2009 Plastic Surgery Statistics

2009 News Release
Despite Recession, Overall Plastic Surgery Demand Drops Only 2 Percent From Last Year
American Society for Aesthetic Plastic Surgery reports almost 10 Million Cosmetic Procedures in 2009

NEW YORK, NY (March 09, 2010) – Almost 10 million cosmetic surgical and nonsurgical procedures were performed in the United States in 2009, according to statistics released today by the American Society for Aesthetic Plastic Surgery. The Aesthetic Society, which has collected multi-specialty procedural statistics since 1997, says the overall number of cosmetic procedures has increased 147 percent since the tracking of the statistics first began. The most frequently performed nonsurgical procedure was injections of Botulinum Toxin Type A (including Botox and Dysport) and the most popular surgical procedure was breast augmentation.

"Plastic surgery is feeling the effects of the recession, just like many other sectors of the marketplace," said Renato Saltz, MD, Aesthetic Society President. "However, repeat patients and those putting off surgery, are likely the reason for the small growth in non-surgical cosmetic procedures. Growth in demand will likely return as the recession eases and baby boomer's offspring begin to explore surgical options."

TRENDS AND DEMOGRAPHIC DATA

Top surgical and nonsurgical cosmetic procedures among men and women in 2009:
Surgical	# procedures	Nonsurgical	# procedures
Breast augmentation	311,957	Botulinum Toxin Type A (Botox, Dysport)	2,557,068
Liposuction	283,735	Hyaluronic Acid (Hylaform, Restylane, Juvederm)	1,313,038
Eyelid surgery	149,943	Laser Hair Removal	1,280,031
Rhinoplasty	138,258	Microdermabrasion	621,943
Abdominoplasty	127,923	Chemical Peel	529,285

Top cosmetic procedures for WOMEN:
Surgical	# procedures	Nonsurgical	# procedures
Breast augmentation	311,957	Botulinum Toxin Type A (Botox, Dysport)	2,299,282
Lipoplasty	243,217	Hyaluronic Acid (Hylaform, Restylane,Juvederm)	1,221,820
Eyelid surgery	124,939	Laser Hair Removal	1,113,996
Abdominoplasty	123,041	Microdermabrasion	565,031
Breast Reduction	113,511	Chemical Peel	492,335
Women had 91 percent of cosmetic procedures. The number of procedures (surgical and nonsurgical) performed on women was more than 9 million, a decrease of 3.4 percent from the previous year. Since 1997, surgical procedures increased 67 percent, while nonsurgical procedures have increased 225 percent.

Top cosmetic procedures for MEN:
Surgical	# procedures	Nonsurgical	# procedures
Liposuction	40,519	Botulinum Toxin Type A (Botox, Dysport)	257,786
Rhinoplasty	32,661	Laser hair removal	166,035
Eyelid Surgery	25,004	Hyaluronic Acid (Hylaform, Restylane,Juvederm)	91,218
Male Breast Reduction	16,801	Microdermabrasion	56,912
Hair transplantation	13,064	Laser Skin Resurfacing	48,980
Men had 9 percent of cosmetic procedures. The number of procedures (surgical and nonsurgical) performed on men was more than 900,000 an increase of 9 percent from the previous year. Surgical procedures decreased 3 percent; nonsurgical procedures increased 11 percent. Since 1997, surgical procedures have decreased 18 percent while nonsurgical procedures have increased 290 percent.

Frequency of cosmetic procedures by AGE GROUP:
% of total	Age	# procedures	Top surgical procedure	Top nonsurgical procedure
45%	35-50	4.4 million	Liposuction	Botulinum Toxin Type A
27%	51-64	2.6 million	Eyelid Surgery	Botulinum Toxin Type A
20%	19-34	2.0 million	Breast augmentation	Laser Hair Removal
7%	65 and over	607,054	Eyelid Surgery	Botulinum Toxin Type A
2%	18 and under	203,308	Rhinoplasty	Laser Hair Removal

Racial and Ethnic Distribution
Racial and ethnic minorities accounted for 22 percent of all cosmetic procedures in 2009. Hispanics again led minority racial and ethnic groups in the number of procedures: Hispanics, 9 percent; African-Americans, 6 percent; Asians, 4 percent; and other non-Caucasians, 3 percent.

Location and Fees
Over fifty-eight percent (58 percent) of cosmetic procedures in 2009 were performed in office-based facilities; 23 percent in freestanding surgicenters; and 18 percent in hospitals. Americans spent almost $10.5 billion on cosmetic procedures; $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 the 13-year national data for procedures performed 1997-2009. A paper-based questionnaire was mailed to 21,000 Board-Certified physicians (8,500 Dermatologists, 7,000 Otolarynologists, and 5,500 Plastic Surgeons). A total of 928 completed and valid responses (410 Plastic Surgeons, 347 Dermatologists, and 171 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 24,000 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 +/- 3.15% at a 95% level of confidence.

Information provided courtesey of The American Society For Aesthetic Plastic Surgery (ASAPS)

2009 National Average for Physician/Surgeon Fees per Procedure

Procedure National Average Total Expenditures

Abdominoplasty (Tummy Tuck) $5,381 $688,368,659

Blepharoplasty (cosmetic eyelid surgery) $2,717 $407,389,099

Breast augmentation - silicone gel implants $3,860 $622,485,258

Breast augmentation - saline implants $3,541 $533,569,693

Breast lift $4,414 $433,831,244

Breast reduction (women)* $5,637 $639,846,115

Buttock augmentation $4,200 $20,982,782

Buttock lift $4,675 $14,136,208

Cheek implants $2,732 $4,653,003

Chin augmentation $2,269 $24,968,158

Facelift $6,881 $648,541,684

Forehead lift $3,276 $100,857,361

Gynecomastia, treatment of (male breast reduction) $3,294 $55,350,400

Hair transplantation $5,218 $94,003,332

Lip augmentation (other than injectable materials) $2,017 $15,804,594

Lipoplasty - Suction-assisted $2,803 $638,568,465

Lipoplasty - Ultrasound assisted $3,095 $173,015,144

Lower body lift $7,809 $57,045,682

Otoplasty (cosmetic ear surgery) $3,104 $67,720,477

Rhinoplasty (nose reshaping) $4,493 $621,162,356

Thigh lift $4,629 $54,610,655

Upper arm lift $3,878 $62,437,706

Vaginal rejuvenation $2,689 $6,803,534

Total - Surgical Procedures $5,986,151,608

Injectables:

Autologous fat $1,797 $76,453,649

Botulinum Toxin Type A (including Botox and Dysport) $397 $1,016,055,560

Calcium hydroxylapatite (Radiance) $680 $80,542,020

Collagen, Bovine $467 $11,820,431

Collagen, Human $508 $17,252,599

Hyaluronic Acid (including Hylaform, Juvederm, Perlane/Restylane) $562 $737,831,716

Poly-L-Latic Acid (Sculptra) $1,071 $42,326,452

Polymethyl Methacrylate (Artecoll, Artefill) $1,253 $8,798,877

Facial Rejuvenation:

Chemical Peel $719 $380,489,054

Dermabrasion $1,429 $31,052,716

Fraxel $1,337 $159,980,584

IPL Laser Treatment $477 $215,765,582

Laser Skin Resurfacing - ablative $2,424 $337,786,280

Laser Skin Resurfacing - nonablative $1,030 $384,060,170

Microdermabrasion $127 $78,931,699

Noninvasive Tightening $1,131 $311,289,310

Other:

Laser Hair Removal $331 $424,070,316

Laser Treatment of Leg Veins $402 $48,239,868

Sclerotherapy $332 $150,552,922

Totals - Nonsurgical Procedures $4,513,299,806

TOTALS ALL PROCEDURES $10,499,451,414

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.

Source: The American Society for Aesthetic Plastic Surgery for statistical data.

Quick Facts: Highlights of the ASAPS 2009 Statistics on Cosmetic Surgery:

There were almost 10 million surgical and nonsurgical cosmetic procedures performed in the United States in 2009, as reported by the American Society for Aesthetic Plastic Surgery (ASAPS). Surgical procedures accounted for 15% of the total with nonsurgical procedures making up 85% of the total.

From 2008-2009, there was a 2 percent decrease in the total number of cosmetic procedures. Surgical procedures decreased by 17 percent, and nonsurgical procedures increased by almost 1 percent.

Since 1997, there has been over 147 percent increase in the total number of cosmetic procedures. Surgical procedures increased by 50 percent, and nonsurgical procedures increased by 231 percent.

The top five nonsurgical cosmetic procedures in 2009 were: Botox injection (2,557,068 procedures); hyaluronic acid (1,313,038 procedures); laser hair removal (1,280,031 procedures); microdermabrasion (621,943 procedures) and chemical peel (529,285 procedures).

Women had over 9 million cosmetic procedures, over 90% percent of the total. The number of cosmetic procedures for women decreased over 3 percent from 2008.

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

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 � almost 4.5 million and 44 percent of the total. People age 19-34 had 20 percent of procedures; age 51-64 had 27 percent; age 65-and-over had 7 percent; and age 18-and-younger had 2 percent.

The most common procedures for age 18-and-under were: laser hair removal, microdermabrasion, rhinoplasty chemical peel and Botulinum Toxin Type A (including Botox and Dysport).

Where cosmetic surgeries were performed: office facility, 58 percent; hospital, 18 percent; and free-standing surgicenter, 23 percent.

Of the doctors surveyed 75 percent say they do not offer "spa" services (e.g. wraps, facials, massages) in conjunction with their medical practices. 88 percent of the doctors say they do not work in conjunction with legitimate medical spas where nonsurgical procedures, such as injections and laser procedures are performed.

The top five cosmetic surgical procedures in 2009 were: breast augmentation (311,957 procedures); liposuction (283,735procedures); eyelid surgery (149,943 procedures); rhinoplasty (138,258 procedures); and abdominoplasty (127,923 procedures).

Men had over 900,000 cosmetic procedures, over 9 percent of the total. The number of cosmetic procedures for men increased over 8 percent from 2008. Racial and ethnic minorities, as of last year, had approximately 20 percent of all cosmetic procedures, a decrease of 1 percent from 2008: Hispanics, 9 percent; African-Americans, 6 percent; Asians, 4 percent; and other non-Caucasians, 3 percent.

Americans spent almost $10.5 billion on cosmetic procedures in 2009

Figures may not add exactly to totals and percentages may not equal 100 percent due to rounding.
Information provided courtesey of The American Society For Aesthetic Plastic Surgery (ASAPS)

2009 Graphs