Entries in Aging (22)


Sunscreen May Minimize Effects of Aging on Skin

Comstock/Thinkstock(NEW YORK) -- With the heat of summer approaching sunbathing and sunscreens are on many Americans' to-do lists. We all know that sunscreen protects us from the harmful rays of the sun that can cause skin cancer, but according to one study, they may also be a fountain of youth.

An Australian study in the Annals of Internal Medicine says that regular sunscreen use may reduce the signs of aging. Researchers instructed half of the approximately 900 participants in the study to wear sunscreen of SPF 15 or higher every day and the other half to wear sunscreen at their own discretion.

After four years, when researchers studied their skin closely, the group that used daily sunscreen was 24 percent less likely to show signs of aging skin.

The same study looked at beta-carotene supplements and found that they had no impact on aging skin. Beta-carotene is an anti-oxidant that some people believe protects the skin from aging.

Copyright 2013 ABC News Radio


Survey: Good Looks Don't Last

iStockphoto/Thinkstock(NEW YORK) -- Gather ye rosebuds quickly, ladies and gents, because your good looks are fleeting.

According to a survey by Allure magazine of 2,000 Americans, the consensus is that men look their best at age 34 while women hit their peak of attractiveness at 30.

Respondents to the Allure survey say that it’s pretty much all downhill after that with women exhibiting signs of age by 41 and they stop looking “sexy” when they turn 53.

Women are considered “old” at age 55. Meanwhile, men supposedly show aging signs when they turn 43 and aren’t looking good anymore by 58. A year later, and poof, men are “old.”

Meanwhile, men seem to think women look their best at age 29 while women say it’s 31.

As for dreaded gray hair, the general opinion was that it looks “distinguished” on men but only serves to make women look “old.”

When asked which celebrities are aging well, George Clooney topped the list by both sexes. Others who appear to defy the aging process include Brad Pitt, Richard Gere, Meryl Streep, Jamie Lee Curtis and Julia Roberts.

Copyright 2013 ABC News Radio


Castration May Hold Key to Longevity in Men, Study Finds

Comstock/Thinkstock(INCHON, South Korea) -- Call it making the best of a potentially bad situation. Eunuchs -- castrated men -- live nearly 20 years longer than other men, a new study has found.

The study of over 80 eunuchs from the Chosun Dynasty, which ruled in Korea from 1392 to 1897, looked at the world's only known record of eunuchs' lives and compared them to genealogical records of other men of similar social rank. The researchers cross-checked their results with other royal records.

They found that the average lifespan of a Korean eunuch was about 70 years, 14 to 19 years higher than non-castrated men of similar social standing.

Three of the 81 eunuchs lived to be over 100 years old. The researchers calculated that the rate of centenarians among this group of eunuchs was at least 130 times higher than the current rate in developed countries.

"Our study supports the idea that male sex hormones decrease the lifespan of men," wrote Kyung-Jin Min, associate professor in the Department of Biological Sciences at Inha University in Inchon, South Korea, and lead author of the study published Monday in the journal Current Biology.

This study does not prove that castration directly increases human longevity, said S. Jay Olshansky, a professor of public health at the University of Illinois in Chicago, who studies longevity but was not involved with the study. "It may not have anything to do with being eunuchs," he said, adding that this study did not adjust for lifestyle factors like diet, exercise, and stress.

Previous studies have shown that castration -- which removes the source of male sex hormones -- increases lifespan in animals. But studies in humans haven't been conclusive. One past study found that castrati singers did not live significantly longer than non-castrated singers. Another study has shown that castration increased longevity by 14 years in mentally disabled, institutionalized men. That increase in lifespan is similar to the findings in the Korean eunuch study.

Women reach the age of 110 ten times more often than men, said Dr. L. Stephen Coles, a co-founder of the Los Angeles Gerontology Research Group, who was not involved with the study. In a research group of 67 confirmed centenarians, he said, only three are men.

There may be several reasons for a sex difference in lifespan, experts said.

Females may have an advantage in longevity because they have a back-up X chromosome, Coles said. A women's body is a mixture of cells, half containing an active X chromosome from her mother and the other half from her father, he said. If there is a defect on one X chromosome, half of her cells will be unaffected.

Male sex hormones may have a negative effect on the immune system, wrote study author Min in the paper. "Male sex hormones also predispose men to adverse cardiovascular attacks."

While research seems to link male sex hormones to shorter life spans, experts remind us that quality of life matters more than quantity.

"I would not recommend becoming a eunuch," Coles said, "Or taking drugs to reduce your sex hormones." Reducing testosterone levels in men or women would severely affect one's sex drive, he said.

The findings that the absence of male sex hormones may improve longevity runs counter to a growing trend in the anti-aging industry, Olshansky said.

Some companies claim a healthier longer life can be enhanced by the introduction of growth or sex hormones at levels that existed when you were younger, he said.

 "There's no evidence that introducing hormones at levels that existed when you were younger make you live longer," Olshansky said, "This study suggests that you're better off without them."

Testosterone therapy may be recommended for certain men who lack testosterone, Coles said. A source at the National Institutes of Health said a clinical trial is currently underway to see if testosterone is safe and beneficial for elderly men with low testosterone levels.

What advice do experts have for people who want to live to a ripe old age -- and might not be in the frame of mind to consider castration?

Avoid smoking, Coles said, because we know that nicotine is highly addictive and that tobacco smoke causes cancer.

A healthy diet and exercise are also important for longevity, Olshansky said. While there is no universal prescription for exercise, he recommended, "Avoid being horizontal, be vertical, and keep moving!"

But what also really helps when it comes to living longer, he said, is to "choose long-lived parents."

Copyright 2012 ABC News Radio


Study Shows Veterans May Be at Risk for Aging at Accelerated Rate

iStockphoto/Thinkstock(NEW YORK) -- Men and women who serve their country come home every day only to suffer from mild traumatic brain injury and post-traumatic stress disorder.  And now there is increasing evidence that there are even more negative consequences to their time in the military: early signs of conditions that are typically seen in older people.

Preliminary research on veterans and active-duty members of the military shows that symptoms like hypertension, elevated cholesterol and glucose levels, and obesity, which are typically seen in older Americans, are plaguing members of the military at a much earlier age, according to Regina McGlinchey, co-director of the Transitional Research Center for TBI and Stress Disorders (TRACTS).

“Other work prior to this has shown a link between PTSD and risk for metabolic syndrome,” said Dr. Ann Rasmusson, a research affiliate with the National Center for PTSD and TRACTS.  "We think that there may be common underlying risk factors for both, plus the trauma and stress they are exposed to may also have influence on cardiovascular risk.”

The center, which began testing veterans who suffer from brain injuries and PTSD in 2010, has seen more than 270 veterans and active-duty members. The center sees veterans of all ages, but the focus has been on those in their 20s and early 30s.

“People are coming in and have one or more of those risk factors, even in very young soldiers,” Rasmusson said. “It’s usually the kind of thing that happens when you’re 45 or 50 and you get a wake-up call. That doesn’t usually happen to people in their 20s.”

“What we are finding is alarming,” McGlinchey said. “We weren’t prepared for the numbers we’ve seen.”

While these findings are only preliminary, both researchers emphasized the importance of treatment.

“This is the earliest this has ever been looked at,” Rasmusson said. “We urge people to come in sooner rather than later for treatment of PTSD and any associated medical problems.”

Copyright 2012 ABC News Radio


How Old Is Too Old to Drive?

Hemera/Thinkstock(LOS ANGELES) -- A driver who will be 101 in September backed out of a parking lot near an elementary school in Los Angeles, plowing into 11 people, including nine children.  Fortunately no one died as a result of the incident on Wednesday, but it highlights the challenge that aging drivers and their families face in deciding when it’s time to get off the road.

Although they only account for about nine percent of the population, National Highway Traffic Safety Administration statistics show senior drivers account for 14 percent of all traffic fatalities and 17 percent of all pedestrian fatalities.

A recent report by Carnegie Mellon University in Pittsburgh and the AAA Foundation for Traffic Safety found the rate of deaths involving drivers 75 to 84 is about three per million miles driven -- on par with teen drivers. Once they pass age 85, vehicular fatality rates jump to nearly four times that of teens.

Richard Nix, executive director of, says many senior drivers don’t realize their eyesight, hearing and reflexes aren’t as sharp as they used to be. They may be taking medication that impairs judgment, memory or coordination, or suffer from arthritis or Alzheimer’s. Consequently they may not realize it when they blow past a stop sign, forget to signal a right turn or confuse the gas pedal with the brake.

Even when they admit to themselves that they’re driving skills may not be up to par, some older drivers are still reluctant to hand over their keys. According to Nix, loss of driving privileges is a difficult and emotional issue for many.

“People have been driving their whole life and have trouble believing they’re incapable of continuing,” he said. “They feel like their independence has been taken away.”

And Nix points out, it’s frequently a difficult subject for loved ones to face as well. They may feel a pang of fear every time their elderly parent gets behind the wheel but are reluctant to confront them for fear of hurting their feelings.

Nix says that if need be enlist the help of other family members, friends or their physician when a loved one presents a danger on the road. In some cases, it may even be appropriate to take legal action, though laws vary from state to state.

Whether an elderly driver comes to the conclusion on their own that it’s time to surrender their license or they’re forced to do so, it’s a big moment and it can be devastating. But the consequences of not doing so may be even more devastating. offers the following advice for senior drivers to evaluate when it’s time to stop driving:

  • Conditions like cataracts and glaucoma can diminish sight and hamper driving ability. An eye doctor can help establish whether your sight is good enough to drive safely.
  • Many older drivers no longer have the strength or dexterity to handle a car. They may shrink in height so much they can no longer see over the windshield. This is especially true for seniors who do little or no physical activity.
  • Alzheimer’s can impair memory and judgment. Diabetics risk falling into a coma while driving. Even if you have long periods of time when health issues cause no problems, why risk it?
  • Medications, especially multiple medications, can greatly impair driving ability. Your doctor should advise you of the dangers your medications present while driving.
  • If the minor fender-benders are adding up or you simply feel less confident about driving, it’s OK to admit it to yourself that your driving days are over.

Copyright 2012 ABC News Radio


Restricted-Calorie Diet May Not Lead to Longevity

iStockphoto/Thinkstock(NEW YORK) -- To Merrill Averill and Paul McGothin, two 60-something marketing executives from Ossining, N.Y., a rumbling tummy equates to the fountain of youth. They practice an extreme calorie restriction because they believe that eating less is the secret to living longer. Now a new study published in the online version of the journal Nature casts doubt on that idea.

In the late 1980s, scientists set out to test the theory that dietary restriction could extend the life span of long-lived primates, as decades of studies had found it did in mice and other lower organisms. If true, this would strongly imply that the same assumptions could be made about humans.

Two independent teams -- one at the U.S. National Institute on Aging in Bethesda, Md., and the other at the Wisconsin National Primate Research Center in Madison, Wis., each placed rhesus monkeys on diets that contained 30-percent fewer calories than normal and have periodically provided updates on the health and longevity of the animals.

As the latest Nature dispatch found, the NIA monkeys fed a calorie-restricted diet didn't live any longer than monkeys on a higher-calorie diet. No matter what they ate, maximum lifespan seems to hover around 40 years of age. Half the monkeys that began the study as youngsters were still alive, but the researchers say, based on survival patterns, they predict the remaining calorie-restrictors and controls will all live to be about the same age.

Monkeys that started the diet in their youth did show a trend toward a delay in the onset of age-associated disease. Interestingly, the strict diet appeared to decrease the risk of cancer and possibly diabetes but slightly increased the risk of cardiovascular disease.

"It is likely that calorie restriction alters cellular pathways that contribute to cancer differently than it does those pathways leading to metabolic dysfunction," said Dr. Julie Mattison, an author of the paper. "Given the experimental design, it is possible that pathways leading to cancer are impacted earlier or to a greater extent than others."

And the dieting monkeys also enjoyed improved health. For example, eating a restricted diet made them slimmer than those in the control group, and if they began the diet in middle age (16-23 years old for monkeys) they had lower blood fat and blood sugar levels compared to the non-dieters. Male dieters of all ages had lower cholesterol levels than the controls.

These latest findings are at odds with the WNPRC study in which calorie-restricted monkeys have far outlived the controls. Floyd Chilton, a professor of physiology and pharmacology at Wake Forest University Medical Center, said the study design might account for some of the disparities.

For one thing, the Wisconsin monkeys subsisted on a diet that shared many of the same unhealthy aspects of a typical Western diet, such as a high amount of sugar, whereas the NIA primates were fed a much healthier diet and were also given vitamin supplements.

"The NIA monkeys were already eating so healthy to begin with, the calorie reduction may not have provided much more of a health advantage," Chilton said.

Mattison said this could be a limitation. "Certainly quality of the food and the nutrient composition/ratios could factor into the equation. Because calorie restriction is causing a metabolic stress, it is reasonable to speculate that a nutritionally complete and balanced diet would be better for the organism, regardless of the quantity," she said.

Another difference: The NIA monkeys were given two meals a day on a schedule while the Wisconsin monkeys ate whenever they pleased. Both groups were also genetically quite diverse; since each study included a relatively small number of individuals -- 70 divided between calorie restriction and control groups -- the genetic variations might have further skewed results.

Whatever the mechanisms may be, Chilton says the two primate studies are heroic and should be respected for being the first long-term investigations to provide clues about how humans might respond to eating a sparse diet. Nevertheless, the debate will certainly continue.

As for Averill and Paul McGothin, they say these recent findings don't shake their faith in calorie restriction in the least. They plan on continuing with the diet and spreading the gospel through their organization, CR Society International.

"At my recent physical exam my doctor told me I am in remarkable shape," McGothin says. "That's all the proof I need."

Copyright 2012 ABC News Radio


Secret to Active 80s? Fitness-Heavy 40s

Ingram Publishing/Thinkstock(DALLAS) -- Whether you are spry in your 80s might depend on how active you were in your 40s, a new study shows more clearly than ever before.

Specifically, the study, published Monday in the Archives of Internal Medicine, shows that exercising in midlife staves off a range of dangerous diseases, even some cancers and cognitive conditions.

“It has been known for decades that people who are more fit live longer, but what has been unclear is that people who are fit live better,” says Dr. Jarett Berry, lead investigator and assistant professor of medicine at University of Texas Southwestern in Dallas.

Studies in the past have found a clear relationship between fitness and mortality. This new study observed men and women older than 65 and enrolled in Medicare, and found that those with higher midlife fitness levels had fewer chronic diseases decades later in life.

The researchers measured the fitness levels of those in the study with exercise treadmill testing. They then separated patients into groups depending on their fitness level. For the next 26 years, the researchers looked at whether the patients developed certain kinds of chronic disease. The diseases monitored were: heart failure, heart disease, stroke, diabetes, pulmonary disease, chronic kidney disease, Alzheimer’s disease, and colon and lung cancer.

“In general, we saw if you increased your fitness by 20 percent, you would decrease your disease burden by 20 percent,” Berry said.

Higher midlife fitness also appeared to delay the development of the chronic diseases; those with a higher level of midlife fitness spent a greater proportion of their final five years of life with a lower burden of chronic disease, suggesting an improvement in not only quantity, but quality of life.

“The benefit of fitness persists to the end of life,” Berry says.

Health experts not involved with the research say it is further proof that a little exercise in midlife can have big benefits later.

“The best time to take off extra weight is before chronic disease develops because many of these conditions can be prevented,” says Dr. Walter Willett, chairman of the department of nutrition at Harvard School of Public Health in Boston. “Losing weight is often more difficult after diagnosis of these conditions because many of them limit activity.”

Connie Diekman, director of university nutrition at Washington University in St. Louis, said, “Developing a healthy lifestyle, which include making the right food choices and getting regular activity, is essential to quality of life now and in the future.”

And Dr. Gerard E. Mullin, associate professor of medicine at Johns Hopkins University School of Medicine in Baltimore, believes that physicians should start writing for exercise just like they would for a new prescription drug.

“As physicians,” he said, “we all should carry pre-printed exercise prescription pads to promote disease-fighting physical activity.”

Copyright 2012 ABC News Radio


Secrets of the World’s Oldest Living Family

Creatas/Thinkstock(ROME) -- Consolata Melis, whose family has been officially declared the longest-living family in the world, celebrates her 105th birthday today, and it's a party in her small remote hill town on the island of Sardinia.

Four of Melis' eight siblings -- three brothers and five sisters -- are in their 90s, three are in their 80s and "la piccolina" (the little one) is 78. On June 10, all nine -- a combined age of 818 years and 205 days -- received a certificate from the Guinness World Records for "highest combined age, nine living siblings." It took years of research to establish that the Melis' family holds that title.

Melis' family, a crowd made up of her siblings, nine children, 24 grandchildren, 25 great-grandchildren and three great-great grandchildren, gathers for a private celebration at her home this evening to share a large cake topped with candles.

Perdasdefogu, the remote town in the region of Ogliastra where they live, has about 2,000 inhabitants and is set in the wild Mediterranean-brush hills of inland Sardinia. Long life is no novelty to these parts. The Ogliastra region has the highest concentration of centenarians on the island, where there are 370 residents older than 100, or 23 for every 100,000 inhabitants.

The town's mayor, Mariano Carta, delivered a bunch of roses and a silver rosary to Melis this morning. "She seemed very happy today and in great form," he told, and although she needs assistance when walking, is "absolutely lucid."

Melis, dressed head to foot in traditional black clothing and headscarf, now spends most of her time reading a worn prayer book she was given a long time ago by a missionary father, but she has always kept a wicked sense of humor. "Make love every Sunday" she says with a wink when people ask her for her secret to long life, according to the newspaper Correre Della Sera.

Researchers searching for clues to the elixir of long-life in these lands have studied these ancient island communities for years now, and most conclude the secret lies in a mix of factors: genetic make-up, diet and environment, and a sense of belonging to a community.

Luca Deiana at the University of Sassari on the island has studied the statistics and personal data of people living all over the island. "The only thing one can really say now is that the secret to long life does not depend just on one factor," he told La Republica newspaper. "Genetics are important. This we know because longevity is inherited. We can see that the last names of the over- 100-year-olds on the island are often the same, but then there are other factors, like the goodness of the land and its produce, like the pears and the plums, which have properties that can contribute to long life."

Carta agreed. "Certainly genes matter, but then there is our quality of life, the tranquility, relaxed behavior and very wholesome, simple local food." He said that diet has a lot to do with longevity. "Sardinia is famous for very good but very simple cuisine ... no elaborate recipes and complicated cooking methods, and little use of spices and sauces."

But the mayor says some people believe long life comes from an easy life, but that's not so, he said. "These were very remote towns until recently, with no electricity. The road to the city was only paved about 30 years ago. These people had a really hard and poor life working the land."

Over the years, six members of the Melis' family have lost their spouses, and some of the children have died. Most members of the family now spend their days at home surrounded by children and grandchildren. But all still keep active and are familiar figures in town.

Adolfo returned to Perdasdefogu after World War II and set up the main bar in 1958, where, at the age of 89, he still works. Claudina, who just turned 99, attends morning Mass every day, ever present in her spot in the front row pew. Her doctor has tried, timidly, to give her medicine, but she has always refused, telling La Republica, "I only have one illness, old age, and nobody can cure that!"

Consolata Melis, who received little schooling and speaks in the Sardinian dialect, said, "In my time women had to wash clothes in the river. My granddaughters have washing machines and dishwashers," she told Correre Della Sera. When I hear this new word 'stressed,' I just don't understand."

Copyright 2012 ABC News Radio


Going Gray With HIV, a Complicated Affair

File photo. Jupiterimages/Thinkstock(NEW YORK) -- No one would argue that living a long time after receiving an HIV diagnosis is a good thing.

"I feel fabulous," says Carlton Smith, who was diagnosed with HIV 25 years ago. He is on the cusp of 50, "but I don't look like it," he is quick to say.

But what lies ahead for people like Carlton, diagnosed with HIV decades ago? They are living far beyond what anyone predicted when the HIV epidemic hit the United States in the 1980s.

By the year 2015, more than 50 percent of Americans living with HIV will be older than 50. As the availability of anti-iretroviral medications continues to expand, the rest of the world will not be far behind. But researchers are only beginning to understand how HIV and its treatment affects those living with HIV as they age.

Not that HIV hasn't always been a complicated disease for patients and their doctors to manage.

"Before aging was an issue, [HIV] care was complicated by multi-drug regimens [as well as] co-infections" and "major socioeconomic issues, including stigma, addiction, incarceration, homelessness and undernutrition," said Dr. Amy Justice, a professor of medicine and public health at Yale University. "Now we add to that mix chronic, noninfectious disease," she said at this week's International AIDS Conference.

According to a study released Thursday, among people over age 45, those with HIV are more likely to have more chronic diseases, such as high blood pressure, diabetes and cancer.

"Longer duration of being HIV-infected or exposed to [anti-retroviral therapy] were also associated with a higher prevalence of these chronic diseases," said Dr. Judith Schouten of the Academic Medical Center in Amsterdam and lead author of the study. Further, these diseases tended to occur five years earlier among patients with HIV than among those without HIV.

Take Carlton, for example. He also has diabetes. He takes four pills every day for HIV, and several more for diabetes. He takes his HIV pills in the morning in his diabetes pills in the evening. He has a doctor for his HIV, and another for his diabetes. This is working well for him, and he rarely forgets his pills.

But what happens if he develops other diseases requiring medication, such as high blood pressure, which runs in his family? Will he need another doctor? More pills?

As doctors look toward the treatment of a population aging with HIV, "we need to think about the limits of the silos of care we have created," says Justice, and focus instead on treating the whole patient, not just their different diseases.

But the interaction between chronic HIV and aging is only part of the issue. Older people also comprise 10 percent of new HIV infection in the U.S. And while many people might believe that older people aren't at risk for contracting HIV through sex, Ron Swanda, a 66-year-old longtime Washington, D.C., resident, has a simple message for the country: "Seniors are sexual."

He's right. More than 80 percent of men and more than 60 percent of women over 50 report having had sex in the last year in the U.S.

And older people have unique risks -- both behavioral and biological -- for acquiring new HIV infection. Men over age 50 are six times less likely to use condoms than their younger counterparts. And older women have thinner vaginal walls, which likely increases the risk of HIV transmission, according to Justice.

"I'm not saying that every grandma needs to be tested," said Swanda, who is a prominent activist for seniors and has been HIV-positive for more than 30 years. "But I want the country to do more to educate seniors about HIV and to test those at highest risk."

Copyright 2012 ABC News Radio


More Women Get Preventive Botox By Late 20s

iStockphoto/Thinkstock(NEW YORK) -- In a society that has become obsessed with youth, there is a growing trend of young women, many still in their 20s, taking dramatic and expensive measures to stop the signs of aging before they happen with non-surgical treatments.

Preventive Botox injections and costly thermage, a hot radio frequency treatment that tightens and lifts skin that is all the rage among celebrities, are the latest cosmetic procedures used to stop crows feet in their tracks.

Starting early is one of the top tips Dr. Debra Jaliman, a dermatologist on New York City's tony Fifth Avenue, offers in her new book, Skin Rules. She often tells her young patients, if they ask, that the science is clear: Early engagement can stop the clock.

"If you know you're somebody who's going in the direction of cosmetics and you know that you're going to care about lines, then I say it's better to do it earlier than to wait and do it once these lines have etched into the skin," Jaliman said. "So if you're in your 20s and you start to see lines coming, then why not do it early and prevent it? And to me it's just like exercise."

However, Jaliman also offers less costly, basic advice for any young woman who is looking to fend off the signs of aging. At the top of the list is getting enough sleep and eating right.

"I can't tell you all the people who come to me to correct problems they wouldn't have had if they followed those simple rules," Jaliman said. "They would save thousands of dollars if they did those simple things."

Most importantly, she says, young women should stay away from prolonged sun exposure and tanning beds.

"We know sun exposure is cumululative," Jaliman said. "Even five minutes a day is enough to give you cancer, but it's also enough to break down the collagen."

Thermage treatments jolt collagen under the skin into overdrive, causing the body to produce more, and firm up saggy areas. Patients get the nip-and-tucked look without the surgery, but it comes with a hefty price tag.

"It definitely tightens your skin. There's no downtime," Jaliman said. "But it is expensive. To do a whole face could be $3,500. So it's an expensive investment, so it's not for everybody. But I think it's a good investment."

Jane Curasco, one of Jaliman's patients, is a new mother and aspiring actress, with no overt need for any boosting or filling. She said she decided to make a substantial investment in stopping the aging clock at age 31. While her friends have tried lasers and microdermobrasion, Curasco said she was the only one to invest in thermage.

"I went on an audition recently and I was supposed to portray a young mother, which I am actually, but every young mother that went in looked 19 so I looked way older than the other people portraying what I actually am," Curasco said.

The dermatologist said thermage is so popular in her office that she has seen a new trend of patients who request it as a full body treatment, which costs a whopping $25,000. But if thermage is out of reach price-wise, patients can turn to preventative Botox.

Typically, single Botox injections start around $280 and go up from there, and according to American Society of Plastic Surgeons, Botox usage is up 10 percent among 20- to 29-year-olds in the past year. But Jaliman said she is not surprised.

"Botox has been around now for almost 20 years. We started using it in the 1990s. It got FDA approval in the early 2000s," she said. "It's relatively painless. It's quick. It's easy. It's an office visit. It doesn't require any surgery. So many people are willing to do it."

Katy DeMayo was just 28, with wedding bells ringing in her future, when she said she decided to try Botox. Before getting engaged, DeMayo said she never had any intention of indulging in cosmetic procedures.

"When you are 25 you have that mentality that it's never going to happen to me. I'll always look this great. I won't be one of those people that does that. And then it happens. Wrinkles appear," she said.

Just a month before her wedding day, DeMayo said she wanted her face to have that "extra perk" and to look "sparklier" for her pictures, so she got Botox injections.

She was so thrilled with the results, she said, that she continues to go back to the doctor once a year for maintenance. However, like many young Botox users, DeMayo wasn't that eager to go public about it. She said before this interview, she hadn't even told her husband she was getting Botox.

"I'm not going to look like I'm 25 years old, but if I'm 35 and I can look 30, or if I'm 45 I can look 40, I think that's worth something," DeMayo said.

Copyright 2012 ABC News Radio

ABC News Radio