Botox

Yes, at 54 most people benefit from a combination approach, since facial aging involves both muscle movement and volume loss. Neuromodulators like Botox, Dysport, or Xeomin relax the muscles that create dynamic wrinkles (forehead lines, crow's feet, frown lines), and starting them now helps keep those lines from etching in deeper over time. Filler addresses a different problem: loss of fat and collagen support in the cheeks, nasolabial folds, and marionette lines. Restoring volume in the midface often softens the lower face shadows too, since the whole structure is connected.

Without an exam it's hard to say exactly where you'd get the most benefit, everyone's pattern of aging is different. An in-person consultation with a board-certified plastic surgeon or experienced injector can map out which areas would give you the most natural improvement, and in what order. Botox has been FDA-approved for cosmetic use since 2002 and remains one of the most commonly performed treatments today.