When Should You Start Having
Botox Injections?

HomeBlogWhen Should You Start Having Botox Injections?

There are two decisions to be made regarding Botox® injections – whether you want to have them at all and when you should start if you do plan to.

Close up of unrecognizable woman receiving beauty treatment with Botox.


Did you know when you smile, frown, think, eat or sleep, the accompanying facial expressions cause tiny muscles in your face to contract and relax? From the time you were born, the nerves in your face have been causing these muscles around the eyes, lips and at the corners of the mouth to move. Over time, these miniscule muscle movements can wear fine lines like crow’s feet, marionette lines and dynamic wrinkles into your face. Once these begin to appear, they only become deeper and more defined.


Can you use Botox under your eyes?


Fortunately, advances in modern medicine have given us the tools, knowledge and ability to fight back against the ravages of time, gravity, sun exposure and the various motions of your own face. Some of these include injectables or surface dermal fillers which help combat fine and deep lines and wrinkles in the face, around the eyes and in the neck area. One of the best-known and most popular of these is Botox, a purified and refined form of botulinum toxin, which is where its name comes from.


How effective is Botox at treating wrinkles?


Ingested with improperly canned food, botulinum toxin can be highly dangerous or even lethal. However, when injected under the skin by a properly trained medical professional as an outpatient cosmetic procedure, Botox works as a mild paralytic, smoothing the subcutaneous musculature by blocking nerve signals. The result is a younger, smoother-looking facial surface and a reduction in the appearance of fine lines and wrinkles. Many patients see results within a few days. However, for best results, repeated treatments on a regular basis generally work best for the majority of people.


Does Botox for migraines work immediately?


Botox can also help with certain types of acne scars and sun damage. It is also a recognized treatment for frequent, persistent migraines as well. In addition, according to a 2009 study published in the Journal of Cosmetic Dermatology, the results strongly indicated that patients who underwent Botox injections had lower depression, anxiety and irritability than control patients who had not.

Some patients who use Botox as a treatment for migraine experience mild to moderate relief and subsidence in severity and frequency of their symptoms immediately. However, most patients find it takes several weeks to several months to obtain the optimal effect. Botox is generally not a replacement for other treatment modalities, but is most effective when employed as an adjunct treatment.

Before you decide whether Botox is right for you, read on to learn more about how it works.


Choosing Botox is a personal decision that only you can make after learning about what to expect.


How young is too young to get Botox treatments for my skin?


Preventative Botox, also sometimes known as “baby Botox,” can be done as early as your mid-20s, 30s or 40s, so don’t feel at all apprehensive about investigating Botox if you find yourself dealing with even subtle lines earlier in life than you might have expected. The aging process is different for everyone, so your decision about whether you’ve arrived at the ideal age to undergo Botox needs to address your specific current situation and the appearance of your fine lines as well as the outcomes you expect.


How is a Botox procedure done?


Traditionally, Botox is used in the upper face to treat forehead wrinkles, frown wrinkles, and smile lines around the eyes. The professional who is administering the Botox injection will take all the necessary steps to make sure the skin is properly prepared for the injection. Botox is introduced under the skin using a very thin, very fine needle. Most patients experience the sensation of the injection as a slight pressure or a tiny pinch, and some do not feel the injection at all.

Botox is injected as a dilute solution, usually using saline. Some providers use more saline than others, which can lead patients to think they are getting more Botox than they actually are. At ReShape, we utilize low dosages of Botox consistent with maximum patient safety and optimal results.  


How often should you get Botox after your first injection?


Usually, Botox is administered every 3-4 months to prevent too much of the neurotoxin getting into your system. Some patients are satisfied with the results they see after a few days to a month or so, and so don’t undergo treatment again for a year or longer. If stronger measures are needed, ReShape can use other fillers as adjunct treatments to help bolster the results of the Botox.  


Will I have a frozen appearance after Botox?


One major concern many people express about Botox is that they will come away from the treatments looking “weird,” “frozen” or emotionless. In the hands of an amateur who doesn’t know how to administer the injections properly, this is a possible risk, as there is a chance of inflicting permanent damage to the nerves in the injection area. However, when the injections are performed by trained professionals, the likelihood of permanent nerve damage is extremely low. If used properly, Botox will mute and minimize the nerves controlling the muscles in an area, but not totally incapacitate them. Too much Botox or an improperly administered injection can result in a “frozen” look, but if this does happen, it is generally temporary and wears off as the effects of the Botox do, with full muscle movement usually returning in 3-4 months at the outside.


If you have decided that this treatment makes sense for your needs, the next decision is what age to start Botox.


Choosing when to start Botox is also a highly personal decision which will depend largely on the aging signs you’re willing to live with before they begin to affect your confidence. For some, this is far into the 20s and 30s and even the 40s or beyond, when deep lines have formed. However, you should know that you can also utilize a light amount of Botox to even out very fine lines that can begin earlier.


Are there any more serious risks or side effects to having Botox?


Side effects with Botox are rare but, as with any injection into the skin, there is a risk of bruising, mild swelling and tenderness at the injection site. Bruising can be a general risk of any sort of injection, and so naturally Botox injections have the potential to cause some bruising. Although bruising can occur no matter how skilled a Botox practitioner is, there are a few ways patients can minimize these effects. Usually swelling will subside by itself in around an hour. Applying ice to the affected area can help mitigate any residual tenderness or bruising. Any remaining bruising typically goes away in 4-5 days, is normally mild and can be easily concealed with makeup, which most people can use around 4 hours after the initial injection.


Can I get Botox treatment if I am pregnant or breastfeeding?


While there is no evidence that Botox can reach the fetus or the mammary glands, most providers will not take the chance of injecting a neurotoxin into the mother’s body during pregnancy for fear of injuring the baby unintentionally. Due to ethical considerations, no clinical trials have ever been done exploring the question. If you are pregnant or nursing, ReShape strongly urges you to consider a less invasive fine line treatment option.


What does your skin need after Botox injections?


If you are unsure what steps to take with your facial skin before and after getting Botox or alternatives to Botox, ReShape can help. To maintain and enhance the results, we suggest patients return for additional wrinkle relaxer injections at regular intervals. Many of our patients choose to augment or combine their regular Botox injections with Juvederm, Lyft and Restylane ultra fillers and Profhilo skin booster injections.

After getting Botox injections, you should try to use the muscles as much as you possibly can, including smiling, frowning and moving your eyebrows up and down to help work the Botox into the muscles. Also, be sure to stay hydrated and drink plenty of water. Do not touch the injection site! You should also avoid wearing makeup or lying down for at least four hours after treatment. Abstain from facials and saunas for at least 24 hours, avoid painkillers, alcohol or cigarette smoking, and minimize your exposure to sunlight for at least a couple of weeks. If needed, a specially formulated lotion might be prescribed to help enhance the effects and keep your skin as smooth and supple as possible.


The dedicated team of experienced cosmetic professionals at ReShape can help you with aesthetic answers like Botox so you can look and feel your best.


If you are considering Botox and want to learn everything that you can about it so you can make an informed decision, give us a call at ReShape LLC. We offer a variety of services to reshape your body and transform your life and will walk beside you on your journey to becoming the new you! Whether you are in your 20s and looking for preventative Botox or older than that and want to restore your youthful appearance using Botox in tandem with laser treatments, skin resurfacing and/or other skin therapies, contact ReShape to learn more about our services today!

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