11.7 million cosmetic procedures in 2007
American Society for Aesthetic Plastic Surgery reports 8% increase in surgical procedures
February 25, 2008
American Society for Aesthetic Plastic Surgery (ASAPS)
Nearly 11.7 million cosmetic surgical and nonsurgical procedures were performed in the United States in 2007, according to statistics released today by the American Society for Aesthetic Plastic Surgery. The Aesthetic Society, which has been collecting multi-specialty procedural statistics since 1997 says the overall number of cosmetic procedures has increased 457% since the collection of the statistics first began. The most frequently performed procedure was Botox injections and the most popular surgical procedure was liposuction.
"Our statistics confirm that aesthetic plastic surgery is not defined by race or gender," said Aesthetic Society president Foad Nahai, M.D. "The number of surgical and nonsurgical procedures performed on men increased 17% since last year, and 22% of the aesthetic procedures were performed on traditional racial and ethnic minorities."
Trends and Demographic Data
Top Procedures
Top surgical and nonsurgical cosmetic procedures among men and women in 2007:
| Surgical | Number of Procedures | Nonsurgical | Number of Procedures |
|---|---|---|---|
| Liposuction | 456,828 | Botox | 2,775,176 |
| Breast Augmentation | 399,440 | Hyaluronic Acid (Hylaform, Juvederm, Restylane) | 1,448,716 |
| Eyelid Surgery | 240,763 | Laser Hair Removal | 1,412,657 |
| Abdominoplasty | 185,335 | Microdermabrasion | 829,658 |
| Breast Reduction | 153,087 | Laser Skin Resurfacing | 647,707 |
Procedures for Women
Top cosmetic procedures for women:
| Surgical | Number of Procedures | Nonsurgical | Number of Procedures |
|---|---|---|---|
| Breast Augmentation | 399,440 | Botox | 2,445,656 |
| Lipoplasty | 398,848 | Hyaluronic Acid (Hylaform, Juvederm, Restylane) | 1,364,533 |
| Eyelid Surgery | 208,199 | Laser Hair Removal | 1,226,974 |
| Abdominoplasty | 180,457 | Microdermabrasion | 743,748 |
| Breast Reduction | 153,087 | IPL Laser Treatment | 584,530 |
Women had 91% of cosmetic procedures. The number of procedures (surgical and nonsurgical) performed on women was over 10.6 million, an increase of 1% from the previous year. Surgical procedures increased 9%; nonsurgical procedures decreased by less than 1%. Since 1997, surgical procedures increased 142%, while nonsurgical procedures have increased 743%.
Procedures for Men
Top cosmetic procedures for men:
| Surgical | Number of Procedures | Nonsurgical | Number of Procedures |
|---|---|---|---|
| Liposuction | 57,980 | Botox Injection | 329,519 |
| Eyelid Surgery | 32,564 | Laser Hair Removal | 185,684 |
| Rhinoplasty | 31,713 | Microdermabrasion | 85,910 |
| Male Breast Reduction | 20,280 | Hyaluronic Acid (Hylaform, Juvederm, Restylane) | 84,184 |
| Hair Transplantation | 16,491 | IPL Laser Treatment | 63,177 |
Men had 9% of cosmetic procedures. The number of procedures (surgical and nonsurgical) performed on men was just over 1 million, an increase of 17% from the previous year. Surgical procedures increased 5%; nonsurgical procedures increased 21%. Since 1997, surgical procedures have increased 3% while nonsurgical procedures have increased 886%.
Procedures by Age Group
Frequency of cosmetic procedures by age group:
| Percentage of Total | Age | Number of Procedures | Top Surgical Procedure | Top Nonsurgical Procedure |
|---|---|---|---|---|
| 47 | 35-50 | 5.4 million | Liposuction | Botox |
| 25 | 51-64 | 2.9 million | Eyelid Surgery | Botox |
| 21 | 19-34 | 2.4 million | Breast Augmentation | Laser Hair Removal |
| 6 | 65 and over | 700,096 | Eyelid Surgery | Botox |
| 2 | 18 and under | 205,119 | Cosmetic Ear Surgery | Laser Hair Removal |
Racial and Ethnic Distribution
Traditional racial and ethnic minorities accounted for 22% of all cosmetic procedures in 2007. Hispanics again led minority racial and ethnic groups in the number of procedures: Hispanics 9%, African-Americans 6%, Asians 5% and other non-Caucasians 2%.
Location and Fees
Almost 54% of cosmetic procedures in 2007 were performed in office-based facilities 28% in freestanding surgicenters and 17% in hospitals. Americans spent just over $13 billion on cosmetic procedures; $8.3 billion was for surgical procedures, and $4.7 billion was for nonsurgical procedures.
ASAPS Cosmetic Surgery National Data Bank
ASAPS, working with an independent research firm, compiled 11-year national data for procedures performed 1997-2007 by multiple specialists, including but not limited to plastic surgeons certified by the American Board of Plastic Surgery. Questionnaires were mailed board-certified specialists nationwide, and results of the survey were used to project national data. The survey data has a standard error of +/- 3.25% at a 95% level of confidence.