Risk and complications

The risks and realities of Botox® and fillers for under 18s

Understanding complications, costs and motivations

In recent years, there has been a concerning trend of young people under the age of 18 seeking cosmetic procedures such as Botox® and fillers. While these treatments are commonly associated with anti-aging and aesthetic enhancements in adults, the rising popularity of cosmetic and aesthetic injections among minors, predominantly lip fillers, raises important questions about safety, ethics, and the driving factors behind this trend that has after all been illegal since 2021.

Risks and Complications

One of the primary concerns associated with Botox® and fillers in individuals under 18 is the potential for complications and adverse effects. These can include allergic reactions, infections, asymmetry (out of proportion, not equal), overfilling (Injecting too much filler in one area), and even more serious complications such as vascular occlusion (Filler injected into a blood vessel) or tissue necrosis stopping the blood supply to the skin and the skin begins to die). The developing anatomy of young individuals may also pose unique challenges and increase the risk of unintended outcomes.

Long-term effects

The long-term effects of Botox® and fillers in young people are not well-understood, as research on this topic is limited. However, there are concerns that early exposure to aesthetic procedures may impact natural facial development, alter tissue elasticity, and lead to a reliance on maintenance treatments throughout adulthood. Additionally, the psychological implications of undergoing cosmetic procedures at a young age, including body image concerns and self-esteem issues, cannot be overlooked.

Cost and Maintenance

Cosmetic procedures such as Botox® and fillers come with financial implications that may not be feasible or sustainable for young individuals. There is concern amongst campaigners that the true cost of the debt associated with aesthetic procedures in young people is unknown. The initial cost of treatment, as well as the ongoing maintenance required to sustain results, can add up over time.

For minors who may not have the financial resources to support these treatments independently, the financial burden may fall on parents or guardians.

Driving Factors

Several factors may contribute to the increasing demand for aesthetic procedures among minors. Social media plays a significant role in shaping young people's perceptions of beauty and desirability, with influencers and celebrities often promoting cosmetic enhancements as attainable standards. Peer pressure, bullying, and the desire to fit in or stand out among peers may also drive young individuals to seek cosmetic procedures as a means of improving their appearance and self-confidence.

While cosmetic procedures such as Botox® and fillers can offer temporary aesthetic enhancements for adults, their appropriateness and safety in individuals under 18 remain illegal in England ( unless administered by a regulated healthcare professional under medical supervision). It is essential to prioritise the well-being and developmental needs of young people, considering both the physical and psychological implications of cosmetic interventions at a young age. More research, education, and regulatory oversight are needed to address the risks associated with aesthetic procedures in minors and promote responsible practices in the aesthetic industry in line with The Botulinum Toxin and Fillers Children's Act 2021.