Highlights of the ASAPS 2006 Statistics on Cosmetic Surgery
NEW YORK, NY (March 09, 2007) - 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 percent. The Aesthetic Society, which has been collecting multi-specialty procedural statistics since 1997 says the overall number of cosmetic procedures has increased 446 percent 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 percent 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, MD. "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."
Top surgical and nonsurgical cosmetic procedures among men and women in 2006:
Surgical | # procedures | Nonsurgical | # procedures |
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 |
Top cosmetic procedures for WOMEN:
Surgical | # procedures | Nonsurgical | # procedures | |
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 percent of cosmetic procedures. The number of procedures (surgical and nonsurgical) performed on women was over 10.5 million, an increase of 1 percent from the previous year. Surgical procedures decreased 9 percent; nonsurgical procedures increased 4 percent. Since 1997, surgical procedures increased 123 percent, while nonsurgical procedures have increased 749 percent.
Top cosmetic procedures for MEN:
Surgical | # procedures | Nonsurgical | # procedures |
Liposuction | 53,263 | Botox injection | 300,472 | 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 |
14,051 | Laser Skin Resurfacing | 48,451 |
Men had 8 percent of cosmetic procedures. The number of procedures (surgical and nonsurgical) performed on men was nearly 1 million, a decrease of 5 percent from the previous year. Surgical procedures decreased 9 percent; nonsurgical procedures decreased 3 percent. Since 1997, surgical procedures have decreased 2%, while nonsurgical procedures have increased 722 percent.
Frequency of cosmetic procedures by AGE GROUP:
% of total | Age | # procedures | Top surgical procedure | Top nonsurgical procedure | |
47% | 35-50 | 4.5 million | Liposuction | Botox | |
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26% | 51-64 | 2.9 million | Eyelid Surgery | Botox | |
20% | 19-34 | 2.5 million | Breast Augmentation | Laser Hair Removal | |
5% | 65 and over | 589,229 | Eyelid Surgery | Botox | |
1% | 18 and under | 178,041 | Rhinoplasty | Laser Hair Removal |
Racial and Ethnic Distribution
Racial and ethnic minorities accounted for 21.7 percent of all cosmetic procedures in 2006. Hispanics again led minority racial and ethnic groups in the number of procedures: Hispanics, 9.7 percent; African-Americans, 6.6 percent; Asians, 4.7 percent; and other non-Caucasians, 0.8 percent.
Location and Fees
46 percent of cosmetic procedures in 2006 were performed in office-based facilities; 28.9 percent in freestanding surgicenters; and 24.8 percent 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.
About the 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 percent at a 95 percent level of confidence.
COURTESY THE AMERICAN SOCIETY FOR AESTHETIC PLASTIC SURGERY (ASAPS)
Quick Facts: Highlights of ASAPS 2006 Statistics on Cosmetic Surgery
There were nearly 11.5 million surgical and nonsurgical cosmetic procedures performed in the United States in 2006, as reported by the American Society for Aesthetic Plastic Surgery (ASAPS). Surgical procedures accounted for nearly 17% of the total with nonsurgical procedures making up 83% of the total.
From 2005-2006, there was a 1 percent increase in the total number of cosmetic procedures. Surgical procedures decreased by 9 percent, and nonsurgical procedures increased by 3 percent.
Since 1997, there has been a 446 percent increase in the total number of cosmetic procedures. Surgical procedures increased by 98 percent, and nonsurgical procedures increased by 747 percent.
The top five surgical cosmetic procedures in 2006 were: liposuction (403,684 procedures); breast augmentation (383,886 procedures); eyelid surgery (209,999 procedures); abdominoplasty (172,457 procedures); and breast reduction (145,822 procedures).
The top five nonsurgical cosmetic procedures in 2006 were: Botox injection (3,181,592 procedures); hyaluronic acid (1,593,554 procedures); laser hair removal (1,475,296 procedures); microdermabrasion (993,071 procedures); and laser skin resurfacing (576,509 procedures). Women had over 10.5 million cosmetic procedures, 92 percent of the total. Surgical procedures decreased 9 percent; nonsurgical procedures increased 4 percent. Since 1997, surgical procedures increased 123%, while nonsurgical procedures have increased 749%.
The top five surgical procedures for women were: breast augmentation, liposuction, eyelid surgery, abdominoplasty and breast reduction.
Men had nearly 1 million cosmetic procedures, 8 percent of the total. Surgical procedures decreased 9 percent; nonsurgical procedures decreased 3 percent. Since 1997, surgical procedures have decreased 2% while nonsurgical procedures have increased 722%.
The top five surgical procedures for men were: liposuction, rhinoplasty, eyelid surgery, breast reduction to treat enlarged male breasts, and facelift.
People age 35-50 had the most procedures – 5.3 million and 47 percent of the total. People age 19-34 had 22 percent of procedures; age 51-64 had 25 percent; age 65-and-over had 5 percent; and age 18-and-younger had less than 2 percent.
The most common procedures for age 18-and-under were: laser hair removal, microdermabrasion, rhinoplasty, chemical peel, and otoplasty (ear reshaping).
Racial and ethnic minorities, as of last year, had approximately 22 percent of all cosmetic procedures, an increase of 2 percent from 2005: Hispanics, 10 percent; African- Americans, 6 percent; Asians, 5 percent; and other non-Caucasians, 1 percent.
Where cosmetic surgeries were performed: office facility, 46 percent, hospital 25 percent; and free-standing surgicenter, 29 percent.
Americans spent just under $12.2 billion on cosmetic procedures last year.
Figures may not add exactly to totals and percentages may not equal 100 percent due to rounding.
Source: The American Society for Aesthetic Plastic Surgery
2006 National Totals for Cosmetic Procedures
The following list includes both surgical and nonsurgical cosmetic procedures. The top 5 surgical procedures are indicated in bold superscript numbers in the column headed Number of Procedures, while the top 5 nonsurgical procedures are indicated by bold superscript letters. The rankings of procedures overall (surgical and nonsurgical categories combined) are indicated in the column Overall Rank, while the rankings of procedures by category (surgical vs. nonsurgical) are labeled as such.
Procedure | Number of Procedures | Percent of Total | Overall Rank | Rank within Category (Surgical/ Nonsurgical) |
172,457 4 | 1.5% | 11 | 4 | |
Blepharoplasty (cosmetic eyelid surgery) | 209,999 3 | 1.8% | 10 | 3 |
Breast augmentation* | 383,886 2 | 3.4% | 9 | 2 |
Breast lift | 125,896 | 1.1% | 17 | 8 |
Breast reduction (women)** | 145,822 5 | 1.3% | 14 | 5 |
Buttock augmentation | 2,556 | 0.0% | 34 | 20 |
Buttock lift | 4,552 | 0.0% | 33 | 19 |
Cheek implants | 4,868 | 0.0% | 32 | 18 |
Chin augmentation | 18,920 | 0.2% | 27 | 13 |
Facelift | 138,245 | 1.2% | 16 | 7 |
Forehead lift | 54,149 | 0.5% | 20 | 9 |
Gynecomastia, treatment of (male breast reduction) | 23,670 | 0.2% | 24 | 10 |
Hair transplantation | 13,338 | 0.1% | 30 | 16 |
Lip augmentation (other than injectable materials) | 8,776 | 0.1% | 31 | 17 |
Lipoplasty (liposuction)*** | 403,684 1 | 3.5% | 8 | 1 |
Lower body lift | 15,206 | 0.1% | 29 | 15 |
Otoplasty (cosmetic ear surgery) | 20,417 | 0.2% | 25 | 11 |
Rhinoplasty (nose reshaping) | 141,912 | 1.2% | 15 | 6 |
Thigh lift | 18,997 | 0.2% | 26 | 12 |
Upper arm lift | 15,439 | 0.1% | 28 | 14 |
Totals - Surgical Procedures | 1,922,788 | 16.8%/p> | ||
Botox injection | 3,181,592 A | 27.8% | 1 | 1 |
Mesotherapy | 28,901 | 0.3% | 23 | 14 |
Chemical peel | 558,432 | 4.9% | 7 | 7 |
Dermabrasion (not including microdermabrasion) | 30,604 | 0.3% | 22 | 13 |
Laser hair removal | 1,475,296 C | 12.9% | 3 | 3 |
Laser skin resurfacing **** | 576,509 E | 5.0% | 5 | 5 |
Laser treatment of leg veins | 158,151 | 1.4% | 13 | 9 |
Microdermabrasion | 993,071 D | 8.7% | 4 | 4 |
Sclerotherapy | 559,285 | 4.9% | 6 | 6 |
Soft tissue fillers: | ||||
1) Autologous fat | 96,570 | 0.8% | 18 | 10 |
2) Calcium hydroxylapatite (Radiesse/Radiance) | 77,067 | 0.7% | 19 | 11 |
3) Collagen***** | 160,252 | 1.4% | 12 | 8 |
4) Hyaluronic acid (Hylaform, Restylane) | 1,593,554 B | 13.9% | 2 | 2 |
5) Poly-L-Lactic Acid (Sculptra) | 44,696 | 0.4% | 21 | 12 |
Totals - Nonsurgical Procedures | 9,533,980 | 83.2% | ||
TOTALS | 11,456,768 | 100.0% |
* 81.4% of these procedures used saline implants and 18.6% used silicone implants.
**Breast reduction may be covered by insurance, depending on terms of the policy and individual patient factors.
*** 17.4% of these procedures were ultrasound-assisted lipoplasty (UAL).
**** 6.8% of these procedures were performed with ablative lasers and 93.2% were performed with nonablative lasers.
*****53.5% of these procedures used bovine-derived collagen products and 46.5% used human-derived collagen products.
2006 National Average for Physician/Surgeon Fees Per Procedure
Procedure Physician/Surgeon Fees Table | National Average | Total Expenditures |
Abdominoplasty | $5,263 | $907,651,429 |
Blepharoplasty | $2,882 | $605,210,185 |
Breast augmentation - silicone gel implants | $3,813 | $271,625,095 |
Breast augmentation - saline implants | $3,544 | $1,108,106,589 |
Breast lift | $4,258 | $536,061,727 |
Breast reduction (women)* | $5,429 | $791,678,946 |
Buttock augmentation | $4,788 | $12,235,966 |
Buttock lift | $4,664 | $21,233,817 |
Cheek implants | $2,788 | $13,574,616 |
Chin augmentation | $2,142 | $40,520,024 |
Facelift | $6,532 | $903,002,712 |
Forehead lift | $3,255 | $176,252,700 |
Gynecomastia, treatment of (male breast reduction) | $3,409 | $80,686,919 |
Hair transplantation | $4,265 | $56,887,065 |
Lip augmentation (other than injectable materials) | $1,726 | $15,148,319 |
Lipoplasty: Suction-assisted | $2,868 | $956,474,701 |
Lipoplasty: Ultrasound-assisted | $2,936 | $205,932,563 |
Lower body lift | $7,708 | $117,206,784 |
Otoplasty | $3,063 | $62,542,132 |
Rhinoplasty | $4,277 | $606,963,128 |
Thigh lift | $4,589 | $87,186,317 |
Upper arm lift | $3,633 | $56,088,909 |
Totals - Surgical Procedures | $7,632,270,642 | |
Botox injection | $417 | $1,326,367,287 |
Mesotherapy | $385 | $11,131,155 |
Chemical peel | $870 | $485,958,315 |
Dermabrasion (does not include microdermabrasion) | $1,586 | $48,527,160 |
Laser hair removal | $373 | $550,344,982 |
Laser skin resurfacing - Ablative | $2,341 | $92,240,815 |
Laser skin resurfacing - Nonablative | $845 | $454,015,447 |
Laser treatment of leg veins | $362 | $57,228,421 |
Microdermabrasion | $162 | $160,997,126 |
Sclerotherapy | $329 | $184,053,675 |
Soft Tissue Fillers: Autologous fat | $1,450 | $139,987,627 |
Calcium Hydroxylapatite (Radiance) | $856 | $65,965,896 |
Collagen, Bovine (includes Zyderm/Zyplast) | $397 | $34,000,624 |
Collagen, Human (incl. Alloderm/Cymetra, Autologen, CosmoDerm, CosmoPlast, Dermalogen, Facian, Isolagen) | $490 | $36,529,508 |
Hyaluronic Acid (incl. Hylaform, Juvederm, Perlane/Restylane) | $532 | $848,191,987 |
Poly-L-Lactic Acid (Sculptra) | $1,040 | $46,474,303 |
Polymethyl Methacrylate (Artecoll, Artefill) ISD ISD | ||
Totals - Nonsurgical Procedures | $4,542,014,327 | |
TOTALS - ALL PROCEDURES | $12,174,284,969 |
2006 ASAPS Procedure Quick Facts
Surgical Procedures | Best Candidate | Physician/Surgeon Fees* | Length of Procedure | Number of Treatments | Results** | Back to Work |
Abdominoplasty (tummy tuck) | Protruding abdomen; excess fat and skin; weak abdominal muscles | $5,263 | 2-5 hours | One | Permanent | 1-3 weeks |
Breast Augmentation (saline) Breast Augmentation (silicone) | Small, disproportionate breasts | $3,544 | 1-2 hours | One | Permanent, possible implant replacement | 1-2 weeks |
Breast Lift | Sagging, poorly shaped breasts | $4,258 | 1 1/2-3 1/2 hours | One | Long-lasting | 1-2 weeks |
Breast Reduction | Large, heavy, pendulous, or disproportionate breasts | $5,429 | 2-4 hours | One | Permanent | 1-2 weeks |
Buttock Lift | Sagging skin, excess fat, weakened muscles in thigh/buttocks area | $4,664 | 2 hours | One | Long-lasting | 10-14 days |
Cheek Implants | Poor facial contour | $2,788 | 2 hours | One | Permanent | 1-2 weeks |
Chin Augmentation | Receding chin | $2,142 | 1 hour | One Permanent | 1-2 weeks | |
Ear Surgery | Protruding or disproportionate ears | $3,063 | 2-3 hours | One | Permanent | 5 days |
Eyelid Surgery | Excess fat, wrinkled, drooping skin of upper eyelids; bags, puffiness under eyes | $2,882 | 1-3 hours | One | Long-lasting | Within 10 days |
Facelift | Loose skin, deep lines, wrinkles, jowls | $6,532 | 2-3 hours | One Long-lasting | Within 2 weeks | |
Forehead Lift | Sagging, low eyebrows, forehead creases, frown lines | $3,255 | 1-2 hours | One | Long-lasting | Within 10 days |
Gynecomastia, Treatment of | Enlarged male breasts | $3,409 | 2 hours | One | Permanent | 1 week |
Hair Transplantation | Hair loss with the availability of healthy hair in donor areas | $4,265 | Several hours | Multiple sessions | over 1-2 years, Permanent | Several days |
Lip augmentation (surgical) | Thin lips | $1,726 | 1 hour | One | Permanent | Within 1 week |
Lipoplasty (suction-assisted) Lipoplasty (ultrasound-assisted) | Normal weight with isolated fatty areas | $2,868 $2,936 | 45 minutes - 2 hours | One | Permanent | 1-2 weeks |
Lower Body Lift | Skin laxity without significant fat deposits | $7,708 | Up to 8 hours | One | Long-lasting | Up to 4 weeks |
Rhinoplasty | Nose too large, wide, or tip needs reshaping | $4,277 | 1-2 hours | One | Permanent | 7-10 days |
Thigh Lift | Loose, excess skin | $4,589 | 2 hours | One | Long-lasting | 2-4 weeks |
Upper Arm Lift | Excess skin and fat on underside of arm | $3,633 | 2 hours | One | Long-lasting | 1-2 weeks |
* National average; surgeon fees are based on ASAPS 2006 Statistics. Fees vary considerably by geographic region. Facility fees, anesthesia and other surgical costs not included.
** With any surgical procedure, a revision or touch-up may sometime be necessary.
Source: The American Society for Aesthetic Plastic Surgery
Non-surgical Procedures | Best Candidate | Physician/Surgeon Fees* | Length of Procedure | Number of Treatments | Results**</p> | Back to Work | ||
Botox | Frown lines and crow's feet | $417 | 30 minutes | Repeat treatments | 4-6 months, Temporary | No downtime | ||
Cellulite Treatment (mechanical roller massage therapy) | Dimpled thighs and buttocks | $223 | 30-45 minutes | Ongoing | Temporary | No downtime | ||
Chemical Peel (ranges from light to deep) | Sun-damaged or unevenly pigmented skin | $870 | 1/2 hour-3 hours | Depends on type of peel, One or multiple | Depends on type of peel, Long-lasting | Depends on type of peel | ||
Dermabrasion | Acne, wrinkles around mouth, sun-damaged skin | $1,586 | A few minutes - 1 1/2 hours | Multiple sessions | Long-lasting | 7-10 days | ||
Laser Hair Removal | Unwanted hair on face or body | $373 | 1-2 hours | Depends on area | Multiple sessions, Ongoing | No downtime |
| |
Laser Skin Resurfacing | Fair, non-oily skin; sun-damaged facial skin, wrinkles around mouth and eyes, acne scars | $2,341 | Variable, up to 1 1/2 hours | One or multiple depending on laser and skin condition | Long-lasting | Variable, up to 14 days |
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Laser Treatment of Leg Veins | Very small spider veins | $362 | 30 minutes - 1 hour | Multiple sessions | Permanent | No downtime | ||
Microdermabrasion | Fine lines, crow's feet, age spots, acne scars | $162 | 30 minutes - 1 hour | Multiple sessions, 2-3 week intervals | Temporary | No downtime | ||
Sclerotherapy | Spider veins | $329 | 30 minutes - 1 hour | 3-4 Treatments | Permanent | No downtime |
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Soft Tissue Fillers |
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1) Autologous Fat | Folds, lips, frown lines, and facial | recontouring | $1,450 | 1 hour | Highly variable, repeat treatments | Temporary, 1-4 days, Extensive | 7-14 days |
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2) Calcium hydroxylapatite (Radiesse/Radiance) | Nasolabial folds, frown lines, crow's feet, and lips | $856 | Less than 1 hour | Repeat treatments | 2 years or longer, Temporary | No downtime | ||
3) Collagen | Frown lines, crow's feet, nasolabial folds | $397 | Less than 1 hour | Repeat treatments | 3-6 months, Temporary | No downtime | ||
4) Hyaluronic acid | (Hylaform, Restylane) | Nasolabial folds, forehead wrinkles, smile lines, and lips | $532 | Less than 1 hour | Repeat treatments, 4 months – 1 year | Temporary | No downtime |
Source: The American Society for Aesthetic Plastic Surgery
The American Society for Aesthetic Plastic Surgery's cosmetic surgery statistics are the most comprehensive collection of data available on the number of cosmetic surgical and nonsurgical procedures performed in the United States. ASAPS membership in the U.S. is restricted to American Board of Plastic Surgery certified physicians, but their statistics represent data from multiple specialties: plastic surgery, otolaryngology and dermatology. Currently, more than 14,000 surveys are distributed to board-certified physicians in these specialties, and survey results are used to project national totals.
Top Five Surgical Cosmetic Procedures in 2006
Top Five Non-Surgical Cosmetic Procedures in 2006
Cosmetic Surgery Trends By Gender
Cosmetic Surgery Trends: Surgical and Non-Surgical Totals (Compares 1997-2006)
Statistics courtesy of The American Society for Aesthetic Plastic Surgery
