2006 Cosmetic Surgery Statistics

"The FDA approval of silicone breast implants in late 2006 seems to have made an impact, as silicone implants are up 18 percent from 2005. For the first time Breast Augmentation is the top surgical procedure for women, although lipoplasty continues to be the top overall surgical procedure as it has been since the Aesthetic Society started collecting nationwide procedural statistics in 1997," said Aesthetic Society president James Stuzin, MD. "Furthermore, as the safety and efficacy of the nonsurgical procedures on the market continue to improve the numbers of those procedures performed by board-certified plastic surgeons continues to rise year after year."

TRENDS AND DEMOGRAPHIC DATA

Top surgical and nonsurgical cosmetic procedures among men and women in 2006:

Surgical # procedures Nonsurgical # procedures
Liposuction 403,684 Botox® 3,181,592
Breast augmentation 383,886 Hyaluronic Acid (Hylaform, Restylane) 1,593,554
Eyelid surgery 209,999 Laser Hair Removal 1,475,296
Abdominoplasty 172,457 Microdermabrasion 993,071
Female Breast Reduction 169,314 Laser Skin Resurfacing 556,172

Top cosmetic procedures for WOMEN:

Surgical # procedures Nonsurgical # procedures
Lipoplasty 350,420 Hyaluronic Acid (Hylaform, Restylane) 1,519,923

Eyelid surgery 182,397 Laser Hair Removal 1,308,739
Abdominoplasty 164,800 Microdermabrasion 921,970
Breast Reduction 145,822 Sclerotherapy 541,291

Women had 92 percent of cosmetic procedures. The number of procedures (surgical and nonsurgical) performed on women was over 10.5 million, an increase of 1 percent from the previous year. Surgical procedures decreased 9 percent; nonsurgical procedures increased 4 percent. Since 1997, surgical procedures increased 123 percent, while nonsurgical procedures have increased 749 percent.

Top cosmetic procedures for MEN:

Surgical # procedures Nonsurgical # procedures
Liposuction 53,263 Botox injection 300,472
Rhinoplasty 33,143 Laser hair removal 166,557
Eyelid surgery 27,602 Hyaluronic Acid (Hylaform, Restylane) 73,634
Male breast reduction 23,670 Microdermabrasion 71,102
Facelift 14,051 Laser Skin Resurfacing 48,451

Men had 8 percent of cosmetic procedures. The number of procedures (surgical and nonsurgical) performed on men was nearly 1 million, a decrease of 5 percent from the previous year. Surgical procedures decreased 9 percent; nonsurgical procedures decreased 3 percent. Since 1997, surgical procedures have decreased 2%, while nonsurgical procedures have increased 722 percent.

Frequency of cosmetic procedures by AGE GROUP:
% of total Age # procedures Top surgical procedure Top nonsurgical procedure
47% 35-50 4.5 million Liposuction Botox

26% 51-64 2.9 million Eyelid Surgery Botox

20% 19-34 2.5 million Breast Augmentation Laser Hair Removal

5% 65 and over 589,229 Eyelid Surgery Botox
1% 18 and under 178,041 Rhinoplasty Laser Hair Removal

Racial and Ethnic Distribution
Racial and ethnic minorities accounted for 21.7 percent of all cosmetic procedures in 2006. Hispanics again led minority racial and ethnic groups in the number of procedures: Hispanics, 9.7 percent; African-Americans, 6.6 percent; Asians, 4.7 percent; and other non-Caucasians, 0.8 percent.

Location and Fees
46 percent of cosmetic procedures in 2006 were performed in office-based facilities; 28.9 percent in freestanding surgicenters; and 24.8 percent in hospitals. Americans spent just under $12.2 billion on cosmetic procedures; $7.6 billion was for surgical procedures, and $4.5 billion was for nonsurgical procedures.

About the ASAPS Cosmetic Surgery National Data Bank
ASAPS, working with an independent research firm, compiled 10-year national data for procedures performed 1997-2006 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 results of the survey were used to project national data. The survey data has a standard error of +/- 3.14 percent at a 95 percent level of confidence.

COURTESY THE AMERICAN SOCIETY FOR AESTHETIC PLASTIC SURGERY (ASAPS)

Quick Facts: Highlights of ASAPS 2006 Statistics on Cosmetic Surgery

There were nearly 11.5 million surgical and nonsurgical cosmetic procedures performed in the United States in 2006, as reported by the American Society for Aesthetic Plastic Surgery (ASAPS). Surgical procedures accounted for nearly 17% of the total with nonsurgical procedures making up 83% of the total.

From 2005-2006, there was a 1 percent increase in the total number of cosmetic procedures. Surgical procedures decreased by 9 percent, and nonsurgical procedures increased by 3 percent.

Since 1997, there has been a 446 percent increase in the total number of cosmetic procedures. Surgical procedures increased by 98 percent, and nonsurgical procedures increased by 747 percent.

The top five surgical cosmetic procedures in 2006 were:
liposuction (403,684 procedures); breast augmentation (383,886 procedures); eyelid surgery (209,999 procedures); abdominoplasty (172,457 procedures); and breast reduction (145,822 procedures).

The top five nonsurgical cosmetic procedures in 2006 were:
Botox injection (3,181,592 procedures); hyaluronic acid (1,593,554 procedures); laser hair removal (1,475,296 procedures); microdermabrasion (993,071 procedures); and laser skin resurfacing (576,509 procedures). J Women had over 10.5 million cosmetic procedures, 92 percent of the total. Surgical procedures decreased 9 percent; nonsurgical procedures increased 4 percent. Since 1997, surgical procedures increased 123%, while nonsurgical procedures have increased 749%.

The top five surgical procedures for women were:
breast augmentation, liposuction, eyelid surgery, abdominoplasty and breast reduction.

Men had nearly 1 million cosmetic procedures, 8 percent of the total. Surgical procedures decreased 9 percent; nonsurgical procedures decreased 3 percent. Since 1997, surgical procedures have decreased 2% while nonsurgical procedures have increased 722%.

The top five surgical procedures for men were: liposuction, rhinoplasty, eyelid surgery, breast reduction to treat enlarged male breasts, and facelift.

People age 35-50 had the most procedures � 5.3 million and 47 percent of the total. People age 19-34 had 22 percent of procedures; age 51-64 had 25 percent; age 65-and-over had 5 percent; and age 18-and-younger had less than 2 percent.

The most common procedures for age 18-and-under were: laser hair removal, microdermabrasion, rhinoplasty, chemical peel, and otoplasty (ear reshaping).

Racial and ethnic minorities, as of last year, had approximately 22 percent of all cosmetic procedures, an increase of 2 percent from 2005: Hispanics, 10 percent; African- Americans, 6 percent; Asians, 5 percent; and other non-Caucasians, 1 percent.

Where cosmetic surgeries were performed: office facility, 46 percent, hospital 25 percent; and free-standing surgicenter, 29 percent.

Americans spent just under $12.2 billion on cosmetic procedures last year.

Figures may not add exactly to totals and percentages may not equal 100 percent due to rounding.
Source: The American Society for Aesthetic Plastic Surgery

2006 National Totals for Cosmetic Procedures

The following list includes both surgical and nonsurgical cosmetic procedures. The top 5 surgical procedures are indicated in bold superscript numbers in the column headed Number of Procedures, while the top 5 nonsurgical procedures are indicated by bold superscript letters. The rankings of procedures overall (surgical and nonsurgical categories combined) are indicated in the column Overall Rank, while the rankings of procedures by category (surgical vs. nonsurgical) are labeled as such.

Procedure Number of Procedures Percent of Total Overall Rank Rank within Category
(Surgical/ Nonsurgical)
Abdominoplasty (Tummy Tuck) 172,457 ⁴ 1.5% 11 4
Blepharoplasty (cosmetic eyelid surgery) 209,999 ³ 1.8% 10 3
Breast augmentation* 383,886 ² 3.4% 9 2
Breast lift 125,896 1.1% 17 8
Breast reduction (women)** 145,822 ⁵ 1.3% 14 5
Buttock augmentation 2,556 0.0% 34 20
Buttock lift 4,552 0.0% 33 19
Cheek implants 4,868 0.0% 32 18
Chin augmentation 18,920 0.2% 27 13
Facelift 138,245 1.2% 16 7
Forehead lift 54,149 0.5% 20 9
Gynecomastia, treatment of (male breast reduction) 23,670 0.2% 24 10
Hair transplantation 13,338 0.1% 30 16
Lip augmentation (other than injectable materials) 8,776 0.1% 31 17
Lipoplasty (liposuction)*** 403,684¹ 3.5% 8 1
Lower body lift 15,206 0.1% 29 15
Otoplasty (cosmetic ear surgery) 20,417 0.2% 25 11
Rhinoplasty (nose reshaping) 141,912 1.2% 15 6
Thigh lift 18,997 0.2% 26 12
Upper arm lift 15,439 0.1% 28 14
Totals - Surgical Procedures 1,922,788 16.8%

Botox injection 3,181,592 ^A 27.8% 1 1
Mesotherapy 28,901 0.3% 23 14
Chemical peel 558,432 4.9% 7 7
Dermabrasion (not including microdermabrasion) 30,604 0.3% 22 13
Laser hair removal 1,475,296^C 12.9% 3 3
Laser skin resurfacing **** 576,509 ^E 5.0% 5 5
Laser treatment of leg veins 158,151 1.4% 13 9
Microdermabrasion 993,071^D 8.7% 4 4
Sclerotherapy 559,285 4.9% 6 6
Soft tissue fillers:

1) Autologous fat 96,570 0.8% 18 10
2) Calcium hydroxylapatite (Radiesse/Radiance) 77,067 0.7% 19 11
3) Collagen***** 160,252 1.4% 12 8
4) Hyaluronic acid (Hylaform, Restylane) 1,593,554 ^B 13.9% 2 2
5) Poly-L-Lactic Acid (Sculptra) 44,696 0.4% 21 12
Totals - Nonsurgical Procedures 9,533,980 83.2%
TOTALS 11,456,768 100.0%

* 81.4% of these procedures used saline implants and 18.6% used silicone implants.
**Breast reduction may be covered by insurance, depending on terms of the policy and individual patient factors.
*** 17.4% of these procedures were ultrasound-assisted lipoplasty (UAL)..
**** 6.8% of these procedures were performed with ablative lasers and 93.2% were performed with nonablative lasers..
*****53.5% of these procedures used bovine-derived collagen products and 46.5% used human-derived collagen products.
Source: The American Society for Aesthetic Plastic Surgery

2006 National Average for Physician/Surgeon Fees Per Procedure
Procedure Physician/Surgeon Fees Table National Average Total Expenditures
Abdominoplasty $5,263 $907,651,429
Blepharoplasty $2,882 $605,210,185
Breast augmentation - silicone gel implants $3,813 $271,625,095
Breast augmentation - saline implants $3,544 $1,108,106,589
Breast lift $4,258 $536,061,727
Breast reduction (women)* $5,429 $791,678,946
Buttock augmentation $4,788 $12,235,966
Buttock lift $4,664 $21,233,817
Cheek implants $2,788 $13,574,616
Chin augmentation $2,142 $40,520,024
Facelift $6,532 $903,002,712
Forehead lift $3,255 $176,252,700
Gynecomastia, treatment of (male breast reduction) $3,409 $80,686,919
Hair transplantation $4,265 $56,887,065
Lip augmentation (other than injectable materials) $1,726 $15,148,319
Lipoplasty: Suction-assisted $2,868 $956,474,701
Lipoplasty: Ultrasound-assisted $2,936 $205,932,563
Lower body lift $7,708 $117,206,784
Otoplasty $3,063 $62,542,132
Rhinoplasty $4,277 $606,963,128
Thigh lift $4,589 $87,186,317
Upper arm lift $3,633 $56,088,909
Totals - Surgical Procedures $7,632,270,642
Botox injection $417 $1,326,367,287
Mesotherapy $385 $11,131,155
Chemical peel $870 $485,958,315
Dermabrasion (does not include microdermabrasion) $1,586 $48,527,160
Laser hair removal $373 $550,344,982
Laser skin resurfacing - Ablative $2,341 $92,240,815
Laser skin resurfacing - Nonablative $845 $454,015,447
Laser treatment of leg veins $362 $57,228,421
Microdermabrasion $162 $160,997,126
Sclerotherapy $329 $184,053,675
Soft Tissue Fillers: Autologous fat $1,450 $139,987,627
Calcium Hydroxylapatite $856 $65,965,896
Collagen, Bovine (includes Zyderm/Zyplast) $397 $34,000,624
Collagen, Human (incl. Alloderm/Cymetra, Autologen, CosmoDerm,
CosmoPlast, Dermalogen, Facian, Isolagen) $490 $36,529,508
Hyaluronic Acid (incl. Hylaform, Juvederm, Perlane/Restylane) $532 $848,191,987
Poly-L-Lactic Acid (Sculptra) $1,040 $46,474,303
Polymethyl Methacrylate (Artecoll, Artefill) ISD ISD
Totals - Nonsurgical Procedures $4,542,014,327
TOTALS - ALL PROCEDURES $12,174,284,969

2006 ASAPS Procedure Quick Facts

Surgical Procedures 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 $5,263 2-5 hours One Permanent 1-3 weeks
Breast Augmentation (saline)
Breast Augmentation (silicone) Small, disproportionate breasts $3,544
$3,813 1-2 hours One Permanent, possible implant replacement 1-2 weeks
Breast Lift Sagging, poorly shaped breasts $4,258 1 1/2-3 1/2 hours One Long-lasting 1-2 weeks
Breast Reduction Large, heavy, pendulous, or disproportionate breasts $5,429 2-4 hours One Permanent 1-2 weeks
Buttock Lift Sagging skin, excess fat, weakened muscles in thigh/buttocks area $4,664 2 hours One Long-lasting 10-14 days
Cheek Implants Poor facial contour $2,788 2 hours One Permanent 1-2 weeks
Chin Augmentation Receding chin $2,142 1 hour One Permanent 1-2 weeks
Ear Surgery Protruding or disproportionate ears $3,063 2-3 hours One Permanent 5 days
Eyelid Surgery Excess fat, wrinkled, drooping skin of upper eyelids; bags, puffiness under eyes $2,882 1-3 hours One Long-lasting Within 10 days
Facelift Loose skin, deep lines, wrinkles, jowls $6,532 2-3 hours One Long-lasting Within 2 weeks
Forehead Lift Sagging, low eyebrows, forehead creases, frown lines $3,255 1-2 hours One Long-lasting Within 10 days
Gynecomastia, Treatment of Enlarged male breasts $3,409 2 hours One Permanent 1 week
Hair Transplantation Hair loss with the availability of healthy hair in donor areas $4,265 Several hours Multiple sessions over 1-2 years, Permanent Several days
Lip augmentation (surgical) Thin lips $1,726 1 hour One Permanent Within 1 week
Lipoplasty (suction-assisted)
Lipoplasty (ultrasound-assisted) Normal weight with isolated fatty areas $2,868
$2,936 45 minutes - 2 hours One Permanent 1-2 weeks
Lower Body Lift Skin laxity without significant fat deposits $7,708 Up to 8 hours One Long-lasting Up to 4 weeks
Rhinoplasty Nose too large, wide, or tip needs reshaping $4,277 1-2 hours One Permanent 7-10 days
Thigh Lift Loose, excess skin $4,589 2 hours One Long-lasting 2-4 weeks
Upper Arm Lift Excess skin and fat on underside of arm $3,633 2 hours One Long-lasting 1-2 weeks
* National average; surgeon fees are based on ASAPS 2006 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.
Source: The American Society for Aesthetic Plastic Surgery

Non-surgical Procedures Best Candidate Physician/Surgeon Fees* Length of Procedure Number of Treatments Results** Back to Work
Botox Frown lines and crow's feet $417 30 minutes Repeat treatments 4-6 months, Temporary No downtime
Cellulite Treatment (mechanical roller massage therapy) Dimpled thighs and buttocks $223 30-45 minutes Ongoing Temporary No downtime
Chemical Peel (ranges from light to deep) Sun-damaged or unevenly pigmented skin $870 1/2 hour-3 hours Depends on type of peel, One or multiple Depends on type of peel, Long-lasting Depends on type of peel
Dermabrasion Acne, wrinkles around mouth, sun-damaged skin $1,586 A few minutes - 1 1/2 hours Multiple sessions Long-lasting 7-10 days
Laser Hair Removal Unwanted hair on face or body $373 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 $2,341 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 $362 30 minutes - 1 hour Multiple sessions Permanent No downtime
Microdermabrasion Fine lines, crow's feet, age spots, acne scars $162 30 minutes - 1 hour Multiple sessions, 2-3 week intervals Temporary No downtime
Sclerotherapy Spider veins $329 30 minutes - 1 hour 3-4 Treatments Permanent No downtime
Soft Tissue Fillers
1) Autologous Fat Folds, lips, frown lines, and facial recontouring $1,450 1 hour 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 $856 Less than 1 hour Repeat treatments 2 years or longer, Temporary No downtime
3) Collagen Frown lines, crow's feet, nasolabial folds $397 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 $532 Less than 1 hour Repeat treatments, 4 months � 1 year Temporary No downtime

Source: The American Society for Aesthetic Plastic Surgery

2006 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 2006
Top Five Non-Surgical Cosmetic Procedures in 2006
Cosmetic Surgery Trends By Gender
Cosmetic Surgery Trends: Surgical and Non-Surgical Totals (Compares 1997-2006)

Graphs Courtesy of The American Society for Aesthetic Plastic Surgery.