2015 Statistics

Highlights of the ASAPS 2005 Statistics on Cosmetic Surgery

NEW YORK, NY (February 24, 2006) — Nearly 11.5 million cosmetic surgical and nonsurgical procedures were performed in the United States in 2005, according to statistics released today by the American Society for Aesthetic Plastic Surgery (ASAPS). Compared to 2004, surgical procedures increased 1% to 2.1 million, while nonsurgical procedures declined 4% to 9.3 million. The Aesthetic Society which has been collecting multi-specialty procedural statistics since 1997 says the overall number of cosmetic procedures has increased 444% since the collection of the statistics first began. The most frequently performed procedure was Botox injections and the most popular surgical procedure was liposuction.

"The surgical portion of the statistics show interesting results in the Breast Augmentation and breast lift areas," said Aesthetic Society president Mark L. Jewell, MD. “While some procedures are down, these areas continue to increase; breast augmentation by 9 percent and breast lift by 23 percent. This also marks the first year that we have segmented the device used for breast augmentation, saline or silicone. This should give us significant trending data when silicone devices are approved by the FDA.”

TRENDS AND DEMOGRAPHIC DATA

Top surgical and nonsurgical cosmetic procedures among ALL AMERICANS in 2005:

Surgical

# procedures

Nonsurgical

# procedures

Liposuction

455,489

Botox

3,294,782

Breast augmentation

364,610

Laser hair removal

1,566,909

Eyelid surgery

231,467

Hyaluronic acid
(Hylaform, Restylane)

1,194,222

Rhinoplasty

200,924

Microdermabrasion

1,023,931

Abdominoplasty

169,314

Chemical Peel

556,172

Top cosmetic procedures for WOMEN:

Surgical

# procedures

Nonsurgical

# procedures

Liposuction

402,946

Botox

2,990,658

Breast augmentation

364,610

Laser hair removal

1,334,669

Eyelid surgery

198,099

Hyaluronic acid

(Hylaform, Restylane)

1,149,228

Tummy Tuck

164,073

Microdermabrasion

939,508

Breast Reduction

160,531

Chemical Peel

533,009

Women had 91 percent of cosmetic procedures. The number of procedures (surgical and nonsurgical) performed on women was nearly 10.5 million, a decrease of 2 percent from the previous year. Surgical procedures increased 2 percent; nonsurgical procedures decreased 3 percent.

Top cosmetic procedures for MEN:

Surgical

# procedures

Nonsurgical

# procedures

Liposuction

52,543

Botox

304,124

Rhinoplasty

45,945

Laser hair removal

232,240

Eyelid surgery

33,369

Microdermabrasion

84,423

Male breast reduction

17,730

Hyaluronic acid

(Hylaform, Restylane)

44,994

Facelift

13,041

Laser Skin Resurfacing

43,083

Men had 9 percent of cosmetic procedures. The number of procedures (surgical and nonsurgical) performed on men was nearly 1 million, a decrease of 15 percent from the previous year. Surgical procedures decreased 9 percent; nonsurgical procedures decreased 18 percent.

Frequency of cosmetic procedures by AGE GROUP:

Age

% of total

# procedures

Top surgical procedure

Top nonsurgical procedure

35-50

47%

5.3 million

Liposuction

Botox

51-64

23%

2.7 million

Eyelid Surgery

Botox

19-34

24%

2.7 million

Breast Augmentation

Laser Hair Removal

65 and over

4%

530,139

Eyelid Surgery

Botox

18 and under

2%

174,851

Rhinoplasty

Laser Hair Removal

Racial and Ethnic Distribution

Racial and ethnic minorities accounted for 20 percent of all cosmetic procedures in 2005. Hispanics again led minority racial and ethnic groups in the number of procedures : Hispanics, 9 percent; African-Americans, 6 percent; Asians, 4 percent; and other non-Caucasians, 1 percent.

Location and Fees

Just over forty-eight percent (48.3 percent) of cosmetic procedures in 2005 were performed in office-based facilities; 27.9 percent in freestanding surgicenters; and 23.8 percent in hospitals. Americans spent just under $12.4 billion on cosmetic procedures; $8.2 billion was for surgical procedures, and $4.2 billion was for nonsurgical procedures.

About the ASAPS Cosmetic Surgery National Data Bank

ASAPS, working with an independent research firm, compiled 9-year data for procedures performed 1997-2005 by multiple specialists, including but not limited to plastic surgeons certified by the American Board of Plastic Surgery. More than 14,000 questionnaires were mailed nationwide, and r esults of the survey were used to project national data. The survey data has a standard error of +/-3.61 percent at a 95 percent level of confidence.

Courtesey of The American Society for Aesthetic Plastic Surgery (ASAPS).

Cosmetic Surgery Quick Facts: 2005 ASAPS Statistics

Highlights of the ASAPS 2005 Statistics on Cosmetic Surgery There were nearly 11.5 million surgical and nonsurgical procedures performed in the United States, as reported by the American Society for Aesthetic Plastic Surgery (ASAPS). Surgical procedures accounted for nearly 19% of the total with nonsurgical procedures making up 81% of the total.

From 2004-2005, there was a decrease of 4 percent in the total number of cosmetic procedures. Surgical procedures showed an increase of 1% with nonsurgical procedures falling by 4 percent

Since 1997 there has been an increase of 444 percent in the total number of cosmetic procedures. Surgical procedures have increased by 119 percent, nonsurgical procedures by 726 percent.

The top five surgical procedures cosmetic procedures in 2005 were:

    1. Lipoplasty (Liposuction) with 455,489 procedures performed, down five percent from last year. Interestingly, 21% of these procedures were ultrasound-assisted Lipoplasty (UAL)

    2. Breast Augmentation with 364,610 procedures up nine percent from 2004. For the first time, we categorized saline vs. silicone augmentation. 83.4 percent of respondents used the saline device, 16.6 percent the silicone implant.

    3. Blepharoplasty (cosmetic eyelid surgery) came in third with 231,467 procedures down 20 percent from 2004

    4. Rhinoplasty (nose reshaping) is the forth most common procedure with 200,924 procedures performed, an increase of 21 percent over 2004

    5. Abdominoplasty (Tummy Tuck) reported 169,314 procedures, up 12 percent from 2004.

The top five nonsurgical cosmetic procedures in 2005 were:

    1. Botox injections at 3,294,782 up 16 percent from 2004

    2. Laser hair removal at 1,566,909 up 11 percent from 2004

    3. Hyaluronic acids (Hylaform, Restylane) at 1,194,222 up 35 percent from 2004

    4. Microdermabrasion is the fourth most popular procedure with 1.023,931 performed in 2005, a decrease of 7 percent over last year

    5. Chemical peels accounted for 556,172 procedures in 2005, down 50 percent from 2004.

Women had nearly 10,500,000 of the total cosmetic procedures performed in 2005 accounting for 91.4 percent of the total, declining 2 percent from 2004

The top five surgical procedures for women were Lipoplasty (liposuction), Breast Augmentation, Blepharoplasty (cosmetic eyelid surgery), and Abdominoplasty (Tummy Tuck), and Breast Lift.

Men had 985,000 procedures, approximately 9 percent of the total, down 15 percent from 2004.

The top five procedures for men in 2005 included Lipoplasty (Liposuction), Rhinoplasty (Nose reshaping), Blepharoplasty (cosmetic eyelid surgery), Male Breast Reduction and Facelift.

People between the ages of 35 and 50 had the majority of procedures: 5.3 million and 47 percent of the total. Those between 51 and 64 had 24 percent of the procedures, patient's between19 and 34 had 24 percent, those 65 and older had 5 percent and 18 and under accounted for 1.5 percent

The most common procedures for those 18 and under were Laser Hair Removal, Microdermabrasion, Rhinoplasty (Nose reshaping), Otoplasty (Cosmetic ear surgery) and Chemical Peel.

Racial and ethnic minorities as last year, had approximately 20 percent of all cosmetic procedures; Hispanics: 9 percent, African-Americans: 6 percent, Asians: 4 percent, all other non-Caucasians: 1.3 percent.

The majority of cosmetic procedures were performed in an office facility, 48 percent, with 28 percent performed in a free-standing surgi-center and 24 percent performed in a hospital.

Americans spent approximately $12.4 billion on cosmetic procedures last year.

Figures and totals have been rounded to the nearest percent.

COURTESY OF THE AMERICAN SOCIETY FOR AESTHETIC PLASTIC SURGERY (ASAPS).

2005 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

$5,232

2-5 hours

One

Permanent

1-3 weeks

Botox

Frown lines and crow's feet

$382

30 minutes

Repeat treatments

4-6 months

Temporary

No downtime

Breast Augmentation, saline

Small, disproportionate breasts

$3,583

1-2 hours

One

Permanent, possible implant replacement

1-2 weeks

Breast Augmentation, silicone

Small, disproportionate breasts

$4,005

1-2 hours

One

Permanent, possible implant replacement

1-2 weeks

Breast Lift

Sagging, poorly shaped breasts

$4,258

1½-3½ hours

One

Long-lasting

1-2 weeks

Breast Reduction

Large, heavy, pendulous, or disproportionate breasts

$5,550

2-4 hours

One

Permanent

1-2 weeks

Buttock Lift

Sagging skin, excess fat, weakened muscles in thigh/buttocks area

$4,878

2 hours

One

Long-lasting

10-14 days

Cellulite Treatment

(mechanical roller massage therapy)

Dimpled thighs and buttocks

$223

30-45 minutes

Ongoing

Temporary

No downtime

Cheek Implants

n/a

$2,720

2 hours

One

Permanent

1-2 weeks

Chemical Peel

(ranges from light to deep)

Sun-damaged or unevenly pigmented skin

$848

One or multiple

Depends on type of peel

Long-lasting

Depends on type of peel

Chin Augmentation

Receding chin

$2,095

1 hour

One

Permanent

1-2 weeks

Dermabrasion

Acne, wrinkles around mouth, sun-damaged skin

$1,376

A few minutes- 1½ hours

Multiple sessions

Long-lasting

7-10 days

Ear Surgery

Protruding or disproportionate ears

$2,951

2-3 hours

One

Permanent

5 days

Eyelid Surgery

Excess fat, wrinkled, drooping skin of upper eyelids; bags, puffiness under eyes

$2,813

1-3 hours

One

Long-lasting

Within 10 days

Facelift

Loose skin, deep lines, wrinkles, jowls

$6,298

2-3 hours

One

Long-lasting

Within 2 weeks

Forehead Lift

Sagging, low eyebrows, forehead creases, frown lines

$3,148

1-2 hours

One

Long-lasting

Within 10 days

Gynecomastia

Treatment of Enlarged male breasts

$3,305

2 hours

One

Permanent

1 week

Hair Transplantation

Hair loss with the availability of healthy hair in donor areas

$5,033

Several hours

Multiple sessions over 1-2 years

Permanent

Several days

Laser Hair Removal

Unwanted hair on face or body

$347

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

$2,484

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

$407

30 minutes - 1 hour

Multiple sessions

Permanent

No downtime

Lip augmentation (surgical)

Thin lips

$1,819

1 hour

One

Permanent

Within 1 week

Lipoplasty (liposuction) suction-assisted

Normal weight with isolated fatty areas

$2,697

45 minutes - 2 hours

One

Permanent

1-2 weeks

Lipoplasty (liposuction) ultrasound-assisted

Normal weight with isolated fatty areas

$2,979

45 minutes - 2 hours

One

Permanent

1-2 weeks

Lower Body Lift

Skin laxity without significant fat deposits

$7,810

Up to 8 hours

One

Long-lasting

Up to 4 weeks

Microdermabrasion

Fine lines, crow's feet, age spots, acne scars

$149

Multiple sessions

2-3 week intervals

Temporary

No downtime

Rhinoplasty

Nose too large, wide, or tip needs reshaping

$4,188

1-2 hours

One

Permanent

7-10 days

Sclerotherapy

Spider veins

$326

30 minutes - 1 hour

3-4 treatments Injections

Permanent

No downtime

Soft Tissue Fillers

1) Autologous Fat

Folds, lips, frown lines, and facial recontouring

$1,395

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

$911

Less than 1 hour

Repeat treatments 2 years or longer

Temporary

No downtime

3) Collagen

Frown lines, crow's feet, nasolabial folds

$398-488

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

$527

Less than 1 hour

Repeat treatments 4 months – 1 year

Temporary

No downtime

Thigh Lift

Loose, excess skin

$4,653

2 hours

One

Long-lasting

2-4 weeks

Upper Arm Lift

Excess skin and fat on underside of arm

$3,610

2 hours

One

Long-lasting

1-2 weeks

* National average; surgeon fees are based on ASAPS 2005 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.

2005 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 their 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 2005

Top Five Non-Surgical Cosmetic Procedures in 2005

Cosmetic Surgery Trends: Surgical and Non-Surgical Totals (Compares 1997, 1998, 1999, 2000, 2001, 2002 and 2003)

Regional Fees and National Averages in 2005

Statistics courtesy of The American Society for Aesthetic Plastic Surgery