2007 Cosmetic Surgery Statistics

Statistics

2007 Cosmetic Surgery Statistics

Highlights of the ASAPS 2007 Statistics on Cosmetic Surgery

NEW YORK, NY (February 25, 2008) – Nearly 11.7 million cosmetic surgical and nonsurgical procedures were performed in the United States in 2007, according to statistics released today by the American Society for Aesthetic Plastic Surgery. The Aesthetic Society, which has been collecting multi-specialty procedural statistics since 1997 says the overall number of cosmetic procedures has increased 457 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.

"Our statistics confirm that aesthetic plastic surgery is not defined by race or gender," said Aesthetic Society president Foad Nahai, MD. "The number of surgical and nonsurgical procedures performed on men increased 17 percent since last year, and 22 percent of the aesthetic procedures were performed on traditional racial and ethnic minorities."

TRENDS AND DEMOGRAPHIC DATA

Top surgical and nonsurgical cosmetic procedures among men and women in 2007:

Surgical	# procedures	Nonsurgical	# procedures
Liposuction	456,828	Botox	2,775,176
Breast Augmentation	399,440	Hyaluronic Acid (Hylaform, Juvederm, Restylane)	1,448,716
Eyelid surgery	240,763	Laser Hair Removal	1,412,657
Abdominoplasty	185,335	Microdermabrasion	829,658
Female breast reduction	153,087	Laser Skin Resurfacing	647,707

Top cosmetic procedures for WOMEN

Surgical	# procedures	Nonsurgical	# procedures
Breast augmentation	399,440	Botox	2,445,656
Lipoplasty	398,848	Hyaluronic Acid (Hylaform, Juvederm, Restylane)	1,364,533
Eyelid surgery	208,199	Laser Hair Removal	1,226,974
Abdominoplasty	180,457	Microdermabrasion	743,748
Breast Reduction	153,087	IPL Laser Treatment	584,530

Women had 91 percent of cosmetic procedures. The number of procedures (surgical and nonsurgical) performed on women was over 10.6 million, an increase of 1 percent from the previous year. Surgical procedures increased 9 percent; nonsurgical procedures decreased by less than 1 percent. Since 1997, surgical procedures increased 142 percent, while nonsurgical procedures have increased 743 percent.

Top cosmetic procedures for MEN:

Surgical	# procedures	Nonsurgical	# procedures
Liposuction	57,980	Botox injection	329,519
Eyelid surgery	32,564	Laser hair removal	185,684
Rhinoplasty	31,713	Microdermabrasion	85,910
Male breast reduction	20,280	Hyaluronic Acid (Hylaform, Juvederm, Restylane) 84,184
Hair transplantation	16,491	IP laser treatment	63,177

Men had 9 percent of cosmetic procedures. The number of procedures (surgical and nonsurgical) performed on men was just over 1 million, an increase of 17 percent from the previous year. Surgical procedures increased 5 percent; nonsurgical procedures increased 21 percent. Since 1997, surgical procedures have increased 3 percent while nonsurgical procedures have increased 886 percent.

Frequency of cosmetic procedures by AGE GROUP:

% of total	Age	# procedures	Top surgical procedure	Top nonsurgical procedure
47%	35-50	5.4 million	Liposuction	Botox
25%	51-64	2.9 million	Eyelid Surgery	Botox
21%	19-34	2.4 million	Breast augmentation	Laser Hair Removal
6%	65 and over	700,096	Eyelid Surgery	Botox
2%	18 and under	205,119	Cosmetic ear surgery Laser Hair Removal

Racial and Ethnic Distribution

Traditional racial and ethnic minorities accounted for 22 percent of all cosmetic procedures in 2007. Hispanics again led minority racial and ethnic groups in the number of procedures: Hispanics, 9 percent; African-Americans, 6 percent; Asians, 5 percent; and other non-Caucasians, 2 percent.

Location and Fees

Almost fifty-four percent (54 percent) of cosmetic procedures in 2007 were performed in office-based facilities; 28 percent in freestanding surgicenters; and 17 percent in hospitals. Americans spent just over $13 billion on cosmetic procedures; $8.3 billion was for surgical procedures, and $4.7 billion was for nonsurgical procedures.

Quick Facts 2007

There were nearly 11.7 million surgical and nonsurgical cosmetic procedures performed in the United States in 2007, as reported by the American Society for Aesthetic Plastic Surgery (ASAPS). Surgical procedures accounted for nearly 18% of the total with nonsurgical procedures making up 82% of the total.

From 2006-2007, there was a 2 percent increase in the total number of cosmetic procedures. Surgical procedures increased by 8 percent, and nonsurgical procedures increased by 1 percent.

Since 1997, there has been a 457 percent increase in the total number of cosmetic procedures. Surgical procedures increased by 114 percent, and nonsurgical procedures increased by 754 percent.

The top five surgical cosmetic procedures in 2007 were: liposuction (456,828 procedures); breast augmentation (399,440 procedures); eyelid surgery (240,763 procedures); abdominoplasty (185,335 procedures); and breast reduction (153,087 procedures).

The top five nonsurgical cosmetic procedures in 2007 were: Botox injection (2,775,176 procedures); hyaluronic acid (1,448,716 procedures); laser hair removal (1,412,657 procedures); microdermabrasion (829,658 procedures); and IPL laser treatment (647,707 procedures).

Women had nearly 10.6 million cosmetic procedures, 91% percent of the total. The number of cosmetic procedures for women increased 1 percent from 2006.

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

Men had nearly 1.1 million cosmetic procedures, 9 percent of the total. The number of cosmetic procedures for men increased 17 percent from 2006.

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

People age 35-50 had the most procedures – 5.4 million and 46 percent of the total. People age 19-34 had 21 percent of procedures; age 51-64 had 25 percent; age 65-and-over had 6 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, chemical peel, otoplasty (ear reshaping) and rhinoplasty.

Traditional racial and ethnic minorities, as of last year, had approximately 21 percent of all cosmetic procedures, an decrease of 1 percent from 2006: Hispanics, 9 percent; African-Americans, 6 percent; Asians, 5 percent; and other non-Caucasians, 2 percent.

Where cosmetic surgeries were performed: office facility, 54 percent, hospital 17 percent; and free-standing surgicenter, 29 percent.

Of the doctors surveyed 70 percent say they do not offer "spa" services (e.g. wraps, facials, massages) in conjunction with their medical practices. 86 percent of the doctors say they do not work in conjunction with medical spas where nonsurgical procedures, such as injections and laser procedures are performed.

Americans spent just under $13.2 billion on cosmetic procedures last year.

Figures may not add exactly to totals and percentages may not equal 100 percent due to rounding.

2007 National Average for Physician/Surgeon Fees Per Procedure

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

Breast reduction may be covered by insurance, depending on terms of the policy and individual patient factors. Fees may vary.

Figures are for physician/surgeon fees only and do not include fees for the surgical facility, anesthesia, medical tests, prescriptions, surgical garments, or other miscellaneous costs related to surgery. Figures for procedures often performed on more than one site in the same session reflect typical fees for one site.

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.

ASAPS Procedure Quick Facts

Surgical Procedures	Best Candidate	Physician/Surgeon Fees*	Length of Procedure	Number ofTreatments	Results**	Back to Work
Abdominoplasty (tummy tuck)	Protruding abdomen; excess fat and skin; weak abdominal muscles	$5,350	2-5 hours	One	Permanent	1-3 weeks
Breast Augmentation (saline) Breast Augmentation (silicone)	Small, disproportionate breasts	$3,690 $4,087	1-2 hours	One	Permanent possible implant replacement	1-2 weeks
Breast Lift	Sagging, poorly shaped breasts	$4,341	1 1/2-3 1/2 hours	One	Long-lasting	1-2 weeks
Breast Reduction	Large, heavy, pendulous, or disproportionate breasts	$5,417	2-4 hours	One	Permanent	1-2 weeks
Buttock Lift	Sagging skin, excess fat, weakened muscles in thigh/buttocks area	$4,885	2 hours	One	Long-lasting	10-14 days
Cheek Implants	Poor facial contour	$2,840	2 hours	One	Permanent	1-2 weeks
Chin Augmentation	Receding chin	$2,254	1 hour	One	Permanent	1-2 weeks
Otoplasty (cosmetic ear surgery)	Protruding or disproportionate ears	$3,085	2-3 hours	One	Permanent	5 days
Blepharoplasty (cosmetic eyelid surgery)	Excess fat, wrinkled, drooping skin of upper eyelids; bags, puffiness under eyes	$2,840	1-3 hours	One	Long-lasting	Within 10 days
Facelift	Loose skin, deep lines, wrinkles, jowls	$6,792	2-3 hours	One	Long-lasting	Within 2 weeks
Forehead Lift	Sagging, low eyebrows, forehead creases, frown lines	$3,337	1-2 hours	One	Long-lasting	Within 10 days
Gynecomastia, Treatment of	Enlarged male breasts	$3,455	2 hours	One	Permanent	1 week
Hair Transplantation	Hair loss with the availability of healthy hair in donor areas	$5,874	Several hours	Multiple sessions over 1-2 years	Permanent	Several days
Lip augmentation (surgical)	Thin lips	$1,611	1 hour	One	Permanent	Within 1 week
Lipoplasty (suction-assisted) Lipoplasty (ultrasound-assisted)	Normal weight with isolated fatty areas	$2,920$2,963	45 minutes - 2 hours	One	Permanent	1-2 weeks
Lower Body Lift	Skin laxity without significant fat deposits	$8,043	Up to 8 hours	One	Long-lasting	Up to 4 weeks
Rhinoplasty	Nose too large, wide, or tip needs reshaping	$4,357	1-2 hours	One	Permanent	7-10 days
Thigh Lift	Loose, excess skin	$4,783	2 hours	One	Long-lasting	2-4 weeks
Upper Arm Lift	Excess skin and fat on underside of arm	$3,864	2 hours	One	Long-lasting	1-2 weeks

* 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 2007

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]