Many from Generation Z are big fans of skincare and anti-aging treatments, but are they taking their Botox habit too far?

The #botox tag on TikTok boasts over 1.3 million posts, and some users in their early twenties have gone viral for appearing significantly older than their actual age due to excessive Botox and fillers.

Interestingly, this trend is not limited to social media. A 2022 survey by the American Academy of Facial Plastic and Reconstructive Surgery revealed that nearly 75% of facial plastic surgeons noticed a rise in patients under 30 seeking cosmetic surgeries and injectables.

Dermatologists also share that many of these young patients express worries about aging, despite being in their twenties.

According to dermatologist Dr. Brooke Jeffy, “Most of the time, it’s unnecessary and just a source of anxiety. Often, they’re still moving their face and don’t have wrinkles to begin with, yet they’re worried.”

So when is the appropriate time to consider Botox, if ever? Dermatologists suggest the timing is subjective, but typically, starting in your 20s is too early. In fact, initiating Botox at such a young age can lead to more complications than benefits.

Why Gen Z should wait to get Botox

People seek Botox, or botulinum toxin, for various reasons, including reducing wrinkles and treating migraines.

Despite the increasing popularity of Botox, many misconceptions remain among Gen Z, leading to its inappropriate use, as dermatologists point out.

For instance, Jeffy mentions that many in this age group do not understand that Botox treatments require regular sessions over time to maintain effects. The results typically last for three to four months, and continual treatments can add up financially.

“Starting this journey in your 20s is a long and potentially costly commitment,” Jeffy explains. “Some patients believe that a single treatment will last forever, which is a misconception.”

She also notes that some young patients are interested in “preventive Botox”—using it to prevent wrinkles before they form. While there’s some validity to this idea, Jeffy generally advises waiting. Most individuals are better off saving Botox for their 30s or 40s when actual wrinkles start to appear.

“The ideal time for Botox is when someone begins to notice faint, permanent lines, meaning they’re visible even when their face is relaxed,” she says.

When Botox backfires

Overdoing Botox or poorly administered treatments can result in individuals without wrinkles appearing older than their age. If someone is visibly over-Botoxed, onlookers might assume they are at the age where Botox is common for tackling wrinkles.

Botox can also lead to undesirable changes in facial structure if applied incorrectly.

“It can alter the shape of the eyebrows and give an older look because the person may lose their ability to express emotions and appear robotic,” warns dermatologist Dr. Anthony Rossi. “We’ve encountered many cases of inadequate Botox administered by untrained individuals lacking an aesthetic sense.”

Moreover, frequent Botox treatments might build resistance over time. This can create issues when someone excessively uses Botox in their 20s but finds that it becomes less effective in later years when they genuinely develop wrinkles.

“I have witnessed this before, which makes me very cautious,” Rossi explains. “Many believe that more is better, but that’s not true.”

What Gen Z should prioritize instead of Botox

Psychotherapist Stephanie Sarkis has previously emphasized that while she supports individuals seeking cosmetic enhancements, it’s crucial to reflect on their reasons for doing so—understanding that surface adjustments do not fix deeper issues.

Deciding on cosmetic treatments should not be hasty. For Gen Z individuals aiming for youthful, healthy skin, Dr. Rossi suggests daily sunscreen usage, which can be far more beneficial than Botox. Staying hydrated and steering clear of smoking and excessive drinking are important too.

“If I see a patient relying on Botox yet they’re sunburned, I want to know what their thought process is,” he remarks.