Botox Treatments – Are they right for me? Dr Horton shares his thoughts.

As we age, the loss of collagen together with overactive muscles of facial expression cause lines to become etched into the skin of our face- wrinkles. We notice these lines as early as the 20’s because we lose collagen starting around 25 years of age. Certain darker skin types- Mediterranean, Indian and Blacks enjoy more resistance to these wrinkles. The lighter skin types, English, Irish, Scandinavian, etc, are prone to earlier wrinkling. Wrinkles age our appearance, and many lotions and potions have been concocted through the years to slow the development of wrinkles. But the truth is it’s all about the loss of collagen and those pesky overactive muscles of facial expression.

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When should you consider starting treatment?
That depends on your skin type and muscle activity. There are 20 year olds with super strong forehead muscles that could need treatment at a much younger age. Certain facial muscle movements- frowning, raising the forehead, and smiling widely can reveal where you are likely to get wrinkles. The lines you can see with movement are dynamic wrinkles. Those you see without movement have progressed to static wrinkles. It is best to start treatment with some botulimum product before dynamic wrinkles become static wrinkles.

What product is best for facial aesthetics?
Botox Cosmetic was the first product to come to market followed by Dysport, Xeomin, Jeuveau followed by Daxify. Each product has positive features, but here at MD Age Management, I have chosen Jeuveau for several reasons. First of all, the product has a small area of spread. This allows me to precisely place the product where I want it and not have it wander farther to weaken muscles I did not intend to treat. Jeuveau has a quick onset of action and great durability of effect. I have years of experience with all the products but Jeuveau is my favorite.