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Premature aging at 29. Can Botox or fillers reverse any of this?

It may be a good idea to see your primary care provider to make sure there aren't any other medical conditions that may be causing your symptoms. Botox is great for treatment/prevention of dynamic wrinkles on the forehead and around the eyes. Facial fillers or sculptra can restore volume loss.

Clinical Context

What reads as 'premature aging' at 29 is often a mix of things happening on different timelines: mild volume loss in the cheeks or under-eyes, early skin laxity, and expression lines that have started etching in from repeated muscle movement. Botox works fast on the muscle side—visible change in three to five days, full effect by two weeks—but it does nothing for lost volume. Filler corrects volume immediately, though it settles and looks more natural over the following two to four weeks as swelling resolves. Sculptra works differently, stimulating your own collagen gradually over two to three months rather than filling space directly.

Answered By

Dr. Steven Williams

President Emeritus of ASPS

Dr. Steven Williams is a board-certified plastic and reconstructive surgeon, a diplomate of the American Board of Plastic Surgery, the Past President of the prestigious American Society of Plastic Surgeons, and a charitable person who dedicates his life to those in need of his unique expertise.

We are leaders in cosmetic surgery, facial aesthetics, and medically supervised weight loss, serving the entire San Francisco Bay area. Whether you live in the Bay Area or are coming in from out of town, we’re happy to answer any questions you may have on your path to your new self. Book your cosmetic surgery intro call or Med Spa consultation today and take the first step towards realizing the look you’ve always wanted for yourself.

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