11.5 million cosmetic procedures in 2005
American Society for Aesthetic Plastic Surgery reports 1% increase in surgical procedures
Feb 24, 2006
American Society for Aesthetic Plastic Surgery (ASAPS)
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 222% 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, M.D. "While some procedures are down, these areas continue to increase; breast augmentation by 9% and breast lift by 23%. 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 Procedures
Top surgical and nonsurgical cosmetic procedures among all Americans in 2005:
| Cosmetic Surgical | No. of Procedures | Cosmetic Nonsurgical | No. of Procedures |
|---|---|---|---|
| Liposuction | 455,489 | Botox | 3,294,782 |
| Breast Augmentation | 364,610 | Laser Hair Removal | 1,566,909 |
| Blepharoplasty (Eyelid Surgery) | 231,467 | Hyaluronic Acid (Hylaform, Restylane) | 1,194,222 |
| Rhinoplasty (Nse Reshaping) | 200,924 | Microdermabrasion | 1,023,931 |
| Abdominoplasty (Tummy Tuck) | 169,314 | Chemical Peel | 556,172 |
Procedures for Women
Top cosmetic procedures for women:
| Cosmetic Surgical | No. of Procedures | Cosmetic Nonsurgical | No. of Procedures |
|---|---|---|---|
| Liposuction | 402,946 | Botox | 2,990,658 |
| Breast Augmentation | 364,610 | Laser Hair Removal | 1,334,669 |
| Blepharoplasty (Eyelid Surgery) | 198,099 | Hyaluronic Acid (Hylaform, Restylane) | 1,149,228 |
| Abdominoplasty (Tummy Tuck) | 164,073 | Microdermabrasion | 939,508 |
| Breast Reduction | 160,531 | Chemical Peel | 533,009 |
Women had 91% of cosmetic procedures. The number of procedures (surgical and nonsurgical) performed on women was nearly 10.5 million, a decrease of 2% from the previous year. Surgical procedures increased 2% and nonsurgical procedures decreased 3%.
Procedures for Men
Top cosmetic procedures for men:
| Cosmetic Surgical | No. of Procedures | Cosmetic Nonsurgical | No. of Procedures |
|---|---|---|---|
| Liposuction | 52,543 | Botox | 304,124 |
| Rhinoplasty (Nose Reshaping) | 45,945 | Laser Hair Removal | 232,240 |
| Blepharoplasty (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% of cosmetic procedures. The number of procedures (surgical and nonsurgical) performed on men was nearly 1 million, a decrease of 15% from the previous year. Surgical procedures decreased 9% and nonsurgical procedures decreased 18%.
Procedures by Age Group
Frequency of cosmetic procedures by age group:
| Age | Percentage of Total | No. of procedures | Top Surgical Procedure | Top Nonsurgical Procedure |
|---|---|---|---|---|
| 35-50 | 47 | 5.3 million | Liposuction | Botox |
| 51-64 | 23 | 2.7 million | Blepharoplasty (Eyelid Surgery) | Botox |
| 19-34 | 24 | 2.7 million | Breast Augmentation | Laser Hair Removal |
| 65 and over | 4 | 530,139 | Blepharoplasty (Eyelid Surgery) | Botox |
| 18 and under | 2 | 174,851 | Rhinoplasty (Nose Reshaping) | Laser Hair Removal |
Racial and Ethnic Distribution
Racial and ethnic minorities accounted for 20% of all cosmetic procedures in 2005. Hispanics again led minority racial and ethnic groups in the number of procedures: Hispanics 9%, African-Americans 6%, Asians 4% other non-Caucasians 1%.
Location and Fees
Just over 48.3% of cosmetic procedures in 2005 were performed in office-based facilitie, 27.9% in freestanding surgicenters and 23.8% 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.
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 results of the survey were used to project national data. The survey data has a standard error of +/-3.61% at a 95% level of confidence.