Aging Gracefully, with Botox

Why We Need Less in the Upper Face and More in the Lower Face as We Age

As a plastic surgeon, one of the most common questions I receive from patients as they navigate the aging process is about the shifting use of neuromodulators like Botox. What surprises many is that our need for neuromodulator treatments evolves with age. For most, the demand for units in the upper face—specifically the forehead, crow’s feet, and glabellar area—decreases over time, while the lower face requires increasing attention. This change is directly related to the natural weakening and descent of the upper face and the strengthening of the depressor muscles in the lower face. Read more on Substack.


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