Clients in their 20s often approach me expressing unhappiness about their wrinkles and the psychological distress caused by them. Instead of recognizing their skin as normal for someone in their 20s, they associate it with someone much older. Consequently, they resort to measures like Botox. Taking drastic actions such as invasive procedures to address psychological issues rarely yields satisfying results. At best, it offers temporary relief, but more often than not, it establishes an expensive and unnatural standard, particularly when frozen foreheads become the norm.

To gain a better understanding of the situation, follow these steps:

  1. Reflect on your motivations: Take a step back and honestly assess why you’re considering Botox. Are external influences like social media or peer pressure the main driving forces? Or have you consulted a reputable dermatologist who genuinely believes Botox is a safe and suitable option for you? Understanding your motivations is crucial in making a decision that aligns with your values and personal needs.
  2. Focus on accepting yourself: Embrace the concept of self-acceptance and self-love. The media, including social media, often portrays unrealistic beauty standards, which can lead to feelings of inadequacy. Remember that genuine beauty emanates from within, and embracing your natural self is not only empowering but also attractive.
  3. Assess risks and benefits: Educate yourself about the potential risks and benefits associated with Botox. Consider the possible side effects, financial costs, and the temporary nature of the treatment. Weigh these factors against your desire to alter your appearance and determine whether the potential benefits outweigh the risks.
  4. Seek alternative confidence boosters: Explore alternative ways to boost your confidence and self-esteem that don’t involve invasive procedures. Engage in activities that make you feel good about yourself, such as regular exercise, maintaining a healthy diet, prioritizing adequate sleep, and focusing on personal growth. Building self-confidence from within is a more sustainable approach than relying on external interventions.
  5. Limit exposure to social media: Acknowledge the impact that social media has on your self-perception and consider reducing your exposure to platforms that contribute to negative feelings. Curate your social media feed to include positive and uplifting content, and follow accounts that promote realistic and healthy body standards.
  6. Protect your skin from sun exposure: While I’m not a dermatologist, I do know that simple measures such as using sunscreen and staying well-hydrated can help maintain healthy skin. So remember to incorporate these easy and affordable habits into your routine to preserve your youthful and radiant appearance.

To learn more about living a healthy life, check out my book, Be Fearless: Change Your Life in 28 Days.


  • Jonathan Alpert

    Psychotherapist, executive performance coach, and author of Be Fearless: Change Your Life in 28 Days. Twitter: @JonathanAlpert

    Jonathan Alpert is a psychotherapist, columnist, performance coach and author in Manhattan. As a psychotherapist, he has helped countless couples and individuals overcome a wide range of challenges and go on to achieve success. He discussed his results-oriented approach in his 2012 New York Times Opinion piece, “In Therapy Forever? Enough Already”, which continues to be debated and garner international attention. Alpert is frequently interviewed by major TV, print and digital media outlets and has appeared on the Today Show, CNN, FOX, and Good Morning America discussing current events, mental health, hard news stories, celebrities/politicians, as well as lifestyle and hot-button issues. He appears in the 2010 Oscar-winning documentary, Inside Job commenting on the financial crisis. With his unique insight into how people think and their motivations, Alpert helps clients develop and strengthen their brands. He has been a spokesperson for NutriBullet, Liberty Mutual insurance, and Enterprise Rent-A-Car. Jonathan’s 2012 book BE FEARLESS: Change Your Life in 28 Days has been translated into six languages worldwide. Alpert continues to provide advice to the masses through his, Huffington Post, and Thrive columns. @JonathanAlpert