How to Decide Whether Botox Is Worth It

Man's botox injection/plastic surgery.Image via Peter Dazeley / Getty

Gerald Imber, M.D., is a plastic surgeon and anti-aging specialist in New York City with more than 40 years of experience.

My wife suggested I get Botox for my worry lines. Do men do that?

Absolutely. The reason it has taken longer to catch on with men is, in part, biological. We age differently from women. Our skin is thicker and better nourished because we have more blood flow to support facial hair. And shaving acts like an exfoliant, removing dead skin with the stubble. So men rarely get fine wrinkles and largely—we don’t care. Smile lines lend character. But we also get horizontal forehead lines that look like accordion pleats. Frowning, squinting, and generally strong expressions give rise to deep vertical glabellar lines between the eyebrows, called the “elevens.” Men seem far more prone to both types of forehead lines, and they are not a good look.

Botox blocks nerves from firing, relaxing facial muscles, meaning fewer wrinkles. Twice yearly, nearly painless injections that cost $750 to $1,000 a visit virtually eliminate the frown lines and horizontal folds and still leave one expressive and natural looking. Those who start regular treatment early never develop the forehead folds. If you don’t care, disregard. Feeling masculine and comfortable should drive how and whether to pursue treatment. But looking vital and youthful and, yes, attractive matters as well.

Have a question for Dr. Imber? Email him at

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