January 10, 2022

Can Botox and Filler Cause Facial Dysmorphia?

As a teenager growing up in the Midwest, the use of cosmetic injectables like Botox and filler seemed reserved for people in Beverly Hills and New York with massive disposable incomes… and maybe a role on reality TV.

I remember watching the tightly pulled and perfectly plumped stars of shows like The Real Housewives and Keeping Up With the Kardashians with a mixture of adulation, judgment and curiosity. They didn’t look like the people around me and to my shock, they spoke pretty openly about having “work” done.

At 23, I moved to New York City and began hearing (and having) more candid conversations with friends about their own cosmetic tweaks. Now, at 28, I know more people who’ve had work done than haven’t — many of them are around my age.

In fact, more millennials than ever are trying injectables. A reported 98 percent of millennials say they’d consider an aesthetic treatment and according to some studies, over a million Americans receive injectable treatments every day.

Increasingly, getting your face injected has become a common occurrence and casual topic of conversation. But with the normalization of these treatments, has the tolerance for what we see as “normal” when we look in the mirror changed too? Is there a risk of developing a kind of facial dysmorphia? And if so, what role does an injector play in the regulation process, from consultation to continued upkeep?

I talked to seasoned experts to find out.