Why more 20-somethings are getting Botox

The first time Rebecca Toles went in for a Botox treatmentshe was 21yearsold and didn't actually have any wrinkles.

But her mother didand Tolessays shedidn't want the same wrinkles etched in between her eyes and eyebrows.

"Being able to in moderation reduce my chances of that happening as quickly ... for a couple hundred dollars here and there, seems like a no-brainer," said Toles.

Toles, now 27-years-old, is part of a growing number of women who get neuromodulatorinjections every few months not because they have wrinkles, but to prevent them from setting in.

But some cosmetic dermatologists believe there are better, more effective ways to slow down the aging process than turning to neuromodulators like Botox, which temporarily paralyze facial muscles.

"None of us want to have that crazy frozen [forehead], arched eyebrows look that's not what I'm going for," she said.

"But if by the time I'm 50, I can havejust reduced some of the key areasso I have, you know, a few nice laugh lines, as opposed to a nice deep-set wrinkle between my eyebrows, that's what I'm going for," she said.

In Canada, there is no data available on the number of cosmetic procedures, but in the United States, which experts say reflects trends in Canada, the growth has been significant.

According to numbers gathered by The American Society for Aesthetic Plastic Surgery, there has been a 41 per cent increase in Botox treatments in the 19 to 34 age group from 2011 to 2015.

Saundra Harper, 28, also started using Botox in her early20s.

"It's not an age thing. I started getting Botox super young because of just the way my skin is. I exercise so much, I don't have fat to fill out my face so I get wrinkles more easily," said Harper.

"Once you start getting wrinkles, you can't get rid of them, so it is just preventivefor the future," she said.

Is it actually preventative?

Dr. ShannonHumphrey, clinical assistantprofessor at the University of British Columbia and a medical director at a cosmetic dermatology clinicsays there is some circumstantial evidence to show thatBotoxcan have anti-aging benefits.

"One is through muscle relaxation, so if a facial muscle is not contracting, it will not be forming a wrinkle," she said.

"Another mechanism is through changes in skin quality," she said, pointing to studiesthat show Botox injections helpreorganize collagento make the skin appear to have amore luminous or radiant quality.

But Humphreyacknowledges thatnot a lot of studieslook at the long-term impact of gettingBotox.

Though, there is one particular2006 study withidenticaltwin sisters, where one receivedBotoxregularly for 13 years while the other received the injection twice during the study period.

The study which was conducted by Dr. William J.Binder, a stockholder and consultant to Allergan Inc, the makers of Botox,shows side-by-side pictures of the women as they age.

One twinhas a smoother forehead and the other lines that are associated with normal aging.

Given all this, Dr.Humphreysays she doesn't think there is an age that people 'should' getBotox.

"I don't think anyone 'should' doBotox. I think it is a great option for patients looking for a non-invasive treatment to soften wrinkles and potentially improve skin quality," she said.

Better off following these steps

Botoxcan cost anywhere from $200 to $1,000 depending on how many units a patient needs.

Dr. DavidZloty, a clinical associate professor at UBC and a cosmetic dermatologist, advises young women to considerBotox only after they've tried more effective measures.

"Botox can help to a minimal degree, but Ithink patients should be more concerned about the other variables which playa greater role on the aging of their skin," said Zloty.

"The big thing is genetics. But at this pointwe are not able to modify the genes we've inherited from our parents," he saidso the next best thing is SPF.

"Of all the anti-aging things we can do to help the health of our skin is sun avoidance and sun protection," said Zloty, a point Humphreystronglyagreeswith.

Next, is to not smoke cigarettes and follow a healthy diet that is low in simple sugars and simple carbohydrates.

"Anything you can think of that we like is probably highglycemicindex food and that has been shown to possibly accelerate the aging process," he said.

At the bottom of the list, Dr.Zlotyadds face creams that contain Vitamin A, E, and C which can minimallyslow down the aging process.

Is Botox safe?

WhileBotoxis temporarythe effect wears off within three to four months Health Canada warns patients to consult a medical professional with plenty of experience because complications can arise if Botox is injected incorrectly.

• B.C.Botoxinjections spark health investigations
• Botoxinjected by unlicensed practitioners

On its website, Health Canada notes adverse reactions includedroopy eyelid muscles, pain and bruising, skin rash, headache, face pain or eye swellingand paralysis of the face.

The health agency notes, adverse reactions are generallytemporary but could last several months.