Smooth moves: NY is Americas most Botox-obsessed state see how the rest of the country lines up
New York wears the injectables crown.According to a new report, Empire State residents are ceaseless in their desire for creaselessness.Using metrics including demand, provider and clinic density, and search interest, the Botox Obsession Index ranks all 50 states by the intensity of their Botox fixation.
Botox, a botulinum toxin meant to reduce the appearance and worsening of fine lines and wrinkles, remains the country’s most popular cosmetic enhancement procedure according to the American Society of Plastic Surgeons (ASPS), which estimates that 9.9 million treatments happened in 2025.An estimated An estimated 800,000 of them occur in New York.This latest study, conducted by Avinity Health, found that New Yorkers conduct an estimated 202 Botox searches per month per 100,000 residents, the highest rate of any state.“New Yorkers are officially the most Botox-obsessed people in America,” Emily Dawson, co-founder and Clinical Director of Avinity Health, told The Post.“What pushed New York to No.
1 was demand.New Yorkers search for Botox more often per capita than people in any other state.” Providers have an interesting explanation for what is driving that demand.
“New York is filled with discerning, highly educated people who want the best, which is what makes us receptive to advances in medicine and aesthetics,” NYC-based plastic surgeon Dr.Laura Devgan told the Post.Further, Devgan notes that the efficacy of Botox matches the general pace of the Empire State “New York is incredibly busy and fast-moving, and in the right hands, Botox is a high gratification procedure with minimal downtime.”However, the race for #1 proved incredibly close, as surprise second-place dark horse Colorado was edged out by NY by a mere 0.07 points.“New York beat Colorado by just seven-hundredths of a point — the tightest margin anywhere in the top 10.
New York essentially won the Botox crown by a wrinkle,” deadpanned Dawson.California, Florida, and Massachusett...