Botox injections used to be a secret for (largely) women in their 40s and 50s. But growing numbers of (largely) women in their 20s and 30s are turning to “baby Botox,” or smaller doses that are intended to prevent aging rather than combat it.

Baby Botox is just one intervention that doctors say younger people now frequently seek, and some view the trend with concern. Dr. Michelle Hure, a physician specializing in dermatology and dermatopathology, says younger patients aren’t considering the cost of procedures that require lifetime maintenance, and are expressing dissatisfaction with their looks to a degree that borders on the absurd.

Hure traces the demand for “baby Botox” and other procedures to the start of the pandemic.

“Everyone was basically chronically online,” she told Vox. “They were on Zoom, they were looking at themselves, and there was the rise of of TikTok and the filters and people were really seeing these perceived flaws that either aren’t there or are so minimal and just normal anatomy. And they have really made it front and center where it affects them. It affects their daily life and I really feel that it has become more of a pathological thing.”

Hure spoke to Today, Explained co-host Noel King about the rise of “baby Botox” and her concerns with the cosmetic dermatology industry. An excerpt of their conversation, edited for length and clarity, is below. There’s much more in the full podcast, so listen to Today, Explained wherever you get podcasts, including

© Vox