Your guide to Botox and antiaging treatment in Portland, OR through the years

Dr. Maddox and the team at Thrive Aesthetic & Anti-Aging Center in Portland, OR offer a full range of cosmetic solutions including Botox,

Dr. Maddox and his team are known for delivering beautiful, natural looking results in anti-aging treatment. Botox is one of the most requested anti-aging solutions here at Thrive Aesthetic & Anti-Aging Center in Portland, OR. Patients often ask, “When is the best time to begin treatment?”

The simple answer is that Botox can be beneficial as soon as you see the first sign of crow’s feet, which most often happens in the late twenties or thirties. Below is detailed information about Botox use and other antiaging steps for every phase of life.

Twenties – Focus on prejuvenation

  • Time for Botox? – Maybe. If you see lines, even fleetingly, talk to your doctor.
  • Antiaging steps – Sun protection, consider mild rejuvenation and prejuvenation treatments such as IPL or light chemical peels

If you are in your early twenties, it is probably still too soon for Botox, but that could change before your thirtieth birthday. Everyone ages differently, and at a different rate. This is partially determined by genetics and other factors beyond your control. However, sun exposure is one of the primary causes of premature aging, so you can slow the process with good skin protection.

It is common for men and women to begin developing dynamic wrinkles early, sometimes before they reach the age of 30. These are lines that appear for a moment when you laugh, smile, scowl, or squint. They are faint, and they disappear as quickly as you relax your face. At this point, Botox can easily erase those lines and keep muscles relaxed so that they don’t keep developing.

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Thirties – rejuvenation

Botox is one of the most requested anti-aging solutions here at Thrive Aesthetic & Anti-Aging Center in Portland,

  • Time for Botox? – Probably
  • Antiaging steps – Continue sun protection, add retinoids to your skincare regimen, consider dermal fillers if you notice volume loss

Now early signs of aging become more predominant, and the process seems to accelerate. If you haven’t developed dynamic wrinkles yet, you almost certainly will soon. Without treatment, they quickly turn into static wrinkles, which do not disappear when you relax your face. Most people also begin experiencing significant facial volume loss at this age, which exacerbates wrinkles.

This is the most common age for patients to begin Botox treatment. If treatment begins before lines are deeply set in, they can usually be erased – and Botox prevents them from developing further.

Forties – reversing signs of aging

If you’ve been using Botox and taking good care of your skin, you probably have a quite youthful appearance. However, if you haven’t addressed early signs of aging, then the cumulative effects of UV exposure, respective facial expressions, and other skin damage are taking a highly visible toll on your skin. This is the time when most people get serious about reversing signs of aging.

Skin is now thinner, less hydrated, and less elastic. For patients who have never used Botox, some lines may be deeply etched. In this case, Botox can soften current lines, and help prevent new ones from forming. Procedures such as laser resurfacing may help soften and rejuvenate skin, further reducing the appearance of fine lines.

  • Time for Botox? – Yes
  • Antiaging steps – Step up the moisturizer, adjust skincare products to meet changing needs, continue sun protection, ask your doctor about injectables, lasers, and other procedures to fight back against aging

Fifties and beyond – It is never too late for antiaging

Botox is one of the most requested anti-aging solutions here at Thrive Aesthetic & Anti-Aging Center in Portland,

  • Time for Botox? – Yes
  • Antiaging steps – Be gentle with your skin, use quality anti-aging topicals, continue using sun protection and adjusting your skincare routine as needed, consider surgical or non-surgical cosmetic treatments,

Some patients ask if they are “too old” for Botox. The answer is unequivocally, “no.” There is no upper age limit for Botox treatment. As long as you are healthy enough for treatment, you can continue as long as you wish. However, like other minimally invasive procedures, it does have its limitations. In the advanced stages of aging, skin laxity and other factors can cause severe wrinkles and sags, which might not be correctable with non-surgical treatment. At this time, many patients consult with our board-certified facial plastic surgeon about a face lift or similar procedure.

Anti-aging advice for everyone

The age ranges and common skin concerns listed above are approximate. We all age differently, and we all have unique skin needs at every phase of life. Few “rules” of skincare are universal, aside from the need for sun protection. The best way to discover your best antiaging options is to visit our office for a consultation. We can help you choose the best products, optimize your daily skin care, and select the right professional treatments to meet your needs. Call us at (503) 928-6505 to schedule.

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I’ve been going here for 4 years. My results are fantastic! Doctor Maddox and his entire team are amazing! 5 stars across the board. I wouldn’t even consider going anywhere else.

Dr. Adam Maddox - Medical Director

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A graduate from Northern Arizona University and the National College of Naturopathic Medicine, Dr. Adam Maddox is a very established professional in the field of integrative anti-aging and aesthetic medicine with a special interest in Botox, Restylane and Testosterone Replacement therapy for men to name a few.

As a board-certified physician, he has a passion to help people with their health especially as they get older. Dr. Maddox believes in maintaining a strong sense of empathy in order to better serve his patients whilst ensuring his care is personalized. In addition to practicing medicine, Dr. Maddox uses his time to train other medical professionals on various effective medical techniques used in the anti-ageing medical sphere such as injectable techniques. He is also the founder and medical director of Thrive Aesthetic and Anti-Aging Center in Portland, OR.

Find everything you need to age beautifully at Thrive

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Say goodbye to armpit hair and underarm sweating. Mirror Smooth (miraDry??) will save your day.


You shave it. You wax it, you laser it. Heck, you might even dye it pink. Talking about armpit hair. Now some people are saying you can microwave it away once and for all. We’re revealing a new treatment right now and our procedure room. Take it away, Doctor Ashton.

Hi guys So, I’m back here with doctor sheila Nazarian, board certified plastic surgeon and our patient Aaron. You’re going to be demonstrating this new microwave procedure to hit axillary hair, but before we get to that, tell, tell me why this hair bothered you, Aaron? Because I mean, you’re blonde, you wouldn’t mind.

I’m a personal trainer. I spend 95% of my day in a tank top in the gym or in a bikini and shaving every day is such a pain. No one likes to do it. I tried laser hair removal. It doesn’t work. If you have blonde hair and darker skin. So, I heard about mirror smooth So, thought I’d give it a try.

And you said it’s your game, okay, So, doctor Nazarian,


Go ahead and lie back Aaron. So, as you start working tell us a little bit about this technology. Who’s a good candidate for it and how? Does it work?

Well, the beauty of this technology is that everyone is a good candidate. Any skin colour, any hair colour? I’ve actually had the procedure performed on myself, didn’t get any hyperpigmentation from it.

So, you numbed Aaron up before we started, right?

Arron’s been numbed already. We’ve placed a temporary tattoo which basically gives us little tick marks. It’s really paint by numbers at that point and we use the microwave technology of mirror smooth to remove not only 70% of her hair with one treatment, but also the sweat and odour glands are also eliminated. So, it’s basically a little suction and some you know heat is applied, but because she’s numb there’s no pain.

You feel anything?
Fine, just a little pull,


And So, how many treatments typically does it take to really get a good effect?

So, 80% of people really only need one treatment. You’re going to get an 82% reduction in the sweat and odour glands and a 70% reduction in the hair growth. Which, if you’ve ever had laser hair, you know you need multiple treatments in order to get anywhere close to 70%.

So, what’s the cost range for something like this?

This that’s a great question. So, the first treatment is around 2000 dollars, but it’s, but if you think about how many laser hair removal treatments to do. I mean, it really is a great benefit and also laser hair doesn’t remove the sweat and odour glands.

Nice, well, 2000 dollars, meaning that you could throw away all your razors for the rest of your life.


Never have to worry about sweating in your armpits again and being musty.

No more deodorant and think of all the money you spend on deodorant over a lifetime.

That’s true.

And it takes how long to do both pitch?

We usually schedule people for an hour at a time?
An hour!

So, can you imagine an hour and you’re done.
Oh my gosh,


Sign me up, scoot over.

Second string.


The one done idea is very appealing.

Exactly, yeah.

Thanks for sharing that with us and thanks for showing us your armpits,

Thanks for having me

You’re welcome.

Anti-aging Specialist

In Portland OR-Dr. Maddox

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Anti-aging Specialist In Portland OR-Dr. Maddox

Feeling good and looking good. It’s not just about diet and exercise anymore. Aesthetic and anti-aging medicine makes a safe and effective addition to your routine. At thrive, we offer the very latest in non-invasive beauty technology like vanquish, a painless, non-surgical way to remove unwanted fat cells from your waist and hips. And best of all, treatments take less than an hour, leaving you plenty of time to enjoy the new you. Visit for complimentary consultation. Thrive aged beautifully.

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It's time to invest in yourself and look your best with BOTOX® Cosmetic in Portland, Oregon!

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