What is a good age to start BOTOX and filler, is 25 too early, 65 too late?

The advantage of something like BOTOX and Juvederm is that it only takes 20-30 minutes in your plastic surgeon’s office. The disadvantage of course is the cost and you must maintain the BOTOX every 3-5 months and the filler every 12-18 months. However, if you start BOTOX before the lines and creases become deep and relatively permanent, your skin will stay quite a bit more smooth and youthful appearing as you age.

The animation muscles of your face have worked all of your life, your skin is much more resilient during the first 25 years and therefore you see no lines and creases. As you incur sun damage along with age, your skin begins to show the results of that muscle action and sun exposure as well as exposure to toxins such as nicotine from cigarettes if you are a smoker.

It is better to start with the BOTOX in the mid to late 20’s to prevent the deep creases from ever beginning. There really is no age limit on the other end except that the BOTOX and fillers are not as effective if there are so many creases and they are so deep. Same thing for the fillers in that you will need so much more filler if your wrinkles are extremely deep and you in fact may need to have the skin redraped with surgery in addition to the filler to regain softness and volume to your face.

The following exerpt continues the information from the study by Dr Mary Lupo published in Plastic and Reconstructive Surgery, January 2008. Dr Michele Koo hopes that this is helpful and that you understand that outcomes and effects are continually being studied and monitored by plastic surgeons throughout the country to ensure the safety of the products we use for WRINKLE REDUCTION.

Dr Koo is extremely respectful of your time and money and will only use what she feels is the best product for you and will not use any more than you need to address your concerns. She truly believes that often, “less is more” and that subtlety is the key to looking better without looking done. Why should anyone know what your secret is. Dr Koo will be your best kept secret on the War Against Wrinkles.

With the baby boomer generation firmly ensconced in middle age, there is increasing interest in maintaining a youthful appearance to match this energetic generation. After the 2002 U.S. Food and Drug Administration approval of botulinum toxin type A (Botox Cosmetic; Allergan, Inc., Santa Barbara, Calif.) for treatment of glabellar lines, nonsurgical correction of wrinkles became a possibility. With Botox management of dynamic wrinkles, a plethora of new dermal fillers are vying to address static wrinkles, providing an overall rejuvenation of the aging face.

Among these promising new treatments is the family of Juvéderm hyaluronic acid dermal fillers (Allergan), approved in the United States in 2006 for treatment of facial wrinkles and folds. Juvéderm Ultra Plus Injectable Gel has a high degree of cross-linking, which makes it particularly well suited for volumizing and correcting deeper folds and wrinkles.2 Patients with deep facial wrinkles and folds are generally at a disadvantage when it comes to cosmetic correction, as they require a large volume of dermal filler and their correction may not be sustained; thus, a filler that is specifically designed to treat severe wrinkles is an important advancement.

Results from the randomized, controlled study of three Juvéderm formulations compared with bovine collagen have been published previously.3 We sought to further characterize the clinical characteristics of Juvéderm Ultra Plus treatment (and to compare this to bovine collagen treatment) among subjects who had severe nasolabial folds before treatment.

A multicenter, double-blind, randomized, within-subject, controlled study was conducted as part of a submission for approval by the U.S. Food and Drug Administration. This study compared three different formulations of Juvéderm against bovine collagen (Zyplast; Allergan). One-third of subjects were randomly assigned to receive treatment with Juvéderm Ultra Plus, containing 24 mg/ml of cross-linked hyaluronic acid, in one nasolabial fold and Zyplast in the other. Results presented here are limited to those subjects who received Juvéderm Ultra Plus and had severe folds at baseline.

Blog to be Continued in What age is good to start BOTOX…

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