To Botox or not to Botox

"[I have a] moving layer of custard under the skin. Every morning I wake up not knowing how I am going to look". The words of a British woman who'd had an injectable water-based filler treatment under her skin to help her look younger.

Women today - and increasingly men - are under great pressure to retain their young looks. Celebrities are all at it - Kylie Minogue, Nicole Kidman and Jennifer Aniston have all tried Botox, for example. Here's two photos of Kylie taken 20 year apart!

And, meanwhile, in a recession, who doesn't want to create an 'edge' that might just make a difference between a job and a park bench?

But what is the cost of going down this non-surgical cosmetic path? In money terms, around £2000 per year if you count both skin fillers and two sessions of Botox injections. And this for the next 20 years or more. But if it goes wrong, the cost can be greater - as the quote heading this post implies. So why do it?

Talking to people who use Botox, it isn't just about rolling back the years. It's about staying relevant and having people take you seriously. And yes, it's about keeping up with the Hollywood set.

But money and accidents apart, there are two very serious things to consider before Botox. Firstly, will you really achieve what you set out to achieve? Just as facelifts were obvious - and, let's face it, ugly - so the 'new face' physionomy of the Botox injector also gives a 'fake' look. For example, a lighting expert in the theatre recently complained "there's no way to light them so that they don't look hideous".

Secondly, what is the point looking beautifully young if the minute you open your mouth you betray yourself as a frumpy, grumpy old timer? You see, the truth is, that no matter how young we look, if we have an 'Old Brain' in our heads, we will live saggy, uninspiring and limited lives.

So, if Botox is your thing, I say, why not? The arguments for and against are well captured in this recent article: http://www.guardian.co.uk/lifeandstyle/2009/apr/07/kira-cochrane-celebrities-ageing . If you still feel confident to go through with it, take the plunge. But, whether you Botox or not, think also about rejuventating your mind. Give your thoughts a 'facelift' and see where they take you.

Blinking Botox

Would I have a Botox injection to erase wrinkles from my face? I really don't fancy it. But more and more men do.

Botox - or 'Boytox' in the new lingo - is increasingly popular amongst men. A staggering 300,000 American men have a Botox injection every six weeks according to Allergan, the manufacturer of Botox. Meanwhile, reports in Britain show that many brokers and bankers in the City have also caught the habit. And soon to UK TV screens 'Extreme Male Beauty' showing 'manscaping' cosmetic procedures.

So do you? Would you?

You'd certainly be 'on trend'. We live in a 'feminised society' where 'metrosexual' men are encouraged to be sensitive, intuitive and, yes, vain.

We also live in a world where the ideal of a 'real man' has radically changed. They used to be rugged, have abundant chest hair, give off copious amounts of pheromones (otherwise known as BO) and wear chunky gold medallions. Think Peter Wyngarde (Jason King).


Today's 'perfect man' is increasingly shorn of all body hair (and I mean all!), rolls on layers of deodorant and possibly has an ear stud. Think Brad Pitt or Leonardo diCaprio.

We also live in a very competitive world where the young and the beautiful have a natural advantage. First impressions count - as Malcolm Gladwell pointed out in his superb book, Blink. Our adaptive unconscious is fast and frugal. We judge others in perhaps the first 5 seconds of an encounter. Given this, who wouldn't want to look at their Botox best?

But there is a problem with both Botox and cosmetic surgery. They are superficial. First impressions may be influenced by physical apprearance, but lasting impressions are left by what what you say. And what you say is determined by how you think. Think young thoughts and people will perceive you as being youthful. Think grump thoughts and you will be seen as being aged- whether you have a wrinkle free brow or not.

Having studied this phenomenon for two years, Tim Drake and I decided to write a book on the proven principle that you are as young as you think. Our working title for the book? Botox for the Brain. Indeed, in Holland, our book is published under this same title.

But the point is this. If you are a man who is attracted by a quick Botox fix, you need to answer the following challenge:

What good is fabulous body if all you have is a frumpy brain?

If you want less superficial anti-ageing, and a more authentic answer to your desire to stay young, read our book: "You Can Be As Young As You Think (published by Pearson in June 2009).