Botox and filler have moved from the dermatologist's office to storefront med spas across New York, and the market is exploding. Once-clinical treatments are now sold alongside facials in relaxed, boutique settings that draw first-timers in their twenties.

The growth has outpaced regulation. Consumer advocates and some physicians are pushing for clearer rules about who can perform injections and under what supervision, citing a rise in complications. The fictional chain Refresh Aesthetics says it welcomes standards that would weed out bad actors.

For now, the industry is expanding faster than the rules governing it. The convenience is undeniable — but so are the questions about safety in a lightly policed corner of the wellness economy.