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Botox/filler Should I Do It Now or Wait Til I'm Older and Really Need It?
Botox and Dysport are commonly used for dynamic wrinkles (lines created by muscle movement) and fillers like Juvederm and Restylane are used for static wrinkles (wrinkles like nasolabial folds and marionette lines). Botox and Dysport are more commonly used to in a preventative fashion. Specifically the progression of fine lines around the eyes (Crow’s Feet) can be effectively slowed using Botox or Dysport by relaxing the underlying muscles that contribute to the severity of the wrinkles. Generally speaking Botox and Dysport for the Crow’s Feet has a subtle effect and does not change the appearance of the eyes, however, sometimes the lines under the eye may be more noticeable in contrast to the smoothness of the sides of eyes that have been treated with Botox or Dysport. In either case topical tretinoin may be included to further reduce the fine lines. Other options may include laser resurfacing or surgery but have much greater downtimes and are generally reserved for more severe wrinkles or folds. For a formal evaluation and consultation visit the office of a board-certified plastic surgeon.
Clinical Context
How much risk you have from Botox or filler depends more on your individual anatomy—skin thickness, vessel location, and how much product is used—than on your age. Starting Botox earlier isn't inherently riskier over time. With filler, though, correcting a lot of volume loss at once, which is more common later in life, can increase the chance of irregular contours or vascular problems, simply because more product is placed in one session. Discuss your specific goals and anatomy with your injector.
