Combination Facial Aesthetic Treatment in Millennials

January 2022 | Volume 21 | Issue 1 | 37 | Copyright © January 2022


Published online December 28, 2021

doi:10.36849/JDD.6425

Alana Kurtti BSa,b,c, Cassandra Charles BAb, Julie Nguyen MDb,d, Jared Jagdeo MD MSa,b

aDermatology Service, VA New York Harbor Healthcare System, Brooklyn, NY
bDepartment of Dermatology, SUNY Downstate Medical Center, Brooklyn, NY
cRutgers Robert Wood Johnson Medical School, Piscataway, NJ

Abstract
Background: There is growing demand for minimally invasive cosmetic procedures in the millennial population, with botulinum toxin and dermal fillers among the most popular products.
Objective: To evaluate patient satisfaction and psychosocial impact of multimodal aesthetic treatment in a millennial cohort.
Methods and Materials: In this single-center, prospective, rater-blinded, pilot study, 20 millennial participants received a samevisit combination facial aesthetic treatment using botulinum toxin and dermal fillers, with an optional botulinum toxin touch-up at 2 weeks. Assessments were conducted at baseline and 2 months post-treatment. The primary endpoint was change in satisfaction with overall facial appearance post-treatment. Secondary endpoints included changes in satisfaction with various facial areas, social and psychosocial functioning, self-perceived age, and blinded clinician assessment.
Results: Participants reported significantly greater satisfaction with overall facial appearance 2 months post-treatment when compared to pre-treatment (P<0.001). Participants self-reported numerous improvements in appearance, including greater satisfaction with various properties of the lips, cheeks, and overall facial lines, self-perceived age, and social and psychological functioning.
Conclusion: Combination botulinum toxin and dermal filler treatment is a safe and effective means of improving millennial satisfaction with overall facial appearance and various facial areas, decreasing self-perceived age, and improving aspects of psychosocial functioning.

J Drugs Dermatol. 2022;21(1)37-42. doi:10.36849/JDD.6425

INTRODUCTION

With the destigmatization of cosmetic procedures, minimally invasive procedures have become sought-after by the millennial patient, defined by the Pew Research Center as an individual born between 1981 and 1996.1 Per Allergan’s 360° Aesthetics Report, 82% of millennial “aesthetically conscious consumers”, defined as those who self-identify as interested in looking better and willing to spend on it, believe injectable treatments are socially acceptable, with a reported 52% having considered dermal fillers and 60% having considered neuromodulators.2 Worldwide, millennials are more likely to consider preventative cosmetic treatments compared to any other age-group.2 The American Academy of Plastic and Reconstructive Surgery’s 2018 annual survey further demonstrates the growing demand of cosmetic procedures in this consumer group, citing a 24% increase in cosmetic procedures in patients under 30 since 2013 (58% to 72%).3 Botulinum toxin and soft tissue fillers were reported to be the most popular minimally invasive cosmetic procedures.4

These findings reveal a notable trend in young adults seeking to enhance their physical appearance via cosmetic procedures as an approach to accompany non-invasive cosmetic products.2-4 The rise of minimally invasive procedures, particularly injectables, is likely multifactorial in nature. Patients are seeking convenient procedures to achieve their intended aesthetic goals. In general, the rise in non-invasive cosmetic procedures may be associated with the affordability relative to more invasive plastic surgery, subtle yet appreciable results, and reasonable recovery times.

Injectables such as fillers and neuromodulators have been widely used to achieve or maintain a youthful aesthetic. While each patient has their own aesthetic goals, the current beauty trend emphasizes the accentuation of one’s physical features while maintaining a natural aesthetic.3 Allergan’s 360° Aesthetics Report states the most commonly used terms to describe beauty in millennials include: soft, smooth, and natural, among others.2

With 63% of “aesthetically conscious consumers”, willing to consider investing in facial aesthetics and 73% of “aesthetically conscious consumers” worldwide expecting to invest in aesthetic treatments in the upcoming year,2 it is important to explore patient satisfaction and psychosocial impact of multimodal aesthetic treatment in a millennial cohort. In this study, patient satisfaction with their appearance and psychosocial functioning following a same-visit combination facial aesthetic treatment using botulinum toxin and soft tissue fillers were evaluated.