Millennials VS Boomers in the Cosmetic Surgery World and Where is Gen X?
February 11, 2026 - Rhys Branman, MD
Confused? Me too! As a Little Rock cosmetic surgeon I like to stay informed! Let’s define some terms! Wikipedia says, “Gen X is the generation born after the Western post-World War II baby boom describing a generational change from the later Baby Boomer cohort who were born in the late 1950s.” Note the word “cohort,” which refers to a 10-year span rather than the 20 year span of a whole generation (bet you didn’t know that). Unlike the Baby Boomers (born 1946-1964), Gen Xers (born 1965-1980) are more likely to take things slow and easy looking toward reform. They are a bit more conservative than Baby Boomers.
Many surgeons feel that Gen Xers tend to take cosmetic surgery in their stride and perceive cosmetic procedures as maintenance. Some surgeons think the Gen Xers could do a bit more research when seeking cosmetic surgery. Obviously, this generation is seeking Mommy Makeovers and BOTOX®. However, many younger patients have begun to use BOTOX® with the idea to prevent wrinkles from ever occurring! So what’s up with the next generations?
Millennials
Millennials (born 1981-1996) are typically well-educated and cautious when it comes to cosmetic procedures. They stay up to date on the latest trends and use the Internet extensively for information. This is not surprising because they are “digital natives,” those who grew up with technology. The millennial generation is more likely to refer to medical journals to get their information and tends to seek liposuction, rhinoplasty and breast augmentation.
Gen Z
Gen Z (born 1997-2012) represents the newest wave of cosmetic surgery patients. Although many surgeons have noted much larger populations of younger patients seeking cosmetic procedures recently, this group is not only the most educated but also the most judgmental. A survey by Allure magazine found that younger generations are the most judgmental of celebrities having cosmetic surgery. These patients mostly had negative opinions about those who had injections or other cosmetic surgery. And that same group generally seems to believe that people who do have work done should reveal what they had done.
Of course, as the Baby Boomer generation ages, more youth retaining and rejuvenation procedures are sought. In this group facelifts and brow lifts, not to mention blepharoplasty are more commonly requested. But of course, liposuction and BOTOX® are popular across all generations. Women are feeling the pressure to remain young looking the most, however, another interesting feature of the boomer generation aging, is that many more men are seeking cosmetic procedures.
When you look at this, it seems obvious what’s going on. As technology gets more sophisticated information is more readily available. The trick is to look for the valid information. And the procedures sought seem to reflect the phase of life people are going through, not very mysterious actually. What is interesting is that younger generations seem most judgmental and think that celebrities should ‘fess up! Another thing to remember, is cosmetic technology is getting more sophisticated too. At Little Rock Cosmetic Surgery Center we treat patients of all generations, and we offer consultations too!
Dr. Branman
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