If you’ve ever wondered where Botox is most popular, you’re not alone. People across the globe love smooth skin, but one country consistently out‑spends the rest. In 2025, the United States remains the top Botox consumer, thanks to high disposable income, strong media influence, and a massive aesthetic‑care industry.
South Korea follows closely, driven by a cultural focus on flawless complexion and a booming beauty tech sector. Meanwhile, Brazil and Italy round out the top five, where cosmetic procedures are a staple of social life.
The U.S. market benefits from a few key factors. First, the sheer size of the population creates a large client base. Second, insurance doesn’t cover Botox for cosmetic use, so people pay out of pocket, which encourages clinics to offer promotions and loyalty programs.
Third, celebrity endorsement and social media have turned Botox into a status symbol. When a famous actor shares their injection routine on Instagram, demand spikes overnight. Finally, the regulatory environment is clear and consistent, giving both doctors and patients confidence.
Price is a huge driver of where people get Botox. In the U.S., a single unit can cost $10‑$15, meaning a typical 30‑unit treatment runs $300‑$450. In South Korea, the same dose averages $250‑$350 because clinics compete heavily on price.
European countries like Italy and France often charge €8‑€12 per unit, reflecting higher labor costs but also a strong tradition of facial aesthetics. In Brazil, you’ll find prices around R$120‑R$180 per unit, making the treatment relatively affordable for middle‑class patients.
When you compare these numbers, the United States still leads in total volume, not necessarily per‑unit price. High demand outweighs the cost difference.
Safety is another piece of the puzzle. Countries with strict medical boards—such as Canada, Australia, and Germany—report fewer complications. If you’re considering Botox abroad, look for certified practitioners, read reviews, and ask about the type of toxin used.
In short, the U.S. tops the list for Botox volume, but South Korea’s rapid growth shows the market is shifting. Cost, cultural attitudes, and regulatory clarity all play a role. Knowing where the most Botox is administered helps you understand global beauty trends and decide where to get the best value and safest treatment.
