Title: Rise in “Barbie Botox” Trend Sparks Concerns among Doctors
Date: September 1, 2023
In recent months, a viral trend called “Barbie Botox” has gained traction among young women, prompting concern among doctors and experts. Inspired by Margot Robbie’s portrayal of the iconic doll in the movie “Barbie,” women in their 20s are rushing for toxin-based procedures to mimic her appearance. However, doctors caution that this trend may lead to resistance among younger women and hinder medical use in the future.
The trend involves the injection of botulinum toxins, such as Botox, into the trapezius muscles of the upper back, aiming to achieve a slimmer and more contoured neck. Typically used to treat migraines and shoulder pain, the procedure, also known as “Trap Tox,” has seen a surge in demand for cosmetic purposes since the release of the “Barbie” movie in July. The hashtag #BarbieBotox on TikTok has garnered over 11.2 million views.
Despite the growing popularity, cosmetic use of these injections in the trapezius muscles is considered “off-label” since their approval is limited to procedures involving the face. The responsibility of determining the medical appropriateness of such procedures falls on health professionals, as stated by the U.S. Food and Drug Administration.
While companies like Revance and Evolus, which produce similar toxins, have acknowledged the rise in “Barbie Botox” interest, they do not foresee a significant impact on their sales. Botox maker AbbVie Inc declined to comment on the trend.
Historically, toxin-based injections were popular among individuals above the age of 40, contributing to a market estimated to be worth over $3 billion in annual sales in the U.S. However, the recent increase in younger women seeking these procedures has raised concerns among doctors. They warn that inexperienced practitioners at medispas may administer the injections without proper qualifications, posing a higher risk of complications.
The surge in usage among younger women with stronger immune systems also poses a risk of reduced effectiveness over time. Dermatologist Shilpi Kheterpal warns that high amounts of Botox could lead to decreased efficacy not only with Botox but also with other similar products due to their similar molecular composition.
Furthermore, the lack of regulations on the type of doctor who can operate a medispa has raised concerns. Melissa Levoska, an assistant professor of dermatology, points out that family medicine physicians and obstetrician-gynecologists can technically open a medispa, and now even physician assistants and nurse practitioners are performing injections.
While the injections themselves are generally safe, incorrect administration carries the potential risk of affecting neighboring muscles and weakening them for extended periods. The science behind these procedures is still developing, and companies like Evolus acknowledge that further research is needed to support their clinical profiles.
The rise in the “Barbie Botox” trend underscores the importance of caution and proper qualifications when considering cosmetic procedures. Doctors urge individuals to consult with experienced professionals to ensure safe and effective treatments.
Reporting by Leroy Leo in Bengaluru; Editing by Sriraj Kalluvila
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