New year, new you, new… face? That’s not exactly how the saying goes, but the nine injectable facial treatment trends for 2020 ahead just might change that. And by “that,” I mean both the saying and your look — albeit temporarily.
To recap, the term "injectables" covers all the wild and wonderful substances that can momentary freeze or fill your face: neurotoxins (like Botox and Dysport), fillers (like Juvéderm and Restylane), and fat-blasters (like Kybella). Aesthetic treatments may have been taboo in years past, but now, it's no big deal to dish about your Dysport appointment over brunch — even for those who aren't quite old enough to actually, uh, have wrinkles yet.
“People of all generations are using Botox and Juvéderm,” Carrie Strom, the SVP of US Medical Aesthetics at Allergan, tells The Zoe Report. “In 2019, we saw a major shift in adoption of younger adult patients.” Strom says half the website traffic to Allergan, the maker of Botox Cosmetic and Juvéderm, in the past year as been from people under 40, potentially looking into “preventative” treatments. In practice, the trend checks out. “It seems that injections appear to be a right of passage for women when they hit their 30s,” Dr. Joshua Zeichner , M.D., F.A.A.D., the Director of Cosmetic and Clinical Research at Mount Sinai Hospital, tells TZR.
Read on for nine injectable trends to know about in 2020 — whether you’re 25 or 65 — as predicted by pros.
Dermal Fillers For Acne Scars
“Injectable fillers (AKA dermal fillers) continue to be one of the most requested treatments in my practice,” Dr. Howard Sobel, M.D., a cosmetic dermatologist and Director of Sobel Skin, writes in an email to The Zoe Report. But in 2020, fillers have a brand new purpose: “They can help reduce the appearance of pitted acne scars,” Dr. Sobel says. For treatments like this, he suggests using Belotero Balance. “Belotero Balance has a thinner, more lightweight composition than many other dermal fillers. This helps the gel that is injected to be distributed much more evenly and provides a smooth transition between the treatment area and the surrounding skin, and may be injected close to the surface of the skin to maximize its effects.”
Moisturizing Lip Fillers
“Women seek to have more balanced and fuller lips — but they also look to fillers to help moisturize their lips,” Dr. Melissa Doft, M.D., a plastic surgeon, tells TZR. “By adding hyaluronic acid to the lips, it draws in moisture.” Since hyaluronic acid is known to hold 1,000 times its weight in water, Juvéderm and Restylane deliver both volume and hydration.
30th Birthday Botox
Celebrating your 30th this year? Consider a “Botox Birthday Party.” Dr. Zeichner says these have become increasingly common in his practice. “My biggest growing group of cosmetic patients are women coming in for botulinum toxin injections for their 30th birthday,” he tells TZR. Injection of the "11" lines (the furrowed area between the brows) is the most popular request.
Longer-Lasting (& Pain-Free) Fillers
“The trend is to move to longer-lasting injectables,” Dr. Zeichner says. “Juvéderm Volbella XC is great for a longer-lasting results, up to a year. It’s a mixture of hyaluronic acid and is used to plump up the lips or vertical lines above the lip. It has lidocaine added so it hurts less when injected.”
“It typically takes about two weeks for toxins to give their full effect,” Dr. Zeichner says. “A new toxin being developed by Allergan called Bonti will offer a quicker action, but a short-lived effect. This will be a great option for first-time patients who just want to get their feet wet, because it will quickly wear off. It will also be a great option for people who need a last-minute treatment before a big event.”
“I have more and more women asking to place fillers in the jawline to have a more chiseled jaw,” Dr. Doft says. “You can now inject a small amount of filler in the angle of the jaw to help define one's profile and highlight the jawline.”
Over-The-Top Lip Fillers
All that talk about subtle lip filler last year? Yeah, Dr. Zeichner says that patients aren’t as into the “natural” thing for 2020. “My best guess is that images on social media are influencing societal perceptions of beauty," he notes. "This is a fine balance however, because bigger is not always better, and not everyone’s face can accommodate large lips. While my aesthetic is to enhance the natural shape of an individual’s lips, more and more, patients are specifically looking for an artificial look.”
30-Minute Nose Job
Dr. Doft predicts an uptick in liquid rhinoplasties — AKA “filler nose jobs.” “These are great for hiding small asymmetries or a small bump, a quick fix to an imperfection after a rhinoplasty, or adding volume to the bridge of the nose so your nose appears narrower,” she says. Best of all? It involves none of the downtime of an actual nose job.
Therapeutic Indications For Botox
Botox does more than freeze your facial muscles. In 2019, the neurotoxin was approved to treat “pediatric patients with upper limb spasticity and pediatric patients with lower limb spasticity, excluding spasticity caused by cerebral palsy,” Strom says. “This is a milestone for us and as we look in the future, Allergan is actively studying Botox for even more therapeutic indications — including major depressive disorder and prevention of post-operative atrial fibrillation in patients undergoing open-chest cardiac surgery.”