Cosmetic Plastic Surgery Statistics

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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.

* 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

11.5 MILLION COSMETIC PROCEDURES IN 2006

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."

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). J 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)*** 403,684¹ 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%

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.
Source: The American Society for Aesthetic Plastic Surgery

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 $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** 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)

Graphs Courtesy of The American Society for Aesthetic Plastic Surgery.

2005 ASAPS News Release

American Society for Aesthetic Plastic Surgery Reports 1 Percent Increase in Surgical Procedures
NEW YORK, NY (February 24, 2006) — Nearly 11.5 million cosmetic surgical and nonsurgical procedures were performed in the United States in 2005, according to statistics released today by the American Society for Aesthetic Plastic Surgery (ASAPS). Compared to 2004, surgical procedures increased 1% to 2.1 million, while nonsurgical procedures declined 4% to 9.3 million. The Aesthetic Society which has been collecting multi-specialty procedural statistics since 1997 says the overall number of cosmetic procedures has increased 444% 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 surgical portion of the statistics show interesting results in the breast augmentation and breast lift areas,” said Aesthetic Society president Mark L. Jewell, MD. “While some procedures are down, these areas continue to increase; breast augmentation by 9 percent and breast lift by 23 percent. This also marks the first year that we have segmented the device used for breast augmentation, saline or silicone. This should give us significant trending data when silicone devices are approved by the FDA.”

TRENDS AND DEMOGRAPHIC DATA

Top surgical and nonsurgical cosmetic procedures among ALL AMERICANS in 2005:

Surgical # procedures Nonsurgical # procedures

Liposuction
455,489 Botox 3,294,782

Breast augmentation 364,610 Laser hair removal 1,566,909

Eyelid surgery 231,467 Hyaluronic acid
(Hylaform, Restylane) 1,194,222

Rhinoplasty 200,924 Microdermabrasion 1,023,931

Abdominoplasty 169,314 Chemical Peel 556,172

Top cosmetic procedures for WOMEN:

Surgical # procedures Nonsurgical
# procedures

Liposuction 402,946 Botox 2,990,658

Breast augmentation 364,610 Laser hair removal 1,334,669

Eyelid surgery 198,099 Hyaluronic acid
(Hylaform, Restylane) 1,149,228

Tummy Tuck 164,073 Microdermabrasion 939,508

Breast Reduction 160,531 Chemical Peel 533,009

Women had 91 percent of cosmetic procedures. The number of procedures (surgical and nonsurgical) performed on women was nearly 10.5 million, a decrease of 2 percent from the previous year. Surgical procedures increased 2 percent; nonsurgical procedures decreased 3 percent.

Top cosmetic procedures for MEN:

Surgical # procedures Nonsurgical
# procedures

Liposuction 52,543 Botox 304,124

Rhinoplasty 45,945 Laser hair removal 232,240

Eyelid surgery 33,369 Microdermabrasion 84,423

Male breast reduction 17,730 Hyaluronic acid
(Hylaform, Restylane) 44,994

Facelift
13,041 Laser Skin Resurfacing 43,083

Men had 9 percent of cosmetic procedures. The number of procedures (surgical and nonsurgical) performed on men was nearly 1 million, a decrease of 15 percent from the previous year. Surgical procedures decreased 9 percent; nonsurgical procedures decreased 18 percent.

Frequency of cosmetic procedures by AGE GROUP:

Age % of total # procedures Top surgical procedure Top nonsurgical procedure

35-50 47% 5.3 million Liposuction Botox

51-64 23% 2.7 million Eyelid Surgery Botox

19-34 24% 2.7 million Breast Augmentation Laser Hair Removal

65 and over 4% 530,139 Eyelid Surgery Botox

18 and under 2% 174,851 Rhinoplasty Laser Hair Removal

Racial and Ethnic Distribution
Racial and ethnic minorities accounted for 20 percent of all cosmetic procedures in 2005. 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, 1 percent.

Location and Fees
Just over forty-eight percent (48.3 percent) of cosmetic procedures in 2005 were performed in office-based facilities; 27.9 percent in freestanding surgicenters; and 23.8 percent in hospitals. Americans spent just under $12.4 billion on cosmetic procedures; $8.2 billion was for surgical procedures, and $4.2 billion was for nonsurgical procedures.

About the ASAPS Cosmetic Surgery National Data Bank
ASAPS, working with an independent research firm, compiled 9-year data for procedures performed 1997-2005 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 r esults of the survey were used to project national data. The survey data has a standard error of +/-3.61 percent at a 95 percent level of confidence.

Courtesey of The American Society for Aesthetic Plastic Surgery (ASAPS).

Cosmetic Surgery Quick Facts: 2005 ASAPS Statistics

Highlights of the ASAPS 2005 Statistics on Cosmetic Surgery There were nearly 11.5 million surgical and nonsurgical procedures performed in the United States, as reported by the American Society for Aesthetic Plastic Surgery (ASAPS). Surgical procedures accounted for nearly 19% of the total with nonsurgical procedures making up 81% of the total.

From 2004-2005, there was a decrease of 4 percent in the total number of cosmetic procedures. Surgical procedures showed an increase of 1% with nonsurgical procedures falling by 4 percent

Since 1997 there has been an increase of 444 percent in the total number of cosmetic procedures. Surgical procedures have increased by 119 percent, nonsurgical procedures by 726 percent.

The top five surgical procedures cosmetic procedures in 2005 were:

1. Lipoplasty (Liposuction) with 455,489 procedures performed, down five percent from last year. Interestingly, 21% of these procedures were ultrasound-assisted Lipoplasty (UAL)

2. Breast Augmentation with 364,610 procedures up nine percent from 2004. For the first time, we categorized saline vs. silicone augmentation. 83.4 percent of respondents used the saline device, 16.6 percent the silicone implant.

3. Blepharoplasty (cosmetic eyelid surgery) came in third with 231,467 procedures down 20 percent from 2004

4. Rhinoplasty (nose reshaping) is the forth most common procedure with 200,924 procedures performed, an increase of 21 percent over 2004

5. Abdominoplasty (tummy tuck) reported 169,314 procedures, up 12 percent from 2004.

The top five nonsurgical cosmetic procedures in 2005 were:

2. Laser hair removal at 1,566,909 up 11 percent from 2004

3. Hyaluronic acids (Hylaform, Restylane) at 1,194,222 up 35 percent from 2004

4. Microdermabrasion is the fourth most popular procedure with 1.023,931 performed in 2005, a decrease of 7 percent over last year

5. Chemical peels accounted for 556,172 procedures in 2005, down 50 percent from 2004.

Women had nearly 10,500,000 of the total cosmetic procedures performed in 2005 accounting for 91.4 percent of the total, declining 2 percent from 2004

The top five surgical procedures for women were Lipoplasty (liposuction), Breast Augmentation, Blepharoplasty (cosmetic eyelid surgery), and Abdominoplasty (tummy tuck), and Breast Lift.

Men had 985,000 procedures, approximately 9 percent of the total, down 15 percent from 2004.

The top five procedures for men in 2005 included Lipoplasty (Liposuction), Rhinoplasty (Nose reshaping), Blepharoplasty (cosmetic eyelid surgery), Male Breast Reduction and Facelift.

People between the ages of 35 and 50 had the majority of procedures: 5.3 million and 47 percent of the total. Those between 51 and 64 had 24 percent of the procedures, patient's between19 and 34 had 24 percent, those 65 and older had 5 percent and 18 and under accounted for 1.5 percent

The most common procedures for those 18 and under were Laser Hair Removal, Microdermabrasion, Rhinoplasty (Nose reshaping), Otoplasty (Cosmetic ear surgery) and Chemical Peel.

Racial and ethnic minorities as last year, had approximately 20 percent of all cosmetic procedures; Hispanics: 9 percent, African-Americans: 6 percent, Asians: 4 percent, all other non-Caucasians: 1.3 percent.

The majority of cosmetic procedures were performed in an office facility, 48 percent, with 28 percent performed in a free-standing surgi-center and 24 percent performed in a hospital.

Americans spent approximately $12.4 billion on cosmetic procedures last year.

Figures and totals have been rounded to the nearest percent.

COURTESY OF THE AMERICAN SOCIETY FOR AESTHETIC PLASTIC SURGERY (ASAPS).

2005 Quick Facts

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 n/a $2,720 2 hours One Permanent 1-2 weeks
Chemical Peel
(ranges from light to deep) Sun-damaged or unevenly pigmented skin $848 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 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 $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

* National average; surgeon fees are based on ASAPS 2005 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.

2005 Graphs

Top Five Surgical Cosmetic Procedures in 2005
Top Five Non-Surgical Cosmetic Procedures in 2005
Cosmetic Surgery Trends: Surgical and Non-Surgical Totals (Compares 1997, 1998, 1999, 2000, 2001, 2002 and 2003)
Regional Fees and National Averages in 2004

Graphs Courtesy of The American Society for Aesthetic Plastic Surgery.

Cosmetic Surgery Quick Facts: 2004 ASAPS Statistics

Highlights of the ASAPS 2004 Statistics on Cosmetic Surgery
There were nearly 11.9 million surgical and nonsurgical cosmetic procedures performed in 2004, according to the most comprehensive survey to date of U.S. physicians and surgeons by the American Society for Aesthetic Plastic Surgery (ASAPS). Surgical procedures represented 18 percent of the total, and nonsurgical procedures were 82 percent of the total.

From 2003-2004, there was a 44 percent increase in the total number of cosmetic procedures. Surgical procedures increased by 17 percent, and nonsurgical procedures increased by 51 percent.

Since 1997, there has been a 465 percent increase in the total number of cosmetic procedures. Surgical procedures increased by 118 percent, and nonsurgical procedures increased by 764 percent.

The top five surgical cosmetic procedures in 2004 were: liposuction (478,251, up 24 percent from 2003); breast augmentation (334,052, up 19 percent); eyelid surgery (290,343, up 8 percent); rhinoplasty (166,187, down 4 percent); and facelift (157,061, up 25 percent).

The top five nonsurgical cosmetic procedures in 2004 were: Botox injection (2,837,346, up 25 percent from 2003); laser hair removal (1,411,899, up 53 percent); chemical peel (1,110,401, up 54 percent); microdermabrasion (1,098,316, up 28 percent); and hyaluronic acid (Hylaform, Restylane) (882,469, up 659 percent).

Women had nearly 10.7 million cosmetic procedures, 90 percent of the total. The number of cosmetic procedures for women increased 49 percent from 2003.

The top five surgical procedures for women were: liposuction, breast augmentation, eyelid surgery, tummy tuck and facelift.

Men had nearly 1.2 million cosmetic procedures, 8 percent of the total. The number of cosmetic procedures for men increased 8 percent from 2003.

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

People age 35-50 had the most procedures — 5.3 million and 45 percent of the total. People age 51-64 had 25 percent of procedures; age 19-34 had 22 percent; age 65-and-over had 6 percent; and age 18-and-younger had 2 percent.

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

Racial and ethnic minorities had 20 percent of all cosmetic procedures. Hispanics, 8.5 percent; African-Americans, 6.2 percent; Asians, 4.6 percent; and other non-Caucasians, 1.1 percent.

Where cosmetic surgeries were performed: office facility, 46 percent; free-standing surgicenter, 29 percent; and hospital, 24 percent.

Americans spent just under $12.5 billion on cosmetic procedures in 2004.
Figures may not add exactly to totals and percentages may not equal 100% due to rounding.

COURTESY OF THE AMERICAN SOCIETY FOR AESTHETIC PLASTIC SURGERY (ASAPS).

2004 Quick Facts

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 $4,917 2-5 hours One Permanent 1-3 weeks
Botox Frown lines and crow's feet $387 30 minutes Repeat treatments
4-6 months Temporary No downtime
Breast Augmentation Small, disproportionate breasts $3,437 1-2 hours One Permanent, possible implant replacement 1-2 weeks
Breast Lift Sagging, poorly shaped breasts $4,053 1½-3½ hours One Long-lasting 1-2 weeks
Breast Reduction Large, heavy, pendulous, or disproportionate breasts $5,508 2-4 hours One Permanent 1-2 weeks
Buttock Lift Sagging skin, excess fat, weakened muscles in thigh/buttocks area $4,720 2 hours One Long-lasting 10-14 days
Cellulite Treatment
(mechanical roller massage therapy) Dimpled thighs and buttocks $160 30-45 minutes Ongoing Temporary No downtime
Cheek Implants n/a $2,694 2 hours One Permanent 1-2 weeks
Chemical Peel
(ranges from light to deep) Sun-damaged or unevenly pigmented skin Depends on type of peel One or multiple Depends on type of peel Long-lasting Depends on type of peel
Chin Augmentation Receding chin $2,024 1 hour One Permanent 1-2 weeks
Dermabrasion Acne, wrinkles around mouth, sun-damaged skin $1,590 A few minutes- 1½ hours Multiple sessions Long-lasting 7-10 days
Ear Surgery Protruding or disproportionate ears $2,914 2-3 hours One Permanent 5 days
Eyelid Surgery Excess fat, wrinkled, drooping skin of upper eyelids; bags, puffiness under eyes $2,666 1-3 hours One Long-lasting Within 10 days
Facelift Loose skin, deep lines, wrinkles, jowls $5,968 2-3 hours One Long-lasting Within 2 weeks
Forehead Lift Sagging, low eyebrows, forehead creases, frown lines $3,032 1-2 hours One Long-lasting Within 10 days
Gynecomastia Treatment of Enlarged male breasts $3,184 2 hours One Permanent 1 week
Hair Transplantation Hair loss with the availability of healthy hair in donor areas $3,690 Several hours Multiple sessions over 1-2 years Permanent Several days
Laser Hair Removal Unwanted hair on face or body $355 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 $2,241 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 $402 30 minutes - 1 hour Multiple sessions Permanent No downtime
Lip augmentation (surgical) Thin lips $1,701 1 hour One Permanent Within 1 week
Lipoplasty (liposuction) Normal weight with isolated fatty areas $2,704 45 minutes - 2 hours One Permanent 1-2 weeks
Lower Body Lift Skin laxity without significant fat deposits $7,625 Up to 8 hours One Long-lasting Up to 4 weeks
Microdermabrasion Fine lines, crow's feet, age spots, acne scars $146 Multiple sessions 2-3 week intervals Temporary No downtime
Rhinoplasty Nose too large, wide, or tip needs reshaping $4,047 1-2 hours One Permanent 7-10 days
Sclerotherapy Spider veins $317 30 minutes - 1 hour 3-4 treatments Injections Permanent No downtime
Soft Tissue Fillers
1) Autologous Fat Folds, lips, frown lines, and facial recontouring $1,300 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 $1,119 Less than 1 hour Repeat treatments 2 years or longer Temporary No downtime
3) Collagen Frown lines, crow's feet, nasolabial folds $389 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 $542 Less than 1 hour Repeat treatments 4 months – 1 year Temporary No downtime
Thigh Lift Loose, excess skin $4,487 2 hours One Long-lasting 2-4 weeks
Upper Arm Lift Excess skin and fat on underside of arm $3,527 2 hours One Long-lasting 1-2 weeks

* National average; surgeon fees are based on ASAPS 2004 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.

2004 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 our 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 2004
Top Five Non-Surgical Cosmetic Procedures in 2004
Cosmetic Surgery Trends: Surgical and Non-Surgical Totals (Compares 1997, 1998, 1999, 2000, 2001, 2002 and 2003)
Regional Fees and National Averages in 2004