Botulinum toxin, commonly known by its brand names such as Botox®, Daxxify®, Dysport®, Xeomin®, Jeuveau, and now, Letybo®, has become a common treatment option used both cosmetically and medically. Cosmetically it is primarily used in adults who are 18 years old and over. However, the typical age is more often within the late 20s to early 30s–the period of time when someone starts to notice the emergence of fine lines and facial wrinkles on the face. But, what is really the appropriate age to start using botulinum toxin? What age is considered too young?
It’s essential to keep in mind that the decision to begin cosmetic treatments with injections is complex and multi-layered and requires a conversation between the practitioner and the patient. The patient should undergo a detailed examination and there should be an in-depth discussion about their reason for wanting the treatment, their individual circumstances, medical history, and ultimately, what is their goal of treatment. Is the patient seeking treatment because they saw it trending on social media, or because they have started to notice fine lines forming on their forehead?
In the world of aesthetic treatments, botulinum toxin is extremely popular and is most often sought by individuals between 30-40 years old. It is, though, not uncommon for those in their mid to late 20s to early 30s to want to initiate “proactive” treatment. This age group often seeks preventive measures to lessen the development of dynamic lines and wrinkles, meaning that those that form from repeated facial expressions–almost to stop the lines from “setting in”. It is also around this age that persons start seeing those lines and wrinkles from facial movement starting to stick around—where they become more permanent and they are visible at rest.

Model and social media star Vienna Skye (@viennaskye) gets a glow-up from our Dr. Jodi LoGerfo.
All things considered, taking the first step toward botulinum toxin treatments at this age is a reasonable choice. It is often viewed as a “proactive/preventative” approach to aging. Additionally, some evidence has shown that early treatment with botulinum toxin can reduce the severity of lines and wrinkles over time. That makes sense, doesn’t it? If you can prevent lines before they even show up? Yes, please!
From our perspective, the choice to begin botulinum toxin treatments is not solely dictated by age–it is also influenced by the individual’s skin type, anatomy, muscle movements, lifestyle factors, genetics, personal preferences and aesthetic goals. Each of these contribute to the decision of when to initiate treatment. Really the introduction of botulinum toxin is based on how your face moves, what your skin needs and when all is said and done, what makes you feel good (and confident!).
Another thing to consider is that botulinum toxin is not exclusively used for cosmetic purposes, it is also utilized for many medical conditions, including chronic migraines, excessive sweating, and certain neuromuscular disorders. For these cases, botulinum toxin is used in younger patients depending upon the specific condition being addressed. For instance, teenagers suffering from debilitating migraines may find significant relief through early treatments with botulinum toxin, improving their quality of life. In these scenarios, the patient’s age is not the primary consideration.
The appropriateness of treatment in younger patients must be evaluated by a qualified healthcare provider. Regardless of the patient’s age, it is essential to weigh the potential benefits of botulinum toxin treatment against its associated risks. While generally considered safe when administered by trained and licensed professionals, botulinum toxin can have adverse effects such as localized pain, bruising, or, in rare cases, more severe complications. It is important to have open and honest communication between the patient and the healthcare provider to establish realistic expectations and address any concerns. At Orentreich. we take a comprehensive approach–reviewing your medical history, evaluating the severity of your lines and wrinkles, understanding your aesthetic goals and carefully weighing the potential risks against the benefits.
In the end, the decision to start botulinum toxin treatments isn’t dictate by age alone–it’s shaped by so much more! Whether you are aiming to soften your existing lines or prevent new ones from forming, a thoughtful individual approach is key. At Orentreich, we focus on precision, education and results–ensuring that ever treatment is the right one, at the right time, for you!
If you have any questions or would like to know more about botulinum toxin, schedule an appointment with one of our practitioners.
DR. J – JODI LOGERFO, DNP, APRN, FNP-BC