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What is the Best Age to Have Botox Treatment?

POSTED ON: July 26, 2018

People considering Botox often want to know what’s the best age to get the procedure done. Here we look at the common causes of ageing, plus popular Botox treatments in Surrey to combat these at any age.

Are you ready to experience natural looking, rejuvenated skin?

Call Dr Rekha Tailor and the health + aesthetics team on 01252 933133
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Common causes of ageing

Here’s a quick overview of the 5 key causes of premature ageing, the areas they affect and the ages the effects are most likely to be seen.

CauseAreaAge most affected
StressForehead35 – 44
SmokingUnder eyes, lips25 – 34
Sun damageEntire face50+
AlcoholEntire face45 – 54
Sleep deprivationEyesAny age


According to the American Fitness Professionals & Associates (AFPA) distress can affect how you age,

“Perpetual anger and distress can form permanently on the face in the form of fine lines and deep wrinkles. When the face expresses chronic sad or angry emotions, the constant scowling can turn into wrinkles formed by muscle memory.”

Stress has been proven to slow down the skin’s ability to heal itself; this can damage the skin’s natural barrier which helps hold in moisture and can cause premature ageing.

Typical areas affected: Forehead frown lines

Typical age group affected: Ageing caused by stress can affect anyone at any age. However, the older we become, the less easy it is for our skin to bounce back after periods of stress and, as we age, wrinkles caused by stress and frowning can become more deeply set. Research by Aviva shows that women aged between 35 and 44 are the most stressed age group as the pressures of balancing childcare, paying bills, keeping up with work commitments and caring for ageing parents takes its toll.


Smoking deprives the skin of oxygen and can cause a grey complexion. Smoke dries out the surface of the skin and reduces the amount of blood flowing to the skin, robbing it of oxygen and nutrients.

Sagging skin is also a side effect of smoking as it is thought that smoking increases the production of an enzyme in the skin that breaks down collagen, the protein that maintains the skin’s elasticity.

Typical areas affected: Under eyes and around lips

Typical age group affected: Women aged between 25 and 34 represent the largest group of smokers as statistics show 22% of women in this age group smoke.

Sun damage

According to one study, sun damage accounts for 80% of skin ageing and can cause wrinkles, a reduction in skin elasticity, yellowing and uneven pigmentation. Regular sun exposure can result in photoageing of the skin, which can cause the skin to lose its ability to repair itself, giving it the tell-tale leathered look of sun-baked skin.

Typical areas affected: Entire face

Typical age group affected: Women aged over 50 who have enjoyed spending extended periods of time in the sun will see the most significant wrinkles and changes to skin-texture.

Alcohol consumption

Alcohol dehydrates the skin and deprives it of vitamins and nutrients. Drinking can also cause existing conditions to flare up such as eczema and rosacea. Recent studies have shown that alcohol causes stress to telomeres – the ends of DNA strands that stops them unravelling. As we age, the length of these strands shortens progressively and become so damaged that the cell dies – alcohol has been proven to speed up this process.

Typical areas affected: Entire face

Typical age group affected: Women aged between 45 and 54 drink the most units of alcohol each week according to the Institute of Alcohol Studies, so are at the highest risk of it effecting their skin.

Sleep deprivation

Not enough sleep can cause skin to become dehydrated and dull your complexion. Tiredness can raise cortisol levels which can make inflammatory conditions worse and not enough sleep can cause poor collagen formation, causing the skin to age.

Typical areas affected: Eyes con become puffy with the classic dark circles under them.

Typical age group affected: Sleep deprivation can strike people at any age.

So what is the best age to get Botox?

Lifestyle plays a huge part in how youthful someone looks – if a woman is in her late-twenties and has enjoyed a decade of smoking, drinking and sunbathing, then her skin is going to be very different to a woman in her late-thirties who has consistently looked after her skin. This is why every patient should be treated as an individual and have a treatment plan created that is exactly suited to their particular lifestyle and skin type.

There is no specific age when it is best to get Botox as everyone ages differently and feels differently about how well they are ageing. Below we take a look at the decades of ageing and the impact Botox can have on the skin at each age.

You can quickly jump to your age by clicking on the links below:

20s – Preventative Botox to stop wrinkles occurring

30s – When the first lines start to set in

40s – Before the lines are deeply imprinted

50s – To take the edge off deeper wrinkles

60s – Is it ever too late to get Botox?

20s – Preventative Botox to stop wrinkles occurring

Botox is designed to limit the movement of muscles that are used regularly and therefore create wrinkles in areas of the face such as the forehead and around the eyes. Preventative Botox is designed to prevent younger patients from developing wrinkles in the first place by limiting the use of these muscles, therefore the wrinkles don’t become deep set as people age.

Many women in their 20s won’t experience wrinkles unless they are frowning, squinting or smiling for example, these are known as dynamic wrinkles as they only appear when the face is moving.

Possible candidates for Botox in their 20s could be someone who has experienced sun damage and/or is a smoker so has prematurely aged skin. This can be a more prominent problem for women with fair skin as this is more susceptible to damage, particularly from the sun.

However, it’s important to bear in mind that there are risks of having Botox too young. In some cases, muscles that have been treated can be susceptible to atrophy, also known as muscle weakness, from lack of use. These under used muscles can cause less volume in the face and therefore make the face look older.

Questions to ask your doctor:

  • What alternatives to Botox injections could I try?
  • What specific lifestyle changes can I make to reduce the risk of premature skin ageing?
  • Is ‘baby Botox’ a good option for me?

30s – When the first lines start to set in

When women reach 30 they are more likely to notice the first lines and wrinkles. At this age they don’t disappear when they are not making a facial expression, particularly around the brows and eyes.

If you have been a fan of sun bathing, late nights, drinking and smoking in your twenties then the effects may begin to make their mark. This is also the time when you may start to have a family and looking after small children. Holding down a job can mean that sleep is a stranger and the stress of ‘having it all’ can start to show on your skin.

Most women won’t develop permanent deep lines and wrinkles until their late 30s so this may be a good time to start to consider Botox.

Questions to ask your doctor:

  • Which areas of the face would benefit most from Botox treatment?
  • Is there a suitable alternative or complementary treatment to help minimise the look of wrinkles?
  • How often will I need to get the injections?

40s – Before the lines are deeply imprinted

Research shows that women in their 40s feel the most confident. 88% of women saying they’ve never felt better since reaching 40. At this age, some women begin to see deeper lines around their eyes, particularly crow’s feet and frown lines. Therefore, these are probably the most common areas that are treated.

At 40 anti-ageing creams and skincare routines are unlikely to have much of an impact on wrinkles, which is why some women chose to try Botox at this stage in their lives.

Questions to ask your doctor:

  • If I’ve not had any treatment before, how can I avoid looking ‘overdone’?
  • Would treatments such as chemical peels be a better option for me?
  • Which areas would I need to have treated?

50s – To take the edge of deeper wrinkles

By 50 years old, many wrinkles set quite deeply. Botox may need to be combined with another treatment such as dermal fillers to minimise stubborn wrinkles. Botox is particularly effective for treating frown lines between the eyes in women of this age.

Damage done from sunbathing can become much more prominent after the age of 50. At this age there are significant changes in wrinkles and skin-texture. Other areas of the body that have been exposed to the sun such as the décolletage also start to show signs of serious wrinkling. At this time we can treat them with alternatives to Botox such as Ultherapy. Ultherapy is the best treatment option for this area. Volume in the cheeks also continues to decline at a more noticeable rate in women in their fifties and may require treatment with fillers.

Questions to ask your doctor:

  • How can I combat the ageing process on other areas of my body such as the hands?
  • Can I treat areas such as my jowls?
  • How can I ensure that I look natural and not like a 50 year old person who’s had Botox?

60s – Is it ever ‘too late’ to get Botox?

The extreme changes associated with cosmetic surgery from a decade or so ago have now been largely replaced. People want to look ‘fresher’ and ‘less tired’ with non-surgical cosmetic treatments. Botox, often combined with other treatments at this age, offers the ideal way to improve what you already have rather than completely transforming how you look.

Age alone shouldn’t stop anyone from having Botox done.  However, it’s important to realise that if you’ve never had any treatments done before, Botox won’t completely rejuvenate your face. You may require further treatments such as dermal fillers or Laser Enhanced Skin Rejuvenation to achieve an overall fresher look.

Questions to ask your doctor:

  • How long can I expect Botox treatment to last at this age?
  • How dramatic will the results be?
  • Does Botox hurt more on older patients?

Whatever your age, Botox offers natural looking results to make you look refreshed and relaxed. If you would like to learn more about having our Botox treatments in Surrey, but would like to discuss more about whether now is the right time, please get in touch with the health + aesthetics clinic on 01252 933133.

Find out more about looking after yourself once you have had Botox then check out our Botox Aftercare FAQs here. You can find more information about baby Botox Surrey by reading Your Guide to Baby Botox here.

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