Nov 3, 2025 - News
Millennials catching up to Gen X on Botox
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The Botox gap between millennials and Gen X is shrinking, but not as much in Arizona as nationally, according to Qsight data shared with Axios.
Why it matters: Botox appointments are becoming about as mainstream as hair appointments.
- "Injectables have gone from being a whisper topic to something people openly talk about with friends, colleagues, and even on social media," American Society of Plastic Surgeons president C. Bob Basu told Axios.
By the numbers: In Arizona, Gen X accounted for 40% of all neurotoxin procedures in the past year, compared to 30% for millennials.
- And Gen Z is getting in on the trend, too. Those born after 1997 make up 5% of patients in Arizona and 6% nationally.
- Gen X made up about 39% of neurotoxin procedures nationally, Qsight senior data scientist Duey Xu tells Axios.
- Millennials "have rapidly gained ground in recent years," now up to 35% of procedures, Xu says.
What they're saying: "Younger patients are increasingly seeking 'preventive' treatments, and overall, interest in lip fillers and masseter toxin injections is on the rise," Rebecca Small, a physician who specializes in advanced aesthetic treatments, told Axios.
- With lip fillers, synthetic hyaluronic acid is injected into lips to add volume.
- Masseter injections are Botox shots into jaw muscles, often to offer a slimming effect.

