Millennials embrace plastic surgery
But doctor says sunblock, vitamin C and quitting smoking better options
After her fourth child, Lisa Wilkie felt open to getting a little cosmetic work done.
Feeling the toll having children had taken on her body, she made an appointment to discuss breast augmentation. After that procedure in 2017, Wilkie, 34, also began Botox, an appointment she’s made every 12 weeks for about two years.
“You just want to feel good,” she said. “Now it’s part of my routine.”
Millennials are showing up in plastic surgeons’ offices for a variety of procedures. Some request surgery. But many want “prejuvenation,” or what the American Academy of Facial Plastic and Reconstructive Surgery describes as non-invasive treatments like Botox or chemical peels that aim to slow the results of aging.
In survey results released Jan. 23, 72 per cent of 110 of the group’s members surveyed reported an increase in cosmetic surgery or injectables in patients under age 30. Five years earlier, the group noted, that number was 58 per cent.
And the group’s top prediction for the future? More emphasis on early maintenance for people in their 20s and 30s.
“We’re seeing a lot more younger women coming in just for preventative reasons,” said Chicago plastic surgeon Dr. Gregory Wiener.
A 2018 survey of about 2,000 adults by RealSelf, a website for people considering cosmetic treatment, revealed that those most likely to consider treatments were parents with children and female millennials 18 to 34.
Plastic surgeons say looking natural is a top concern for patients, which Wilkie echoed. She wanted “something that’s subtle but definitely noticeable, too, where people can’t quite put their finger on what you have had done.”
Women are still the most common patients; 86 per cent of procedures are performed on women, according to the plastic-surgery academy. Most common were rhinoplasty, revision surgery — surgery to fix a previous surgery because of patient dissatisfaction or necessity — and blepharoplasty, an eyelid surgery. Among non-surgical procedures, most common were Botox, fillers and skin treatments like chemical peels, microdermabrasion or lasers. For men, the most common procedures were Botox, fillers, skin treatments and rhinoplasty.
So why are millennials looking for plastic surgeons?
Social media plays a factor, say surgeons, and so do celebrities, like Kylie Jenner, who are open about injecting lips with temporary fillers. Almost all surgeons surveyed — 97 per cent — said celebrities have an influence on facial plastic surgery. On Instagram, celebs show off enhanced lips and lingerie snaps. Scrolling social media shows selfies in doctors’ offices, thanking them for improvements, and people pouting in chairs in before-and-after photos.
Wiener said patients come in and show him selfies, saying, “When I post something and look at what I posted, I don’t like what I’m seeing.”
“People would tell me that before social media when they’d see a photograph of themselves, but now they’re seeing photographs of themselves all the time,” he said.
Plastic surgery used to be something people didn’t openly share. Social media seem to make young women less in- clined to hide the cosmetic work they pursue.
“It’s really not taboo anymore, and that goes for surgical procedures too,” Wiener said. Botox and fillers, he said, “are just kind of viewed right now as almost reasonable maintenance.”
Many might simply see cosmetic surgery as another form of self-care. Dr. Lara Devgan, a New York City plastic surgeon and RealSelf chief medical officer, said young women establish self-care routines that translate to aging prevention and maintenance.
But what kind of plastic surgery could people in their 20s possibly need? Dr. Phillip Langsdon, president of the academy, said that is a key question for doctors to consider.
“We don’t treat everybody just because they come in and they want it,” he said. “We have to be very selective in that age category, because some young people can perceive that they need something because they see a photograph of another person on the internet.”
He said doctors should consider, “What do they really need, what are their expectations, is it justified and can we actually achieve what they want?”
Denver plastic surgeon Dr. Manish Shah issued a caution to the under-30 set: Don’t overdo it. For one reason, it could actually make one look older later. Fillers could eventually thin out lips, making them look older and more wrinkled, he said.
His suggestions? Sunblock, vitamin C, eating healthy and quitting smoking. And consumers should do their homework on the person they’re seeing for a procedure.
For Wilkie, the feeling of waking up and looking fresh has not lost its magic. “I don’t want to do it too early or too late.”