A teenager holding up a lip filler syringe

Lip fillers are a type of dermal filler, which is one of the procedures this poll measured attitudes of. (Alliance Images/Shutterstock)

In a nutshell

  • 1 in 6 parents support teens getting non-surgical cosmetic procedures for any reason, as long as they have parental approval, highlighting shifting attitudes toward aesthetic treatments in adolescence.
  • Parents are deeply divided on what qualifies as a “valid reason” for teens to undergo cosmetic procedures, with less than 40% viewing mental health or bullying as justifiable motivations.
  • Despite growing social media influence, most parents emphasize safety and express concerns about regret, mental health, and unrealistic expectations surrounding cosmetic enhancements.

ANN ARBOR, Michigan — In a culture where a perfect selfie can make or break a teenager’s day, the line between self-care and self-improvement has never been blurrier. A new national survey reveals that American parents are increasingly open to letting their teenagers undergo non-surgical cosmetic procedures. One in six parents say they’d support their teen getting treatments like laser hair removal, chemical peels, or even dermal fillers for any reason, as long as mom and dad approve.

The findings from the University of Michigan Health C.S. Mott Children’s Hospital National Poll on Children’s Health examines modern parenting in the Instagram age. While the majority of parents remain cautious about aesthetic treatments for their teens, a significant minority are embracing what was once considered strictly adult territory. The shift reflects broader cultural changes around beauty standards, social media influence, and evolving attitudes toward cosmetic enhancement.

Divided Perspectives on Teen Beauty Treatments

The survey of 989 parents with children aged 13-17 reveals a nation split on when and why teens should access cosmetic procedures. About half of parents (51%) say teenagers should only be allowed to get non-surgical cosmetic procedures for “valid reasons,” though they disagree significantly on what constitutes validity. Meanwhile, nearly a third (31%) believe teens should be prohibited from these procedures entirely, regardless of circumstances.

The remaining 18% of parents believe teens should be allowed to get these procedures for any reason, as long as they have parental approval.

A girl worried on her cellphone with other teens looking at her in the background
Bullying and social media can impact teen self-image and self-esteem. (SpeedKingz/Shutterstock)

“Parents were conflicted about the circumstances under which non-surgical cosmetic procedures are appropriate for teens,” says Mott Poll Co-Director and Mott pediatrician Dr. Susan Woolford, in a statement. “Interestingly, similar proportions of parents rated the validity of teens wanting to look good for a special occasion on par with wanting the procedures due to mental health or bullying.”

Among parents who believe teens need valid reasons for cosmetic procedures, opinions vary significantly on what qualifies. Parents were most likely to consider improving mental health a valid reason (37%), though 38% disagreed and 25% were unsure. Being self-conscious about appearance was considered valid by 33% of parents, while 50% disagreed and 17% were unsure. Similarly, 33% supported procedures for looking good at special occasions, while 54% opposed this reason and 13% were unsure.

Being bullied about appearance was viewed as valid by 30% of parents, with 47% disagreeing and 23% unsure. Career-related appearance goals were less accepted, with only 21% considering this valid, 61% disagreeing, and 18% unsure. The least acceptable reason was wanting to look like people on social media, which only 8% found valid while 85% rejected and 7% were unsure.

Regarding appropriate ages, more than half of parents believe teens should wait until 18 or older, with 35% saying older than 18 and 21% supporting 18 as the minimum age. However, 27% believe ages 16-17 are appropriate, while 17% would allow procedures at 15 or younger.

Parent opinions of the age at which youth should be able to get cosmetic procedures.
Parent opinions of the age at which youth should be able to obtain such services vary, the poll suggests. (CREDIT: Sara Schultz, University of Michigan Health C.S. Mott Children’s Hospital National Poll on Children’s Health)

Actual teen interest appears limited based on parental reports. Only 7% of parents with teenage daughters say their child has asked about non-surgical cosmetic procedures, compared to just 1% of parents with teenage sons.

Social Media’s Growing Influence

“Teens are susceptible to feeling insecure about their appearance when compared to digitally altered pictures depicting an appearance that is probably unattainable naturally,” says Dr. Woolford. “This problem is exacerbated by the pressure to post pictures of themselves to garner validation.”

The survey findings come amid growing awareness of social media’s impact on teenage self-image. About 39% of parents know someone who has had non-surgical cosmetic procedures, with teeth whitening or veneers being most familiar (24%), followed by hair removal (24%), fillers (15%), and laser skin treatment (11%).

“It’s important for parents to find ways to help teens understand the distortions presented in the media while also exploring their reasons for wanting to change their appearance,” adds Dr. Woolford.

Safety First: Parent Priorities and Concerns

Parents show strong agreement on safety priorities when considering cosmetic procedures for their teens. If their teen requested a procedure, 76% say health and safety ratings of the provider would be very important to their decision. Additionally, 57% would want advice or approval from their child’s healthcare provider, and 55% consider their teen’s reason for wanting the procedure very important.

The top parental concerns include feeling their teen doesn’t need the procedure (64%), worry about future regrets (57%), and concern that the request signals mental health or self-esteem problems (55%). Cost worries 52% of parents, while 49% fear their teen will want more procedures in the future, and 44% are concerned about infection or scarring.

Dr. Woolford stresses that “non-surgical” doesn’t mean risk-free. These treatments can still cause scarring, burning, discoloration, infection, or allergic reactions.

Navigating New Territory

For families considering cosmetic procedures, Dr. Woolford recommends thorough research including consultation with healthcare professionals and careful evaluation of cosmetic providers’ experience and safety protocols.

“If a teen asks for a non-surgical cosmetic procedure, parents should consider the emotional and mental health implications,” says Dr. Woolford. “It’s helpful to understand teens’ perceptions of how a procedure will change their appearance and the ways in which they hope it will impact other aspects of their life.”

The survey reveals broader questions about adolescent development, parental authority, and cultural beauty standards. The fact that parents rate “looking good for a special occasion” as equally valid as addressing mental health concerns suggests a normalization of cosmetic enhancement that previous generations might have found troubling.

Teen mental health has become a national crisis, but its long-term economic impact has remained largely invisible in policy discussions.
It’s important for parents to do thorough research and have plenty of discussions with their teens before moving forward with cosmetic procedures. (Monkey Business Images/Shutterstock)

“Some teens may view these procedures as a quick fix that will help them become more popular or gain friends for example,” warns Dr. Woolford. “But changing your appearance doesn’t guarantee desired outcomes or that it will change your life.”

Yet the findings also show parents grappling seriously with their children’s wellbeing. The emphasis on safety, professional guidance, and understanding underlying motivations demonstrates that even supportive parents aren’t approaching these decisions lightly.

The data suggests that as non-surgical cosmetic procedures become more accessible and socially acceptable, families will need new frameworks for making these decisions. The traditional markers of medical necessity don’t apply to purely aesthetic treatments, leaving parents to navigate uncharted territory in balancing their teens’ desires with long-term wellbeing.

Methodology

The nationally representative poll was based on responses from 989 parents of children ages 13-17 who were surveyed in August 2024. The survey was conducted by the University of Michigan Health C.S. Mott Children’s Hospital National Poll on Children’s Health, which regularly surveys parents on various aspects of children’s health and wellbeing. The poll has a margin of error that allows for reliable national estimates of parental attitudes and experiences regarding non-surgical cosmetic procedures for teenagers.

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