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)*** | 403,684 1 | 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.
|
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 |
|
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. |
|
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. |
|
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:
1. Botox injections at 3,294,782 up 16 percent from 2004
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
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 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
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