2015 Statistics

Highlights of the ASAPS 2004 Statistics on Cosmetic Surgery

There were nearly 11.9 million surgical and nonsurgical cosmetic procedures performed in 2004, according to the most comprehensive survey to date of U.S. physicians and surgeons by the American Society for Aesthetic Plastic Surgery (ASAPS). Surgical procedures represented 18 percent of the total, and nonsurgical procedures were 82 percent of the total.

From 2003-2004, there was a 44 percent increase in the total number of cosmetic procedures. Surgical procedures increased by 17 percent, and nonsurgical procedures increased by 51 percent.

Since 1997, there has been a 465 percent increase in the total number of cosmetic procedures. Surgical procedures increased by 118 percent, and nonsurgical procedures increased by 764 percent.

The top five surgical cosmetic procedures in 2004 were: liposuction (478,251, up 24 percent from 2003); Breast Augmentation (334,052, up 19 percent); eyelid surgery (290,343, up 8 percent); rhinoplasty (166,187, down 4 percent); and facelift (157,061, up 25 percent).

The top five nonsurgical cosmetic procedures in 2004 were: Botox injection (2,837,346, up 25 percent from 2003); laser hair removal (1,411,899, up 53 percent); chemical peel (1,110,401, up 54 percent); microdermabrasion (1,098,316, up 28 percent); and hyaluronic acid (Hylaform, Restylane) (882,469, up 659 percent).

Women had nearly 10.7 million cosmetic procedures, 90 percent of the total. The number of cosmetic procedures for women increased 49 percent from 2003.

The top five surgical procedures for women were: liposuction, breast augmentation, eyelid surgery, tummy tuck and facelift.

Men had nearly 1.2 million cosmetic procedures, 8 percent of the total. The number of cosmetic procedures for men increased 8 percent from 2003.

The top five surgical procedures for men were: liposuction, eyelid surgery, rhinoplasty, male breast reduction and hair transplantation.

People age 35-50 had the most procedures — 5.3 million and 45 percent of the total. People age 51-64 had 25 percent of procedures; age 19-34 had 22 percent; age 65-and-over had 6 percent; and age 18-and-younger had 2 percent.

The most common procedures for age 18-and-under were: laser hair removal, chemical peel, microdermabrasion, rhinoplasty, and laser skin resurfacing.

Racial and ethnic minorities had 20 percent of all cosmetic procedures. Hispanics, 8.5 percent; African-Americans, 6.2 percent; Asians, 4.6 percent; and other non-Caucasians, 1.1 percent.

Where cosmetic surgeries were performed: office facility, 46 percent; free-standing surgicenter, 29 percent; and hospital, 24 percent.

Americans spent just under $12.5 billion on cosmetic procedures in 2004.

Figures may not add exactly to totals and percentages may not equal 100% due to rounding.

2004 Quick Facts

Procedure Best Candidate Physician Surgeon Fees* Length of Procedure Number of Treatments Results** Back to Work
Abdominoplasty (Tummy Tuck) Protruding abdomen; excess fat and skin; weak abdominal muscles $4,917 2-5 hours One Permanent 1-3 weeks
Botox Frown lines and crow's feet $387 30 minutes Repeat treatments
4-6 months
Temporary No downtime
Breast Augmentation Small, disproportionate breasts $3,437 1-2 hours One Permanent, possible implant replacement 1-2 weeks
Breast Lift Sagging, poorly shaped breasts $4,053 1½-3½ hours One Long-lasting 1-2 weeks
Breast Reduction Large, heavy, pendulous, or disproportionate breasts $5,508 2-4 hours One Permanent 1-2 weeks
Buttock Lift Sagging skin, excess fat, weakened muscles in thigh/buttocks area $4,720 2 hours One Long-lasting 10-14 days
Cellulite Treatment
(mechanical roller massage therapy)
Dimpled thighs and buttocks $160 30-45 minutes Ongoing Temporary No downtime
Cheek Implants n/a $2,694 2 hours One Permanent 1-2 weeks
Chemical Peel
(ranges from light to deep)
Sun-damaged or unevenly pigmented skin Depends on type of peel One or multiple Depends on type of peel Long-lasting Depends on type of peel
Chin Augmentation Receding chin $2,024 1 hour One Permanent 1-2 weeks
Dermabrasion Acne, wrinkles around mouth, sun-damaged skin $1,590 A few minutes- 1½ hours Multiple sessions Long-lasting 7-10 days
Ear Surgery Protruding or disproportionate ears $2,9142-3 hoursOne Permanent 5 days
Eyelid Surgery Excess fat, wrinkled, drooping skin of upper eyelids; bags, puffiness under eyes $2,6661-3 hours One Long-lasting Within 10 days
FaceliftLoose skin, deep lines, wrinkles, jowls $5,968 2-3 hours One Long-lasting Within 2 weeks
Forehead Lift Sagging, low eyebrows, forehead creases, frown lines $3,032 1-2 hours One Long-lasting Within 10 days
GynecomastiaTreatment of Enlarged male breasts $3,184 2 hours One Permanent 1 week
Hair Transplantation Hair loss with the availability of healthy hair in donor areas $3,690 Several hours Multiple sessions over 1-2 years Permanent Several days
Laser Hair Removal Unwanted hair on face or body $355 1-2 hours
Depends on area
Multiple sessions Ongoing No downtime
Laser Skin Resurfacing Fair, non-oily skin; sun-damaged facial skin, wrinkles around mouth and eyes, acne scars $2,241 Variable, up to 1 1/2 hours One or multiple depending on laser and skin condition Long-lasting Variable, up to 14 days
Laser Treatment of Leg Veins Very small spider veins $402 30 minutes - 1 hour Multiple sessions Permanent No downtime
Lip augmentation (surgical) Thin lips $1,701 1 hour One Permanent Within 1 week
Lipoplasty (Liposuction) Normal weight with isolated fatty areas $2,704 45 minutes - 2 hours One Permanent 1-2 weeks
Lower Body Lift Skin laxity without significant fat deposits $7,625 Up to 8 hours One Long-lasting Up to 4 weeks
Microdermabrasion Fine lines, crow's feet, age spots, acne scars $146 Multiple sessions 2-3 week intervals Temporary No downtime
Rhinoplasty Nose too large, wide, or tip needs reshaping $4,047 1-2 hours One Permanent 7-10 days
Sclerotherapy Spider veins $317 30 minutes - 1 hour 3-4 treatments Injections Permanent No downtime
Soft Tissue Fillers
1) Autologous Fat
Folds, lips, frown lines, and facial recontouring $1,300 1 hour depending on the sites Highly variable, repeat treatments Temporary 1-4 days, Extensive 7-14 days
2) Calcium hydroxylapatite (Radiesse/Radiance) Nasolabial folds, frown lines, crow's feet, and lips $1,119 Less than 1 hour Repeat treatments 2 years or longer Temporary No downtime
3) Collagen Frown lines, crow's feet, nasolabial folds $389 Less than 1 hour Repeat treatments 3-6 months Temporary No downtime
4) Hyaluronic acid (Hylaform, Restylane) Nasolabial folds, forehead wrinkles, smile lines, and lips $542 Less than 1 hour Repeat treatments 4 months – 1 year Temporary No downtime
Thigh Lift Loose, excess skin $4,487 2 hours One Long-lasting 2-4 weeks
Upper Arm Lift Excess skin and fat on underside of arm $3,527 2 hours One Long-lasting 1-2 weeks

* National average; surgeon fees are based on ASAPS 2004 Statistics. Fees vary considerably by geographic region. Facility fees, anesthesia and other surgical costs not included.
** With any surgical procedure, a revision or touch-up may sometime be necessary.

2004 Graphs

The American Society for Aesthetic Plastic Surgery's cosmetic surgery statistics are the most comprehensive collection of data available on the number of cosmetic surgical and nonsurgical procedures performed in the United States. ASAPS membership in the U.S. is restricted to American Board of Plastic Surgery certified physicians, but our statistics represent data from multiple specialties: plastic surgery, otolaryngology and dermatology. Currently, more than 14,000 surveys are distributed to board-certified physicians in these specialties, and survey results are used to project national totals.

Top Five Surgical Cosmetic Procedures in 2004
Top Five Non-Surgical Cosmetic Procedures in 2004
Cosmetic Surgery Trends: Surgical and Non-Surgical Totals (Compares 1997, 1998, 1999, 2000, 2001, 2002 and 2003)
Regional Fees and National Averages in 2004



Statistics courtesy of The American Society for Aesthetic Plastic Surgery