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The Marketing Behind the Botox Boom š
Deconstructing the business strategies and beauty trends that drive demand to be wrinkle-free.

So, you heard chatter about Botox being on its way out? In reality, the demand for wrinkle-fighting injectables is stronger than everā with growing demand from younger consumers.
Letās dive into the science, marketing magic, and expert opinions behind this anti-aging beauty trend.
Botox Demand: Still Reigning Supreme š
After the LA Times article suggesting that Botox is out, or Jessica DeFinoās theory that Botox has killed both micro-expressions and eroticismāyou might get the impression that Botox is declining.
But in fact, Botox has been the top minimally-invasive treatment for almost 20 years and shows no signs of slowing. š Last year more than 9.5 million Botox treatments were givenā with growing popularity among under-30 and male client-bases.
Want anecdotal proof? šļø Botox (BOTOXĀ®āa portmanteau of āBotulinum Toxinā) has become so widely popular, the brand became āgenericizedāā like how āKleenexā became a proxy name for all tissues š¤§
Want more data proof? šļø Even if people arenāt openly discussing cosmetic procedures, search trend data shows a steady rise in high-intent searches related to Botox, spiking after Covid. āHigh-intentā means people are searching with a specific goal in mindālike finding āBotox near meā vs generally wondering āWhat is Botox?ā š
š§Ŗ The Science Behind Wrinkle-Fighting Neurotoxin
Botox is a type of injectable neurotoxin that works by blocking nerve signals to muscles, causing them to relax which reduces the appearance of wrinkles, particularly around the eyes and forehead. It can also be used to treat migraines, hyperhidrosis (excessive sweating), teeth grinding, and even overactive bladder.
Botox is widely considered safe, effective, and largely devoid of serious side effects when administered by a qualified provider. Dr. Sam Ellis has a good overview of the procedureā including risks and what to expect during treatment š©āāļø
There are a few common concerns around the long term effects that frequently circulate on social media:
Does Botox cause muscle atrophy? Yes, it can cause muscle weakness if used for a prolonged period of time. But according to the Cleveland Clinic, Botox is temporary (lasting 3 to 6 months) so any adverse effects are typically temporary too and muscles regain strength once you pause treatment.
Is it true that Botox affects emotions? The claim that Botox affects emotions is debatedā some cite the facial feedback hypothesis which links facial expressions and emotional states. Interestingly, the study that propelled this claim only tested 10 women and didnāt test any male participants for comparison š¤Ø
š The Marketing Strategy Driving the Botox Boom
Many Botox bars are using tried and true growth marketing tactics straight from Silicon Valley playbooks to disrupt traditional pricing models and client experience.
On a macro level, the Botox industry is benefiting from beauty trend tailwinds like:
Introduction of starter plans šļø āBaby Botoxā offers a lighter treatment for those seeking subtle resultsā it also helps clinics attract a wider range of clients, including those who may have been hesitant to go for a more comprehensive treatment.
Target market expansion šļø The market is expanding as more people in their mid-20s to early 30s embrace āPreventative Botoxā. This shift toward early intervention is bringing in younger clients.
Bundled treatments šļø āFacial balancingā is a growing trend that combines Botox, fillers, and other injectables for enhanced facial symmetry and proportions. This bundled approach often requires the expertise of a skilled provider, such as a facial plastic surgeon, and can be pricier due to the complexity of the treatments involved.

āBaby Botoxā has more than 2x the search volume of āPreventive Botoxā, but searches for āFacial Balancingā are outpacing both of these standalone treatments. Data source: Google Trends
On a micro level, some companies are using new tech and pricing models that are more common in software businesses than traditional clinics:
Transparent, flat-rate pricing š Peachy offers a fixed $425 price for Botox - a stark contrast to traditional clinic pricing models that can require a consultation from a trained injector before estimating costs based on the number of Botox units need to treat individual clients.
Subscription models š Upkeepās subscription model allows clients to pay a monthly fee for discounted treatments. Subscription pricing is a favorite among software companies because it provides businesses with predictable, recurring revenue instead of sporadic sales.
AI-powered pricing tools š¤ Certainly Health leverages AI to provide clients with upfront cost estimates. This transparency resonates with consumers seeking affordability and alleviates a pain point around opaque pricing.
š® Hypothesis on how the Botox market evolves: The Botox industry is likely to bifurcate between:
Consumers seeking affordability could opt for new technology like AI-driven pricing models and treatment plans that may lower prices. Tech-forward med spas could capitalize on this segment by offering "facial balancing" packages at competitive prices and leveraging AI to further streamline costs.
Consumers seeking āquiet luxury beautyā could drive up competition for top-tier providers who are sought out specifically for their individual aesthetic and expertise in cutting edge treatments like biostimulatory injectables.
Given the ever-expanding Botox consumer base, thereās likely to be plenty of continued demand and market winners on both ends of the spectrum.
š” Expert Insights from Dr. Jennifer Levine
Dr. Jennifer Levine is a renowned facial plastic surgeon based in NYC's Upper East Side. Double board-certified facial plastic surgeon and otolaryngologist, she has deep expertise in facial anatomy and soft tissue.
As a global leader in aesthetics with over 20 years of experience, Dr. Levine specializes in delivering personalized care and cutting-edge techniques at her successful practice.
On the competitive landscape: āMed spas are not necessarily a direct competitor. Patients come to me for my specific techniques, education, training, and customized treatment plans.ā On evolving patient demographics: āYounger patients are still increasing, but their wants are changing. In comparison to pre-covid, younger patients are no longer coming in and just asking for lip filler. Instead, they are very interested in a full facial assessment with facial/profile balancing using conservative amounts of neurotoxin and filler to look like themselves, but better.ā |
On new treatment trends: āPatients are also more interested in regenerative procedures such as biostimulatory fillers (Sculptra, Hyperdilute Radiesse) and energy-based devices (Emface, Ultherapy). Patients understand that hyaluronic acid based filler is only good in small amounts, and multiple modalities are needed to achieve the desired results while still looking natural.ā
My stance? If being wrinkle-free makes you feel good and fits your budget, go for it! But always use a qualified and licensed board-certified provider to stay safe.
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Hit reply š© to let me know what health, wellness, or beauty trends youāre curious about.
-Clara
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