It’s a phenomenon usually associated with the Kardashian capital of California, but thanks to social media and the quest for the perfect selfie, the trend is widespread — even in Minnesota.

Botox treatments for those 19 to 34 years old shot up by 41?percent between 2011 and 2015, according to the American Society for Aesthetic Plastic Surgery. The use of Botox tends to rise and fall with the economy. It peaked prerecession in 2005, fell off dramatically during the downturn and now has returned to high levels, with more than half a million procedures a year in this age range.

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