Ask a Surgeon - Skin Resurfacing - I am 40 years old and I think I'm still too young for plastic surgery at this time...

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I am 40 years old and I think I'm still too young for plastic surgery at this time. I...

Q:

I am 40 years old and I think I'm still too young for plastic surgery at this time. I am looking for an alternative to this so that the lines on my forehead and between my eyes and the crow's feet will go away or be dramatically reduced in appearance. They have been caused by overexposure to the sun. What do you recommend?

A:

Injections of botulinum toxin (BTX, also called by the brand names Botox and Myobloc®) by a qualified plastic surgeon are the best nonsurgical method for improvement of these types of wrinkles, which are related to over-activity of certain facial muscles. BTX temporarily deactivates these muscles so the forehead and crow's feet areas appear smoother. Injections must be repeated to maintain results. At age 40, however, there are often enough visible signs of aging around the eyes that surgery can be of significant benefit. Consultation with an ASAPS-member plastic surgeon should give you an accurate idea of your options.