Q: I am 75 years old and am interested in having a Botox treatment. Someone told me that you cannot do Botox if you are over 65.
If you follow FDA guidelines to the letter, that might appear to be true, but in practical terms it’s not. The reason that many people hear this is because the original studies had patients aged 65 or younger, so the FDA gave approval up to that age. Treating older patients is done routinely worldwide. Some of my happiest patients are older than 65 and can look better without surgery.
The concept is called treating patients “off label.” Essentially, this means using a drug in a way that is not exactly how the FDA approved its use in the original application process. It is estimated that 20 percent of all drugs are used off label. Many times these uses are better than the original use and are modifications that improve the indications of these drugs.
So, my advice to you is go for it. I am sure, if you are like many of my “younger” patients you will love it!