As reported in the OC Register today - Dr. John DiSaia of San Clemente and Anaheim says, there is no proof that using Botox over any period of time is a guarantee that you won't wrinkle in those areas. He says, "This would be very difficult to prove. Whether or not aged tissue would form some sort of wrinkle even with less activity may be more a matter of genetics than of use of a paralytic."
Plastic surgeon Dr. Joseph Cruise of Newport Beach says, "Certainly, permanent wrinkles can be avoided if there is no motion within the skin. The real cause of wrinkles, however, is not from our facial muscles getting stronger with age. Facial muscles are just like every other muscle in the body - they get weaker with age. Wrinkles occur with age because the facial fat that separates the skin from the muscles 'melts' away."
Doctor's agree that focusing on Botox as a wrinkle-fighter misses the most important causes of wrinkles. "Stopping cigarette smoking and limiting sun exposure may be more effective and would certainly be cheaper," says Dr. DiSaia.
I will add that adding monthly facials can do wonders for keeping the skin clean, increasing circulation and moisture. Try a microcurrent facial at a fraction of the cost of Botox for healthy skin, encouraged collagen and elastin replacement and amazing facial rejuvenation.