Highlights of the ASAPS 2010 Statistics on Cosmetic Surgery

Demand for Plastic Surgery Rebounds by Almost 9%

American Society for Aesthetic Plastic Surgery reports almost 9.5 Million Cosmetic Procedures in 2010; surgical procedures account for 17 percent of total

NEW YORK, NY (April 4, 2011) – The demand for plastic surgery procedures increased almost 9% last year, according to statistics released today by the American Society for Aesthetic Plastic Surgery. The Aesthetic Society, which has collected multi-specialty procedural statistics since 1997, says the overall number of cosmetic procedures has increased 155 percent since the tracking of the statistics first began. Almost 9.5 million cosmetic surgical and nonsurgical procedures were performed in the United States in 2010. The most frequently performed surgical procedure was breast augmentation and the most popular nonsurgical procedure was injections of Botulinum Toxin Type A (including Botox and Dysport).

"These numbers mirror what we have been hearing across the country this past year," said Felmont EavesIII, MD, Aesthetic Society President. "Patients who put off surgery because of uncertainty in the economy and the job market are coming back for tried and true procedures. Growth in demand will likely continue as the recession eases and baby boomers and their offspring begin to explore surgical and nonsurgical options." Cosmetic surgical procedures increased almost 9 percent, with over 1.6 million procedures in 2010. Surgical procedures accounted for 17% of the total numbers of procedure performed representing 61% of total expenditures. The top five surgical procedures were:

Breast Augmentation (318,123)

Liposuction (289,016)

Eyelid surgery (152,123)

Abdominoplasty (144,929)

Breast Reduction (138,152)

Cosmetic minimally-invasive procedures decreased almost 9 percent, with nearly 8 million procedures in 2010. Nonsurgical procedures accounted for 83% of the total number of procedures performed representing 39% of total expenditures. The top five minimally-invasive procedures were:

Botulinum Toxin Type A (2,437,165 procedures)

Hyaluronic acid (1,315,121 procedures)

Laser hair removal (936,270 procedures)

Laser skin resurfacing (562,706 procedures)

Chemical peel (493,896 procedures)

Women had almost 8.6 million cosmetic procedures, 92 % of the total. The number of cosmetic procedures for women increased over 164% from 1997. The top five surgical procedures for women were: breast augmentation, liposuction, breast reduction, abdominoplasty, and eyelid surgery.

Men had over 750,000 cosmetic procedures, 8% of the total. The number of cosmetic procedures for men increased over 88% from 1997. The top five surgical procedures for men were: liposuction, rhinoplasty, eyelid surgery, breast reduction to treat enlarged male breast, and cosmetic ear surgery.

Americans spent nearly $10.7 billion on cosmetic procedures in 2010. Of that total almost $6.6 billion was spent on surgical procedures; $1.9 billion was spent on injectable procedures; $1.8 billion was spent on skin rejuvenation procedures; and almost $500 million was spent on other nonsurgical procedures including laser hair removal and laser treatment of leg veins.

About the ASAPS Cosmetic Surgery National Data Bank

ASAPS, working with an independent research firm, compiled the 14-year national data for procedures performed 1997-2010. A paper-based questionnaire was mailed to 22,000 Board-Certified physicians (8,500 Dermatologists, 8,000 Otolaryngologists, and 5,500 Plastic Surgeons). An online version of the questionnaire was also available to these physicians. A total of 938 completed and valid responses (420 Plastic Surgeons, 331 Dermatologists, and 187 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 24,500 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 +/- 3.14% at a 95% level of confidence.

About ASAPS

The American Society for Aesthetic Plastic Surgery (ASAPS), is recognized as the world’s leading organization devoted entirely to aesthetic plastic surgery and cosmetic medicine of the face and body. ASAPS is comprised of over 2,600 Plastic Surgeons; active members are certified by the American Board of Plastic Surgery (USA) or by the Royal College of Physicians and Surgeons of Canada and have extensive training in the complete spectrum of surgical and non-surgical aesthetic procedures. International active members are certified by equivalent boards of their respective countries. All members worldwide adhere to a strict Code of Ethics and must meet stringent membership requirements.

2010 National Totals for Cosmetic Procedures

Procedure	Number of Procedures	Rank within Category (Surgical/Nonsurgical)	Rank in 2006	Rank in 2002
Abdominoplasty (Tummy Tuck)	144,929	4	4	7
Autologous Fat	53,840	9	x	x
Blepharoplasty (Eyelid Surgery)	152,123	3	3	3
Breast augmentation*	318,123	1	2	2
Breast Lift	121,377	8	8	10
Breast Reduction (Women)**	138,152	5	5	5
Buttock Augmentation	7,034	18	19	19
Buttock Lift	3,929	19	18	18
Chin Aaugmentation	10,166	15	14	13
Facelift	127,512	7	7	6
Forehead Lift	26,514	10	10	8
Lip Augmentation (other than injectable materials)	8,638	17	17	12
Lipoplasty (Liposuction) ***	289,016	2	1	1
Lower Body Lift	9,147	16	16	16
Male Breast Reduction	18,256	13	11	14
Otoplasty (cosmetic ear surgery)	25,999	11	12	11
Rhinoplasty (nose reshaping)	133,511	6	6	4
Thigh Lift	15,366	14	13	17
Upper Arm Lift	18,659	12	15	15
Totals - Surgical Procedures	1,622,290
Injectables:
Botulinum Toxin (including Botox and Dysport)	2,437,1651	1
Calcium Hydroxylapatite (radiesse)	119,503	10
Collagen	53,652	14
Hyaluronic Acid (including Hylaform, Juvederm, Perlane/Restylane)	1,315,1212	2
Poly-l-latic acid (Sculptra)	59,376	13
Totals - Injectables	3,984,818
Skin Rejuvenation:
Chemical Peel	493,8965	5
Dermabrasion	22,763	15
Fraxel	102,016	11
IPl laser Treatment	381,480	8
Laser Skin Resurfacing****	562,7064	4
Microdermabrasion	450,744	6
Noninvasive Tightening	247,500	9
Totals - Skin Rejuvenation	2,261,105
Other:
Laser Hair Removal	936,2703	3
Laser Treatment of leg Veins	87,444	12
Sclerotherapy	444,887	7
Totals - Other Nonsurgical Procedures	1,468,601
Totals - Nonsurgical Procedures	7,714,524
TOTALS ALL PROCEDURES	9,336,814

* 38.0% of these procedures used saline implants and 62.0% used silicone implants.

** Breast Reduction may be covered by insurance, depending on terms of the policy and individual patient factors.

*** 21.3% of these procedures were Ultrasound-Assisted Lipoplasty (UAL).

**** 36.0% of these procedures were performed with ablative lasers and 64.0% were performed with nonablative lasers. Due to an insufficient sample of physicians who perform the following procedures, these items have been excluded from the results: cheek implants; Hair transplantation; Injection lipolysis; laser lipolysis; and Polymethyl methacrylate.

x = rankings for this procedure in prior years is not available. Prior year rankings have been adjusted for equal comparison.

Please Note: The Aesthetic Society Statistics Survey only asks how many procedures the surgeon being surveyed has performed. The number reported may not include all of the nonsurgical procedures being performed in a surgeon's office by physician assistants and nurse injectors. Future surveys will include these groups for injectable procedures.

Quick Facts: Highlights of the ASAPS 2010 Statistics on Cosmetic Surgery:

Surgical procedures accounted for 17% of the total number of procedures and 62% of total expenditures with nonsurgical procedures making up 83% of the total number of procedures and 38% of total expenditures.

From 2009-2010, there was almost a 9% increase in the total number of cosmetic surgical procedures, with over 1.6 million surgical procedure this year.

Since 1997, there has been over 155% increase in the total number of cosmetic procedures. Surgical procedures increased by more than 71%, and nonsurgical procedures increased by 228%.

The top five cosmetic surgical procedures in 2010 were: breast augmentation (318,123 procedures); liposuction (289,016 procedures); eyelid surgery (152,123 procedures); abdominoplasty (144,929 procedures); breast reduction (138,152 procedures).

The top five nonsurgical cosmetic procedures in 2010 were: Botulinum Toxin Type A (2,437,165 procedures); hyaluronic acid (1,315,121 procedures); laser hair removal (936,270 procedures); laser skin resurfacing (562,706 procedures); chemical peel (493,896 procedures).

Women had almost 8.6 million cosmetic procedures, 92% of the total. The number of cosmetic procedures for women increased over 164% from 1997.

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

Men had over 750,000 cosmetic procedures, 8% of the total. The number of cosmetic procedures for men increased over 88% from 1997.

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

Americans spent nearly $10.7 billion on cosmetic procedures in 2010. Of that total almost $6.6 billion was spent on surgical procedures; $1.9 billion was spent on injectable procedures; $1.8 billion was spent on skin rejuvenation procedures; and almost $500 million was spent on other nonsurgical procedures including laser hair removal and laser treatment of leg veins.

People age 35-50 had the most procedures – more than 4 million and 44% of the total. People age 19-34 had 20% of procedures; age 51-64 had 28%; age 65 and over had 7%; and age 18 and younger had 1.3%.

The most common procedures for age 35-50 were: Botulinum Toxin Type A, hyaluronic aAcid, laser hair removal, sclerotherapy, laser skin resurfacing.

Racial and ethnic minorities, as of last year, had approximately 19% of all cosmetic procedures: Hispanics, 8%; African-Americans, 6%; Asians, 4%; and other non-Caucasians, 1%.

Where cosmetic surgeries were performed: office facility, 56%; free-standing surgicenter, 24%; and hospital, 19%.

Of the doctors surveyed 75% reported they do not offer "spa" services (e.g. wraps, facials, massages) in conjunction with their medical practices. 88% of the doctors do not work in conjunction with medical spas where nonsurgical procedures, such as injections and laser procedures are performed. Figures may not add exactly to totals and percentages may not equal 100% due to rounding.

Source: American Society for Aesthetic Plastic Surgery

2010 Graphs

Statistics courtesy of The American Society for Aesthetic Plastic Surgery