What is preventative Botox and what age should you start?

How young is too young to start Botox?

When patients in their early 20’s ask about Botox to prevent the signs of aging, we often recommend exercising caution because many issues may be resolved without the use of injectables. With that said, we do not have an age recommendation for Botox, instead we evaluate each patient’s skin individually to determine if preventative Botox is the best option to help them achieve their desired results whether they are in their 20s or 30s.  

Fine lines and wrinkles in the forehead are the first signs of aging that typically drive patients to seek Botox treatment followed by lines around the lips. For many, these lines are genetic and are characteristics they see more pronounced in older family members. However, if during the consultation it is determined that the skin problems are due to lifestyle or sun damage, we advise patients that Botox will not resolve those issues. In the case of sun damage, we may recommend other products or services better suited, such as prescription retinoids, microdermabrasion or intense-pulsed light. Recommendations for skin damage caused by lifestyle, may be improvements to diet and exercise changes. 

We recommend preventative Botox because it trains problem facial muscles to relax, by weakening them, which in turn stops deeper lines from forming during the aging process. In this proactive process, less Botox is needed, and it lasts longer. When we begin a patient on a preventative schedule, we are very conservative with the amount Botox.

Botox treatments lasts 15-20 minutes and afterward you can carry on with the day as planned. For the first four (4) hours, we recommend not to lay down to avoid the Botox from shifting to other areas of the face. Results typically last four (4) to six (6) months before needing a touchup. 

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Dr. S. Alexander Earle is an Ivy League-educated, double board-certified plastic surgeon with vast experience in both reconstructive and aesthetic surgery. He is certified by the American Board of Surgery and the American Board of Plastic Surgery. Dr. Earle is also the founder of Pure Plastic Surgery and the President of the World Association of Gluteal Surgeons.


Take the First Step. Schedule your consultation at Pure Plastic Surgery by filling out the form below and one of our knowledgeable staff members will reach out to you promptly.

You can also reach our Miami office directly by calling 305-900-5310. Pure Plastic Surgery serves patients in Kendall, Coral Gables, and throughout the Miami metro, as well as patients across the United States and internationally.




“I could not have picked a better doctor. Dr. Earle is a perfectionist and settles for nothing less than perfection. I am incredibly happy with my results.”* - Rosie

“Absolutely amazing! The entire journey has been great. The staff and customer care are exceptional! Best service I have ever received.”* - Destiny

“From start to finish they were nothing short of amazing! Amazing doctor and team! Great results and wouldn't trust another. I felt absolutely comfortable from the minute I met them and knew I was in good hands”* - Natasha


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