With Expert Insights from Dr. Marielaina Perrone, DDS
Botox has long been a go-to aesthetic treatment for smoothing fine lines and softening wrinkles. However, a growing trend among younger adults—particularly those in their 20s and 30s—is shifting the conversation. Instead of waiting for deep-set wrinkles to form, many opt for preventive Botox, using the early treatment to help slow the signs of aging before they fully appear.
So, is preventive Botox backed by science, or is it more cosmetic hype? We turned to Dr. Marielaina Perrone, DDS, a cosmetic dentist and botox expert in Henderson, NV, to separate myth from reality.
What Is Preventive Botox?
Unlike traditional Botox, which treats visible wrinkles, preventive Botox is administered before wrinkles become etched into the skin. The idea is simple: if you can prevent repeated muscle movement in key areas (like the forehead or between the eyebrows), you may slow down the development of deeper lines over time.
“Botox works by relaxing the facial muscles responsible for expression lines,” explains Dr. Perrone. “By reducing repetitive movements early on, we can delay the formation of dynamic wrinkles—those that appear with muscle use and eventually become static wrinkles.”
Is It Just for Celebrities?
Not at all. While many high-profile personalities have spoken openly about starting Botox in their 20s or early 30s, preventive Botox is gaining mainstream appeal.
“More patients are becoming proactive about skincare,” says Dr. Perrone. “They view Botox not just as a treatment for aging, but as part of an overall strategy to maintain skin health and youthful facial aesthetics.”
Social media trends, dermatological insights, and a broader focus on prevention in self-care routines have supported this shift in perception.
Who Might Benefit from Preventive Botox?
Not everyone needs Botox early in life, but for those who notice early expression lines forming or have strong facial muscle activity, it may be worthwhile to talk with a trained provider.
“Young adults with visible movement lines, even if they fade at rest, are often the best candidates,” Dr. Perrone explains. “Especially if they have a family history of deep forehead lines or crow’s feet.”
Preventive Botox is often used in areas like:
· The forehead (to prevent horizontal lines)
· The glabella (the “11” lines between eyebrows)
· Around the eyes (to minimize crow’s feet)
How Much Is Too Much?
One concern about starting Botox early is the potential for overuse or loss of natural facial expression. Dr. Perrone states this comes down to provider experience and treatment philosophy.
“Preventive Botox doesn’t require high doses,” she says. “We aim for subtle results—enough to soften muscle activity without creating a frozen look. The goal is preservation, not perfection.”
When starting early, patients typically need smaller doses and less frequent treatments compared to corrective Botox for deep-set lines.
Are There Risks?
Botox is FDA-approved and considered safe when administered by trained professionals. However, as with any injectable, minor risks, including temporary bruising, swelling, or asymmetry, must be considered.
“The most important step is choosing a qualified and experienced provider,” says Dr. Perrone. “That ensures the treatment is tailored to your anatomy and skincare goals.”
Is Preventive Botox Right for Everyone?
Not necessarily. Preventive Botox is a personal choice and is not essential for every skincare routine.
“If someone is diligent with sunscreen, hydration, and skincare, they may not need Botox until later in life,” Dr. Perrone notes. “It’s not about rushing into treatment. It’s about making informed, personalized decisions.”
Dr. Perrone recommends an initial consultation to evaluate your skin condition, facial muscle activity, and long-term goals before starting treatment. This personalized approach ensures that Botox is the right choice for you.
Final Thoughts
Preventive Botox isn’t a magic solution—and it’s not for everyone—but it can be a useful tool in a proactive skincare plan. When administered responsibly, it offers a safe and strategic option for those starting to see the first signs of expression lines or hoping to age with subtlety, providing a sense of reassurance and security.
Dr. Perrone sums it up this way:
Dr. Perrone sums it up this way: Botox is a wrinkle ‘softener,’ not a stopper. Starting earlier may mean doing less over time—and for many patients, that’s a win. But the key is a personalized approach that takes into account your unique anatomy and skincare goals.
About Dr. Marielaina Perrone, DDS
With over 20 years of experience, she specializes in smile makeovers, Botox, dermal fillers, and non-surgical facial rejuvenation. Her personalized, conservative approach helps patients look and feel their best—naturally, ensuring a sense of comfort and ease.
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