Highlights of the ASAPS 2005 Statistics on Cosmetic Surgery

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:

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 2005

Statistics courtesy of The American Society for Aesthetic Plastic Surgery