Premium Doctors TM Evaluation of Aesthetic Treatments for Older Adults: Safety and Efficacy Insights

Background: Driven by an aging global population and a growing desire for enhanced quality of life, aesthetic interventions are increasingly sought by geriatric patients. This comprehensive scientific literature review evaluates the safety and efficacy of both non-surgical and surgical aesthetic treatments for older adults, addressing modalities such as injectables (Botulinum Toxin Type A, dermal fillers), energy-based devices (lasers, microneedling, High-Intensity Focused Ultrasound), chemical peels, thread lifts, facelifts, and blepharoplasty. The review emphasizes the critical role of practitioner expertise, comprehensive geriatric assessment, psychological screening, and ethical practice in managing unrealistic expectations influenced by societal pressures, such as social media.Methods: A systematic search was conducted across PubMed, Embase, Web of Science, Scopus, and Google Scholar for peer-reviewed articles published between 2015 and 2025, using Medical Subject Headings (MeSH) and free-text keywords like “aesthetic treatments,” “older adults,” “safety,” “efficacy,” and procedure-specific terms (e.g., “Botulinum Toxin,” “dermal fillers”). Inclusion criteria prioritized studies on individuals aged ≥65 years, reporting safety, efficacy, patient satisfaction, or adverse events. Non-peer-reviewed sources, non-English articles, and studies lacking geriatric focus were excluded. Articles were critically appraised for quality and relevance.Results: Aesthetic procedures in older adults demonstrate safety profiles comparable to younger populations, with high patient satisfaction linked to significant improvements in psychological well-being and social confidence. Non-surgical treatments (e.g., injectables, energy-based devices) offer minimal invasiveness and downtime, while surgical options (e.g., facelifts, blepharoplasty) provide long-lasting rejuvenation. Procedure-specific risks include bruising, swelling, and rare severe complications like vascular occlusion (fillers) or visual impairment (blepharoplasty). Non-certified practitioners elevate complication risks. Comprehensive geriatric assessment, psychological screening, and expectation management are critical for optimal outcomes. Knowledge gaps include long-term data for newer modalities, standardized outcome measures, and guidelines for frail older adults.Conclusions: Aesthetic treatments for older adults are safe and effective when tailored to physiological and psychological needs, with high satisfaction enhancing quality of life. Rigorous patient selection, practitioner expertise, and ethical practice are essential to mitigate risks and unrealistic expectations. Future research should prioritize longitudinal studies, standardized outcome measures, and geriatric-specific protocols to optimize outcomes and address ageism, ensuring aesthetic medicine supports healthy aging.