Seventy-two percent of facial plastic surgeons saw an increase in cosmetic surgery or injectables in patients under age 30 in 2018, a significant increase from 2017, where over half of members noted this influx of younger patients, according to the latest statistics from the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS).

This year’s survey reveals a 24 percent increase in cosmetic surgery or injectables in patients under age 30 since 2013 (58 percent to 72 percent). And it’s not just YouTube makeup tutorials upping Millennials’ beauty game – it is the way they embrace self-care, SPF and facial plastic surgery treatments, the survey found.

“This points to the larger 'pre-juvenation' trend with more and more patients wanting to remain youthful rather than turn back the clock on signs of aging later,” says Phillip R. Langsdon, AAFPRS President, in a news release. “Our younger patients are controlling the aging process and taking prevention seriously.”

While 97 percent of AAFPRS members feel celebrities have an influence on facial plastic surgery, trends are shifting away from overly-enhanced looks like the infamous Kylie pout of 2016. 
A natural-looking outcome is paramount for patients, with 41 percent stating a fear of looking unnatural as their top concern when considering cosmetic enhancements.

Subtle, confidence boosting treatments like injectables, lasers, peels and microneedling are in especially high demand, as are treatments that combine two or three of these non-invasive options in one visit. “Patients love combination treatments because they are time-effective and help to produce optimal results for everything from facial rejuvenation to scar reduction when used in tandem,” says Dr. Langsdon.

For surgical trends, rhinoplasty leads the way year after year (performed by 96 percent of surgeons in 2018) followed by revision surgery (94 percent) and eye lifts (93 percent) for patients hoping to look less tired. The most popular procedure overall, Botox was ranked first for both sexes followed by filler.

An entire four-fifths of the treatments performed by facial plastic surgeons in 2018 were cosmetic non-surgical procedures. Some of the biggest patient motivators include the desire to look better in selfies and dissatisfaction with their profile (complaints about the nose, chin or neck - aka Tech Neck).

“Injectables are only increasing in popularity and this is because of the subtle, yet noticeable visual result they deliver for a relatively affordable price tag as compared to surgical options,” says Dr. Langsdon. “Neuromodulators and fillers have little to no downtime, so they are an easy, unintimidating gateway for patients into the cosmetic surgery world.”