11.5 million cosmetic procedures in 2006
American Society for Aesthetic Plastic Surgery reports slight increase from 2005
March 9, 2007
American Society for Aesthetic Plastic Surgery (ASAPS)
Nearly 11.5 million cosmetic surgical and nonsurgical procedures were performed in the United States in 2006, according to statistics released today by the American Society for Aesthetic Plastic Surgery (ASAPS). Compared to 2005, cosmetic surgical and nonsurgical increased 1%. The Aesthetic Society, which has been collecting multi-specialty procedural statistics since 1997 says the overall number of cosmetic procedures has increased 446% 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 FDA approval of silicone breast implants in late 2006 seems to have made an impact, as silicone implants are up 18% from 2005. For the first time breast augmentation is the top surgical procedure for women, although lipoplasty continues to be the top overall surgical procedure as it has been since the Aesthetic Society started collecting nationwide procedural statistics in 1997," said Aesthetic Society president James Stuzin, M.D. "Furthermore, as the safety and efficacy of the nonsurgical procedures on the market continue to improve the numbers of those procedures performed by board-certified plastic surgeons continues to rise year after year."
Trends and Demographic Data
Top Procedures
Top surgical and nonsurgical cosmetic procedures among men and women in 2006:
| Cosmetic Surgical | No. of Procedures | Cosmetic Nonsurgical | No. of Procedures |
|---|---|---|---|
| Liposuction | 403,684 | Botox | 3,181,592 |
| Breast Augmentation | 383,886 | Hyaluronic Acid (Hylaform, Restylane) | 1,593,554 |
| Eyelid Surgery | 209,999 | Laser Hair Removal | 1,475,296 |
| Abdominoplasty | 172,457 | Microdermabrasion | 993,071 |
| Female Breast Reduction | 169,314 | Laser Skin Resurfacing | 556,172 |
Procedures for Women
Top cosmetic procedures for women:
| Cosmetic Surgical | No. of Procedures | Cosmetic Nonsurgical | No. of Procedures |
|---|---|---|---|
| Breast Augmentation | 383,885 | Botox | 2,881,119 |
| Lipoplasty | 350,420 | Hyaluronic Acid (Hylaform, Restylane) | 1,519,923 |
| Eyelid Surgery | 182,397 | Laser Hair Removal | 1,308,739 |
| Abdominoplasty | 164,800 | Microdermabrasion | 921,970 |
| Breast Reduction | 145,822 | Sclerotherapy | 541,291 |
Women had 92% of cosmetic procedures. The number of procedures (surgical and nonsurgical) performed on women was over 10.5 million, an increase of 1% from the previous year. Surgical procedures decreased 9% and nonsurgical procedures decreased 4%. Since 1997, surgical procedures increased 123%, while nonsurgical procedures have increased 749%.
Procedures for Men
Top cosmetic procedures for men:
| Cosmetic Surgical | No. of Procedures | Cosmetic Nonsurgical | No. of Procedures |
|---|---|---|---|
| Liposuction | 53,263 | Botox | 300,472 |
| Rhinoplasty | 33,143 | Laser Hair Removal | 166,557 |
| Eyelid Surgery | 27,602 | Hyaluronic Acid (Hylaform, Restylane) | 73,634 |
| Male Breast Reduction | 23,670 | Microdermabrasion | 71,102 |
| Facelift | 14,051 | Laser Skin Resurfacing | 48,451 |
Men had 8% of cosmetic procedures. The number of procedures (surgical and nonsurgical) performed on men was nearly 1 million, a decrease of 5% from the previous year. Surgical procedures decreased 9% and nonsurgical procedures decreased 3%. Since 1997, surgical procedures have decreased 2%, while nonsurgical procedures have increased 722%.
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 | 4.5 million | Liposuction | Botox |
| 51-64 | 26 | 2.9 million | Eyelid Surgery | Botox |
| 19-34 | 20 | 2.5 million | Breast Augmentation | Laser Hair Removal |
| 65 and over | 5 | 589,229 | Eyelid Surgery | Botox |
| 18 and under | 1 | 178,041 | Rhinoplasty | Laser Hair Removal |
Racial and Ethnic Distribution
Racial and ethnic minorities accounted for 21.7% of all cosmetic procedures in 2006. Hispanics again led minority racial and ethnic groups in the number of procedures: Hispanics 9.7%, African-Americans 6.6%, Asians 4.7% and other non-Caucasians 0.8%.
Location and Fees
46% of cosmetic procedures in 2006 were performed in office-based facilities 28.9% in freestanding surgicenters and 24.8% in hospitals. Americans spent just under $12.2 billion on cosmetic procedures: $7.6 billion was for surgical procedures and $4.5 billion was for nonsurgical procedures.
ASAPS Cosmetic Surgery National Data Bank
ASAPS, working with an independent research firm, compiled 10-year national data for procedures performed 1997-2006 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 +/- 3.14% at a 95% level of confidence.