Locations in Chicago & Glenview, IL

What Age to Start Botox?
In Chicago & Glenview, IL

Chicago Aesthetics Surgery & Med Spa in Chicago & Glenview, IL is led by Dr. John D. Rachel, MD, FACS, a facial plastic and reconstructive surgeon who is quadruple board-certified.

Medically reviewed for accuracy.

Q: What age should you start preventative Botox?

Most people start in their mid to late 20s or early 30s if they notice expression lines that stick around. You should be 18 or older to get Botox.

Botox relaxes tiny facial muscles and are even used in unconventional uses such as hyperhidrosis. When those muscles rest, the skin on top does not crease as much. That is how Botox helps soften lines and can keep new ones from forming. The “right” age is not the same for everyone. Your skin type, genetics, and lifestyle all matter. Below, you will see what to expect in your 20s, 30s, 40s, 50s, and 60s, plus how preventative Botox works and when it makes sense.

What Is Preventative Botox?

Preventative Botox is treatment done before deep wrinkles set in. The goal is to slow or stop early lines from becoming permanent. It targets the muscles you use for frowning, raising your brows, or squinting. By calming those muscles early, you reduce the constant folding of the skin.

Preventative vs Regular Botox

Regular Botox treats lines that are already there at rest. Preventative Botox focuses on lines that show up with expression and are starting to linger. Both use the same medication and technique. The difference is timing and the goal.

2395102 Brow Botox Carol Donohue

Botox in Your 20s

In your early 20s, most skin is smooth and full. In the late 20s, you may see faint “dynamic” lines from smiling, frowning, or squinting. These lines fade when your face relaxes.

If you have a very expressive face or strong family history of lines, small preventative doses can help. Common areas:

  • Forehead lines
  • Frown lines between the brows
  • The border of your upper lip (lip flip)

You do not need a lot. The goal is to keep movement natural while easing the strongest crease patterns.

Botox in Your 30s

Lines can show a bit more now, but many are still mild. This is still a good age for prevention for most patients. Popular areas:

  • Crow’s feet from smiling or squinting
  • Frown lines
  • Early forehead lines
  • Early lip lines in the late 30s

Treating now can keep lines from setting in deeper as you move toward your 40s.

Botox in Your 40s

#303 Botox Before After Chicago Aesthetics

Wrinkles can start to hold even when your face is resting. You may notice:

  • Deeper crow’s feet
  • Forehead lines
  • Heavier frown lines

At this stage, Botox often pairs well with other options like dermal fillers or Sculptra for volume or skin treatments that boost collagen like Sofwave. Around the mouth, tiny doses can soften “lipstick lines.” Your provider will tailor a plan so results look natural and you still look like you.

Botox in Your 50s

Most people want to look refreshed, not overdone. Common goals:

  • Soften crow’s feet and frown lines
  • Open the eye area with a gentle brow lift effect
  • Ease downturned mouth corners
  • Smooth upper lip lines

Skin can be drier and thinner due to normal aging and, for many women, menopause. Botox may be combined with filler or Radiesse collagen-stimulating treatments to address volume loss and skin quality. The aim is a rested look that matches your age and style.

Botox in Your 60s

You still want to look like you, just more rested. A popular request is a smoother jawline and neck. Some patients choose lower face Botox patterns to soften tight pulling that can make jowls or neck lines more obvious. Because volume loss is common now, many plans combine Botox with fillers, skin tightening or facelifts. The focus is gentle softening so your features stand out and lines distract less.

Ready to Book at Chicago Aesthetics?

Schedule your complimentary skin consultation today ($50 value). Call or Text us 312.846.1629 or visit our contact page to request your appointment online.

New Patients: 20% off any aesthetic med spa treatment (only available with select providers). Contact our office for details. See our monthly specials.

Chicago Aesthetics
Reviews & Testimonials

Excellent4.8254 reviews
4.8
Excellent254 reviews
Ruby Kelly profile picture
Ruby Kelly
September 13, 2026
Trustindex verifies that the original source of the review is Google.
I’ve been seeing Carol for Botox for over two years, and she is absolutely amazing! I trust her completely with my face. She always takes the time to listen to what I want and makes sure my results look natural and beautiful—she never overdoes it. I especially appreciate how honest she is; she will tell you when you don’t need something rather than trying to sell you more treatments. Carol truly cares about her patients and always makes me feel comfortable, welcomed, and at home. She is professional, knowledgeable, gentle, and incredibly attentive. I always leave feeling confident and happy with my results. It’s hard to find someone you can trust this much, and I’m so grateful I found Carol. I wouldn’t trust
Daniella Bella profile picture
Daniella Bella
September 13, 2026
Trustindex verifies that the original source of the review is Google.
I had Lipo 360 and a Skinny BBL this summer, and I am so happy with my results. I was always extremely nervous about going under the knife, but I really wanted to do something that would help boost my self-confidence. Dr. T and his entire team were truly amazing throughout the whole process. I am naturally pretty skinny, so I was always worried about whether this procedure would work well for my body type, but I honestly wish I had done it sooner. I am currently about five weeks post-op, and I am already so pleased with how everything is turning out. My results continue to improve as I heal, and I’m excited to see the final outcome. I’m very grateful to Dr. T and his team for making me feel comfortable and confident throughout the experience.
Stephanie Sanchez profile picture
Stephanie Sanchez
September 9, 2026
Trustindex verifies that the original source of the review is Google.
carol’s the absolute best! very fast and great at what she does. My go to for any botox or filler!
Roberta Livingston profile picture
Roberta Livingston
September 6, 2026
Trustindex verifies that the original source of the review is Google.
+0
Tom is amazing!! Caring and knowledgeable very, very excellent experience.
Kim Jones profile picture
Kim Jones
September 2, 2026
Trustindex verifies that the original source of the review is Google.
I’ve been seeing Carol for 10 + years She’s the best and has a perfect eye for what’s needed and what is not. I’ve always trusted her completely and highly recommend!
Mary S profile picture
Mary S
August 29, 2026
Trustindex verifies that the original source of the review is Google.
Wonderful service, everyone is knowledgable and friendly. Dr. Rachel is fabulous and quadruple board certified. I would not trust any other company.
Laura Rosenhauer profile picture
Laura Rosenhauer
August 28, 2026
Trustindex verifies that the original source of the review is Google.
Carol is the best in the business! She is professional, kind, and incredibly attentive throughout my experience. She took the time to understand my concerns and made sure I felt comfortable. I love my results! I truly appreciated her expertise and attention to detail. I highly recommend Carol!
Angel profile picture
Angel
August 28, 2026
Trustindex verifies that the original source of the review is Google.
Nurse Carol always does an outstanding job no matter the procedure. She literally has light hands and you barely feel a thing. She brightens my day whenever I have an appointment with her. Very kind, professional and very knowledgeable. I have never had anyone as thorough as her. She communicates with me before and after all appointments and reaches out to ensure I safely drive there sooner due to the weather conditions. ⭐⭐⭐⭐⭐ I cannot say enough wonderful things about Nurse Carol Donohue. After four years as her client, I can genuinely say that the trust, care, and relationship we have built over the years means so much to me. Carol has always been incredibly easy to communicate with and accommodating with my schedule. She consistently goes above and beyond for her clients—even coming in early before her shift to make sure she can see me when needed. That level of dedication and care does not go unnoticed. What I appreciate most about Carol is her integrity. She doesn’t simply recommend a cosmetic procedure because she can perform it. She takes the time to honestly tell me what would be beneficial, what may be unnecessary, and what she believes is best for me. My health, well-being, and safety have always come first, and that has given me an incredible amount of confidence and trust in her. Carol is knowledgeable, professional, friendly, and genuinely welcoming. She explains everything in detail, makes sure I understand every step of the process, and always makes me feel comfortable and cared for. She values her clients as people, not just appointments. Beyond her professionalism, Carol’s kindness has touched me personally. There have been days when I walked into her office feeling at my lowest, and simply being met with her warmth, compassion, and kindness helped me leave feeling a little more confident and a lot better than when I arrived. That is something I will never forget. Thank you, Nurse Carol Donohue, for four wonderful years of professionalism, honesty, compassion, and exceptional care. I am incredibly grateful for the client-and-nurse relationship we have built, and I look forward to many more years to come. I wholeheartedly recommend her to anyone looking for a provider who combines expertise with integrity and truly cares about the people she serves.
Julie Rosenhauer profile picture
Julie Rosenhauer
August 28, 2026
Trustindex verifies that the original source of the review is Google.
I’ve been getting Botox from Carol for several years now, and I couldn’t be happier with my experience! She is incredibly kind, knowledgeable, and professional, and she always takes the time to make sure I feel comfortable and confident throughout the process. I truly trust her expertise and appreciate how carefully she listens to what I want while providing honest, thoughtful recommendations. My results have always looked natural and beautiful, which is exactly what I’m looking for. I highly recommend her to anyone considering Botox or looking for someone skilled, trustworthy, and genuinely caring!
Diana T profile picture
Diana T
August 26, 2026
Trustindex verifies that the original source of the review is Google.
Carol was great! She made the experience comfortable and pain-free while also being efficient. Would definitely return!

Contact Chicago Aesthetics Surgery & Med Spa
Get In Touch

new chicago aesthetics logo black

Call or Text

312.846.1629

Hours

Mon & Wed: 9am - 7pm
Tues, Thurs & Fri: 9am - 5pm
Sat: 9am - 2pm
Sunday: CLOSED

About Us

Enhance your natural beauty with personalized skin, body, and wellness treatments from Chicago’s trusted med spa, led by Dr. John D. Rachel.