anti-wrinkle injection can be used for medical purposes. For example, it reduces excessive sweating, relieves crossed eyes in patients above 12 years, alleviates muscle spasticity, and prevents migraines. 

Botulinum toxin injection is a safe medication approved by the Medicines and Health Regulatory Authority. It temporarily inhibits nerve signals and muscle movement while relieving dynamic wrinkles formed on the face. However, it is vital to ensure the procedure is performed by a licensed, highly qualified cosmetic surgeon. The units required to treat wrinkles vary among patients. Moreover, skin pigmentation and depth of wrinkles would determine the injection sites and the number of units required.

What Age Should You Get Botox?

The UK law requires that patients be above 18 to undergo botulinum toxin injections. Recently, younger adults have opted for Botox injections to prevent the appearance of wrinkles and creases. The anti-wrinkle injections can also be administered in the 30s and 40s, depending on the skin pigmentation and the depth of the wrinkles.

Botox in Your 20s

Patients in their 20s often have plumper, smoother, and well-hydrated skin free from creases and wrinkles. However, genetics may cause the early onset of wrinkles, although this is less common. Forehead lines appear due to constant muscle movement. In addition, patients in their 20s may experience a droopy nose, leading to vertical lines around the nose. Susmita et al. (2016) stated that patients undergo Botox procedures to prevent the appearance of forehead lines caused by facial expressions like frowning and smiling.

Botox in Your 30s

Patients in their 30s require preventative Botox injections around the corners of the lips and between the eyebrows. Smoker lines appear due to collagen loss and muscle movement around the lips. On the other hand, crow’s feet (lines between the eyebrows) are caused by expressive facial movements, like laughing. 

The level of sun damage also influences the units of Botox required to prevent deeper wrinkles on the skin. Azam et al. (2015) stated that patients exposed to extreme sunlight require more units of Botox to prevent crow’s feet and smoke lines.

Botox in Your 40s

Most patients experience deeper facial wrinkles in their 40s. Jowls and marionette lines are often discernible, while forehead lines and crow’s feet become more pronounced in this age. Botulinum toxin injections are administered to patients in their 40s due to severe collagen loss and deeper wrinkles. Furthermore, Botox relieves dynamic wrinkles and reduces the appearance of crow’s feet, marionette lines, and jowls.

Botox in Your 50s

Patients in their 50s would want their skin replenished while maintaining an exquisite facial appearance. In addition, Small & Rebecca (2014) stated that these patients often experience deeper wrinkles and more pronounced jowls and marionette lines due to collagen loss. Botox can be administered to relieve the appearance of dynamic wrinkles, jowls, and forehead lines. The anti-wrinkle and dermal filler injections enhance facial plumpness, trigger collagen production, and enhance skin hydration.

Factors Influencing When You Should Get Botox

Although most patients undergo Botox injections in their late 30s to prevent the appearance of deeper dynamic wrinkles, others undergo the procedure in their 20s. The following factors explain why a patient would undergo the procedure at an earlier age;


Genetics may predispose patients to preventative Botox procedures in their early 20s. If the patient’s parents experienced deeper wrinkles at an early age, they are also likely to experience a similar condition. The injection prevents the appearance of deeper dynamic wrinkles, forehead lines, crow’s feet, and smoke lines emanating from genetic factors.

Sun Exposure

Patients constantly exposed to the sun may need preventative Botox injections at an earlier age. Excessive sun exposure causes deeper dynamic wrinkles since it causes collagen loss. Extreme sunlight also causes smoker lines, jowls, and forehead lines.

Skin Pigmentation

Patients with lighter skin are more likely to undergo preventative anti-wrinkle injections in their earlier 20s; their skin is affected by excessive sun exposure due to lower amounts of melanin. 

Does Botox Take Effect Immediately?

Most patients experience the effects of Botox after 3-4 days. On the other hand, several factors influence how long it takes Botox to work, including the patient’s muscle mass, gender, and metabolism. The quality of the injection and the botulinum toxin influence the efficacy of botulinum toxin injection. A highly qualified cosmetic surgeon must carry out the injection. Botox is sensitive to light and must be preserved in a cool, dry place to maintain its efficacy. 

What Happens During the Procedure?

The cosmetic surgeon examines the skin to determine its pigmentation and anatomy. Furthermore, the patient should disclose to the doctor whether they have any medical conditions since they may affect the result of the procedure. In addition, the aesthetic doctor discusses the procedure’s possible benefits and side effects with the patient.

The procedure takes less than 30 minutes, depending on the units required per injection. After the procedure, the patient should hydrate to preserve their skin and avoid excessive sun exposure. 

Frequently Asked Questions about Botulinum Toxin Injection

Does Botox Have Any Side Effects?

Zamanian et al. (2017) claimed that Possible side effects of Botox are bruising, redness, inflammation, and pain. Although these side effects subside with time, it is necessary to preserve the skin by avoiding cosmetic products that may worsen the effects. 

Is the Procedure Painful?

Most patients report that the procedure is minimally invasive and does not cause pain. However, minimal discomfort may be experienced in the earlier stages of the procedure, although a topical anesthetic is applied to numb skin before the procedure. 

What Is the Difference between Botox and Dermal Fillers?

Botox involves using botulinum toxin to relieve dynamic wrinkles and creases. Conversely, dermal fillers harness natural or synthetic substances like hyaluronic acid to enhance facial plumpness, relieve static wrinkles, and trigger collagen production.


Botox is an injectable medication that can be administered to patients above 18 years. The Medicines and Health Regulatory Agency have approved the anti-wrinkle injection. Preventative Botox is administered to patients in their 20s, 30s, and 40s to prevent the appearance of deeper wrinkles, creases, jowls, and marionette lines. If the patients are exposed to excessive sunlight, they may undergo preventative Botox injections in their early 20s. Patients’ genetics may also require undergoing preventative Botox injections earlier to prevent deeper wrinkles. Although Botox has minimal side effects, such effects subside quickly. It is necessary to preserve the skin after the procedure to make the filler more long-lasting.


Azam, A., Manchanda, S., Thotapalli, S., &Kotha, S. B. (2015). Botox therapy in dentistry: A Review. Journal of international oral health: JIOH7(Suppl 2), 103.

Small, R. (2014). Botulinum toxin injection for facial wrinkles. American family physician90(3), 168-175.

Susmita, A., Kolli, N. N. D., Meka, S., Chakravarthi, S. P., Kattimani, V. S., Lingamaneni, K. P., & Shaik, L. S. (2016). An evaluation of the use of botulinum toxin type an in managing dynamic forehead wrinkles- a clinical study. Journal of Clinical and Diagnostic Research: JCDR10(10), ZC127.

Zamanian, A., Jolfaei, A. G., Mehran, G., &Azizian, Z. (2017). Efficacy of botox versus placebo for treatment of patients with major depression. Iranian journal of public health46(7), 982.

Ieva Kubiliute