As for all cosmetic procedures in teens, the ASPS counted a total of 219,136 surgical and non-surgical cosmetic procedures for 2008. Unlike the statistic on teen use of Botox, this total number of procedures does not seem to be rising from year to year.
And Silvers said she does not believe the speculation about Pempengco's treatment will likely result in a surge in Botox procedures in young patients.
"I cannot imagine this incident will bring an onslaught of 18-year-olds to plastic surgeons and dermatologists for the same procedures," Silvers said.
But some child psychologists said they worry that if more emphasis is placed on beauty in entertainment enjoyed by children and teens, the demand for other cosmetic tweaks could rise. And for one pediatric psychiatrist, the possibility that a widely celebrated star like Pempengco could be part of a teen cosmetic trend is a disturbing one.
"I think this sends a really bad message that it doesn't really matter how talented you are and how great of an actress or singer you are, that really what matters is what you look like," said Dr. Carolyn Landis, a pediatric psychologist from UH Case Medical Center. "And that is a horrible message to send to the young fans of the show."
Landis added that she feels the entertainment industry as a whole should be careful about the messages it creates for younger girls about beauty and body image.
"My concern, and especially I'm a parent of a 10-year-old girl, is what's going to happen to even these younger and younger kids," she said. "These little ones are already worried about the way their face looks, the way their body shape is, and I'm really concerned about that generation coming up in eight years from now -- what are they going to be doing to look different and pretty?
"I really think we have to think about those kids, not just the other 18-year-olds out there."