“Typically, when patients first come to see me and are considering anti-wrinkle injections, their primary concern is they will look ‘frozen’ and that people will know they’ve had anti-wrinkle injections. The effects of anti-wrinkle injections should be subtle and leave a patient looking fresher and more relaxed but they should not lose the ability to make normal facial expressions. I am a big proponent of using lesser amounts every 3-4 months for a subtle but stable look. Patients often now start treatment in their late 20s or early 30s for ‘prevention.’ The theory is that by starting earlier, inhibition of certain expressions prevents the worsening of wrinkles. The optimal age to commence anti-wrinkle injections varies considerably in patients but I do not recommend it until permanent wrinkles are visible at rest.”
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