Ask A Dermatologist: Can Botox Prevent Wrinkles?

Written by Elizabeth Geddes-Bruce, MD, Board Certified Dermatologist on August 8, 2019 2 Comments

can botox prevent wrinkles

The use of neuromodulators like Botox as a preventative treatment by younger patients is on the rise. According to the American Society for Plastic Surgeons, 107,423 people in their 20’s underwent a neuromodulator treatment (including Botox, Dysport, or Xeomin) in the United States in 2017. That’s a 36.84% increase from the year 2010.

The trend is also happening here in Austin, with many of our younger patients asking if Botox can prevent wrinkle formation. Often these are individuals with little to no current wrinkles at rest who wish to proactively use a neuromodulator to prevent line or wrinkle development.

It’s true that neuromodulators like Botulinum injections have the ability to prevent or limit future wrinkle formation. After all, neuromodulators like Botox limit the contraction of underlying facial muscles that can result in the development of dynamic and static wrinkles. These are wrinkles that are formed through years of repetitive facial motions like deep frowning, smiling, squinting, and puckering of the lips.

When treating young patients whose goal is prevention rather than correction, we use very small amounts to slightly blunt the movement of muscles, rather than stop all expressions. This can be a very affordable procedure, less than the cost of a haircut and color every 3-4 months. The benefits are very real and worth it in the long term.

A study from 2006 looked at the long-term effects of Botox on two identical twins. After 13 years, the twin who had been getting Botox 2-3 times a year had fewer fine lines on the forehead and around her eyes. She looked noticeably younger than her twin who hadn’t received any Botox. This highlights the old adage – an ounce of prevention is worth a pound of cure.

Younger patients will benefit from other preventative methods in addition to neuromodulators like Botox. One of the most important ways for people in their 20’s to prevent aging is to maintain a proper skin care regimen that includes wearing a high-quality broad-spectrum sunscreen and an antioxidant daily. Other lifestyle choices like avoiding cigarettes or alcohol and eating a healthy diet are also proven wrinkle preventives. Lastly, several in-office cosmetic treatments including laser resurfacing, chemical peels, microneedling can help the skin look its best.


Elizabeth Geddes-Bruce, MD

Elizabeth Geddes-Bruce, MD is a board certified dermatologist and dermatologic surgeon specializing in the practice of both cosmetic and medical dermatology. Dr. Geddes-Bruce is fellowship-trained in cosmetic dermatology and laser surgery. She served as Chief Resident at one of the nation’s top dermatology programs – The University of Texas at Houston and M.D. Anderson Cancer Center.

2 Responses to “Ask A Dermatologist: Can Botox Prevent Wrinkles?”

  1. Avatar Kathy says:

    Interesting post. I’m in my mid 20’s and worried about wrinkles. I didnt know you can use Botox for prevention. Are fillers also a good choice?

    • WD Staff WD Staff says:

      Hi Kathy, thanks for reading and submitting your great question! Botox is a useful tool for prevention as well as fillers. Other treatments like periodic chemical peels can also help. Your best bet is to visit a Board Certified Dermatologist and work with them to develop a prevention plan that address the specific needs/characteristics of your skin. If you are in the Austin area please feel free to contact us!

      WD Staff

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