Is Botox at 20 The New Normal?
Is Botox normal to start in your 20s, or is it just a growing trend? As a MedSpa professional, this is a question you may find yourself answering more often lately. Over the past few years, younger clients have shown increased interest in BOTOX, Xeomin, Dysport, and other neuromodulators, with some starting as early as their 20s. According to a study done by The American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS), around 75% of facial plastic surgeons reported an increase in patients under 30 seeking cosmetic procedures, with 78% predicting a growing emphasis on early maintenance through injectables to prevent signs of aging before they start [1].
But is this early start a good idea? The best age to start neurotoxins vary for each individual and can depend on personal circumstances and individual aesthetic goals. While some argue starting neuromodulators in their 20s can prevent early signs of aging, others believe it’s best to wait until skin conditions show more prominent signs of aging. In this article, we’ll explore whether neurotoxins at age 20 is the new normal, or simply a myth to increase revenue.
Understanding Neuromodulators
BOTOX, Dysport, Jeuveau, and Xeomin are neuromodulators made from botulinum toxin type A to relax facial muscles and reduce wrinkles. When injected into specific facial muscles, it temporarily blocks nerve signals, preventing muscle contractions and smoothing out expression lines. Originally developed for medical treatments, it has become a go-to solution for reducing wrinkles and maintaining a youthful appearance. However, the key element to focus on here is the prevention of muscle contractions. Which means, if you don’t see lines at rest – BOTOX, Dysport, Jeuveau, and Xeomin will not make a difference.
The Case for Early Injectables
Research suggests prolonged exposure to blue light contributes to skin aging and has impacted younger generations more due to the increase in screen time compared to older generations [2]. So, let’s dive into the world of when it becomes too early for BOTOX, Dysport, Jeuveau, or Xeomin appointments. Since terms like “Preventative,” and “Baby BOTOX,” are becoming common phrases, what the financial benefits of getting started early? And how do personal aesthetic goals guide the decision to start treatments in the early 20s?
Preventative Neuromodulators: Stop Wrinkles Before They Start
For many younger clients, BOTOX, Dysport, Jeuveau, and Xeomin are seen as a preventative measure rather than a corrective one. By starting treatments in their 20s, patients aim to prevent fine lines from becoming deep-set wrinkles. This approach is often referred to as “Preventative BOTOX,” which involves using smaller, targeted doses to maintain smoother skin. It’s extremely important to note that this treatment Is applied to fine lines rather than smooth skin to “prevent” future wrinkles. Consider it more of a prevention of deep-set wrinkles.
Baby BOTOX: Smaller Doses, Softer Look
Baby BOTOX is another approach favored by younger clients but can be applied to any variation of neurotoxins. This technique uses ultra targeted micro injections with smaller doses for a more natural, expressive look without the frozen effect. It’s a popular choice for those who want a gentle introduction to injectables. The term “baby” in this treatment description is not referring to the age of the patient, but rather implying a small amount of the drug dosed out in a way that will subtly treat the area.
Financial Benefits Over Time
Some argue that starting BOTOX early can save money in the long run. Regular, small doses can maintain smoother skin, potentially reducing the need for more intensive (and expensive) treatments later. Considering that neuromodulators temporarily relax the muscles that cause wrinkles over time, this could be a strong benefit to starting early. However, with the results only lasting between 3-6 months, it further justifies scheduling consistent appointments to achieve this result. So, regular treatments are essential for maintaining smoother skin, especially for older adults with more pronounced wrinkles and fine lines – as long as there are wrinkles and fine lines to treat.
The Case Against Early BOTOX, Dysport, Jeuveau, and Xeomin
While the benefits of early injectables are widely promoted, it’s important to educate patients about potential risks. Using too much BOTOX , Dysport, Jeuveau, and Xeomin can weaken facial muscles and ultimately lead to an older appearance. As a professional, you must tailor treatments to individual needs and the importance of moderation to avoid over-injection, especially in younger patients.
During consultations, be sure that they understand the following:
Overuse and Premature Muscle Weakening
One of the primary concerns with starting injections too early is the risk of overuse. Regular injections in the same area can weaken muscles over time, potentially leading to a flat or hollow appearance.
One-Size-Does-Not-Fit-All-Ages
Not every patient in their 20s needs BOTOX. Some may not experience noticeable dynamic wrinkles until their 30s or 40s. Treating a patient too early can lead to unnecessary expenses and unrealistic expectations, regardless of their age group.
Side Effects and Safety Considerations
Even when administered correctly, BOTOX can have negative side effects, including:
- Mild swelling or bruising at the injection site
- Headaches
- Drooping eyelid (if injected incorrectly)
- Temporary muscle weakness
It’s essential to educate clients about these potential risks, especially younger patients who may not fully understand them.
So, Is 20 Too Early For BOTOX, Dysport, Jeuveau, and Xeomin?
There is no universal answer. As a MedSpa professional, your role is to educate patients, assess their skin concerns, and help them make informed decisions. While patients must be at least 18 years old, the good age for starting preventative treatment is typically in the mid-late 20s to early 30s, when wrinkle formation begins to be noticeable. The use of effective skincare (vitamin C, retinol, and sunscreen) and skin treatments are a healthy alternative to starting BOTOX, Dysport, Jeuveau, and Xeomin too early.
The Ethics of Treating Younger Aesthetic Patients
Although there is no solid evidence that a patient in their 20s is not suitable for BOTOX and other neuromodulators, it’s important to remember the ethics behind this treatment. For young people, particularly those under 18, age restrictions are crucial simply because they are still developing their facial features. Administering injectables for patients who do not need it can lead to long term complications Dr. Lindsay spotlights three main situations where she would turn away a patient for this treatment:
- Medical contraindications
- Unrealistic expectations of treatment
- Demonstrated signs of body dysmorphic disorder.
She comments “particularly with younger patients, trying to elicit their motivation for treatments can give insight into their mindset around their appearance [3].
Practical Tips for MedSpa Professionals
When working with patients, always begin with a thorough consultation to assess their skin concerns and aesthetic goals. Ask them to hold a mirror up to their face as they describe their pain points. Use this opportunity to educate them on the difference between Preventative and corrective neurotoxins, helping them make informed decisions.
A conservative approach is best for first-time patients, where you can start with lower doses, and gradually adjust as needed. Most importantly, maintain detailed records of patient history and preferences to ensure personalized care for future appointments.
How To Gently Turn Patients Away for Early Treatment
While BOTOX, Dysport, Jeuveau, and Xeomin can be an effective treatment for preventing lines and wrinkles, it may not be suitable for all patients, especially those who don’t have visible signs of aging. If your patient is not a good candidate for a treatment, you may want to find thoughtful ways to turn them away and recommend alternative treatments, alternative measures, and how to prevent wrinkles and fine lines from forming. Need ways to gently turn away patients you believe are not ready for this treatment? Try these approaches:
- Suggest alternative treatments like skincare, facials, and other non-invasive treatments.
- Share risks like weakened muscles and impact on facial expressions.
- Explain BOTOX resistance and how there are studies that show 1.5% of patients who develop neutralizing antibodies. [4]
Help Your Clients Explore Anti-Aging Confidently
So, is 20 the new normal age to start injectables? Not necessarily. The “right” age depends on the patient’s unique skin concerns, goals, and lifestyle. Your role as a MedSpa professional is to provide clear, honest guidance. With the right approach, you can help patients make informed decisions and achieve the best results.
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