Is It Time to Start Botox? The Preventative Botox Breakdown

When you think of botox, a neuromodulator, you may picture someone trying to erase deep-set wrinkles or fine lines that have already formed. But what if we told you that botox can actually be preventative? That it can help delay the appearance of those lines before they even become noticeable? We’re here to tell you all about it.
At MD Skin Lab, a physician-led medical clinic in Toronto, one of the most common questions we receive from younger patients is: “Should I start botox now, or wait until I see wrinkles?” In this blog, we’re breaking down the science and strategy behind preventative botox, including when to start, how it works, and why it’s become a trusted anti-aging tool for patients in their 20s and 30s. Let’s start with the basics of this treatment.
First, What Is Botox and How Does It Work?
Dr. Vishaal Govan explains, “Botox is a neuromodulator derived from botulinum toxin type A. When injected in small, controlled doses, it temporarily relaxes targeted muscles in the face. This prevents the repetitive muscle contractions that lead to dynamic wrinkles, which are the lines caused by facial expressions like frowning, squinting, or raising your eyebrows.”
Common treatment areas include:
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Forehead Frown Lines (Number "11's" or Glabella)
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Crow's Feet
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Brow Lift
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Bunny Lines (Side of Nose)
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Lip Flip
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Chin Dimpling
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Gummy Smile
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Crepey Neck
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Downturned Mouth
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Calf-Slimming
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Trapezius Size Reduction (also known as Swan Neck Botox)
These are specific medical and therapeutic areas that can be treated with the use of Neuromodulators, including:
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Masseter/Jaw
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Clenching Migraines
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Excessive Sweating (Hyperhidrosis)
You can read more about the medical and therapeutic treatments here.
There are many benefits of neuromodulators; however, in this blog, we’ll focus on preventative botox.
What Is Preventative Botox?

Dr. Soreya Dhanji explains, “Preventative botox refers to the practice of using botox before deep-set lines or wrinkles form. Rather than waiting for visible signs of aging to appear, patients start treatment in their mid-to-late 20s or early 30s to stop fine lines from becoming permanent.”
Think of it like wrinkle insurance — by reducing muscle movement early, you’re helping preserve smooth, youthful skin over the long term.
At MD Skin Lab, our physician injectors carefully assess your facial movement and skin elasticity to determine when preventative botox is right for you.Who Should Consider Preventative Botox?
Preventative botox is best suited for patients who:
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Notice fine lines forming after facial expressions (especially frowning or squinting)
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Have strong facial muscle activity and are genetically prone to early aging
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Want to maintain youthful skin as long as possible without waiting for deeper lines to appear
It’s also ideal for patients who prefer subtle, early intervention instead of playing catch-up later.
During your consultation at our Toronto medical clinic, we’ll evaluate your facial anatomy, skin quality, and personal goals to tailor a treatment plan just for you.
Does Starting Botox Early Mean You’ll Need It Forever?
This is one of the most common myths we hear — and the short answer is no.
Dr. Vishaal Govan states that it is important to note “Starting botox early doesn’t ‘trap’ you into a lifetime of treatments. In fact, early, low-dose botox may help train your muscles to relax, potentially reducing how much product you need over time. Some patients who begin botox preventatively find that they need fewer units or can go longer between treatments.”
That said, botox is a temporary treatment — results typically last 4 to 6 months, depending on your metabolism and the treated area.
Benefits of Preventative Botox
Here’s why more patients in Toronto are choosing preventative botox at MD Skin Lab:
1. Delay the Formation of Wrinkles
Botox relaxes the muscles responsible for repetitive facial movements. By softening these motions early, you prevent creases from forming in the skin.
2. Maintain a Youthful Appearance
Even subtle signs of aging can affect how we feel about ourselves. Preventative botox helps you preserve your natural features, giving you a rested and refreshed look without dramatic changes.
3. Need Less Product Over Time
When started early, botox treatments can be more strategic and conservative. Instead of addressing multiple deep-set lines, you’re preventing them with lower doses.
4. Boost in Confidence
Preventative botox isn’t just about aesthetics — it’s about how you feel in your skin. Many of our patients report a boost in self-confidence after starting treatments that help them look as vibrant as they feel!
Is It Safe to Start Botox in Your 20s?
Yes — when administered by a qualified medical professional.
At MD Skin Lab, neuromodulator injections are only performed by our experienced physician injectors who specialize in advanced aesthetic medicine. We use a “less is more” approach to achieve natural results.
We never over-treat or recommend botox to patients who don’t need it. Your safety, comfort, and long-term results are always our top priority.
How Much Botox Do You Need for Preventative Treatment?
Preventative botox often requires fewer units than corrective treatments. Depending on your facial movement and goals, your injector may recommend:
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10 to 25 units for frown lines
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10 to 15 units for forehead lines
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6 to 10 units for crow’s feet
Things like genetics and muscle strength play a huge role in determining how many units are needed.
At MD Skin Lab, every treatment is customized to your facial anatomy and needs. We believe in personalized dosing and will always explain your treatment plan in detail before we begin.
What Happens If You Stop Botox?
If you decide to stop botox at any time, your muscles will gradually return to their normal movement, and your skin will age naturally. There’s no “worse” rebound effect.
Is Preventative Botox Right for You?
Preventative botox isn’t about chasing perfection — it’s about protecting and preserving your natural beauty! At MD Skin Lab, we believe in proactive skincare that empowers you to make informed decisions about your skin health.
If you’re curious about starting botox but aren’t sure if now is the right time, we’re here to help. Our physicians will guide you through a comprehensive consultation and a tailored plan that fits your goals, lifestyle, and comfort level.
Book a Consultation at MD Skin Lab in Toronto
Located in Toronto, MD Skin Lab offers evidence-based, physician-led aesthetic treatments — including preventative botox — in a professional, welcoming environment.Whether you're in your late 20s or early 30s and considering your first treatment, or you simply want to learn more, we’re here to answer your questions. Book your consultation today and discuss how we can achieve your skin goals!