2015 Statistics

Highlights of the ASAPS 2006 Statistics on Cosmetic Surgery

NEW YORK, NY (March 09, 2007) - Nearly 11.5 million cosmetic surgical and nonsurgical procedures were performed in the United States in 2006, according to statistics released today by the American Society for Aesthetic Plastic Surgery (ASAPS). Compared to 2005, cosmetic surgical and nonsurgical increased 1 percent. The Aesthetic Society, which has been collecting multi-specialty procedural statistics since 1997 says the overall number of cosmetic procedures has increased 446 percent 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 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). 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)***

403,684 1

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%/p>

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.

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 (Radiance)

$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**</p>

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)

Statistics courtesy of The American Society for Aesthetic Plastic Surgery