There are calls for Ireland to ban advertisements for dermal fillers targeted at under 18s online.
It comes as the UK's advertising watchdog plans to ban ads on social media selling cosmetic surgery to teenagers.
In Ireland, fillers are classified as a cosmetic treatment and not a medical procedure.
Dr Caitriona Ryan, a Consultant Dermatologist at the Institute of Dermatologists, said the sector needs to be regulated.
Speaking on Newstalk Breakfast, said there has been an "explosion" in recent years of young girls using dermal fillers to enhance their lips.
She said: "It's becoming almost the norm, I'm sure people have seen girls in their teens and early 20s with overfilled lips.
"It's almost a fashion accessory at this stage.
Dr Ryan said medics have a responsibility to protect young women and "the warped sense of reality" they have over their appearance.
This is largely due to the pressure of social media and advertising, she said.
She said: "I think the other big problem is that women in this age group tend to be a lot less cautious of where they go to get these dermal fillers done.
"They fall victim to botch jobs by non-medical professionals.
"There is a complete lack of regulation around who does dermal fillers and now they can be done by beauticians in salons who don't have the expertise or equipment to deal with the complications that can occur."
Dr Ryan said there is "irresponsible advertising" targetted to young women who see images on social media of people before and after cosmetic procedures.
She said: "I think we need to regulate the injectors, I don't think it's as much about age.
"It needs to be people who are accountable and will be responsible for the people they are injecting and I think that's all that's really needed."