PLASTIC SURGERY
STATISTICS REPORT
PLASTIC SURGERY
STATISTICS REPORT
ASPS National Clearinghouse of
Plastic Surgery Procedural Statistics
2019
ASPS Public Relations: Phone 773-332-4719 | Fax 847-981-5482 | Email media@plasticsurgery.org
1
2019
PLASTIC SURGERY
STATISTICS REPORT
Table of Contents
Introduction
About the American Society of Plastic Surgeons................................................................................. 3
Methodology and Validity............................................................................................................ 4
2019 Quick Facts - Plastic Surgery Trends......................................................................................... 5
2019 Quick Facts - Demographic Trends........................................................................................... 6
Statistical Reports
Cosmetic Procedure Trends........................................................................................................7-8
Cosmetic Procedure Charts.......................................................................................................... 9
Reconstructive Procedure Trends and Charts....................................................................................10
Cosmetic Surgery Gender Distribution – Female............................................................................ 11-12
Cosmetic Surgery Gender Distribution – Male............................................................................... 13-14
Cosmetic Surgery Age Distribution (13-19).......................................................................................15
Cosmetic Surgery Age Distribution (20-29).......................................................................................16
Cosmetic Surgery Age Distribution (30-39).......................................................................................17
Cosmetic Surgery Age Distribution (40-54).......................................................................................18
Cosmetic Surgery Age Distribution (55 and Over)...............................................................................19
Regional Distribution ........................................................................................................... 20-21
Average Surgeon/Physician Fees – Cosmetic Procedures.......................................................................22
Reconstructive Demographics......................................................................................................23
Reconstructive Breast Procedures.................................................................................................23
Cosmetic Demographics.............................................................................................................24
Body Contouring after Massive Weight Loss......................................................................................25
Gender Confirmation Surgery Statistics..........................................................................................25
2
2019
About the American Society of Plastic Surgeons
PLASTIC SURGERY
STATISTICS REPORT
The American Society of Plastic Surgeons®
PlasticSurgery.org
ASPS , a non-profit organization, supports members in their efforts to
provide the highest quality patient care through education, research
and advocacy. It is the only organization with two decades of plastic
surgery statistics – 1992-2019. ASPS is the largest organization of boardcertified plastic surgeons in the world. With more than 8,000 members,
the Society is recognized as a leading authority and information source
on cosmetic and reconstructive plastic surgery. ASPS comprises more
than 93 percent of all board-certified plastic surgeons in the United
States. Founded in 1931, the Society represents physicians certified
by The American Board of Plastic Surgery, Inc.® (ABPS®) or The Royal
College of Physicians and Surgeons of Canada.
The ASPS online newsroom is the most comprehensive site for
journalistic research on cosmetic and reconstructive plastic surgery
on the Internet. The latest news releases and the online version of the
National Clearinghouse of Plastic Surgery Statistics are available.
®
2019
Full color graphics and statistical graphs can be downloaded or are
available by contacting the ASPS Public Relations Department.
Pre- and Postoperative Photos and B-Roll
ASPS has a library of pre- and postoperative images and B-roll available
to the media by contacting the ASPS Public Relations Department.
The ASPS mission is to advance quality care to plastic surgery patients
by encouraging high standards of training, ethics, physician practice,
and research in plastic surgery.
ASPS Member Surgeons are uniquely qualified to perform cosmetic and
reconstructive plastic surgery on the face and all areas of the body.
Consumers can visit the ASPS at PlasticSurgery.org to find ASPS Member
Surgeons in their area or learn more about cosmetic and reconstructive
plastic surgery, like us on Facebook.com/PlasticSurgeryASPS and follow
us at Twitter.com/ASPS_News.
ASPS Member Surgeons have the
following qualifications:
ASPS Spokespersons Network
The ASPS Spokespersons Network is a valuable plastic surgery resource.
It comprises more than 100 plastic surgeons from across the United
States and Canada trained and available to assist journalists.
These spokespersons provide expert perspectives on a broad range of
plastic surgery topics including procedural details, the patient-physician
relationship, emerging trends, teens, and minorities.
They are also knowledgeable about the Society’s positions on health
care reform, scope of practice and other issues that affect patient
care.
To arrange interviews with members of the ASPS Spokespersons
Network, contact the ASPS Public Relations Department.
3
Are certified by The
American Board of
Plastic Surgery and
trained specifically in
plastic surgery.
Have at least 6 years
surgical training,
minimum of 3 years
plastic surgery training.
Operate only in
accredited medical
facilities.
Adhere to a strict
code of ethics.
Fulfill continuing
education requirements,
including patient
safety techniques.
Are partners with
patients in cosmetic
and reconstructive
plastic surgery
Methodology and Validity
PLASTIC SURGERY
STATISTICS REPORT
Methodology
Since 1992, the American Society of Plastic Surgeons® (ASPS®) has been the source of cosmetic and
reconstructive plastic surgery statistical trends in the U.S., and this series represents over two decades of
procedural data. ASPS has partnered with Data Harbor Solutions, a health care industry data management
and technology development company, to ensure objectivity in the gathering, analysis and publication of its
procedural statistics.
Since 2000, the report represents a universal and comprehensive estimate of cosmetic and reconstructive
plastic surgery procedures performed by ASPS Member Surgeons as well as other physicians most likely to
perform plastic surgery procedures. These physicians are all certified by American Board of Medical Specialties
(ABMS) recognized boards.
ABMS is the umbrella organization for the 24 approved medical specialty boards in the United States.
Established in 1933, ABMS serves to provide information concerning issues involving specialization and
certification in medicine. The American Board of Plastic Surgery® (ABPS®) represents physicians who are
certified by ABPS®, the only ABMS member board that certifies surgeons in plastic surgery of the face and
entire body.
ASPS offers the most comprehensive, reliable statistics on cosmetic and reconstructive plastic surgery
procedures performed in the United States. The annual questionnaire was distributed to more than 24,600 ABMS
board-certified physicians (An online and faxed version of the questionnaire were made available. A total of 512
active physicians returned questionnaires. Overall, 682 active physicians were included in the final sample). This
data is combined with the first online national database for plastic surgery procedures Tracking Operations and
Outcomes for Plastic SurgeonsSM (TOPSSM).
All responses are aggregated and extrapolated to the entire population of more than 24,600 board certified
physicians most likely to perform cosmetic and reconstructive plastic surgery procedures, resulting in the most
accurate census available.
Validity
Results of the survey are based on a 95 percent confidence level with a ±4.12 percent margin of error.
4
2019
PLASTIC SURGERY
STATISTICS REPORT
2019 Quick Facts
Cosmetic and Reconstructive Plastic Surgery Trends
2019
Percentage change 2019 vs. 2018
2019 Top 5 Cosmetic
Surgical Procedures
Breast
Augmentation
18.1 Million
Cosmetic Procedures
• 1.8 million cosmetic surgical
procedures (no change from 2018)
Liposuction
(265,209)
Nose
Reshaping
Eyelid
Surgery
(207,284)
(211,005)
• 16.3 million cosmetic
minimally-invasive procedures 2%
3%
2%
Facelift
(123,685)
5.9 Million
Reconstructive Procedures
(1% increase from 2018)
Breast augmentation continues to be the
top cosmetic surgical procedure and has
been since 2006. Silicone implants were
used in 85%, and saline implants in 15%, of
all breast augmentations in 2019.
Cosmetic surgical procedures, not among
the Top 5, with notable gains in 2019
include:
• Buttock augmentation w/ fat grafting –
up 17%
• Labiaplasty - up 9%
5
4%
Tumor removal
1%
Botulinum
toxin type A
(7.7 M)
2%
2019 Top 5 Reconstructive
Procedures
no change
3%
(299,715)
4%
2019 Top 5 Cosmetic
Minimally-Invasive
Procedures
no change
Chemical
peel
Soft tissue
filler
(2.7 M)
Laser hair
removal
(1.0 M)
(1.3 M)
2%
2%
Laceration
repair
(249,141)
(4.4 M)
2%
2%
Maxillofacial
surgery
Scar revision
(181,132)
(207,862)
1%
2%
Hand surgery
(141,139)
Intense Puled Light
(IPL) treatment
(685,755)
Tumor removal is overwhelming the top
reconstructive procedure performed
every year with approximately 4.5
million procedures in 2019!
Facial rejuvenation procedures continue
to experience growth, as 2019 marked
the highest number of botulinum toxin
type A injections to date, with close to
7.7 million injections!
PLASTIC SURGERY
STATISTICS REPORT
2019 Quick Facts
Cosmetic Plastic Demographic Trends
Percentage change 2019 vs. 2018
Make up the least number of cosmetic procedures – only 1% of
the total. Some of the most common procedures for teens were:
nose reshaping, male breast reduction, ear surgery, laser hair
removal and laser skin resurfacing.
223,000 total cosmetic procedures
13-19 year old
1%
FEMALE
92% of all cosmetic procedures
160,000 minimally-invasive 1%
14.9 million total cosmetic procedures
•1.5 million surgical
•13.4 million minimally-invasive 1%
259,000 surgical2%
MALE
64,000 surgical
1%
2%
no change
2%
825,000 total cosmetic procedures
20-29 year old
565,000 minimally-invasiveno change
2.9 million total cosmetic procedures
2%
8% of all cosmetic procedures
1.3 million total cosmetic procedures
•211,000 surgical
•1.1 million minimally-invasive no change
2%
no change
394,000 surgical 1%
2.6 million minimally-invasive 2%
ETHNIC
30-39 year old
Caucasians (12.7 million) Hispanic (2 million) African Americans (1.7 million)
Asian Americans (1.2 million)
Make up the majority of cosmetic procedures – 49% of the total.
1%
568,000 surgical 1%
7.3 million minimally-invasive
2%
7.9 million total cosmetic procedures
40-54 year old
2%
3%
4%
3%
Did you know…
2%
385,000 surgical 1%
3.9 million minimally-invasive  2%
4.3 million total cosmetic procedures
55 year old
(and over)
6
• $16.7 billion was spent on cosmetic procedures in the U.S.
• Region with the most cosmetic procedures performed in the U.S.
is Mountain/Pacific – 5.3 million (29%) procedures
• Cosmetic procedures performed in an office setting are up 4%
2019
PLASTIC SURGERY
STATISTICS REPORT
Cosmetic Procedure Trends
COSMETIC SURGICAL PROCEDURES
Breast augmentation (Augmentation mammaplasty)**
Breast implant removals (Augmentation patients only)
2018
299,715
313,735
% CHANGE
2019 vs. 2018
% CHANGE
2019 vs. 2000
212,500
-4%
41%
2000
33,764
29,236
40,787
15%
-17%
113,188
109,638
52,836
3%
114%
Breast reduction (Aesthetic patients only)****
46,340
43,591
*
6%
*
Breast reduction in men (Gynecomastia)
24,123
24,753
20,351
-3%
19%
Buttock augmentation with fat grafting****
28,076
24,099
*
17%
*
970
946
*
3%
*
4,453
4,824
1,356
-8%
228%
Breast lift (Mastopexy)
Buttock implants****
Buttock lift
Calf augmentation****
599
655
*
-9%
*
Cheek implant (Malar augmentation)
14,395
14,369
10,427
0%
38%
Chin augmentation (Mentoplasty)
16,446
16,400
26,924
0%
-39%
Dermabrasion
77,366
80,697
42,218
-4%
83%
Ear surgery (Otoplasty)
22,968
22,884
36,295
0%
-37%
Eyelid surgery (Blepharoplasty)
211,005
206,529
327,514
2%
-36%
Facelift (Rhytidectomy)
123,685
121,531
133,856
2%
-8%
Forehead lift
37,246
38,795
120,971
-4%
-69%
Hair transplantation
24,348
23,658
44,694
3%
-46%
Labiaplasty****
11,218
10,246
*
9%
*
Lip augmentation (other than injectable materials)
31,789
30,859
18,589
3%
71%
Lip reduction****
Liposuction
Lower body lift
Neck lift
Nose reshaping (Rhinoplasty)
Pectoral implants****
Thigh Lift
Tummy tuck (Abdominoplasty)
Upper arm lift
TOTAL COSMETIC SURGICAL PROCEDURES
All figures are projected.
* Data unavailable in prior year.
85% of total 2019 breast implants were silicone, 15% were saline.
ASPS procedural statistics represent procedures performed by ASPS Member Surgeons certified by
The American Board of Plastic Surgery® as well as other physicians certified by American Board of
Medical Specialties-recognized boards. ©ASPS, 2020
Margin of error = +/- 4.12%
7
2019
1,170
1,069
*
9%
*
265,209
258,558
354,015
3%
-25%
4133%
8,763
9,098
207
-4%
54,852
53,571
*
2%
*
207,284
213,780
389,155
-3%
-47%
664
700
*
-5%
*
10,378
10,100
5,303
3%
96%
123,427
130,081
62,713
-5%
97%
18,313
17,338
338
6%
5318%
1,811,754
1,811,740
1,901,049
0%
-5%
2019
PLASTIC SURGERY
STATISTICS REPORT
Cosmetic Procedure Trends
COSMETIC MINIMALLY-INVASIVE PROCEDURES
2019
Botulinum Toxin Type A (Botox®, Dysport®, Xeomin®)***
Cellulite treatment (Velosmooth®, Endermology)
Chemical peel
Injection lipolysis (e.g., Kybella®)
Intense Pulsed Light (IPL) treatment
Laser hair removal
Laser skin resurfacing
Ablative
Non-ablative (Fraxe®, etc.)
Laser tatto removal†
Laser treatment of leg veins
Microdermabrasion
Non-invasive fat reduction (Coolsculpting®, Liposonix®,
Emsculpt®, Vanquish®, Zerona®)
Non-surgical skin tightening (Pelleve®, Thermage®, Ulthera®)
Sclerotherapy
Soft Tissue Fillers
Acellular Dermal Matrix****
Allograft Adipose Matrix†
Calcium hydroxylapatite (Radiesse®)
Fat-face
Hyaluronic acid (Juvederm Ultra®, Juvederm Ultra Plus®,
Perlane®, Restylane®, Belotero®)
2000
% CHANGE
2019 vs. 2018
4%
-4%
0%
3%
2%
-2%
0%
0%
1%
0%
-1%
-4%
% CHANGE
2019 vs. 2000
878%
48%
21%
*
*
43%
249%
*
*
*
-12%
-22%
7,697,798
35,554
1,387,607
65,825
685,755
1,055,456
596,755
160,893
435,862
166,019
214,800
681,190
7,437,378
37,220
1,384,327
63,993
675,552
1,077,490
594,266
160,733
433,533
166,436
217,836
709,413
786,911
23,952
1,149,457
*
*
735,996
170,951
*
*
*
245,424
868,315
386,557
376,962
*
3%
*
334,351
319,895
2,721,469
9,117
14,547
221,307
47,123
335,290
323,234
2,691,555
8,575
14,585
227,234
45,360
*
866,555
*
*
*
*
*
0%
-1%
1%
6%
0%
-3%
4%
*
-63%
*
*
*
*
*
2,160,578
2,128,923
*
1%
*
Platelet-Rich Plasma (PRP)
130,230
127,394
*
2%
*
Polylactic acid (Sculptr®)
120,689
121,920
*
-1%
*
17,878
17,564
*
2%
*
16,349,031
16,090,952
4,847,561
2%
237%
6,748,610
1%
169%
Polymethyl-methacrylate microspheres (Bellafill)
TOTAL COSMETIC MINIMALLY-INVASIVE PROCEDURES
TOTAL COSMETIC PROCEDURES
All figures are projected.
* Data unavailable in prior year.
***Botulinum Toxin Type A numbers are of anatomic sites injected.
****Counts of procedures performed by ASPS member surgeons only.
†New procedure added for 2019
8
2018
18,160,785
17,902,692
Note that Collagen was excluded from the results due to an insufficient sample of responding physicians who perform this procedure
ASPS procedural statistics represent procedures performed by ASPS Member Surgeons certified by The American Board of Plastic Surgery®
as well as other physicians certified by American Board of Medical Specialties-recognized boards. ©ASPS, 2020
ASPS Member Only Procedural Statistics represent procedures performed by ASPS member surgeons certified by The American Board of Plastic Surgeons
Margin of error = +/- 4.12%
2019
PLASTIC SURGERY
STATISTICS REPORT
Top 5 Cosmetic Plastic Surgery Procedures
TOP FIVE COSMETIC SURGICAL PROCEDURES
Breast
Augmentation
Liposuction
Eyelid
Surgery
Nose
Reshaping
Facelift
299,715
265,209
211,005
207,284
123,685
-4% from 2018
3% from 2018
2% from 2018
-3% from 2018
2% from 2018
TOP FIVE COSMETIC MINIMALLY-INVASIVE PROCEDURES
Botulinum
Toxin Type A
9
Soft Tissue
Fillers
7.7 million
2.7 million
4% from 2018
1% from 2018
Chemical
Peel
1.3 million
no change
Laser Hair
Removal
1.0 million
-2% from 2018
Intense
Pulsed Light
685,755
2% from 2018
2019
PLASTIC SURGERY
STATISTICS REPORT
Reconstructive Procedure Trends
RECONSTRUCTIVE PROCEDURES
Dog bite repair^
Birth defect (congenital deformities)
Breast implant removals (Reconstructive patients only)****
Breast reconstruction****
Breast reduction (reconstructive patients only)
Burn care
Hand surgery (excluding microsurgical)
Head and neck reconstruction****
Hernia repair****
Laceration repair (other than facial)^^
Lower extremity reconstruction (including microsurgical)****
Maxillofacial surgery^^^
Migraine peripheral trigger site surgery†
Pelvic floor reconstruction****
Pressure ulcers†
Scar revision
Tumor removal (including skin cancer)
Other reconstructive procedures
TOTAL RECONSTRUCTIVE PROCEDURES
% CHANGE
2019 vs. 2018
% CHANGE
2019 vs. 2000
2019
2018
2000
28,384
34,330
26,906
32,870
43,089
40,076
5%
4%
-34%
-14%
20,775
19,149
16,287
8%
28%
107,238
61,269
19,239
141,139
29,494
12,180
249,171
101,657
57,535
17,682
138,345
27,439
11,173
253,447
78,832
*
*
*
*
*
358,666
5%
6%
9%
2%
7%
9%
-2%
36%
*
*
*
*
*
-31%
15,854
15,029
*
5%
*
207,862
5,255
1,978
72,621
204,521
5,219
1,719
72,622
79,331
2%
1%
15%
0%
162%
*
*
181,132
182,250
221,858
-1%
-18%
4,484,292
4,462,519
*
0%
*
272,636
253,639
376,270
7%
-28%
5,944,849
5,883,721
*
1%
*
TOP FIVE RECONSTRUCTIVE PROCEDURES
Tumor
Removal
Laceration
Repair
4.5 million
249,171
no change
10
All figures are projected.
* Data unavailable in prior year.
****Counts of procedures performed by ASPS member surgeons only.
†New procedure added for 2019
^In 2000 figure included all animal bites.
^^In 2000 figure included facial laceration repair.
^^^In 2019 and 2018 figure includes facial laceration repair.
-2% from 2018
Scar
Revision
Hand
Surgery
207,862
181,132
141,139
2% from 2018
-1% from 2018
2% from 2018
Maxillofcial
Surgery
ASPS Procedural Statistics represent procedures performed by ASPS member surgeons
certified by The American Board of Plastic Surgery® as well as other physicians
certified by American Board of Medical Specialties-recognized boards. © ASPS, 2020
Margin of error = +/- 4.12%
2019
PLASTIC SURGERY
STATISTICS REPORT
Cosmetic Surgery Gender Distribution
2019
FEMALE
2019
COSMETIC SURGICAL PROCEDURES
TOTAL FEMALE
2019
% OF TOTAL
PROCEDURES
299,715
33,764
113,188
24,123
970
4,453
599
14,395
16,446
77,366
22,968
211,005
123,685
37,246
24,348
31,789
265,209
8,763
207,284
664
10,378
123,427
18,313
299,715
33,764
113,188
0
839
4,115
254
10,429
7,041
67,212
13,434
179,472
111,088
32,866
7,298
30,566
234,921
8,056
157,756
0
9,879
118,878
17,937
100%
100%
100%
0%
86%
92%
42%
72%
43%
87%
58%
85%
90%
88%
30%
96%
89%
92%
76%
0%
95%
96%
98%
1,670,098
1,458,708
87%
TOTAL PROCEDURES
Breast augmentation (Augmentation mammaplasty)**
Breast implant removals (Augmentation patients only)
Breast lift (Mastopexy)
Breast reduction in men (Gynecomastia)
Buttock implants
Buttock lift
Calf augmentation
Cheek implant (Malar augmentation)
Chin augmentation (Mentoplasty)
Dermabrasion
Ear surgery (Otoplasty)
Eyelid surgery (Blepharoplasty)
Facelift (Rhytidectomy)
Forehead lift
Hair transplantation
Lip augmentation (other than injectable materials)
Liposuction
Lower body lift
Nose reshaping (Rhinoplasty)
Pectoral implants
Thigh Lift
Tummy tuck (Abdominoplasty)
Upper arm lift
TOTAL COSMETIC SURGICAL PROCEDURES
% CHANGE
2019 vs. 2018
-4%
15%
3%
3%
-8%
-9%
-1%
3%
-4%
1%
3%
1%
-4%
7%
3%
3%
-4%
-2%
3%
-5%
6%
0%
% CHANGE
2019 vs. 2000
41%
-17%
114%
*
215%
*
19%
-60%
141%
-30%
-33%
-6%
-70%
80%
67%
-22%
*
-34%
94%
97%
5207%
-3%
TOP FIVE FEMALE COSMETIC SURGICAL PROCEDURES
Breast
Augmentation
Liposuction
299,715
234,921
3% from 2018
-4% from 2018
11
Nose
Reshaping
Tummy
Tuck
179,472
157,756
118,878
3% from 2018
-2% from 2018
-5% from 2018
Eyelid
Surgery
All figures are projected.
* Data unavailable in prior year.
**85% of total 2019 breast implants were
silicone; 15% were saline.
***Botulinum Toxin Type A numbers are of
anatomic sites injected.
†New procedure added for 2019
ASPS procedural statistics represent procedures
performed by ASPS Member Surgeons certified
by The American Board of Plastic Surgery® as
well as other physicians certified by American
Board of Medical Specialties-recognized boards.
©ASPS, 2020
PLASTIC SURGERY
STATISTICS REPORT
Cosmetic Surgery Gender Distribution
2019
FEMALE
COSMETIC MINIMALLY-INVASIVE PROCEDURES
2019
TOTAL PROCEDURES
2019
TOTAL FEMALE
% OF TOTAL
PROCEDURES
% CHANGE
2019 vs. 2018
3%
-4%
1%
-1%
0%
-2%
-4%
-1%
1%
-3%
4%
2%
% CHANGE
2019 vs. 2000
943%
30%
36%
46%
249%
-18%
-30%
-62%
306%
*
*
*
7,697,798
35,554
1,387,607
1,055,456
596,755
214,800
681,190
319,895
2,549,697
221,307
47,123
2,160,578
7,224,444
31,180
1,288,798
881,800
520,854
184,833
551,065
315,579
2,449,914
205,431
44,378
2,099,645
94%
88%
93%
84%
87%
86%
81%
99%
96%
93%
94%
97%
120,689
100,460
83%
-1%
*
TOTAL COSMETIC MINIMALLY-INVASIVE
PROCEDURES
14,538,752
13,448,467
93%
2%
176%
TOTAL COSMETIC PROCEDURES
16,208,850
14,907,175
92%
2%
134%
Botulinum toxin type A (Botox®, Dysport®, Xeomin®)***
Cellulite treatment (e.g., Velosmooth®, Endermology)
Chemical peel
Laser hair removal
Laser skin resurfacing
Laser treatment of leg veins
Microdermabrasion
Sclerotherapy
Soft tissue fillers
Calcium hydroxylapatite (e.g., Radiesse®)
Fat-face
Hyaluronic acid (e.g., Juvederm Ultra®, Juvederm
Ultra Plus®, Perlane®, Restylane®, Prevelle Silk®)
Polylactic acid (Sculptra®)
TOP FIVE FEMALE COSMETIC MINIMALLY-INVASIVE PROCEDURES
Botulinum
Toxin Type A
7.2 million
3% from 2018
12
Soft Tissue
Fillers
2.4 million
1% from 2018
Chemical
Peel
Laser Hair
Removal
1.3 million
881,800
551,065
-1% from 2018
-4% from 2018
1% from 2018
Microdermabrasion
All figures are projected.
* Data unavailable in prior year.
***Botulinum Toxin Type A numbers are of
anatomic sites injected.
Note that Collagen was excluded from the
results due to an insufficient sample of
responding physicians who perform this
procedure
ASPS procedural statistics represent procedures
performed by ASPS Member Surgeons certified
by The American Board of Plastic Surgery® as
well as other physicians certified by American
Board of Medical Specialties-recognized boards.
©ASPS, 2020
PLASTIC SURGERY
STATISTICS REPORT
Cosmetic Surgery Gender Distribution
2019
MALE
2019
COSMETIC SURGICAL PROCEDURES
Breast augmentation (Augmentation mammaplasty)**
Breast implant removals (Augmentation patients only)
Breast lift (Mastopexy)
Breast reduction in men (Gynecomastia)
Buttock implants
Buttock lift
Calf augmentation
Cheek implant (Malar augmentation)
Chin augmentation (Mentoplasty)
Dermabrasion
Ear surgery (Otoplasty)
Eyelid surgery (Blepharoplasty)
Facelift (Rhytidectomy)
Forehead lift
Hair transplantation
Lip augmentation (other than injectable materials)
Liposuction
Lower body lift
Nose reshaping (Rhinoplasty)
Pectoral implants
Thigh Lift
Tummy tuck (Abdominoplasty)
Upper arm lift
TOTAL COSMETIC SURGICAL PROCEDURES
TOTAL PROCEDURES
TOTAL MALE
2019
% OF TOTAL
PROCEDURES
299,715
33,764
113,188
24,123
970
4,453
599
14,395
16,446
77,366
22,968
211,005
123,685
37,246
24,348
31,789
265,209
8,763
207,284
664
10,378
123,427
18,313
0
0
0
24,123
131
338
345
3,966
9,405
10,154
9,534
31,533
12,597
4,380
17,050
1,223
30,288
707
49,528
664
499
4,549
376
0%
0%
0%
100%
14%
8%
58%
28%
57%
13%
42%
15%
10%
12%
70%
4%
11%
8%
24%
100%
5%
4%
2%
1,670,098
211,390
13%
% CHANGE
2019 vs. 2018
-3%
1%
-9%
-8%
2%
-2%
-3%
-1%
0%
5%
-5%
1%
-1%
3%
-5%
-6%
3%
-7%
4%
-2%
% CHANGE
2019 vs. 2000
19%
*
604%
*
138%
3%
-29%
-44%
-45%
-17%
-66%
-58%
427%
-42%
*
-67%
127%
98%
*
-46%
TOP FIVE MALE COSMETIC SURGICAL PROCEDURES
Nose
Reshaping
Eyelid
Surgery
Liposuction
Breast
Reduction
49,528
31,533
30,288
24,123
-6% from 2018
13
All figures are projected.
* Data unavailable in prior year.
**85% of total 2019 breast implants were silicone;
15% were saline.
no change
3% from 2018
-3% from 2018
Hair
Transplantation
17,050
1% from 2018
ASPS procedural statistics represent procedures
performed by ASPS Member Surgeons certified by
The American Board of Plastic Surgery® as well as
other physicians certified by American Board of
Medical Specialties-recognized boards.
©
ASPS, 2020
PLASTIC SURGERY
STATISTICS REPORT
Cosmetic Surgery Gender Distribution
2019
MALE
COSMETIC MINIMALLY-INVASIVE PROCEDURES
2019
TOTAL PROCEDURES
2019
TOTAL MALE
% OF TOTAL
PROCEDURES
% CHANGE
2019 vs. 2018
5%
-7%
-4%
-6%
0%
2%
-5%
-5%
-1%
1%
2%
% CHANGE
2019 vs. 2000
403%
*
-51%
30%
252%
42%
51%
-84%
99%
*
*
Botulinum toxin type A (Botox®, Dysport®, Xeomin®)***
Cellulite treatment (e.g., Velosmooth®, Endermology)
Chemical peel
Laser hair removal
Laser skin resurfacing
Laser treatment of leg veins
Microdermabrasion
Sclerotherapy
Soft tissue fillers
Calcium hydroxylapatite (e.g., Radiesse®)
Fat-face^^^
7,697,798
35,554
1,387,607
1,055,456
596,755
214,800
681,190
319,895
2,549,697
221,307
47,123
473,354
4,374
98,809
173,656
75,901
29,967
130,125
4,316
99,783
15,876
2,745
6%
12%
7%
16%
13%
14%
19%
1%
4%
7%
6%
Hyaluronic acid (e.g., Juvederm Ultra®, Juvederm
Ultra Plus®, Perlane®, Restylane®, Prevelle Silk®)
2,160,578
60,933
3%
-2%
*
Polylactic acid (Sculptra )
TOTAL COSMETIC MINIMALLY-INVASIVE
PROCEDURES
120,689
20,229
17%
-1%
*
14,538,752
1,090,285
7%
0%
72%
TOTAL COSMETIC PROCEDURES
16,208,850
1,301,675
8%
0%
27%
®
TOP FIVE MALE COSMETIC MINIMALLY-INVASIVE PROCEDURES
Botulinum
Toxin Type A
473,354
5% from 2018
14
Microdermabrasion
Soft Tissue
Fillers
Chemical
Peel
173,656
130,125
99,783
98,809
-6% from 2018
-5% from 2018
Laser Hair
Removal
-1% from 2018
-4% from 2018
All figures are projected.
* Data unavailable in prior year.
***Botulinum Toxin Type A numbers are of
anatomic sites injected.
Note that Collagen was excluded from the results
due to an insufficient sample of responding
physicians who perform this procedure
ASPS procedural statistics represent procedures
performed by ASPS Member Surgeons certified by
The American Board of Plastic Surgery® as well as
other physicians certified by American Board of
Medical Specialties-recognized boards.
©
ASPS, 2020
PLASTIC SURGERY
STATISTICS REPORT
Cosmetic Surgery Age Distribution
COSMETIC SURGICAL PROCEDURES
Breast augmentation (augmentation mammaplasty)^
Breast implant removals (augmentation patients only)^
Breast lift (mastopexy)
Breast reduction in men (gynecomastia)
Chin augmentation (mentoplasty)
Dermabrasion
Ear surgery (otoplasty)
Eyelid surgery (blepharoplasty)
Lip augmentation (other than injectable materials)
Liposuction
Nose reshaping (rhinoplasty)
TOTAL COSMETIC SURGICAL PROCEDURES
COSMETIC MINIMALLY-INVASIVE PROCEDURES
Botulinum toxin type A (Botox®, Dysport®, Xeomin®)***
Chemical peel
Laser hair removal
Laser skin resurfacing
Laser treatment of leg veins
Microdermabrasion
Sclerotherapy
Soft Tissue Fillers
Calcium hydroxylapatite (e.g., Radiesse®)
Fat-face
Hyaluronic acid (e.g., Juvederm Ultra®, Juvederm
Ultra Plus®, Perlane®, Restylane®, Prevelle Silk®)
Polylactic acid (Sculptra®)
AGE 13-19
2019 TOTAL
8,333
119
2,022
6,169
1,432
3,342
6,479
2,032
304
4,314
29,634
64,180
AGE 13-19
2019 TOTAL
22,107
7,224
67,317
28,711
19,193
6,766
1,804
6,628
753
405
3,847
1,623
AGE 13-19
% OF TOTAL PROCEDURES
3%
0%
2%
26%
9%
4%
28%
1%
1%
2%
14%
4%
AGE 13-19
% OF TOTAL PROCEDURES
0%
1%
6%
5%
9%
1%
1%
0%
0%
1%
0%
AGE 13-19
% CHANGE 2019 vs 2018
-4%
16%
2%
-3%
1%
-3%
1%
3%
2%
4%
-2%
2019
Age
13-19
-1%
AGE 13-19
% CHANGE 2019 vs 2018
2%
0%
-3%
-1%
-1%
-4%
0%
0%
-2%
3%
1%
1%
-2%
TOTAL COSMETIC MINIMALLY-INVASIVE PROCEDURES
159,750
1%
-1%
TOTAL COSMETIC PROCEDURES
223,930
1%
-1%
All values are projected.
^ Total represents only 18 and 19 year olds.
***Botulinum Toxin Type A numbers are of anatomic
sites injected.
Note that Collagen was excluded from the results due
to an insufficient sample of responding physicians
who perform this procedure
ASPS procedural statistics represent procedures
performed by ASPS Member Surgeons certified by
The American Board of Plastic Surgery® as well as
other physicians certified by American Board of
Medical Specialties-recognized boards.
©
ASPS, 2020
15
PLASTIC SURGERY
STATISTICS REPORT
Cosmetic Surgery Age Distribution
COSMETIC SURGICAL PROCEDURES
Breast augmentation (Augmentation mammaplasty)
Breast implant removals (Augmentation patients only)
Breast lift (Mastopexy)
Breast reduction in men (Gynecomastia)
Buttock implants
Buttock lift
Calf augmentation
Cheek implant (Malar augmentation)
Chin augmentation (Mentoplasty)
Dermabrasion
Ear surgery (Otoplasty)
Eyelid surgery (Blepharoplasty)
Facelift (Rhytidectomy)
Forehead lift
Hair transplantation
Lip augmentation (other than injectable materials)
Liposuction
Lower body lift
Nose reshaping (Rhinoplasty)
Pectoral implants
Thigh Lift
Tummy tuck (Abdominoplasty)
Upper arm lift
TOTAL COSMETIC SURGICAL PROCEDURES
COSMETIC MINIMALLY-INVASIVE PROCEDURES
Botulinum toxin type A (Botox®, Dysport®, Xeomin)***
Cellulite treatment (e.g., Velosmooth®, Endermology)
Chemical peel
Laser hair removal
Laser skin resurfacing
Laser treatment of leg veins
Microdermabrasion
Sclerotherapy
Soft tissue fillers
Calcium hydroxylapatite (e.g., Radiesse®)
Fat-face
Hyaluronic acid (e.g., Juvederm Ultra®, Juvederm Ultra Plus®,
Perlane®, Restylane®, Prevelle Silk®)
Polylactic acid (Sculptra®)
TOTAL COSMETIC MINIMALLY-INVASIVE PROCEDURES
TOTAL COSMETIC PROCEDURES
16
AGE 20-29
2019 TOTAL
AGE 20-29
% OF TOTAL PROCEDURES
AGE 20-29
% CHANGE 2019 vs 2018
85,492
4,408
15,217
8,419
200
574
226
1,370
2,246
5,147
6,845
3,651
348
205
2,098
1,536
40,993
859
64,944
333
652
11,673
1,712
29%
13%
13%
35%
21%
13%
38%
10%
14%
7%
30%
2%
0%
1%
9%
5%
15%
10%
31%
50%
6%
9%
9%
-5%
15%
2%
-3%
4%
-7%
-9%
1%
-1%
-5%
-2%
2%
1%
-5%
2%
3%
4%
-3%
-2%
-5%
4%
-5%
6%
259,148
16%
-2%
AGE 20-29
2019 TOTAL
AGE 20-29
% OF TOTAL PROCEDURES
2019
Age
20-29
AGE 20-29
% CHANGE 2019 vs 2018
112,083
1%
2%
7,685
22%
-5%
16,490
1%
0%
230,697
22%
-1%
33,514
6%
1%
27,868
13%
0%
53,160
8%
-5%
-1%
13,888
4%
69,976
3%
1%
4,280
2%
-3%
2,291
5%
3%
57,039
3%
1%
6,366
5%
-1%
565,361
4%
0%
824,509
5%
-1%
All values are projected.
* Data unavailable in prior year.
***Botulinum Toxin Type A numbers are of anatomic
sites injected.
Note that Collagen was excluded from the results due
to an insufficient sample of responding physicians
who perform this procedure
ASPS procedural statistics represent procedures
performed by ASPS Member Surgeons certified by
The American Board of Plastic Surgery® as well as
other physicians certified by American Board of
Medical Specialties-recognized boards.
©
ASPS, 2020
PLASTIC SURGERY
STATISTICS REPORT
Cosmetic Surgery Age Distribution
COSMETIC SURGICAL PROCEDURES
Breast augmentation (Augmentation mammaplasty)
Breast implant removals (Augmentation patients only)
Breast lift (Mastopexy)
Breast reduction in men (Gynecomastia)
Buttock implants
Buttock lift
Calf augmentation
Cheek implant (Malar augmentation)
Chin augmentation (Mentoplasty)
Dermabrasion
Ear surgery (Otoplasty)
Eyelid surgery (Blepharoplasty)
Facelift (Rhytidectomy)
Forehead lift
Hair transplantation
Lip augmentation (other than injectable materials)
Liposuction
Lower body lift
Nose reshaping (Rhinoplasty)
Pectoral implants
Thigh Lift
Tummy tuck (Abdominoplasty)
Upper arm lift
TOTAL COSMETIC SURGICAL PROCEDURES
COSMETIC MINIMALLY-INVASIVE PROCEDURES
Botulinum toxin type A (Botox , Dysport , Xeomin )***
Cellulite treatment (e.g., Velosmooth®, Endermology)
Chemical peel
Laser hair removal
Laser skin resurfacing
Laser treatment of leg veins
Microdermabrasion
Sclerotherapy
Soft tissue fillers
Calcium hydroxylapatite (e.g., Radiesse®)
Fat-face
Hyaluronic acid (e.g., Juvederm Ultra®, Juvederm Ultra Plus®,
Perlane®, Restylane®, Prevelle Silk®)
Polylactic acid (Sculptra®)
®
®
®
TOTAL COSMETIC MINIMALLY-INVASIVE PROCEDURES
TOTAL COSMETIC PROCEDURES
17
AGE 30-39
2019 TOTAL
AGE 30-39
% OF TOTAL PROCEDURES
AGE 30-39
% CHANGE 2019 vs 2018
111,858
9,760
33,969
4,272
323
1,228
245
3,058
2,177
7,540
4,084
13,341
1,903
1,556
2,000
4,165
92,105
2,405
48,448
119
2,975
43,602
2,648
37%
29%
30%
18%
33%
28%
41%
21%
13%
10%
18%
6%
2%
4%
8%
13%
35%
27%
23%
18%
29%
35%
14%
-4%
15%
3%
-3%
3%
-7%
-8%
1%
1%
-5%
1%
2%
1%
-3%
4%
4%
4%
-3%
-4%
-6%
3%
-5%
5%
393,781
24%
-1%
AGE 30-39
% OF TOTAL PROCEDURES
AGE 30-39
% CHANGE 2019 vs 2018
AGE 30-39
2019 TOTAL
1,433,231
18,989
178,975
308,405
50,875
64,621
155,891
66,972
281,875
18,177
6,031
244,373
19%
53%
13%
29%
9%
30%
23%
21%
11%
8%
13%
11%
5%
-5%
0%
-2%
1%
-1%
-4%
0%
0%
-3%
3%
0%
13,294
11%
-2%
2,559,834
18%
2%
2,953,615
18%
2%
2019
Age
30-39
All values are projected.
* Data unavailable in prior year.
***Botulinum Toxin Type A numbers are of anatomic
sites injected.
Note that Collagen was excluded from the results due
to an insufficient sample of responding physicians
who perform this procedure
ASPS procedural statistics represent procedures
performed by ASPS Member Surgeons certified by
The American Board of Plastic Surgery® as well as
other physicians certified by American Board of
Medical Specialties-recognized boards.
©
ASPS, 2020
PLASTIC SURGERY
STATISTICS REPORT
Cosmetic Surgery Age Distribution
COSMETIC SURGICAL PROCEDURES
Breast augmentation (Augmentation mammaplasty)
Breast implant removals (Augmentation patients only)
Breast lift (Mastopexy)
Breast reduction in men (Gynecomastia)
Buttock implants
Buttock lift
Calf augmentation
Cheek implant (Malar augmentation)
Chin augmentation (Mentoplasty)
Dermabrasion
Ear surgery (Otoplasty)
Eyelid surgery (Blepharoplasty)
Facelift (Rhytidectomy)
Forehead lift
Hair transplantation
Lip augmentation (other than injectable materials)
Liposuction
Lower body lift
Nose reshaping (Rhinoplasty)
Pectoral implants
Thigh Lift
Tummy tuck (Abdominoplasty)
Upper arm lift
TOTAL COSMETIC SURGICAL PROCEDURES
COSMETIC MINIMALLY-INVASIVE PROCEDURES
Botulinum toxin type A (Botox®, Dysport®, Xeomin®)***
Cellulite treatment (e.g., Velosmooth®, Endermology)
Chemical peel
Laser hair removal
Laser skin resurfacing
Laser treatment of leg veins
Microdermabrasion
Sclerotherapy
Soft tissue fillers
Calcium hydroxylapatite (e.g., Radiesse®)
Fat-face
Hyaluronic acid (e.g., Juvederm Ultra®, Juvederm Ultra Plus®,
Perlane®, Restylane®, Prevelle Silk®)
Polylactic acid (Sculptra®)
TOTAL COSMETIC MINIMALLY-INVASIVE PROCEDURES
TOTAL COSMETIC PROCEDURES
18
AGE 40-54
2019 TOTAL
AGE 40-54
% OF TOTAL PROCEDURES
AGE 40-54
% CHANGE 2019 vs 2018
86,555
14,074
44,203
3,206
377
1,864
90
6,232
4,226
29,602
3,388
90,757
39,559
14,967
5,088
11,309
100,884
3,738
43,765
130
4,914
51,585
7,694
29%
42%
39%
13%
39%
42%
15%
43%
26%
38%
15%
43%
32%
40%
21%
36%
38%
43%
21%
20%
47%
42%
42%
-4%
15%
4%
-3%
2%
-9%
-9%
-1%
1%
-4%
1%
1%
1%
-5%
2%
3%
1%
-5%
-3%
-5%
3%
-5%
5%
568,207
34%
-1%
AGE 40-54
% OF TOTAL PROCEDURES
AGE 40-54
% CHANGE 2019 vs 2018
AGE 40-54
2019 TOTAL
4,363,758
8,865
572,745
380,711
250,072
66,240
303,919
154,054
1,247,877
86,960
16,169
1,075,433
57%
25%
41%
36%
42%
31%
45%
48%
49%
39%
34%
50%
3%
-4%
-1%
-2%
1%
-2%
-3%
-1%
1%
-3%
5%
1%
69,315
57%
0%
7,348,241
51%
2%
7,916,448
49%
1%
2019
Age
40-54
All values are projected.
* Data unavailable in prior year.
***Botulinum Toxin Type A numbers are of anatomic
sites injected.
Note that Collagen was excluded from the results due
to an insufficient sample of responding physicians
who perform this procedure
ASPS procedural statistics represent procedures
performed by ASPS Member Surgeons certified by
The American Board of Plastic Surgery® as well as
other physicians certified by American Board of
Medical Specialties-recognized boards.
©
ASPS, 2020
PLASTIC SURGERY
STATISTICS REPORT
Cosmetic Surgery Age Distribution
COSMETIC SURGICAL PROCEDURES
Breast augmentation (Augmentation mammaplasty)
Breast implant removals (Augmentation patients only)
Breast lift (Mastopexy)
Breast reduction in men (Gynecomastia)
Buttock implants
Buttock lift
Calf augmentation
Cheek implant (Malar augmentation)
Chin augmentation (Mentoplasty)
Dermabrasion
Ear surgery (Otoplasty)
Eyelid surgery (Blepharoplasty)
Facelift (Rhytidectomy)
Forehead lift
Hair transplantation
Lip augmentation (other than injectable materials)
Liposuction
Lower body lift
Nose reshaping (Rhinoplasty)
Pectoral implants
Thigh Lift
Tummy tuck (Abdominoplasty)
Upper arm lift
TOTAL COSMETIC SURGICAL PROCEDURES
COSMETIC MINIMALLY-INVASIVE PROCEDURES
Botulinum toxin type A (Botox®, Dysport®, Xeomin®)***
Cellulite treatment (e.g., Velosmooth®, Endermology)
Chemical peel
Laser hair removal
Laser skin resurfacing
Laser treatment of leg veins
Microdermabrasion
Sclerotherapy
Soft tissue fillers
Calcium hydroxylapatite (e.g., Radiesse®)
Fat-face
Hyaluronic acid (e.g., Juvederm Ultra®, Juvederm Ultra Plus®,
Perlane®, Restylane®, Prevelle Silk®)
Polylactic acid (Sculptra®)
TOTAL COSMETIC MINIMALLY-INVASIVE PROCEDURES
TOTAL COSMETIC PROCEDURES
19
AGE 55 AND OVER
2019 TOTAL
AGE 55 AND OVER
% OF TOTAL PROCEDURES
AGE 55 AND OVER
% CHANGE 2019 vs 2018
7,477
5,403
17,777
2,057
70
787
38
3,735
6,365
31,735
2,172
101,224
81,875
20,518
15,162
14,475
26,913
1,761
20,493
82
1,837
16,567
6,259
2%
16%
16%
9%
7%
18%
6%
26%
39%
41%
9%
48%
66%
55%
62%
46%
10%
20%
10%
12%
18%
13%
34%
-4%
17%
3%
-3%
1%
-7%
-10%
0%
-1%
-4%
0%
3%
2%
-3%
3%
3%
3%
-3%
-4%
-5%
2%
-6%
7%
384,782
23%
1%
AGE 55 AND OVER
2019 TOTAL
AGE 55 AND OVER
% OF TOTAL PROCEDURES
2019
55
and
over
AGE 55 AND OVER
% CHANGE 2019 vs 2018
1,766,619
15
612,173
68,326
233,583
36,878
161,454
83,177
943,341
111,137
22,227
779,886
23%
0%
44%
6%
39%
17%
24%
26%
37%
50%
47%
36%
4%
-6%
1%
-2%
-1%
0%
-5%
-2%
2%
-3%
4%
3%
30,091
25%
-2%
3,905,566
27%
2%
4,290,348
26%
2%
All values are projected.
* Data unavailable in prior year.
***Botulinum Toxin Type A numbers are of anatomic
sites injected.
Note that Collagen was excluded from the results due
to an insufficient sample of responding physicians
who perform this procedure
ASPS procedural statistics represent procedures
performed by ASPS Member Surgeons certified by
The American Board of Plastic Surgery® as well as
other physicians certified by American Board of
Medical Specialties-recognized boards.
©
ASPS, 2020
PLASTIC SURGERY
STATISTICS REPORT
Regional Distribution
COSMETIC SURGICAL PROCEDURES
Region 2
Region 3
Region 4
45,096 15%
6,909 20%
50,619 17%
5,701 17%
48,844 16%
7,010 21%
48,139 16%
7,101 21%
113,188
46,340
24,123
28,076
970
14,791
7,405
7,991
6,292
152
13%
16%
33%
22%
16%
16,509
13,263
4,249
7,897
130
15%
29%
18%
28%
13%
23,369
6,836
3,902
5,732
271
21%
15%
16%
20%
28%
23,186
9,543
2,833
4,730
225
20%
21%
12%
17%
23%
35,333
9,293
5,148
3,425
192
31%
20%
21%
12%
20%
Buttock lift
Calf augmentation****
Cheek implant (Malar augmentation)
Chin augmentation (Mentoplasty)
Dermabrasion
Ear surgery (Otoplasty)
Eyelid surgery (Blepharoplasty)
Facelift (Rhytidectomy)
Forehead lift
Hair transplantation
Labiaplasty****
Lip augmentation (other than injectable materials)
Lip reduction****
Liposuction
Lower body lift
Neck lift
Nose reshaping (Rhinoplasty)
Pectoral implants****
Thigh Lift
4,453
599
14,395
16,446
77,366
22,968
211,005
123,685
37,246
24,348
11,218
31,789
1,170
265,209
8,763
54,852
207,284
664
10,378
1,085
175
2,592
3,796
9,299
4,413
38,423
24,733
5,959
2,341
2,233
8,424
209
46,185
2,628
10,772
59,558
104
2,500
24%
29%
18%
23%
12%
19%
18%
20%
16%
10%
20%
26%
18%
17%
30%
20%
29%
16%
24%
1,473
61
1,329
2,433
23,553
4,455
28,779
14,331
5,174
2,366
1,830
5,419
403
34,132
1,352
6,620
28,583
69
1,604
33%
10%
9%
15%
30%
19%
14%
12%
14%
10%
16%
17%
34%
13%
15%
12%
14%
10%
15%
780
162
2,763
2,414
16,999
3,442
47,119
28,683
6,418
2,912
2,602
5,351
228
59,214
944
11,492
25,581
188
1,438
18%
27%
19%
15%
22%
15%
22%
23%
17%
12%
23%
17%
19%
22%
11%
21%
12%
28%
14%
619
71
6,397
1,813
8,747
3,617
25,381
17,584
7,078
11,334
1,449
6,331
171
41,519
1,843
8,583
38,217
122
2,010
14%
12%
44%
11%
11%
16%
12%
14%
19%
47%
13%
20%
15%
16%
21%
16%
18%
18%
19%
496
130
1,314
5,990
18,768
7,041
71,303
38,354
12,617
5,395
3,104
6,264
159
84,159
1,996
17,385
55,345
181
2,826
11%
22%
9%
36%
24%
31%
34%
31%
34%
22%
28%
20%
14%
32%
23%
32%
27%
27%
27%
Tummy tuck (Abdominoplasty)
Upper arm lift
123,427
18,313
24,173 20%
5,333 29%
TOTAL PROCEDURES
299,715
33,764
Breast augmentation (Augmentation mammaplasty)
Breast implant removals (Augmentation patients only)
Breast lift (Mastopexy)
Breast reduction (Aesthetic patients only)****
Breast reduction in men (Gynecomastia)
Buttock augmentation with fat grafting****
Buttock implants****
TOTAL COSMETIC SURGICAL PROCEDURES
1,811,754
Region 1
343,571 19%
22,580 18%
2,513 14%
287,427 16%
20,694 17%
3,849 21%
339,237 19%
Region 5
107,017 36%
7,043 21%
20,161 16%
2,538 14%
301,342 17%
2019
35,819 29%
4,080 22%
540,177 30%
2019 Plastic Surgery Statistics Report
REGION 1
REGION 2
REGION 3
REGION 4
REGION 5
All values are projected.
***Botulinum Toxin Type A numbers are of anatomic
sites injected.
****Counts of procedures performed by ASPS
member surgeons only.
20
New England
(CT, ME, MA, NH, RI, VT)
East North Central
(IL, IN, MI, OH, WI)
Middle Atlantic
(NJ, NY, PA)
West North Central
(IA, KS, MN, MO, NE, ND, SD)
South Atlantic
(DE, DC, FL, GA, MD, NC, SC, VA, WV)
East South Central
(AL, KY, MS, TN)
West South Central
(AR, LA, OK, TX)
Mountain
(AZ, CO, ID, MT, NV, NM, UT, WY)
Pacific
(AK, CA, HI, OR, WA)
ASPS procedural statistics represent procedures
performed by ASPS Member Surgeons certified by
The American Board of Plastic Surgery® as well as
other physicians certified by American Board of
Medical Specialties-recognized boards.
©
ASPS, 2020
Regional Distribution
COSMETIC MINIMALLY-INVASIVE PROCEDURES
Botulinum Toxin Type A (Botox®, Dyspor®, Xeomin®)***
Cellulite treatment (Velosmooth®, Endermology)
Chemical peel
Injection lipolysis (e.g., Kybella®)
Intense Pulsed Light (IPL) treatment
Laser hair removal
Laser skin resurfacing
Laser tatto removal†
Laser treatment of leg veins
Microdermabrasion
Non-invasive fat reduction (Coolsculpting®, Liposonix®,
Emsculpt®, Vanquish®, Zerona®)
Non-surgical skin tightening (Pelleve®, Thermage®, Ulthera®)
Sclerotherapy
Soft Tissue Fillers
Acellular Dermal Matrix****
Allograft Adipose Matrix†
Calcium hydroxylapatite (Radiesse®)
Fat-face
Hyaluronic acid (Juvederm Ultra®, Juvederm Ultra Plus®,
Perlane®, Restylane®, Belotero®)
Platelet-Rich Plasma (PRP)
Polylactic acid (Sculptra)
Polymethyl-methacrylate microspheres (Bellafill)
PLASTIC SURGERY
STATISTICS REPORT
TOTAL PROCEDURES
7,697,798
35,554
1,387,607
65,825
685,755
1,055,456
596,755
166,019
214,800
681,190
386,557
334,351
319,895
2,721,469
9,117
14,547
221,307
47,123
2,160,578
66,606
49,638
792,049
1,641
2,554
77,854
8,189
657,089
130,230
120,689
17,878
TOTAL COSMETIC MINIMALLY-INVASIVE
PROCEDURES
18,160,785
RECONSTRUCTIVE PROCEDURES
TOTAL PROCEDURES
Breast reconstruction
107,238
20%
22%
24%
18%
27%
18%
20%
24%
25%
21%
20%
16%
29%
18%
35%
17%
30%
27,336 21%
14,349 12%
3,037 17%
16,349,031
TOTAL COSMETIC PROCEDURES
Region 1
1,548,170
7,992
338,228
12,060
185,050
186,714
119,939
29,079
52,249
170,788
79,435
Region 2
1,014,745
7,869
210,047
12,983
102,583
139,300
129,721
21,692
22,693
133,288
51,509
46,960
37,859
348,998
1,877
2,784
31,934
8,929
258,551
13%
22%
15%
20%
15%
13%
22%
11%
20%
13%
14%
12%
13%
21%
16,836 13%
27,113 22%
974 5%
2,280,247 14%
3,981,568 22%
2,567,674 14%
21,513 20%
76,190
68,690
519,122
1,926
3,408
42,000
11,039
406,027
14%
19%
12%
3,637,997 22%
Region 1
Region 3
1,836,960
7,028
271,929
13,699
120,352
232,804
93,802
36,619
35,170
139,939
86,930
Region 4
24%
20%
20%
21%
18%
22%
16%
16%
21%
22%
23%
21%
19%
21%
19%
23%
19%
30,038 23%
18,501 15%
6,183 35%
3,539,234 22%
1,103,929
3,967
125,018
8,707
60,907
161,915
58,568
25,983
23,750
78,219
53,495
45,123
116,411
279,621
1,168
1,133
32,447
3,671
178,273
14%
11%
9%
13%
9%
15%
10%
11%
11%
14%
Region 5
2,193,994
8,698
442,385
18,376
216,863
334,723
194,725
52,646
80,938
158,956
115,188
13%
36%
10%
13%
99,472
47,297
781,679
2,505
4,668
37,072
15,295
660,638
15%
8%
8%
19,258 15%
42,496 35%
1,175 7%
29%
24%
32%
28%
32%
32%
33%
38%
23%
30%
30%
15%
29%
27%
17%
32%
31%
36,762 28%
18,230 15%
6,509 36%
2,145,613 13%
4,745,940 29%
3,878,471 21% 2,446,955 13%
5,286,117 29%
Region 2
18,112 17%
Region 3
22,708 21%
2019
Region 4
22,556 21%
Region 5
22,349 21%
2019 Plastic Surgery Statistics Report
REGION 1
21
REGION 2
REGION 3
New England
(CT, ME, MA, NH, RI, VT)
East North Central
(IL, IN, MI, OH, WI)
South Atlantic
(DE, DC, FL, GA, MD, NC, SC, VA, WV)
Middle Atlantic
(NJ, NY, PA)
West North Central
(IA, KS, MN, MO, NE, ND, SD)
REGION 4
East South Central
(AL, KY, MS, TN)
West South Central
(AR, LA, OK, TX)
REGION 5
Mountain
(AZ, CO, ID, MT, NV, NM, UT, WY)
Pacific
(AK, CA, HI, OR, WA)
All values are projected.
***Botulinum Toxin Type A numbers are of anatomic
sites injected.
****Counts of procedures performed by ASPS
member surgeons only.
†New procedure added for 2019
Note that Collagen was excluded from the results due
to an insufficient sample of responding physicians
who perform this procedure
ASPS procedural statistics represent procedures
performed by ASPS Member Surgeons certified by
The American Board of Plastic Surgery® as well as
other physicians certified by American Board of
Medical Specialties-recognized boards.
©
ASPS, 2020
PLASTIC SURGERY
STATISTICS REPORT
Average Surgeon/Physician Fees
COSMETIC SURGICAL PROCEDURES
Breast augmentation (Augmentation mammaplasty)
Breast implant removals (Augmentation patients only)
Breast lift (Mastopexy)
Breast reduction (Aesthetic patients only)
Breast reduction in men (Gynecomastia)
Buttock augmentation with fat grafting
Buttock implants
Buttock lift
Calf augmentation
Cheek implant (Malar augmentation)
Chin augmentation (Mentoplasty)
Dermabrasion
Ear surgery (Otoplasty)
Eyelid surgery (Blepharoplasty)
Facelift (Rhytidectomy)
Forehead lift
Hair transplantation
Labiaplasty
Lip augmentation (other than injectable materials)
Lip reduction
Liposuction
Lower body lift
Neck lift
Nose reshaping (Rhinoplasty)
Pectoral implants
Thigh Lift
Tummy tuck (Abdominoplasty)
Upper arm lift
Total 2019 Expenditures
NATIONAL AVERAGE
SURGEON/
PHYSICIAN FEE
$3,947
$2,641
$4,693
$5,475
$4,123
$4,277
$5,004
$4,960
$3,677
$2,986
$2,449
$1,296
$3,220
$3,282
$7,467
$3,490
*
$2,894
$1,830
$2,098
$3,548
$8,073
$5,110
$5,409
$4,244
$5,171
$6,092
$4,550
TOTAL
EXPENDITURE
$1,183,107,998
$89,180,602
$531,136,658
$253,720,712
$99,462,538
$120,070,066
$4,853,880
$22,084,654
$2,202,523
$42,981,414
$40,275,938
$100,230,629
$73,964,999
$692,584,482
$923,527,947
$129,987,863
*
$32,462,770
$58,157,976
$2,454,660
$941,083,188
$70,740,569
$280,312,004
$1,121,214,773
$2,818,182
$53,665,275
$751,955,728
$83,322,426
COSMETIC MINIMALLY-INVASIVE
ROCEDURES
Botulinum Toxin Type A (Botox, Dysport)
Cellulite treatment (Velosmooth, Endermology)
Chemical peel
Injection lipolysis (e.g., Kybella)
Intense Pulsed Light (IPL) treatment
Laser hair removal
Laser skin resurfacing
Ablative
Non-ablative (Fraxel, etc.)
Laser tatto removal†
Laser treatment of leg veins
Microdermabrasion
Non-invasive fat reduction (Coolsculpting, Liposonix,
Emsculpt, Vanquish, Zerona)
Non-surgical skin tightening (Pelleve, Thermage,
Ulthera)
Sclerotherapy
Soft Tissue Fillers
Acellular Dermal Matrix
Allograft Adipose Matrix†
Calcium hydroxylapatite (Radiesse)
Fat-face^^^
Hyaluronic acid (Juvederm Ultra, Juvederm Ultra
Plus, Perlane, Restylane, Belotero)
Platelet-Rich Plasma (PRP)
Polylactic acid (Sculptra)
Polymethyl-methacrylate microspheres (Artefill)
NATIONAL AVERAGE
SURGEON/
PHYSICIAN FEE
2019
TOTAL
EXPENDITURE
$408
*
$644
$1,027
$406
$287
*
$1,963
$1,201
$471
$443
$136
$1,376
$3,143,028,825
*
$893,090,296
$67,598,161
$278,736,549
$303,074,190
*
$315,832,959
$523,446,047
$78,194,949
$95,156,400
$92,319,171
$532,025,427
$2,134
$713,661,761
$343
*
$2,169
*
$690
$2,163
$652
$109,644,011
*
$19,770,215
*
$152,623,302
$101,917,299
$1,408,196,234
$653
$878
$855
$84,975,075
$105,986,240
$15,285,690
$16,742,123,255
All values are projected.
Fees generally vary according to region of country and
patient needs.
These fees are averages only. Fees do not include
anesthesia, operating room facilities or other related
expenses.
ASPS procedural statistics represent procedures
performed by ASPS Member Surgeons certified by
The American Board of Plastic Surgery® as well as
other physicians certified by American Board of
Medical Specialties-recognized boards.
©
ASPS, 2020
22
PLASTIC SURGERY
STATISTICS REPORT
Reconstructive Demographics
2019
% 2019
2018
% 2018
% CHANGE
2019 vs. 2018
844,016
14%
827,297
14%
2%
Hospital
3,592,576
60%
3,518,997
61%
2%
Free-standing Ambulatory Surgical Facility
1,508,257
25%
1,459,586
25%
3%
Reconstructive Procedures Performed In*
Office
2019
Reconstructive Breast Procedures
(with age distribution)
RECONSTRUCTIVE BREAST PROCEDURES
Breast reconstruction*
Saline implants
Silicone implants
Implant alone
Tissue expander and implant
Pedicle TRAM
Free TRAM
DIEP Flap
Latissimus Dorsi flap
Other flap
Timing - Immediate
Timing - Delayed
Unilateral
Bilateral
Acellular dermal matrix
Fat grafts
Breast reduction (reconstructive patients only)
Breast implant removals (Reconstructive patients only)
TOTAL
PROCEDURES
107,238
4,984
83,021
15,699
72,306
1,699
2,046
10,338
4,188
962
79,475
27,763
35,972
71,266
65,971
*
60,996
20,775
Reconstructive surgical procedures by group
Breast reconstruction
Burn care
Cleft Lip & Palate Repair
Tumor removal
Treatment of dog bites
23
13-19
20-29
30-39
40-54
55 AND OVER
537
150
2,663
1,188
12,427
3,809
53,846
9,927
37,765
5,701
Caucasian
AfricanAmerican
Asian/Pacific
Islander
Hispanic
71%
13%
3%
11%
72%
13%
4%
10%
2%
46%
3%
11%
26%
14%
75%
8%
6%
9%
4%
72%
11%
2%
12%
2%
Other
1%
All values are projected.
* 94% of total breast implants were silicone: 6%
were saline.
*Due to a methodologic change, projection is not
comparable to prior years
ASPS procedural statistics represent procedures
performed by ASPS Member Surgeons certified by The
American Board of Plastic
Surgery® ©ASPS, 2020
PLASTIC SURGERY
STATISTICS REPORT
Cosmetic Demographics
2019
Patient behavior
Cosmetic surgery patients
who are repeat patients
38%
Cosmetic non-surgery patients
who are repeat patients
58%
Cosmetic Procedures Performed In*
2019
% 2019
2018
Cosmetic non-surgery patients
having multiple cosmetic
procedures at the same time
38%
% 2018
% CHANGE
2019 vs. 2018
4%
Office
6,292,694
35%
6,055,495
34%
Hospital
4,553,896
25%
4,488,550
25%
1%
Free-standing Ambulatory Surgical Facility
7,332,738
40%
7,177,626
41%
2%
2019
% 2019
2018
% 2018
Caucasian
12,744,719
70%
12,475,361
70%
% CHANGE
2019 vs. 2018
2%
Hispanic
1,990,852
11%
1,941,222
11%
3%
Ethnicity breakdown of cosmetic procedures
African-American
1,680,927
9%
1,617,300
9%
4%
Asian-American
1,196,209
7%
1,166,980
7%
3%
566,621
3%
520,808
3%
9%
Caucasian
Asian/Pacific
Islander
5%
Hispanic
Other
Other
Breast Augmentation
73%
AfricanAmerican
8%
11%
3%
Rhinoplasty
73%
7%
5%
11%
4%
Blepharoplasty
80%
4%
7%
7%
2%
Cosmetic surgical procedures by group
Liposuction
75%
9%
4%
11%
2%
Abdominoplasty
66%
12%
5%
13%
3%
Caucasian
AfricanAmerican
Asian/Pacific
Islander
Hispanic
Other
78%
5%
5%
10%
1%
Cosmetic minimally-invasive
procedures by group
Botulinum toxin type A (Botox®, Dysport®, Xeomin®)
24
Cosmetic surgery patients having
multiple cosmetic procedures at
the same time
45%
Soft tissue fillers
80%
7%
4%
8%
1%
Chemical peel
82%
4%
4%
7%
2%
Laser hair removal
75%
7%
5%
8%
3%
Microdermabrasion
76%
6%
4%
10%
5%
All values are projected.
ASPS procedural statistics represent procedures
performed by ASPS Member Surgeons certified by
The American Board of Plastic Surgery® as well as
other physicians certified by American Board of
Medical Specialties-recognized boards.
©
ASPS, 2020
PLASTIC SURGERY
STATISTICS REPORT
2019 Body Contouring After Massive Weight Loss
BODY CONTOURING AFTER MASSIVE WEIGHT LOSS PROCEDURES
Breast lift (Mastopexy) after massive weight loss
Lower body lift after massive weight loss
Thigh lift after massive weight loss
Tummy tuck (Abdominoplasty) after massive weight loss
Upper arm lift after massive weight loss
TOTAL BODY CONTOURING AFTER MASSIVE WEIGHT LOSS PROCEDURES
2019
2018
13,903
6,625
4,148
21,188
7,590
15,360
6,463
4,034
23,206
6,955
53,454
56,018
2019
2018
3,359
7,626
2,885
6,691
10,985
9,576
2019
% CHANGE
2019 vs. 2018
-9%
3%
3%
-9%
9%
-5%
2019 Gender Confirmation Surgery
GENDER CONFIRMATION SURGERIES
Male to Female patients
Female to Male patients
TOTAL BODY CONTOURING AFTER MASSIVE WEIGHT LOSS PROCEDURES
% CHANGE
2019 vs. 2018
16%
14%
15%
All values are projected.
ASPS procedural statistics represent procedures
performed by ASPS Member Surgeons certified by
The American Board of Plastic Surgery® as well as
other physicians certified by American Board of
Medical Specialties-recognized boards.
©
ASPS, 2020
25