2015 Statistics

Liposuction No Longer the Most Popular Surgical Procedure According to New Statistics

American Society for Aesthetic Plastic Surgery reports 10.2 Million Cosmetic Procedures in 2008

NEW YORK, NY (March 16, 2009) – Over 10.2 million cosmetic surgical and nonsurgical procedures were performed in the United States in 2008, according to statistics released today by the American Society for Aesthetic Plastic Surgery. The Aesthetic Society, after collecting multi-specialty procedural statistics since 1997, says the overall number of cosmetic procedures has increased 162 percent since the collection of the statistics first began. The most frequently performed nonsurgical procedure was Botox injections and the most popular surgical procedure was Breast Augmentation.

"For the first time in the twelve years these statistics have been collected liposuction is a runner up in popularity to breast augmentation. There is no doubt that this turnabout will generate discussions in the medical community and the public at large," Alan Gold, MD, Aesthetic Society president, reflects that "changes in fashion, i.e. décolletage baring styles, might be a factor behind this change."

TRENDS AND DEMOGRAPHIC DATA

Top surgical and nonsurgical cosmetic procedures among men and women in 2008:

Surgical

# procedures

Nonsurgical

# procedures

Breast Augmentation:

355,671

Botox

2,464,123

Lipoplasty (Liposuction)

341,144

Laser Hair Removal

1,280,964

Eyelid Surgery

195,104

Hyaluronic Acid

(including Hylaform, Juvederm, Perlane/Restylane)

1,262,848

Rhinoplasty

152,434

Chemical Peel

591,808

Abdominoplasty

147,392

Laser Skin Resurfacing

570,880

Top cosmetic procedures for WOMEN:

Surgical

# procedures

Nonsurgical

# procedures

Breast augmentation

355,671

Botox

2,239,024

Lipoplasty

309,692

Hyaluronic Acid

(including Hylaform, Juvederm, Perlane/Restylane)

1,200,420

Eyelid surgery

166,426

Laser Hair Removal

1,101,255

Abdominoplasty

143,005

Chemical Peel

554,492

Breast Reduction

139,926

Laser Skin Resurfacing

532,008


Women had almost 92 percent of cosmetic procedures. The number of procedures (surgical and nonsurgical) performed on women was over 9.3 million, a decrease of over 11 percent from the previous year. Surgical procedures decreased 15 percent; nonsurgical procedures decreased by 11 percent. Since 1997, surgical procedures increased 104 percent, while nonsurgical procedures have increased 233 percent.

Top cosmetic procedures for MEN:

Surgical

# procedures

Nonsurgical

# procedures

Liposuction

31,453

Botox injection

225,099

Rhinoplasty

30,174

Laser hair removal

179,708

Eyelid Surgery

28,678

Hyaluronic Acid

(including Hylaform, Juvederm, Perlane/Restylane)

62,428

Gynecomastia

19,124

IPL laser treatment

46,887

Hair transplantation

18,062

Microdermabrasion

39,824


Men had over 8 percent of cosmetic procedures. The number of procedures (surgical and nonsurgical) performed on men was over 800,000 a decrease of over 21 percent from the previous year. Surgical procedures decreased 18 percent; nonsurgical procedures decreased 22 percent. Since 1997, surgical procedures have decreased over 15 percent while nonsurgical procedures have increased 239 percent.

Frequency of cosmetic procedures by AGE GROUP:

% of total

Age

# procedures

Top surgical procedure

Top nonsurgical procedure

45%

35-50

4.6 million

Liposuction

Botox

26%

51-64

2.7 million

Eyelid Surgery

Botox

22%

19-34

2.2 million

Breast augmentation

Laser Hair Removal

6%

65 and over

634,667

Eyelid Surgery

Botox

2%

18 and under

160,283

Rhinoplasty

Laser Hair Removal

Racial and Ethnic Distribution

Racial and ethnic minorities accounted for 20 percent of all cosmetic procedures in 2008. Hispanics again led minority racial and ethnic groups in the number of procedures: Hispanics, 8 percent; African-Americans, 6 percent; Asians, 4 percent; and other non-Caucasians, 2 percent.

Location and Fees

Over fifty-three percent (53 percent) of cosmetic procedures in 2008 were performed in office-based facilities; 26 percent in freestanding surgicenters; and 19 percent in hospitals. Americans spent just under $12 billion on cosmetic procedures; $7.2 billion was for surgical procedures, and $4.6 billion was for nonsurgical procedures.

About the ASAPS Cosmetic Surgery National Data Bank

ASAPS, working with an independent research firm, compiled the 12-year national data for procedures performed 1997-2008. A paper-based questionnaire was mailed to 16,000 Board-Certified physicians (6,000 Dermatologists, 6,000 Otolarynologists, and 4,000 Plastic Surgeons). A total of 894 completed and valid responses (461 Plastic Surgeons, 277 Dermatologists, and 156 Otolaryngologists) were received in time for tabulation.

Final figures have been projected to reflect nationwide statistics and are based exclusively on the Board-Certified Plastic Surgeons; Otolaryngologists; and Dermatologists. The findings have been aggregated and extrapolated to the known population of 23,600 physicians who are Board Certified in these specialties. Though the confidence intervals change by procedure, depending on the grouping’s sample size and the response variance, the overall survey portion of this research has a standard error of +/- 3.21% at a 95% level of confidence.

Quick Facts: Highlights of the ASAPS 2008 Statistics on Cosmetic Surgery:

There were over 10 million surgical and nonsurgical cosmetic procedures performed in the United States in 2008, as reported by the American Society for Aesthetic Plastic Surgery (ASAPS). Surgical procedures accounted for 17% of the total with nonsurgical procedures making up 83% of the total.

From 2007-2008, there was over a 12 percent decrease in the total number of cosmetic procedures. Surgical procedures decreased by 15 percent, and nonsurgical procedures decreased by almost 12 percent.

The top five nonsurgical cosmetic procedures in 2008 were: Botox injection (2,464,123 procedures); laser hair removal (1,280,964 procedures); hyaluronic acid (1,262,848 procedures); chemical peel (591,808 procedures); and laser skin resurfacing (570,880 procedures).

Women had over 9.3 million cosmetic procedures, almost 92% percent of the total. The number of cosmetic procedures for women decreased over 11 percent from 2007.

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

People age 35-50 had the most procedures – over 4.5 million and 45 percent of the total. People age 19-34 had 22 percent of procedures; age 51-64 had 26 percent; age 65-and-over had 6 percent; and age 18-and-younger had almost 2 percent.

Where cosmetic surgeries were performed: office facility, 53 percent, hospital 19 percent; and free- standing surgicenter, 26 percent.

Of the doctors surveyed 74 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.

Since 1997, there has been over 162 percent increase in the total number of cosmetic procedures. Surgical procedures increased by almost 80 percent, and nonsurgical procedures increased by over 233 percent.

The top five surgical cosmetic procedures in 2008 were: breast augmentation (355,671 procedures); liposuction (341,144procedures); eyelid surgery (195,104 procedures); rhinoplasty (152,434 procedures); and abdominoplasty (147,392 procedures).

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

Men had over 800,000 cosmetic procedures, 8 percent of the total. The number of cosmetic procedures for men decreased over 21 percent from 2007.

The most common procedures for age 18-and-under were: laser hair removal, chemical peel, microdermabrasion, rhinoplasty and IPL laser treatment.

Racial and ethnic minorities, as of last year, had approximately 20 percent of all cosmetic procedures, a decrease of 1 percent from 2007: Hispanics, 8 percent; African-Americans, 6 percent; Asians, 4 percent; and other non-Caucasians, 2 percent.

Americans spent almost $11.8 billion on cosmetic procedures last year. Figures may not add exactly to totals and percentages may not equal 100 percent due to rounding.

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

$5,232

2-5 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 - Saline

Small, disproportionate breasts

$3,583

1-2 hours

One

Permanent possible implant replacement

1-2 weeks

Breast Augmentation - Silicone

Small, 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

$223

30-45 minutes

Ongoing

Temporary

No downtime

Cheek Implants

 

$2,720

2 hours

One

Permanent

1-2 weeks

Chemical Peel
(ranges from light to deep)

Sun-damaged or unevenly pigmented skin

$848

½ hour-3 hours
Depends on type of peel

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

$2,951

2-3 hours

One

Permanent

5 days

Eyelid Surgery

Excess fat, wrinkled, drooping skin of upper eyelids; bags, puffiness under eyes

$2,813

1-3 hours

One

Long-lasting

Within 10 days

Facelift

Loose 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

Gynecomastia, treatment 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 ½ 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-assisted

Normal 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

$398-488

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

$527

Less 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

2008 Graphs Top 5 Surgical Procedures: 1997-2008

Top 5 Surgical Procedures

Top 5 Non-Surgical Procedures

Top 5 Procedures for Women

Top 5 Procedures for Men

Statistics courtesy of The American Society for Aesthetic Plastic Surgery