Plastic Surgery 101

‘Angry’ face too young for Botox?

Q. I’m 28 and I don’t like the way I look: Angry. I’ve talked to some of my friends who already do Botox and they think I should do it. Do you think I’m too young to start this?

A. You’re never too young to look good! Of course, I always have a caveat — as long as it’s safe and it’s going to improve your looks, then it’s worth doing. Botox has a history of more than 20 years of safety and consistency if placed in the proper hands.

I’m going to assume that you feel that you look angry because you’re very animated in the area between your eyes. If that is the case, the advice I’m going to give you will work. If there is another reason why you feel — or your friends feel — you look angry, then a proper evaluation should be done before being treated.

You probably have very strong muscles that are making your frown lines and “11s” very prominent. This is usually because of very active muscles, which are genetically determined. If you look at your father or your mother, you will note that they probably have very similar muscle activity. This activity can be easily treated with either Botox or Dysport injections. If the frown lines are very deep and prominent, you might actually need an injection with a hyaluronic acid filler such as Restylane or Juvederm.

The Botox or Dysport injection will take approximately 10 to 15 seconds. The filler injection would take about five or 10 minutes so an anesthetic cream can take effect. It is usually a very satisfying procedure for patients and is a good introduction to cosmetic treatment for the future.

Dr. Carlos Wolf is a partner in Miami Plastic Surgery and is board certified. Email your questions to him at