2008 Cosmetic Surgery Statistics

Statistics

2008 Cosmetic Surgery Statistics

Liposuction No Longer the Most Popular Surgical Procedure According to New Statistics

American Society for Aesthetic Plastic Surgery reports 10.2 Million Cosmetic Procedures in 2008

NEW YORK, NY (March 16, 2009) – Over 10.2 million cosmetic surgical and nonsurgical procedures were performed in the United States in 2008, according to statistics released today by the American Society for Aesthetic Plastic Surgery. The Aesthetic Society, after collecting multi-specialty procedural statistics since 1997, says the overall number of cosmetic procedures has increased 162 percent since the collection of the statistics first began. The most frequently performed nonsurgical procedure was Botox injections and the most popular surgical procedure was Breast Augmentation.

"For the first time in the twelve years these statistics have been collected liposuction is a runner up in popularity to breast augmentation. There is no doubt that this turnabout will generate discussions in the medical community and the public at large," Alan Gold, MD, Aesthetic Society president, reflects that "changes in fashion, i.e. décolletage baring styles, might be a factor behind this change."

TRENDS AND DEMOGRAPHIC DATA

Top surgical and nonsurgical cosmetic procedures among men and women in 2008:
Surgical	# procedures	Nonsurgical	# procedures
Breast Augmentation:	355,671	Botox	2,464,123
Lipoplasty (Liposuction)	341,144	Laser Hair Removal	1,280,964
Eyelid Surgery	195,104	Hyaluronic Acid (including Hylaform, Juvederm, Perlane/Restylane)	1,262,848
Rhinoplasty	152,434	Chemical Peel	591,808
Abdominoplasty	147,392	Laser Skin Resurfacing	570,880

Top cosmetic procedures for WOMEN:
Surgical	# procedures	Nonsurgical	# procedures
Breast augmentation	355,671	Botox	2,239,024
Lipoplasty	309,692	Hyaluronic Acid (including Hylaform, Juvederm, Perlane/Restylane)	1,200,420
Eyelid surgery	166,426	Laser Hair Removal	1,101,255
Abdominoplasty	143,005	Chemical Peel	554,492
Breast Reduction	139,926	Laser Skin Resurfacing	532,008
Women had almost 92 percent of cosmetic procedures. The number of procedures (surgical and nonsurgical) performed on women was over 9.3 million, a decrease of over 11 percent from the previous year. Surgical procedures decreased 15 percent; nonsurgical procedures decreased by 11 percent. Since 1997, surgical procedures increased 104 percent, while nonsurgical procedures have increased 233 percent.

Top cosmetic procedures for MEN:
Surgical	# procedures	Nonsurgical	# procedures
Liposuction	31,453	Botox injection	225,099
Rhinoplasty	30,174	Laser hair removal	179,708
Eyelid Surgery	28,678	Hyaluronic Acid (including Hylaform, Juvederm, Perlane/Restylane)	62,428
Gynecomastia	19,124	IPL laser treatment	46,887
Hair transplantation	18,062	Microdermabrasion	39,824
Men had over 8 percent of cosmetic procedures. The number of procedures (surgical and nonsurgical) performed on men was over 800,000 a decrease of over 21 percent from the previous year. Surgical procedures decreased 18 percent; nonsurgical procedures decreased 22 percent. Since 1997, surgical procedures have decreased over 15 percent while nonsurgical procedures have increased 239 percent.

Frequency of cosmetic procedures by AGE GROUP:
% of total	Age	# procedures	Top surgical procedure	Top nonsurgical procedure
45%	35-50	4.6 million	Liposuction	Botox
26%	51-64	2.7 million	Eyelid Surgery	Botox
22%	19-34	2.2 million	Breast augmentation	Laser Hair Removal
6%	65 and over	634,667	Eyelid Surgery	Botox
2%	18 and under	160,283	Rhinoplasty	Laser Hair Removal

Racial and Ethnic Distribution

Racial and ethnic minorities accounted for 20 percent of all cosmetic procedures in 2008. Hispanics again led minority racial and ethnic groups in the number of procedures: Hispanics, 8 percent; African-Americans, 6 percent; Asians, 4 percent; and other non-Caucasians, 2 percent.

Location and Fees

Over fifty-three percent (53 percent) of cosmetic procedures in 2008 were performed in office-based facilities; 26 percent in freestanding surgicenters; and 19 percent in hospitals. Americans spent just under $12 billion on cosmetic procedures; $7.2 billion was for surgical procedures, and $4.6 billion was for nonsurgical procedures.

About the ASAPS Cosmetic Surgery National Data Bank

ASAPS, working with an independent research firm, compiled the 12-year national data for procedures performed 1997-2008. A paper-based questionnaire was mailed to 16,000 Board-Certified physicians (6,000 Dermatologists, 6,000 Otolarynologists, and 4,000 Plastic Surgeons). A total of 894 completed and valid responses (461 Plastic Surgeons, 277 Dermatologists, and 156 Otolaryngologists) were received in time for tabulation.

Final figures have been projected to reflect nationwide statistics and are based exclusively on the Board-Certified Plastic Surgeons; Otolaryngologists; and Dermatologists. The findings have been aggregated and extrapolated to the known population of 23,600 physicians who are Board Certified in these specialties. Though the confidence intervals change by procedure, depending on the grouping’s sample size and the response variance, the overall survey portion of this research has a standard error of +/- 3.21% at a 95% level of confidence.

Quick Facts: Highlights of the ASAPS 2008 Statistics on Cosmetic Surgery:

There were over 10 million surgical and nonsurgical cosmetic procedures performed in the United States in 2008, as reported by the American Society for Aesthetic Plastic Surgery (ASAPS). Surgical procedures accounted for 17% of the total with nonsurgical procedures making up 83% of the total.

From 2007-2008, there was over a 12 percent decrease in the total number of cosmetic procedures. Surgical procedures decreased by 15 percent, and nonsurgical procedures decreased by almost 12 percent.

The top five nonsurgical cosmetic procedures in 2008 were: Botox injection (2,464,123 procedures); laser hair removal (1,280,964 procedures); hyaluronic acid (1,262,848 procedures); chemical peel (591,808 procedures); and laser skin resurfacing (570,880 procedures).

Women had over 9.3 million cosmetic procedures, almost 92% percent of the total. The number of cosmetic procedures for women decreased over 11 percent from 2007.

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

People age 35-50 had the most procedures – over 4.5 million and 45 percent of the total. People age 19-34 had 22 percent of procedures; age 51-64 had 26 percent; age 65-and-over had 6 percent; and age 18-and-younger had almost 2 percent.

Where cosmetic surgeries were performed: office facility, 53 percent, hospital 19 percent; and free- standing surgicenter, 26 percent.

Of the doctors surveyed 74 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.

Since 1997, there has been over 162 percent increase in the total number of cosmetic procedures. Surgical procedures increased by almost 80 percent, and nonsurgical procedures increased by over 233 percent.

The top five surgical cosmetic procedures in 2008 were: breast augmentation (355,671 procedures); liposuction (341,144procedures); eyelid surgery (195,104 procedures); rhinoplasty (152,434 procedures); and abdominoplasty (147,392 procedures).

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

Men had over 800,000 cosmetic procedures, 8 percent of the total. The number of cosmetic procedures for men decreased over 21 percent from 2007.

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

Racial and ethnic minorities, as of last year, had approximately 20 percent of all cosmetic procedures, a decrease of 1 percent from 2007: Hispanics, 8 percent; African-Americans, 6 percent; Asians, 4 percent; and other non-Caucasians, 2 percent.

Americans spent almost $11.8 billion on cosmetic procedures last year. Figures may not add exactly to totals and percentages may not equal 100 percent due to rounding.

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		$2,720	2 hours	One	Permanent	1-2 weeks
Chemical Peel (ranges from light to deep)	Sun-damaged or unevenly pigmented skin	$848	½ hour-3 hours Depends on type of peel	One or multiple Depends on type of peel	Long-lasting	Depends on type of peel
Chin Augmentation	Receding chin	$2,095	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 ½ 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