
In this episode of Holding Time Back, Dr. Amanda Holden sits down again with the legendary Dr. Jean Carruthers to tackle one of the most talked-about trends in aesthetics today: preventative Botox.
As more millennials step into the aesthetics space, their approach is drastically different from previous generations. While boomers waited for signs of aging to appear before treating them, millennials ask—why wait at all? According to Dr. Carruthers, these younger patients are thoughtful, informed, and intentional, focusing on maintenance and prevention with lower doses and subtle treatments.
The conversation highlights how preventative Botox, often referred to as “baby Botox,” is more than a trend. Phase 3 studies confirm that younger skin, with its higher elasticity, responds better to neuromodulators and often requires less product to achieve lasting results. The episode also addresses misconceptions about minimal dosing and the ethical, responsible use of Botox in early-aging populations.
Dr. Carruthers emphasizes the importance of two-week follow-ups, especially for first-time patients. These visits allow for thoughtful adjustments, education, and the creation of a personalized aesthetic plan that builds confidence and trust.
The discussion turns to the evolving expectations of younger patients. They value natural results, long-term planning, and staying ahead of aging. Dr. Holden and Dr. Carruthers agree that this generation is not just preventing wrinkles. They are reshaping how we define and manage aging.
Whether you are a provider, an aspiring injector, or someone curious about early treatment strategies, this episode offers timely insights from one of the industry’s most respected voices.
Dr. Jean Carruthers is a globally renowned ophthalmologist and the pioneer behind the cosmetic use of botulinum toxin type A, commonly known as Botox. Her groundbreaking research and clinical work transformed Botox from a medical treatment for eye disorders into a revolutionary aesthetic procedure, reshaping the landscape of cosmetic dermatology. With decades of expertise, Dr. Carruthers has authored numerous scientific publications, contributed to the advancement of aesthetic medicine, and continues to educate practitioners worldwide on safe and effective injection techniques.