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News and Features

11.5 Million Cosmetic Procedures in 2005

American Society for Aesthetic Plastic Surgery Reports 1 Percent Increase in Surgical Procedures

Feb 24, 2006
Press release from the American Society for Aesthetic Plastic Surgery (ASAPS)

NEW YORK, NY — 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, MD. "While some procedures are down, these areas continue to increase; breast augmentation by 9 percent and breast lift by 23 percent. 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 surgical and nonsurgical cosmetic procedures among ALL AMERICANS in 2005:

Surgical	# procedures	Nonsurgical	# 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 (nose reshaping)	200,924	Microdermabrasion	1,023,931
Abdominoplasty (tummy tuck)	169,314	Chemical peel	556,172

Top cosmetic procedures for WOMEN:

Surgical	# procedures	Nonsurgical	# 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 percent of cosmetic procedures. The number of procedures (surgical and nonsurgical) performed on women was nearly 10.5 million, a decrease of 2 percent from the previous year. Surgical procedures increased 2 percent; nonsurgical procedures decreased 3 percent.

Top cosmetic procedures for MEN:

Surgical	# procedures	Nonsurgical	# 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 percent of cosmetic procedures. The number of procedures (surgical and nonsurgical) performed on men was nearly 1 million, a decrease of 15 percent from the previous year. Surgical procedures decreased 9 percent; nonsurgical procedures decreased 18 percent.

Frequency of cosmetic procedures by AGE GROUP:

Age	% of total	# 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 percent of all cosmetic procedures in 2005. Hispanics again led minority racial and ethnic groups in the number of procedures : Hispanics, 9 percent; African-Americans, 6 percent; Asians, 4 percent; and other non-Caucasians, 1 percent.

Location and Fees

Just over forty-eight percent (48.3 percent) of cosmetic procedures in 2005 were performed in office-based facilities; 27.9 percent in freestanding surgicenters; and 23.8 percent 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.

About the 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 r esults of the survey were used to project national data. The survey data has a standard error of +/-3.61 percent at a 95 percent level of confidence.

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