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Cosmetic Plastic Surgery Research
Statistics and Trends for 2005

2005 ASAPS News Release
2005 Statistics
2005 Quick Facts
2005 Graphs

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2005 ASAPS News Release
 
American Society for Aesthetic Plastic Surgery Reports 1 Percent Increase in Surgical Procedures

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:

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 $5,2322-5 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, salineSmall, disproportionate breasts $3,583 1-2 hours One Permanent, possible implant replacement 1-2 weeks
Breast Augmentation, siliconeSmall, 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 $22330-45 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 $2,9512-3 hoursOne Permanent 5 days
Eyelid Surgery Excess fat, wrinkled, drooping skin of upper eyelids; bags, puffiness under eyes $2,8131-3 hours One Long-lasting Within 10 days
FaceliftLoose 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
GynecomastiaTreatment 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-assistedNormal 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 $398-488Less than 1 hour Repeat treatments 3-6 months Temporary No downtime
4) Hyaluronic acid (Hylaform, Restylane) Nasolabial folds, forehead wrinkles, smile lines, and lips $527Less 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 2004

Graphs Courtesy of The American Society for Aesthetic Plastic Surgery.



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