2014 Please credit the AMERICAN SOCIETY OF PLASTIC SURGEONS when citing statistical data or using graphics. Plastic Surgery Statistics Report ASPS National Clearinghouse of Plastic Surgery Procedural Statistics All figures are projected. * Data unavailable in prior year. **77% of total 2014 breast implants were silicone; 23% were saline. ***Botulinum Toxin Type A numbers are of anatomic sites injected. ****Counts of procedures performed by ASPS member surgeons only. ^In 2000 figure included all animal bites. ^^In 2000 figure included facial laceration repair. ^^^^In 2014 and 2013 figure includes facial laceration repair. 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, 2015 ASPS Public Relations I Phone: 847-228-9900 I Fax: 847-981-5482 I Email: media@plasticsurgery.org I Website: www.PlasticSurgery.org 1 2014 Plastic Surgery Statistics Table of Contents Introduction About the American Society of Plastic Surgeons.................................................................................. 3 Methodology and Validity................................................................................................................... 4 2014 Quick Facts - Plastic Surgery Trends......................................................................................... 5 2014 Plastic Surgery Statistics Report 2014 Quick Facts - Demographic Trends............................................................................................ 6 Statistical Reports Cosmetic Procedure Trends............................................................................................................... 7 Please credit the AMERICAN SOCIETY OF PLASTIC SURGEONS when citing statistical data or using graphics. Cosmetic Procedure Charts............................................................................................................... 8 Reconstructive Procedure Trends and Charts...................................................................................... 9 Cosmetic Surgery Gender Distribution – Female............................................................................... 10 ASPS Public Relations Phone: 847-228-9900 Fax: 847-981-5482 Email: media@plasticsurgery.org Website: www.plasticsurgery.org Top Five Cosmetic Surgery Gender Distribution Charts – Female........................................................ 11 Cosmetic Surgery Gender Distribution – Male................................................................................... 12 Top Five Cosmetic Surgery Gender Distribution Charts – Male........................................................... 13 Cosmetic Surgery Age Distribution (13-19)....................................................................................... 14 Cosmetic Surgery Age Distribution (20-29)....................................................................................... 15 Cosmetic Surgery Age Distribution (30-39)....................................................................................... 16 Cosmetic Surgery Age Distribution (40-54)....................................................................................... 17 Cosmetic Surgery Age Distribution (55 and Over).............................................................................. 18 Regional Distribution – Cosmetic Procedures.................................................................................... 19 Average Surgeon/Physician Fees – Cosmetic Procedures.................................................................. 20 Cosmetic Demographics.................................................................................................................. 21 Reconstructive Demographics.......................................................................................................... 22 Reconstructive Breast Procedures.................................................................................................... 22 Body Contouring after Massive Weight Loss...................................................................................... 23 2 2014 Plastic Surgery Statistics About the American Society of Plastic Surgeons 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 – 1992-2014. ASPS is the largest organization of board-certified plastic surgeons in the world. With more than 7,000 members, the Society is recognized as a leading authority and information source on cosmetic and reconstructive plastic surgery. ASPS comprises more than 94 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. ® 2014 Plastic Surgery Statistics Report Please credit the AMERICAN SOCIETY OF PLASTIC SURGEONS when citing statistical data or using graphics. ASPS Public Relations Phone: 847-228-9900 Fax: 847-981-5482 Email: media@plasticsurgery.org Website: www.plasticsurgery.org 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 Spokespersons Network 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. ASPS Member Surgeons have the following qualifications: ✔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. 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. ✔ Operate only in accredited medical facilities. 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. ✔ Fulfill continuing education requirements, including patient safety techniques. 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 Full color graphics and statistical graphs can be downloaded or are available by contacting the ASPS Public Relations Department. ✔ Adhere to a strict code of ethics. ✔Are partners with patients in cosmetic and reconstructive plastic surgery. 2014 Plastic Surgery Statistics Methodology and Validity Methodology 2014 Plastic Surgery Statistics Report Please credit the AMERICAN SOCIETY OF PLASTIC SURGEONS when citing statistical data or using graphics. ASPS Public Relations Phone: 847-228-9900 Fax: 847-981-5482 Email: media@plasticsurgery.org Website: www.plasticsurgery.org 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 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 28,200 ABMS board-certified physicians (An online and faxed version of the questionnaire were made available. A total of 659 active physicians returned questionnaires, consisting of 467 plastic surgeons, 147 dermatologists, and 45 Otolaryngologists. Overall, 953 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 24,500 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 ±3.77 percent margin of error. 4 2014 Quick Facts Cosmetic and Reconstructive Plastic Surgery Trends Percentage change 2014 vs. 2013 15.6 million cosmetic procedures 3% • 1.7 million cosmetic surgical procedures 1% • 13.9 million cosmetic minimally-invasive procedures 4% 2014 Plastic Surgery Statistics Report 5.8 million reconstructive procedures 1% 2014 Top 5 Cosmetic Surgical Procedures Please credit the AMERICAN SOCIETY OF PLASTIC SURGEONS when citing statistical data or using graphics. 2014 vs. 2013 Breast augmentation (286,000) 1% Nose reshaping (217,000) 2% Liposuction (211,000) 5% Eyelid surgery (207,000) 4% Facelift (128,000) 4% ASPS Public Relations Phone: 847-228-9900 Fax: 847-981-5482 Email: media@plasticsurgery.org Website: www.plasticsurgery.org 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, 2015 Cosmetic surgical procedures, not among the Top 5, with notable gains in 2014 include: •Male breast reduction (gynecomastia) – up 14% •Tummy Tuck – up 5% •Dermabrasion– up 12% 2014 Top 5 Cosmetic Minimally-Invasive Procedures Botulinum toxin type A (6.7 million) Soft tissue fillers (2.3 million) Chemical peel (1.2 million) Laser hair removal (1.1 million) Microdermabrasion (882,000) 2014 vs. 2013 6% 3% 7% 3% 9% Facial rejuvenation procedures experienced the most growth, as 2014 marked the highest number of botulinum toxin type A injections to date, with 6.7 million injections! 2014 Top 5 Reconstructive Procedures Tumor removal (4.4 million) Laceration repair (251,000) Maxillofacial surgery (199,000) Scar revision (177,000) Hand surgery (130,000) 5 Breast augmentation continues to be the top cosmetic surgical procedure and has been since 2006. Silicone implants were used in 77%, and saline implants in 23%, of all breast augmentations in 2014. 2014 vs. 2013 no change 1% no change no change 1% Tumor removal is overwhelming the top reconstructive procedure performed every year with more than 4.4 million procedures in 2014! 2014 Quick Facts Cosmetic Plastic Surgery Demographic Trends Age Gender 13-19 year olds 2014 Plastic Surgery Statistics Report 2014 vs. 2013 Make up the least number of cosmetic procedures – only 2% 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. 224,000 total cosmetic procedures 64,000 surgicalno change 161,000 minimally-invasive Please credit the AMERICAN SOCIETY OF PLASTIC SURGEONS when citing statistical data or using graphics. 2% 20-29 year olds 3% 2014 vs. 2013 815,000 total cosmetic procedures 2% 247,000 surgical 1% ASPS Public Relations Phone: 847-228-9900 Fax: 847-981-5482 Email: media@plasticsurgery.org Website: www.plasticsurgery.org 568,000 minimally-invasive ↑ 30-39 year olds 2% 2014 vs. 2013 2.7 million total cosmetic procedures 3% 357,000 surgical 2% 2.3 million minimally-invasive 4% 40-54 year olds Female 2014 vs. 2013 92% of all cosmetic procedures 1% 1% 4% 13.6 million total cosmetic procedures • 1.4 million surgical • 12.2 million minimally-invasive Male 2014 vs. 2013 8% of all cosmetic procedures 1.3 million total cosmetic procedures 1% • 205,000 surgicalno change • 1 million minimally-invasive 1% Ethnic 2014 vs. 2013 Caucasians (10.8 million) Hispanics(1.6 million) African Americans (1.3 million) Asian Americans (1.0 million) 3% 4% 8% 9% 2014 vs. 2013 Make up the majority of cosmetic procedures – 49% of the total. 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, 2015 7.2 million total cosmetic procedures 3% 530,000 surgical ↑ no change 6.7 million minimally-invasive 4% 55 and over 6 2014 vs. 2013 Did you know… • $12.9 billion was spent on cosmetic procedures in the U.S., up 2% 3.9 million total cosmetic procedures ↑ 4% • Office-based cosmetic procedures are up 3% 372,000 surgical 1% 3.5 million minimally-invasive 4% • Region with the most cosmetic procedures performed in the U.S. is Mountain/Pacific – 4.6 million procedures 2014 Cosmetic Plastic Surgery Statistics Cosmetic Procedure Trends % CHANGE 2014 vs. 2013 % CHANGE 2014 vs. 2000 212,500 40,787 52,836 * 20,351 * * 1,356 * 10,427 26,924 42,218 36,295 327,514 133,856 120,971 44,694 18,589 * 354,015 207 * 389,155 * 5,303 62,713 338 -1% 0% 3% 0% 14% 15% 98% 44% -4% 2% -5% 12% -8% -4% -4% -9% 5% 3% 27% 5% 7% 0% -2% 208% 5% 5% 3% 35% -42% 75% * 29% * * 158% * 17% -33% 98% -39% -37% -4% -65% -65% 40% * -41% 3658% * -44% * 72% 87% 4694% 1,668,420 1,901,049 1% -12% 2014 2013 2000 % CHANGE 2014 vs. 2013 6,673,608 29,243 1,250,059 621,724 1,112,046 543,731 152,478 391,253 207,790 881,905 323,609 2,301,673 257,953 22,049 16,023 6,026 67,609 1,802,247 134,471 17,344 6,321,160 29,318 1,163,333 602,659 1,077,158 511,795 146,199 365,596 208,069 970,343 321,477 2,242,621 284,488 60,565 14,465 46,100 66,223 1,675,601 138,427 17,317 786,911 23,952 1,149,457 * 735,996 170,951 * * 245,424 868,315 866,555 652,885 * 587,615 * * 65,270 * * * 6% 0% 7% 3% 3% 6% 4% 7% 0% -9% 1% 3% -9% -64% 11% -87% 2% 8% -3% 0% 748% 22% 9% * 51% 218% * * -15% 2% -63% 253% * -96% * * 4% * * * TOTAL COSMETIC MINIMALLY-INVASIVE PROCEDURES 13,945,388 13,447,933 5,500,446 4% 154% TOTAL COSMETIC PROCEDURES 15,622,866 15,116,353 7,401,495 3% 111% COSMETIC SURGICAL PROCEDURES 2014 Plastic Surgery Statistics Report Please credit the AMERICAN SOCIETY OF PLASTIC SURGEONS when citing statistical data or using graphics. ASPS Public Relations Phone: 847-228-9900 Fax: 847-981-5482 Email: media@plasticsurgery.org Website: www.plasticsurgery.org All figures are projected. * Data unavailable in prior year. **77% of total 2014 breast implants were silicone; 23% were saline. ***Botulinum Toxin Type A numbers are of anatomic sites injected. ****Counts of procedures performed by ASPS member surgeons only. 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, 2015 7 Top 5 procedures appear in bold. 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 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 COSMETIC SURGICAL PROCEDURES COSMETIC MINIMALLY-INVASIVE PROCEDURES Botulinum Toxin Type A (Botox®, Dysport®)*** Cellulite treatment (Velosmooth®, Endermology) Chemical peel Intense Pulsed Light (IPL) treatment Laser hair removal Laser skin resurfacing Ablative Non-ablative (Fraxel®, etc.) Laser treatment of leg veins Microdermabrasion Sclerotherapy Soft Tissue Fillers Calcium hydroxylapatite (Radiesse®) Collagen Porcine/bovine-based (Evolence®, Zyderm,® Zyplast®) Human-based (Cosmoderm®, Cosmoplast®, Cymetra®) Fat Hyaluronic acid (Juvederm Ultra®, Juvederm Ultra Plus®, Perlane®, Restylane®) Polylactic acid (Sculptra®) Polymethyl-methacrylate microspheres (Artefill®) 2014 2013 2000 286,254 23,774 92,724 41,309 26,175 11,505 1,863 3,505 548 12,199 18,136 83,671 22,167 206,509 128,266 42,119 15,778 26,025 777 210,552 7,779 55,173 217,124 1,054 9,129 117,158 16,205 290,224 23,770 90,006 41,164 22,939 9,993 942 2,438 571 12,004 19,108 74,721 24,111 215,641 133,320 46,323 15,076 25,156 610 199,817 7,281 55,346 221,053 342 8,709 111,986 15,769 1,677,478 % CHANGE 2014 vs. 2000 2014 Top Five Cosmetic Plastic Surgery Procedures Cosmetic Procedure Charts 2014 Top Five Cosmetic Surgical Procedures Breast Augmentation -1% from 2013 286,000 2014 Plastic Surgery Statistics Report Nose Reshaping Please credit the AMERICAN SOCIETY OF PLASTIC SURGEONS when citing statistical data or using graphics. Eyelid Surgery -2% from 2013 217,000 Liposuction 5% from 2013 211,000 -4% from 2013 207,000 Facelift 128,000 -4% from 2013 ASPS Public Relations Phone: 847-228-9900 Fax: 847-981-5482 Email: media@plasticsurgery.org Website: www.plasticsurgery.org 2014 Top Five COSMETIC Minimally-Invasive Procedures Botulinum Toxin Type A Soft Tissue Fillers 2.3 million 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, 2015 Chemical Peel 1.25 million Laser Hair Removal 1.1 million Microdermabrasion 882,000 8 6% from 2013 6.7 million 3% from 2013 7% from 2013 3% from 2013 -9% from 2013 2014 Reconstructive Plastic Surgery Statistics Reconstructive Procedure Trends Top 5 procedures appear in bold. RECONSTRUCTIVE PROCEDURES 2014 Plastic Surgery Statistics Report Please credit the AMERICAN SOCIETY OF PLASTIC SURGEONS when citing statistical data or using graphics. % CHANGE 2014 vs. 2013 2000 2013 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^^^ Pelvic floor reconstruction**** Scar revision Tumor removal (including skin cancer) Other reconstructive procedures 28,528 29,221 17,496 102,215 59,883 15,457 129,715 27,281 10,048 250,946 16,334 199,234 1,351 177,345 4,440,186 264,584 26,935 30,257 18,223 95,589 62,611 16,113 131,282 26,481 9,458 253,660 17,026 198,531 1,220 177,317 4,426,634 242,783 43,089 40,076 16,287 78,832 * * * * * 358,666 * 79,331 * 221,858 * 376,270 6% -3% -4% 7% -4% -4% -1% 3% 6% -1% -4% 0% 11% 0% 0% 9% -34% -27% 7% 30% * * * * * -30% * 151% * -20% * -30% TOTAL RECONSTRUCTIVE PROCEDURES 5,769,824 5,734,120 * 1% * ASPS Public Relations Phone: 847-228-9900 Fax: 847-981-5482 Email: media@plasticsurgery.org Website: www.plasticsurgery.org All figures are projected. * Data unavailable in prior year. ****Counts of procedures performed by ASPS member surgeons only. ^In 2000 figure included all animal bites. ^^In 2000 figure included facial laceration repair. ^^^In 2000 figure did not includes facial laceration repair. 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, 2015 9 % CHANGE 2014 vs. 2000 2014 2014 Top Five Reconstructive Procedures Tumor Removal No change 4.4 million Laceration Repair 251,000 Maxillofacial Surgery 199,000 Scar Revision 177,000 Hand Surgery 130,000 -1% from 2013 No change No change -1% from 2013 2014 Cosmetic Surgery Gender Distribution Female Top 5 procedures appear in bold COSMETIC SURGICAL PROCEDURES 2014 Plastic Surgery Statistics Report Please credit the AMERICAN SOCIETY OF PLASTIC SURGEONS when citing statistical data or using graphics. ASPS Public Relations Phone: 847-228-9900 Fax: 847-981-5482 Email: media@plasticsurgery.org Website: www.plasticsurgery.org 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 All figures are projected. * Data unavailable in prior year. **77% of total 2014 breast implants were silicone; 23% were saline. ***Botulinum Toxin Type A numbers are of anatomic sites injected. 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, 2015 10 Botulinum toxin type A (Botox®, Dysport®)*** 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®) Collagen Fat Hyaluronic acid (e.g., Juvederm Ultra®, Juvederm Ultra Plus®, Perlane®, Restylane®, Prevelle Silk®) Polylactic acid (Sculptra®) 2014 TOTAL PROCEDURES 286,254 23,774 92,724 26,175 1,863 3,505 548 12,199 18,136 83,671 22,167 206,509 128,266 42,119 15,778 26,025 210,552 7,779 217,124 1,054 9,129 117,158 16,205 1,568,714 2014 TOTAL PROCEDURES 6,673,608 29,243 1,250,059 1,112,046 543,731 207,790 881,905 323,609 2,284,329 257,953 22,049 67,609 2014 TOTAL FEMALE 286,254 23,774 92,724 0 1,623 3,238 245 9,091 8,604 72,452 13,048 177,107 116,415 37,311 4,468 24,894 186,225 7,070 162,444 0 8,667 112,567 15,882 1,364,103 2014 TOTAL FEMALE 6,262,695 25,136 1,151,430 921,230 473,156 180,474 724,620 319,007 2,191,380 240,661 20,939 63,423 % OF TOTAL PROCEDURES % CHANGE 2014 vs. 2013 % CHANGE 2014 vs. 2000 100% 100% 100% 0% 87% 92% 45% 75% 47% 87% 59% 86% 91% 89% 28% 96% 88% 91% 75% 0% 95% 96% 98% -1% 0% 3% 99% 44% -3% 3% -8% 12% -7% -4% -3% -10% 2% 3% 6% 7% -1% 5% 5% 3% 35% -42% 75% * 148% * 4% -52% 160% -32% -34% -2% -65% 10% 36% -38% * -32% 71% 86% 4599% 87% 1% -9% % OF TOTAL PROCEDURES 94% 86% 92% 83% 87% 87% 82% 99% 96% 93% 95% 94% % CHANGE 2014 vs. 2013 6% 0% 8% 4% 6% 0% -8% 1% 3% -9% -64% 2% % CHANGE 2014 vs. 2000 804% 5% 21% 53% 217% -20% -7% -62% 264% * -96% 3% 1,802,247 1,752,316 97% 8% * 134,471 114,041 85% -2% * TOTAL COSMETIC MINIMALLY-INVASIVE PROCEDURES 13,306,320 12,249,128 92% 4% 152% TOTAL COSMETIC PROCEDURES 14,875,034 13,613,231 92% 1% 114% 2014 Cosmetic Surgery Gender Distribution Charts Female 2014 Top Five Female Cosmetic Surgical Procedures Breast Augmentation -1% from 2013 286,000 2014 Plastic Surgery Statistics Report Please credit the AMERICAN SOCIETY OF PLASTIC SURGEONS when citing statistical data or using graphics. Nose Reshaping -1% from 2013 162,000 Liposuction 6 % from 2013 186,000 Eyelid Surgery -4% from 2013 177,000 Facelift 116,000 -3% from 2013 ASPS Public Relations Phone: 847-228-9900 Fax: 847-981-5482 Email: media@plasticsurgery.org Website: www.plasticsurgery.org 2013 Top Five Female Cosmetic Minimally-Invasive Procedures Botulinum Toxin Type A Soft Tissue Fillers 2.2 1.8 million 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, 2015 Chemical Peel 1.2 1.1 million Laser Hair Removal 938,000 921,000 Microdermabrasion 825,000 725,000 11 6% from 2013 5.4 6.2 million 3% from 2013 8% from 2013 4% from 2013 -8% from 2013 2014 Cosmetic Surgery Gender Distribution Male Top 5 procedures appear in bold COSMETIC SURGICAL PROCEDURES 2014 Plastic Surgery Statistics Report Please credit the AMERICAN SOCIETY OF PLASTIC SURGEONS when citing statistical data or using graphics. ASPS Public Relations Phone: 847-228-9900 Fax: 847-981-5482 Email: media@plasticsurgery.org Website: www.plasticsurgery.org All figures are projected. * Data unavailable in prior year. ***Botulinum Toxin Type A numbers are of anatomic sites injected. 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, 2015 12 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®)*** 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®) Collagen Fat Hyaluronic acid (e.g., Juvederm Ultra®, Juvederm Ultra Plus®, Perlane®, Restylane®, Prevelle Silk®) Polylactic acid (Sculptra®) 2014 TOTAL PROCEDURES 286,254 23,774 92,724 26,175 1,863 3,505 548 12,199 18,136 83,671 22,167 206,509 128,266 42,119 15,778 26,025 210,552 7,779 217,124 1,054 9,129 117,158 16,205 1,568,714 2014 TOTAL PROCEDURES 6,673,608 29,243 1,250,059 1,112,046 543,731 207,790 881,905 323,609 2,284,329 257,953 22,049 67,609 2014 TOTAL MALE % OF TOTAL PROCEDURES % CHANGE 2014 vs. 2013 % CHANGE 2014 vs. 2000 0 0 0 26,175 240 267 303 3,108 9,532 11,219 9,119 29,402 11,851 4,808 11,310 1,131 24,327 709 54,680 1,054 462 4,591 323 0% 0% 0% 100% 13% 8% 55% 25% 53% 13% 41% 14% 9% 11% 72% 4% 12% 9% 25% 100% 5% 4% 2% 14% 92% 45% -5% -2% -2% 10% -10% -3% -7% -5% 6% 3% 3% 10% -5% 208% 5% 1% 0% 29% * 456% * 86% 5% -22% -47% -49% -22% -63% -72% 388% -53% 243% -64% * 110% 100% * 204,611 13% 0% -48% 2014 TOTAL MALE 410,913 4,107 98,629 190,816 70,575 27,316 157,285 4,602 92,949 17,292 1,110 4,186 % OF TOTAL PROCEDURES 6% 14% 8% 17% 13% 13% 18% 1% 4% 7% 5% 6% % CHANGE 2014 vs. 2013 % CHANGE 2014 vs. 2000 7% -1% 4% 0% 10% -2% -12% -3% -3% -8% -62% -2% 337% * -100% 43% 227% 30% 83% -83% 86% * -98% 7% * 1,802,247 49,931 3% 5% 134,471 20,430 15% -7% * TOTAL COSMETIC MINIMALLY-INVASIVE PROCEDURES 13,306,320 1,057,192 8% 1% 67% TOTAL COSMETIC PROCEDURES 14,875,034 1,261,803 8% 1% 23% 2014 Cosmetic Surgery Gender Distribution Charts Male 2014 Top Five male Cosmetic Surgical Procedures Nose Reshaping -5% from 2013 55,000 2014 Plastic Surgery Statistics Report Please credit the AMERICAN SOCIETY OF PLASTIC SURGEONS when citing statistical data or using graphics. Eyelid Surgery -3% from 2013 29,000 Breast Reduction in Men 26,000 Liposuction 24,000 Facelift 12,000 14% from 2013 3% from 2013 -7% from 2013 ASPS Public Relations Phone: 847-228-9900 Fax: 847-981-5482 Email: media@plasticsurgery.org Website: www.plasticsurgery.org 2014 Top Five male Cosmetic Minimally-Invasive Procedures Botulinum Toxin Type A Laser Hair Removal 191,000 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, 2015 Microdermabrasion 157,000 Chemical Peel 99,000 Soft Tissue Fillers 93,000 13 7 % from 2013 411,000 No change -12% from 2013 4 % from 2013 -3% from 2013 2014 Cosmetic Surgery Age Distribution Age 13-19 Top 5 procedures appear in bold COSMETIC SURGICAL PROCEDURES 2014 Plastic Surgery Statistics Report 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 Please credit the AMERICAN SOCIETY OF PLASTIC SURGEONS when citing statistical data or using graphics. ASPS Public Relations Phone: 847-228-9900 Fax: 847-981-5482 Email: media@plasticsurgery.org Website: www.plasticsurgery.org All values are projected. ^Totals represents only 18 and 19 years olds. ***Botulinum Toxin Type A numbers are of anatomic sites injected. 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, 2015 14 COSMETIC MINIMALLY-INVASIVE PROCEDURES Botulinum Toxin Type A (Botox, Dysport)*** Chemical peel Laser hair removal Laser skin resurfacing Laser treatment of leg veins Microdermabrasion Sclerotherapy Soft Tissue Fillers Calcium hydroxylapatite (Radiesse) Collagen Fat Hyaluronic acid (Juvederm Ultra, Juvederm Ultra Plus, Perlane, Restylane) Polylactic acid (Sculptra) AGE 13-19 2014 TOTAL AGE 13-19 % OF TOTAL PROCEDURES AGE 13-19 % CHANGE 2014 vs 2013 8,040 85 1,673 6,694 1,548 3,614 6,254 1,930 249 3,324 30,127 3% 0% 2% 26% 9% 4% 28% 1% 1% 2% 14% -2% 1% 4% 14% -4% 11% -9% -4% 2% 5% -2% 63,538 4% 0% AGE 13-19 2014 TOTAL 19,170 6,509 71,650 26,961 19,136 8,761 1,772 6,582 853 76 599 3,210 1,844 AGE 13-19 % OF TOTAL PROCEDURES 0% 1% 6% 5% 9% 1% 1% 0% 0% 0% 1% 0% 1% AGE 13-19 % CHANGE 2014 vs 2013 7% 6% 3% 6% 1% -9% 0% -1% -10% -63% 2% 6% -4% TOTAL COSMETIC MINIMALLY-INVASIVE PROCEDURES 160,541 1% 3% TOTAL COSMETIC PROCEDURES 224,079 2% 2% 2014 Cosmetic Surgery Age Distribution Age 20-29 Top 5 procedures appear in bold COSMETIC SURGICAL PROCEDURES 2014 Plastic Surgery Statistics Report Please credit the AMERICAN SOCIETY OF PLASTIC SURGEONS when citing statistical data or using graphics. ASPS Public Relations Phone: 847-228-9900 Fax: 847-981-5482 15 AGE 20-29 % CHANGE 2014 vs 2013 29% 13% 14% 35% 20% 12% 38% 9% 14% 7% 30% 2% 0% 1% 9% 5% 15% 10% 32% 51% 6% 9% 9% -1% -1% 2% 13% 100% 42% -5% 1% -4% 12% -7% -5% -4% -10% 6% 2% 4% 6% -1% 210% 5% 4% 3% 246,698 16% 1% AGE 20-29 2014 TOTAL AGE 20-29 % OF TOTAL PROCEDURES AGE 20-29 % CHANGE 2014 vs 2013 100,154 6,322 14,859 243,090 30,539 26,430 68,838 13,912 64,303 5,194 1,011 3,354 2% 22% 1% 22% 6% 13% 8% 4% 3% 2% 5% 5% 6% 1% 9% 4% 6% -1% -9% 0% 1% -9% -63% 3% 47,579 3% 8% 7,165 5% -4% TOTAL COSMETIC MINIMALLY-INVASIVE PROCEDURES 568,447 4% 2% TOTAL COSMETIC PROCEDURES 815,145 5% 2% TOTAL COSMETIC SURGICAL PROCEDURES COSMETIC MINIMALLY-INVASIVE PROCEDURES Website: www.plasticsurgery.org Botulinum toxin type A (Botox®, Dysport®)*** 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®) Collagen Fat Hyaluronic acid (e.g., Juvederm Ultra®, Juvederm Ultra Plus®, Perlane®, Restylane®, Prevelle Silk®) Polylactic acid (Sculptra®) 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, 2015 AGE 20-29 % OF TOTAL PROCEDURES 82,494 3,136 12,849 9,054 380 430 207 1,116 2,502 5,622 6,585 3,682 367 232 1,360 1,233 32,225 740 68,803 542 573 11,081 1,485 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 Email: media@plasticsurgery.org All values are projected. ***Botulinum Toxin Type A numbers are of anatomic sites injected. AGE 20-29 2014 TOTAL 2013 Cosmetic Surgery Age Distribution Age 30-39 Top 5 procedures appear in bold COSMETIC SURGICAL PROCEDURES 2014 Plastic Surgery Statistics Report Please credit the AMERICAN SOCIETY OF PLASTIC SURGEONS when citing statistical data or using graphics. ASPS Public Relations Phone: 847-228-9900 Fax: 847-981-5482 Email: media@plasticsurgery.org Website: www.plasticsurgery.org All values are projected. ***Botulinum toxin type A numbers are of anatomic sites injected. 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, 2015 16 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®)*** 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®) Collagen Fat Hyaluronic acid (e.g., Juvederm Ultra®, Juvederm Ultra Plus®, Perlane®, Restylane®, Prevelle Silk®) Polylactic acid (Sculptra®) AGE 30-39 2014 TOTAL AGE 30-39 % OF TOTAL PROCEDURES AGE 30-39 % CHANGE 2014 vs 2013 104,442 6,942 27,831 4,681 627 986 223 2,515 2,400 8,404 3,865 13,058 1,955 1,743 1,296 3,343 71,689 2,115 51,784 186 2,591 41,806 2343 36% 29% 30% 18% 34% 28% 41% 21% 13% 10% 17% 6% 2% 4% 8% 13% 34% 27% 24% 18% 28% 36% 14% -1% -1% 4% 15% 100% 44% -3% 3% -6% 12% -8% -3% -5% -9% 6% 5% 6% 8% -3% 205% 5% 6% 4% 356,825 23% 2% AGE 30-39 2014 TOTAL AGE 30-39 % OF TOTAL PROCEDURES AGE 30-39 % CHANGE 2014 vs 2013 18% 54% 13% 29% 9% 31% 23% 20% 11% 8% 15% 13% 7% 0% 7% 3% 5% 0% -9% 0% 2% -8% -64% 1% 1,194,057 15,902 161,250 321,755 46,363 63,782 203,883 65,763 256,437 21,189 3,389 8,741 208,004 12% 8% 15,114 11% -4% TOTAL COSMETIC MINIMALLY-INVASIVE PROCEDURES 2,329,192 18% 4% TOTAL COSMETIC PROCEDURES 2,686,017 18% 3% 2014 Cosmetic Surgery Age Distribution Age 40-54 Top 5 procedures appear in bold COSMETIC SURGICAL PROCEDURES 2014 Plastic Surgery Statistics Report Please credit the AMERICAN SOCIETY OF PLASTIC SURGEONS when citing statistical data or using graphics. ASPS Public Relations Phone: 847-228-9900 Fax: 847-981-5482 Email: media@plasticsurgery.org Website: www.plasticsurgery.org All values are projected. ***Botulinum toxin type A numbers are of anatomic sites injected. 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, 2015 17 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®)*** 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®) Collagen Fat Hyaluronic acid (e.g., Juvederm Ultra®, Juvederm Ultra Plus®, Perlane®, Restylane®, Prevelle Silk®) Polylactic acid (Sculptra®) AGE 40-54 2014 TOTAL AGE 40-54 % OF TOTAL PROCEDURES AGE 40-54 % CHANGE 2014 vs 2013 84,346 9,806 35,660 3,514 721 1,482 83 5,433 4,477 32,337 3303 87,961 41,861 16,593 3,298 9,353 81,733 3,392 44,939 200 4,381 48,064 6,893 29% 41% 38% 13% 39% 42% 15% 45% 25% 39% 15% 43% 33% 39% 21% 36% 39% 44% 21% 19% 48% 41% 43% -1% 1% 2% 15% 95% 44% -3% 1% -4% 12% -8% -5% -4% -8% 5% 3% 5% 6% -1% 208% 5% 4% 2% 529,830 34% 0% AGE 40-54 2014 TOTAL AGE 40-54 % OF TOTAL PROCEDURES AGE 40-54 % CHANGE 2014 vs 2013 3,813,032 7,007 526,499 403,548 220,526 63,118 387,131 158,844 1,126,662 101,360 7,899 22,971 918,296 57% 24% 42% 36% 41% 30% 44% 49% 49% 39% 36% 34% 51% 5% -1% 9% 3% 6% 0% -10% 1% 4% -8% -64% 2% 8% 76,136 57% -3% TOTAL COSMETIC MINIMALLY-INVASIVE PROCEDURES 6,706,367 50% 4% TOTAL COSMETIC PROCEDURES 7,236,197 49% 3% 2014 Cosmetic Surgery Age Distribution Age 55 and over Top 5 procedures appear in bold COSMETIC SURGICAL PROCEDURES 2014 Plastic Surgery Statistics Report Please credit the AMERICAN SOCIETY OF PLASTIC SURGEONS when citing statistical data or using graphics. ASPS Public Relations Phone: 847-228-9900 Fax: 847-981-5482 Email: media@plasticsurgery.org Website: www.plasticsurgery.org All values are projected. ***Botulinum toxin type A numbers are of anatomic sites injected. 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, 2015 18 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®)*** 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®) Collagen Fat Hyaluronic acid (e.g., Juvederm Ultra®, Juvederm Ultra Plus®, Perlane®, Restylane®, Prevelle Silk®) Polylactic acid (Sculptra®) TOTAL COSMETIC MINIMALLY-INVASIVE PROCEDURES TOTAL COSMETIC PROCEDURES AGE 55 AND OVER 2014 TOTAL AGE 55 AND OVER % OF TOTAL PROCEDURES AGE 55 AND OVER % CHANGE 2014 vs 2013 6,932 3,805 14,711 2,232 135 607 35 3,135 7,209 33,694 2,160 99,878 84,083 23,551 9,824 11,847 21,581 1,532 21,471 126 1,584 16,207 5484 2% 16% 16% 9% 7% 17% 6% 26% 40% 40% 10% 48% 66% 56% 62% 46% 10% 20% 10% 12% 17% 14% 34% 0% 0% 4% 14% 96% 45% -5% 3% -6% 12% -7% -3% -4% -10% 4% 3% 6% 7% -3% 207% 5% 4% 4% 371,823 24% -1% AGE 55 AND OVER 2014 TOTAL AGE 55 AND OVER % OF TOTAL PROCEDURES AGE 55 AND OVER % CHANGE 2014 vs 2013 1,547,195 12 540,942 72,003 219,342 35,324 213,292 83,318 830,345 129,357 9,674 31,944 625,158 23% 0% 43% 6% 40% 17% 24% 26% 36% 50% 44% 47% 35% 7% 0% 6% 3% 6% 0% -8% 1% 2% -10% -64% 2% 8% 34,212 25% -2% 3,541,773 27% 4% 3,913,596 26% 4% 2014 Regional Distribution Cosmetic Procedures COSMETIC SURGICAL PROCEDURES Breast augmentation (augmentation mammaplasty) Breast implant removals (augmentation patients only) Breast lift (mastopexy) Breast reduction (Aesthetic patiebts 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 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 COSMETIC SURGICAL PROCEDURES COSMETIC MINIMALLY-INVASIVE PROCEDURES Botulinum toxin type A (Botox®, Dysport®)*** Cellulite treatment (e.g., Velosmooth®, Endermology) Chemical peel Intense pulsed light (IPL) Laser hair removal Laser skin resurfacing Laser treatment of leg veins Microdermabrasion Sclerotherapy Soft tissue fillers Calcium hydroxylapatite (e.g., Radiesse®) Collagen Fat Hyaluronic acid (e.g., Juvederm Ultra®, Juvederm Ultra Plus®, Perlane®, Restylane®, Prevelle Silk®) Polylactic acid (Sculptra®) Polymethyl-methacrylate microspheres (e.g., Artefill) COSMETIC MINIMALLY-INVASIVE PROCEDURES TOTAL COSMETIC PROCEDURES Top 5 procedures appear in bold 2014 TOTAL PROCEDURES 286,254 23,774 92,724 41,309 26,175 11,505 1,863 3,505 548 12,199 18,136 83,671 22,167 206,509 128,266 42,119 15,778 26,025 777 210,552 7,779 55,173 217,124 1,054 9,129 117,158 16,205 1,677,478 2014 TOTAL PROCEDURES 6,673,608 29,243 1,250,059 621,724 1,112,046 543,731 207,790 881,905 323,609 2,301,673 257,953 22,049 67,609 1,802,247 134,471 17,344 13,945,388 15,622,866 All values are projected. ***Botulinum toxin type A numbers are of anatomic sites injected. 19 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, 2015 Region 1 15% 20% 13% 16% 32% 22% 15% 24% 28% 19% 23% 12% 19% 18% 20% 16% 10% 27% 18% 17% 30% 19% 29% 16% 25% 20% 29% 19% 41,804 4,770 11,644 6,536 8,500 2,528 283 829 156 2,286 4,228 10,365 4,218 37,236 25,651 6,606 1,547 6,966 139 36,674 2,309 10,411 63,652 166 2,244 22,947 4,672 319,367 Region 1 % OF TOTAL PROCEDURES Region 2 17% 17% 15% 29% 17% 28% 14% 33% 10% 9% 15% 30% 19% 14% 12% 13% 10% 17% 35% 13% 16% 12% 14% 10% 16% 18% 14% 16% Region 3 48,839 3,936 13,526 11,944 4,431 3,269 258 1,148 55 1,116 2,656 25,222 4,259 28,169 14,900 5,680 1,533 4,349 272 27,100 1,225 6,593 29,943 110 1,426 21,014 2,246 265,219 Region 2 16% 21% 21% 15% 16% 21% 29% 18% 27% 20% 15% 22% 15% 22% 23% 17% 12% 16% 19% 23% 11% 22% 12% 28% 14% 17% 21% 19% 45,736 5,035 19,339 6,156 4,193 2,373 533 627 150 2,389 2,690 18,388 3,356 45,211 29,227 7,331 1,831 4,251 148 48,449 847 11,915 26,797 296 1,304 20,244 3,407 312,223 % OF TOTAL PROCEDURES Region 3 Region 4 16% 21% 21% 21% 12% 17% 23% 14% 12% 43% 11% 12% 16% 12% 14% 19% 46% 20% 15% 15% 21% 15% 18% 18% 20% 17% 14% 16% 46,915 5,102 19,578 8,681 3,043 1,900 429 507 66 5,284 1,960 9,750 3,492 25,097 18,376 8,085 7,335 5,236 115 32,316 1,620 8,380 39,245 187 1,786 19,527 2,224 276,236 Region 4 Region 5 36% 21% 31% 19% 23% 12% 19% 11% 22% 9% 36% 24% 31% 34% 31% 34% 22% 20% 13% 31% 23% 32% 26% 28% 26% 29% 23% 30% 102,960 4,931 28,637 7,992 6,008 1,435 360 394 121 1,124 6,602 19,946 6,842 70,796 40,112 14,417 3,532 5,223 103 66,013 1,778 17,874 57,487 295 2,369 33,426 3,656 504,433 2014 Plastic Surgery Statistics Report Region 1 New England (CT, ME, MA, NH, RI, VT) Middle Atlantic (NJ, NY, PA) Region 2 East North Central (IL, IN, MI, OH, WI) West North Central (IA, KS, MN, MO, NE, ND, SD) Region 3 Region 5 20% 22% 25% 27% 17% 20% 25% 25% 16% 29% 33% 50% 17% 30% 1,315,872 6,509 310,887 167,789 192,869 109,303 51,054 223,346 50,727 664,118 84,938 11,121 11,404 537,365 13% 23% 15% 15% 13% 22% 11% 19% 12% 13% 15% 7% 19% 12% 897,686 6,670 189,244 95,860 145,316 120,595 21,957 170,870 37,922 297,551 39,139 1,479 12,812 213,577 24% 20% 20% 18% 21% 16% 16% 21% 21% 19% 19% 17% 24% 18% 1,577,100 5,899 244,998 112,454 235,716 87,211 33,355 184,870 68,807 427,877 49,458 3,654 16,161 332,047 14% 11% 9% 9% 15% 10% 11% 12% 37% 11% 15% 12% 8% 8% 947,671 3,232 111,522 55,783 172,337 54,453 23,209 103,332 119,244 247,708 38,981 2,579 5,268 151,741 29% 24% 31% 31% 33% 32% 38% 23% 14% 29% 18% 15% 32% 31% 1,935,279 6,933 393,408 189,838 365,808 172,169 78,215 199,487 46,909 664,419 45,437 3,216 21,964 567,517 12% 17% 22% 22% 16,312 2,978 3,092,474, 3,411,841 22% 5% 14% 14% 29,617 927 1,983,671 2,248,890 15% 34% 21% 21% 20,618 5,939 2,978,287 3,290,510 36% 6% 13% 14% 48,012 1,127 1,838,491 2,114,727 15% 37% 29% 29% 19,912 6,373 4,052,465 4,556,898 South Atlantic (DE, DC, FL, GA, MD, NC, SC, VA, WV) Region 4 East South Central (AL, KY, MS, TN) West South Central (AR, LA, OK, TX) Region 5 ASPS Public Relations Phone: 847-228-9900 Fax: 847-981-5482 Email: media@plasticsurgery.org Website: www.plasticsurgery.org Mountain (AZ, CO, ID, MT, NV, NM, UT, WY) Pacific (AK, CA, HI, OR, WA) 2014 Average Surgeon/Physician Fees Cosmetic Procedures COSMETIC SURGICAL PROCEDURES 2014 Plastic Surgery Statistics Report Please credit the AMERICAN SOCIETY OF PLASTIC SURGEONS when citing statistical data or using graphics. ASPS Public Relations Phone: 847-228-9900 Fax: 847-981-5482 Email: media@plasticsurgery.org Website: www.plasticsurgery.org * Data unavailable for Collagen this year. 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, 2015 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 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 (Brachioplasty) COSMETIC MINIMALLY-INVASIVE PROCEDURES Botulinum Type A toxin injections (e.g., Botox®, Dysport®) Cellulite treatment (e.g., Velosmooth®, Endermology) Chemical peel Intense Pulsed Light (IPL) Laser hair removal Laser skin resurfacing Ablative Non-ablative (e.g., Fraxel®, etc.) Laser treatment of leg veins Microdermabrasion Sclerotherapy Soft Tissue Fillers Calcium hydroxylapatite (e.g., Radiesse®) Collagen Porcine/bovine-based (e.g., Evolence®, Zyderm®, Zyplast®) Human-based (e.g., Cosmoderm®, Cosmoplast®, Cymetra®) Fat Hyaluronic acid (e.g., Juvederm Ultra®, Juvederm Ultra Plus®, Perlane®, Restylane®) Polylactic acid (e.g., Sculptra®) Polymethyl-methacrylate microspheres (e.g., Artefill®) Total 2014 Expenditures 20 NATIONAL AVERAGE SURGEON/PHYSICIAN FEE $3,708 $2,330 $4,377 $5,358 $3,333 $4,077 $4,580 $4,509 $3,315 $2,651 $2,085 $1,150 $2,963 $2,874 $6,550 $3,201 $5,845 $1,606 $1,250 $2,971 $7,843 $4,389 $4,694 $4,312 $4,653 $5,493 $3,936 NATIONAL AVERAGE SURGEON/PHYSICIAN FEE TOTAL EXPENDITURE $1,061,429,832 $55,393,420 $405,852,948 $221,333,622 $87,241,275 $46,905,885 $8,532,540 $15,804,045 $1,816,620 $32,339,549 $37,813,560 $96,221,650 $65,680,821 $593,506,866 $840,142,300 $134,822,919 $92,222,410 $41,796,150 $971,250 $625,549,992 $61,010,697 $242,154,297 $1,019,180,056 $4,544,848 $42,477,237 $643,548,894 $63,782,880 TOTAL EXPENDITURE $371 $291 $632 $438 $289 $2,475,908,568 $8,509,713 $790,037,288 $272,315,112 $321,381,294 $2,146 $1,062 $344 $143 $347 $327,217,788 $415,510,686 $71,479,760 $126,112,415 $112,292,323 $623 $160,704,719 * * $1,791 $590 $778 $867 * * $121,087,719 $1,063,325,730 $104,618,438 $15,037,248 $12,927,615,364 2014 Cosmetic Demographics Patient behavior % 2014 % 2013 Cosmetic Patients who are repeat patients 50% 51% Patients having multiple cosmetic procedures at the same time 44% 44% 2014 % 2014 2013 % 2013 % CHANGE 2014 vs. 2013 Office 11,162,751 71% 10,805,035 71% 3% Hospital 1,447,337 9% 1,451,310 10% 0% Free-standing Ambulatory Surgical Facility 3,012,778 19% 2,860,007 19% 5% 2014 % 2014 2013 % 2013 % CHANGE 2014 vs. 2013 Caucasian 10,819,104 69% 10,507,013 70% 3% Hispanic 1,633,598 10% 1,694,178 11% -4% African-American 1,324,779 8% 1,225,214 8% 8% Asian-American 1,078,497 7% 988,102 7% 9% 766,888 5% 701,846 5% 9% Caucasian AfricanAmerican Asian/Pacific Islander Hispanic Other Cosmetic procedures performed in 2014 Plastic Surgery Statistics Report Ethnicity breakdown of cosmetic procedures Please credit the AMERICAN SOCIETY OF PLASTIC SURGEONS when citing statistical data or using graphics. ASPS Public Relations Other Phone: 847-228-9900 Popular cosmetic surgical procedures by group Fax: 847-981-5482 Breast Augmentation 75% 6% 6% 10% 3% Rhinoplasty 72% 6% 4% 10% 7% Email: media@plasticsurgery.org Blepharoplasty 80% 3% 7% 7% 3% Liposuction 75% 9% 4% 10% 2% Website: www.plasticsurgery.org Abdominoplasty 70% 11% 5% 11% 3% Caucasian AfricanAmerican Asian/Pacific Islander Hispanic Other Popular cosmetic minimally-invasive procedures by group Botulinum toxin type A (Botox , Dysport ) 76% 5% 5% 9% 4% All values are projected. Soft tissue fillers 76% 7% 5% 8% 5% 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, 2015 Chemical peel 81% 3% 5% 8% 3% Laser hair removal 74% 6% 5% 7% 8% Microdermabrasion 74% 5% 5% 9% 7% ® 21 % CHANGE 2014 vs. 2013 ® 2014 Reconstructive Demographics 2014 Plastic Surgery Statistics Report Please credit the AMERICAN SOCIETY OF PLASTIC SURGEONS when citing statistical data or using graphics. ASPS Public Relations Phone: 847-228-9900 Fax: 847-981-5482 Email: media@plasticsurgery.org Website: www.plasticsurgery.org *93% of total breast implants were silicone; 7% were saline. 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, 2015 22 % 2013 % CHANGE 2014 vs. 2013 2,660,000 46% -3% 2,184,765 38% 9% 889,355 16% -8% AfricanAmerican Asian/Pacific Islander Hispanic Other 73% 14% 3% 9% 68% 16% 4% 8% 4% 48% 4% 13% 25% 11% 74% 9% 4% 8% 4% 71% 11% 3% 12% 3% Reconstructive procedures performed in 2014 Office Hospital Free-standing Ambulatory Surgical Facility 2,572,460 45% 2,382,702 41% 814,663 14% Caucasian Reconstructive procedures by group Breast reconstruction Burn care Cleft Lip & Palate Repair Tumor removal Treatment of dog bites % 2014 2013 0% 2014 Reconstructive Breast Procedures (with age distribution) Reconstructive breast procedures Breast reconstruction* Implant alone Tissue expander and implant TRAM flap DIEP flap Latissimus dorsi flap Other flap Breast reduction (reconstructive patients only) Breast implant removals (Reconstructive patients only) TOTAL PROCEDURES 102,215 8,455 74,694 4,939 7,866 5,572 689 62,611 17,496 13-19 20-29 30-39 40-54 55 AND OVER 552 143 2,685 1,142 12,287 3,264 52,818 7,905 33,873 5,042 2014 Body Contouring After Massive Weight Loss Body contouring after massive weight loss procedures 2014 Plastic Surgery Statistics Report Please credit the AMERICAN SOCIETY OF PLASTIC SURGEONS when citing statistical data or using graphics. ASPS Public Relations Phone: 847-228-9900 Fax: 847-981-5482 Email: media@plasticsurgery.org Website: www.plasticsurgery.org 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, 2015 23 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 % CHANGE 2014 vs. 2013 2014 2013 12,048 4,629 4,885 17,261 6,112 10,914 4,391 4,492 16,602 5,599 10% 5% 9% 4% 9% 44,935 41,998 7%