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Cosmetic Plastic Surgery Research
Statistics and Trends for 2007

2007 ASAPS News Release
2007 Statistics
2007 Quick Facts
2007 Consumer Attitudes Survery
2007 Graphs

2010 Statistics
2009 Statistics
2008 Statistics
2006 Statistics
2005 Statistics
2004 Statistics
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2001 Statistics

11.7 COSMETIC PROCEDURES IN 2007
American Society for Aesthetic Plastic Surgery reports 8% increase in surgical procedures January 3, 2000

NEW YORK, NY (February 25, 2008) – Nearly 11.7 million cosmetic surgical and nonsurgical procedures were performed in the United States in 2007, according to statistics released today by the American Society for Aesthetic Plastic Surgery. The Aesthetic Society, which has been collecting multi-specialty procedural statistics since 1997 says the overall number of cosmetic procedures has increased 457 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.

"Our statistics confirm that aesthetic plastic surgery is not defined by race or gender," said Aesthetic Society president Foad Nahai, MD. "The number of surgical and nonsurgical procedures performed on men increased 17 percent since last year, and 22 percent of the aesthetic procedures were performed on traditional racial and ethnic minorities."

TRENDS AND DEMOGRAPHIC DATA

Top surgical and nonsurgical cosmetic procedures among men and women in 2007:
Surgical # procedures Nonsurgical # procedures
Liposuction 456,828 Botox 2,775,176
Breast Augmentation 399,440 Hyaluronic Acid (Hylaform, Juvederm, Restylane) 1,448,716
Eyelid surgery 240,763 Laser Hair Removal 1,412,657
Abdominoplasty 185,335 Microdermabrasion 829,658
Female breast reduction 153,087 Laser Skin Resurfacing 647,707

Top cosmetic procedures for WOMEN
Surgical # procedures Nonsurgical # procedures
Breast augmentation 399,440 Botox 2,445,656
Lipoplasty 398,848 Hyaluronic Acid (Hylaform, Juvederm, Restylane) 1,364,533
Eyelid surgery 208,199 Laser Hair Removal 1,226,974
Abdominoplasty 180,457 Microdermabrasion 743,748
Breast Reduction 153,087 IPL Laser Treatment 584,530

Women had 91 percent of cosmetic procedures. The number of procedures (surgical and nonsurgical) performed on women was over 10.6 million, an increase of 1 percent from the previous year. Surgical procedures increased 9 percent; nonsurgical procedures decreased by less than 1 percent. Since 1997, surgical procedures increased 142 percent, while nonsurgical procedures have increased 743 percent.

Top cosmetic procedures for MEN:
Surgical # procedures Nonsurgical # procedures
Liposuction 57,980 Botox injection 329,519
Eyelid surgery 32,564 Laser hair removal 185,684
Rhinoplasty 31,713 Microdermabrasion 85,910
Male breast reduction 20,280 Hyaluronic Acid (Hylaform, Juvederm, Restylane) 84,184
Hair transplantation 16,491 IP laser treatment 63,177

Men had 9 percent of cosmetic procedures. The number of procedures (surgical and nonsurgical) performed on men was just over 1 million, an increase of 17 percent from the previous year. Surgical procedures increased 5 percent; nonsurgical procedures increased 21 percent. Since 1997, surgical procedures have increased 3 percent while nonsurgical procedures have increased 886 percent.

Frequency of cosmetic procedures by AGE GROUP:
% of total Age # procedures Top surgical procedure Top nonsurgical procedure
47% 35-50 5.4 million Liposuction Botox
25% 51-64 2.9 million Eyelid Surgery Botox
21% 19-34 2.4 million Breast augmentation Laser Hair Removal
6% 65 and over 700,096 Eyelid Surgery Botox
2% 18 and under 205,119 Cosmetic ear surgery Laser Hair Removal

Racial and Ethnic Distribution
Traditional racial and ethnic minorities accounted for 22 percent of all cosmetic procedures in 2007. Hispanics again led minority racial and ethnic groups in the number of procedures: Hispanics, 9 percent; African-Americans, 6 percent; Asians, 5 percent; and other non-Caucasians, 2 percent.

Location and Fees
Almost fifty-four percent (54 percent) of cosmetic procedures in 2007 were performed in office-based facilities; 28 percent in freestanding surgicenters; and 17 percent in hospitals. Americans spent just over $13 billion on cosmetic procedures; $8.3 billion was for surgical procedures, and $4.7 billion was for nonsurgical procedures.

Quick Facts 2007
There were nearly 11.7 million surgical and nonsurgical cosmetic procedures performed in the United States in 2007, as reported by the American Society for Aesthetic Plastic Surgery (ASAPS). Surgical procedures accounted for nearly 18% of the total with nonsurgical procedures making up 82% of the total.

From 2006-2007, there was a 2 percent increase in the total number of cosmetic procedures. Surgical procedures increased by 8 percent, and nonsurgical procedures increased by 1 percent.

Since 1997, there has been a 457 percent increase in the total number of cosmetic procedures. Surgical procedures increased by 114 percent, and nonsurgical procedures increased by 754 percent.

The top five surgical cosmetic procedures in 2007 were: liposuction (456,828 procedures); breast augmentation (399,440 procedures); eyelid surgery (240,763 procedures); abdominoplasty (185,335 procedures); and breast reduction (153,087 procedures).

The top five nonsurgical cosmetic procedures in 2007 were: Botox injection (2,775,176 procedures); hyaluronic acid (1,448,716 procedures); laser hair removal (1,412,657 procedures); microdermabrasion (829,658 procedures); and IPL laser treatment (647,707 procedures).

Women had nearly 10.6 million cosmetic procedures, 91% percent of the total. The number of cosmetic procedures for women increased 1 percent from 2006.

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

Men had nearly 1.1 million cosmetic procedures, 9 percent of the total. The number of cosmetic procedures for men increased 17 percent from 2006.

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

People age 35-50 had the most procedures – 5.4 million and 46 percent of the total. People age 19-34 had 21 percent of procedures; age 51-64 had 25 percent; age 65-and-over had 6 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, chemical peel, otoplasty (ear reshaping) and rhinoplasty.

Traditional racial and ethnic minorities, as of last year, had approximately 21 percent of all cosmetic procedures, an decrease of 1 percent from 2006: Hispanics, 9 percent; African-Americans, 6 percent; Asians, 5 percent; and other non-Caucasians, 2 percent.

Where cosmetic surgeries were performed: office facility, 54 percent, hospital 17 percent; and free-standing surgicenter, 29 percent.

Of the doctors surveyed 70 percent say they do not offer "spa" services (e.g. wraps, facials, massages) in conjunction with their medical practices. 86 percent of the doctors say they do not work in conjunction with medical spas where nonsurgical procedures, such as injections and laser procedures are performed.

Americans spent just under $13.2 billion on cosmetic procedures last year.
Figures may not add exactly to totals and percentages may not equal 100 percent due to rounding.

2007 National Average for Physician/Surgeon Fees Per Procedure
Source: The American Society for Aesthetic Plastic Surgery for statistical data

  • Breast reduction may be covered by insurance, depending on terms of the policy and individual patient factors. Fees may vary.
  • Figures are for physician/surgeon fees only and do not include fees for the surgical facility, anesthesia, medical tests, prescriptions, surgical garments, or other miscellaneous costs related to surgery. Figures for procedures often performed on more than one site in the same session reflect typical fees for one site.

    Procedure National Average Total Expenditures
    Abdominoplasty $5,350 $991,544,589
    Blepharoplasty (cosmetic eyelid surgery) $2,840 $683,766,194
    Breast augmentation - silicone gel implants $4,087 $644,001,114
    Breast augmentation - saline implants $3,690 $892,490,535
    Breast lift $4,341 $547,740,074
    Breast reduction (women) $5,417 $829,274,709
    Buttock augmentation $4,250 $22,629,543
    Buttock lift $4,885 $18,501,921
    Cheek implants $2,840 $6,833,664
    Chin augmentation $2,254 $41,135,210
    Facelift $6,792 $938,332,057
    Forehead lift $3,337 $203,954,225
    Gynecomastia, treatment of (male breast reduction) $3,455 $70,068,803
    Hair transplantation $5,874 $115,596,766
    Lip augmentation (other than injectable materials) $1,611 $17,194,980
    Lipoplasty: Suction-assisted $2,920 $1,065,095,608
    Lipoplasty: Ultrasound-assisted $2,963 $272,800,583
    Lower body lift $8,043 $102,232,154
    Otoplasty (cosmetic ear surgery) $3,085 $87,655,016
    Rhinoplasty $4,357 $661,376,647
    Thigh lift $4,783 $88,156,130
    Upper arm lift $3,864 $84,503,776
    Vaginal rejuvenation $2,434 $10,967,459
    Total - Surgical Procedures $8,395,851,754
    Botox injection $380 $1,054,566,736
    Chemical peel $718 $412,907,539
    Dermabrasion (does not include microdermabrasion) $1,544 $50,902,583
    Fraxel $1,130 $189,106,682
    IPL Laser Treatment $411 $266,207,571
    Noninvasive Tightening $1,194 $308,332,955
    Injection lipolysis (mesotherapy/lipodissolve) $905 $32,630,717
    Laser hair removal $387 $546,698,426
    Laser skin resurfacing - Ablative $2,418 $189,630,089
    Laser skin resurfacing - Nonablative $580 $250,256,567
    Laser treatment of leg veins $462 $84,127,009
    Microdermabrasion $130 $107,855,592
    Sclerotherapy $377 $177,808,006
    Soft Tissue Fillers: Autologous fat $1,546 $68,869,664
    Calcium Hydroxylapatite (Radiance) $803 $95,876,016
    Collagen, Bovine (includes Zyderm/Zyplast) $397 $7,183,853
    Collagen, Human (incl. Alloderm/Cymetra, Autologen, CosmoDerm,
    CosmoPlast, Dermalogen, Facian, Isolagen)     		$542 $24,755,136
    Hyaluronic Acid (incl. Hylaform, Juvederm, Perlane/Restylane) $576 $834,460,585
    Poly-L-Lactic Acid (Sculptra) $1,027 $35,915,975
    Polymethyl Methacrylate (Artecoll, Artefill) $1,180 $14,248,622
    Total - Nonsurgical Procedures $4,752,340,323
    Total - All Procedures $13,148,192,077

  • Final figures are projected to reflect nationwide statistics and are based on a survey of doctors who have been certified by American Board of Medical Specialties recognized boards, including but not limited to the American Board of Plastic Surgery. The survey portion of this research has a standard of error +/- 3.25 at a 95% level of confidence.

  • Figures for procedures include but are not limited to those performed by ASAPS members. ASAPS members are plastic surgeons certified by the American Board of Plastic Surgery who specialize in cosmetic surgery of the face and the entire body.

  • Component figures may not add exactly to totals and percentages may not equal 100% due to rounding.

    • ASAPS Procedure Quick Facts
    Surgical Procedures Best Candidate Physician/Surgeon Fees* Length of Procedure Number ofTreatments Results** Back to Work
    Abdominoplasty (tummy tuck) Protruding abdomen; excess fat and skin; weak abdominal muscles $5,350 2-5 hours One Permanent 1-3 weeks
    Breast Augmentation (saline)
    Breast Augmentation (silicone)    		 Small, disproportionate breasts $3,690
    $4,087     		1-2 hours One Permanent possible implant replacement 1-2 weeks
    Breast Lift Sagging, poorly shaped breasts $4,341 1 1/2-3 1/2 hours One Long-lasting 1-2 weeks
    Breast Reduction Large, heavy, pendulous, or disproportionate breasts $5,417 2-4 hours One Permanent 1-2 weeks
    Buttock Lift Sagging skin, excess fat, weakened muscles in thigh/buttocks area $4,885 2 hours One Long-lasting 10-14 days
    Cheek Implants Poor facial contour $2,840 2 hours One Permanent 1-2 weeks
    Chin Augmentation Receding chin $2,254 1 hour One Permanent 1-2 weeks
    Otoplasty (cosmetic ear surgery) Protruding or disproportionate ears $3,085 2-3 hours One Permanent 5 days
    Blepharoplasty (cosmetic eyelid surgery) Excess fat, wrinkled, drooping skin of upper eyelids; bags, puffiness under eyes $2,840 1-3 hours One Long-lasting Within 10 days
    Facelift Loose skin, deep lines, wrinkles, jowls $6,792 2-3 hours One Long-lasting Within 2 weeks
    Forehead Lift Sagging, low eyebrows, forehead creases, frown lines $3,337 1-2 hours One Long-lasting Within 10 days
    Gynecomastia, Treatment of Enlarged male breasts $3,455 2 hours One Permanent 1 week
    Hair Transplantation Hair loss with the availability of healthy hair in donor areas $5,874 Several hours Multiple sessions over 1-2 years Permanent Several days
    Lip augmentation (surgical) Thin lips $1,611 1 hour One Permanent Within 1 week
    Lipoplasty (suction-assisted)
    Lipoplasty (ultrasound-assisted)    		 Normal weight with isolated fatty areas $2,920$2,963 45 minutes - 2 hours One Permanent 1-2 weeks
    Lower Body Lift Skin laxity without significant fat deposits $8,043 Up to 8 hours One Long-lasting Up to 4 weeks
    Rhinoplasty Nose too large, wide, or tip needs reshaping $4,357 1-2 hours One Permanent 7-10 days
    Thigh Lift Loose, excess skin $4,783 2 hours One Long-lasting 2-4 weeks
    Upper Arm Lift Excess skin and fat on underside of arm $3,864 2 hours One Long-lasting 1-2 weeks

    * National average; surgeon fees are based on ASAPS 2007 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.

    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 $380 30 minutes Repeat treatments 4-6 months Temporary No downtime
    Chemical Peel (ranges from light to deep) Sun-damaged or unevenly pigmented skin $718 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 $1,544 A few minutes - 1 1/2 hours Multiple sessions Long-lasting 7-10 days
    Laser Hair Removal Unwanted hair on face or body $387 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 $2,418 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 $462 30 minutes - 1 hour Multiple sessions Permanent No downtime
    Microdermabrasion Fine lines, crow's feet, age spots, acne scars $130 30 minutes - 1 hour Multiple sessions 2-3 week intervals Temporary No downtime
    Sclerotherapy Spider veins $377 30 minutes - 1 hour 3-4 Treatments Injections Permanent No downtime

    Soft Tissue Fillers
    1) Autologous Fat Folds, lips, frown lines, and facial recontouring $1,546 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 $803 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 $576 Less than 1 hour Repeat treatments 4 months – 1 year Temporary No downtime

    * National average; surgeon fees are based on ASAPS 2007 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.

    Consumers Attitudes Survey 2008

    Americans' general approval of cosmetic surgery

  • 56% of women say they approve of cosmetic surgery
  • 57% of men say they approve of cosmetic surgery

    • Would consider cosmetic surgery for self, now or in the future

  • 31% of women
  • 20% of men

    • Would not be embarrassed about having cosmetic surgery

  • 78% of women say that, if they had cosmetic surgery in the future, they would not be embarrassed if people outside their immediate family and close friends knew about it
  • 79% of men would not be embarrassed

    • Would consider cosmetic surgery for self, now or in the future, by age [includes both men and women]

  • 10% of Americans age 65 or older
  • 21% of 55-64 year olds
  • 27% of 45-54 year olds
  • 34% of 35-44 year olds
  • 34% of 25-34 year olds
  • 27% of 18-24 year olds

    • Would consider cosmetic surgery for self, now or in the future, by marital status [includes both men and women]

  • 26% of married Americans
  • 25% of unmarried Americans

    • Would consider cosmetic surgery for self, now or in the future, by race/ethnicity [includes both men and women]

  • 27% of white Americans
  • 24% of non-white Americans

    • Would consider cosmetic surgery for self, now or in the future, by child in household [includes both men and women]

  • 29% of Americans with child in household
  • 24% of Americans with no child in household

    • 2007 GRAPHS

    2007

    American Society for Aesthetic Plastic Surgery reports slight increase from 2005

    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."


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