2015 Statistics

Highlights of the ASAPS 2007 Statistics on Cosmetic Surgery

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 2007

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

    Statistics courtesy of The American Society for Aesthetic Plastic Surgery