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.
|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|
|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|
(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||$2,914||2-3 hours||One||Permanent||5 days|
|Eyelid Surgery||Excess fat, wrinkled, drooping skin of upper eyelids; bags, puffiness under eyes||$2,666||1-3 hours||One||Long-lasting||Within 10 days|
|Facelift||Loose 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|
|Gynecomastia||Treatment 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.
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