Welcome to the Vinyard Institute of Plastic Surgery's Blog, where your journey of aesthetic exploration and education takes center stage. We deeply value empowering our patients through knowledge, providing insights, tips, and in-depth information to guide and enhance your aesthetic journey. Dive into our posts, where expertise meets understanding, and discover a space where your curiosity and dreams are nurtured and illuminated.

You’ve been living your life to the fullest for the past 40-some years: a successful career, lots of travels, and a wonderful family. Fantastic, isn’t it? However, every time you walk by the mirror, you notice changes in your skin: a few wrinkles here and there, uneven skin tone, etc. Are you wondering how these changes have occurred without being noticed for so long? Let’s explore how your skin changes in your forties.

How Your Skin Changes in Your Forties

As the natural aging process takes place, your skin becomes more vulnerable to a myriad of factors, divided into two categories:

  • Extrinsic factors: environmental (pollution, UV radiation, sun exposure) and lifestyle (tobacco, alcohol, stress, unbalanced diet).
  • Intrinsic factors: genetics, skin type.

         Because of this, your skin gradually loses its natural defenses, making way for these four changes in your 40’s:

  • Dehydration: the skin loses its ability to hold onto water.
  • Hyperpigmentation: due to sun exposure, overproduction of skin pigment leads to sunspots, age spots, and freckles.
  • ‘Crow’s Feet’: decreased collagen and elastin production cause expression lines around your eyes.
  • Loss of Radiance: because of cellular turnover decline, your skin will look increasingly rough and less radiant.

What BOTOX Does to Counteract The Natural Aging of Your Skin

For the natural aging signs visible on your face, the BOTOX injectable is one of the most effective solutions, which is why plastic surgeons all across the U.S. have performed almost 8 million BOTOX procedures in 2019 alone. These numbers shed some light on a noticeable cultural shift, especially in regions where sun exposure is more common: people in their 20s or 30s (who do not consider aesthetics as something taboo) are getting acquainted with the concept of ‘Preventative BOTOX’. More and more patients tackle fine lines and wrinkles during their initial stages, when the skin is more resilient, instead of resolving to get it “one day” — meaning their 40th, 50th, or 60th birthday.

Using the properties of Botulinum Toxin A, this treatment prevents natural signs of facial aging by blocking signals transmitted from the nerves to the muscles. The movement of overactive facial muscles decreases, preventing wrinkles from appearing. Most often, plastic surgeons employ BOTOX on forehead lines, Crow’s feet (the expression lines around your eyes), and frown lines, softening them and brightening the overall skin tone. 

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Everything You Should Know about BOTOX in Your Forties

If you’re reading this blog, it means that you’ve been considering BOTOX treatment for your signs of facial aging, but you might still have some unanswered questions, such as: “Which facial areas are best suited for treatment at this age?” or “How many units of BOTOX do I need for my imperfections?” Here at the Vinyard Institute of Plastic Surgery, we pride ourselves on treating each of the patient’s concerns transparently and professionally, creating the appropriate setting for the results of your dreams!

From a medical and aesthetic perspective, our team, supervised by Dr. Vinyard, will focus on three main areas:

  • The area between the eyebrows is called the glabella and it is where the Corrugator and Procerus muscles are located.  These muscles are short but strong and are responsible for creating our frown lines (also known as the “11’s”).
  • The forehead area have a pair of Frontalis muscles which are responsible for creating the horizontal forehead wrinkles that occur when lifting our eyebrows.  
  • The Orbicularis Oculi muscles are responsible for creating the wrinkles around the lateral eye area when smiling, which are commonly called our Crow’s feet.

During your free consultation, a member of Dr. Vinyard’s staff will analyze your medical record and, using an expert eye for human body details, recommend a treatment suited to your personal needs. However, why not outline a treatment plan suitable for all patients? The reason lies in the diversity of our lifestyles and anatomy: the way dermal tissue reacts both to extrinsic and intrinsic factors is an intricate matter. Because of this, your facial area might need only a few touches, rather than a more complex form of treatment.

How Many Units of BOTOX Do I Need?

The number of BOTOX units necessary for your facial area might vary considerably, based on the factors discussed above. However, multiple studies have concluded that, for each of the three zones mentioned (glabella, forehead muscles, and Crow’s feet), approximately 20 units of BOTOX, spanned over a 3 to 4 month-plan, are appropriate. This number of units allows for a full correction, comprehensively fixing the treated area. This article could shed more light on the subject if needed.

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How Much BOTOX is Too Much?

Since safety is the essential aspect of any medical procedure, the plastic surgery industry has invested heavily in scientific studies to create guidelines and safety protocols necessary for a successful treatment. Here at the Vinyard Institute of Plastic Surgery, we perform procedures with strict observation of these safety protocols, ensuring a wonderful experience for the patient.

The Pros and Cons to Beginning Preventative BOTOX

Preventative BOTOX came as a consequence of the shifting cultural trends noticeable in today’s society. Instead of deferring injectable treatments until they’re older, a growing number of patients opt for BOTOX at the first sign of fine wrinkles, in their late 20s or 30s. It shouldn’t surprise us, especially when we’re talking about sun exposure: in Florida, because of harmful UV radiation, patients can appear much older than they actually are! By the time they’re 30, most patients have had 20 years of UV radiation damaging their skin! Coupled with other extrinsic factors, such as smoking, it becomes clear why preventative BOTOX is enjoying a growth in popularity nowadays.

         Let’s take a moment to look at the pros and cons of preventative BOTOX:


  • It treats wrinkles early, preventing them from deepening.
  • It reduces your need for future surgical treatment.
  • The treatment will not affect your lifestyle.


  • The results are not as visible as opting for BOTOX at a later age.
  • BOTOX requires continued treatments.
  • Untrained providers could provide an undesirable result.


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While BOTOX is available for almost all age groups, the way it works for you when you’re in your 20s or your 40s differs drastically. Here at the Vinyard Institute of Plastic Surgery, we treat our patients according to their needs and desires, creating the perfect setting for the astonishing results of your dreams! If you’re considering BOTOX, our medical team is ready to welcome you for a complimentary consultation.

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As you consider your skin rejuvenation goals, Dr. Vinyard and his team of experts wield many options for improving the aesthetic of your skin. A Morpheus8 treatment can be an incredible addition to your treatment plan, and Dr. Vinyard and his team of experts are ready to support you in achieving your aesthetic goals. Contact us to schedule a personal consultation, or call  (772) 362-3357 to find out the next steps in your skin rejuvenation journey! Our office at 291 NW Peacock Blvd, Suite 103, Port St. Lucie, FL 34986, proudly serves the South Florida area! We also invite you to check out our blog pageFacebook, and Instagram to learn more about the treatment options available at our office!

CoolSculpting vs. Kybella for Double Chin: Which Treatment is for You?

by | May 17, 2023

We’ll compare two of the most popular non-invasive treatments for double chin reduction: CoolSculpting and Kybella. As you embark on your journey to reclaim your jawline and accentuate your facial contours, knowing which treatment is right for you is essential. Let’s break down the science behind these cutting-edge procedures, weigh the pros and cons, and help you make the best choice to enhance your natural beauty!

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