Cosmetic Procedures Hit All Time High
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Updated: 3:20 PM May 13, 2008
Cosmetic Procedures Hit All Time High
Everything costs more these days, but that isn't stopping people from spending their hard earned cash on enhancing their looks. The cosmetic procedure business is booming.
Posted: 2:57 PM May 13, 2008
Reporter: Erica Proffer
Email Address: erica@wtvy.com
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Everything costs more these days, but that isn't stopping people from spending their hard earned cash on enhancing their looks.

The cosmetic procedure business is booming.

It seems we can't get relief, not at the pump, and not in the grocery store.

However, there is one area where consumers are spending a little extra to boost their spirits.

Despite the slowing economy, cosmetic procedures are at an all time high, rising two percent from 2006.

That is the latest figure from the American Society of Plastic Surgeons.

Doctors say people are splurging on what some call an "unnecessary" expense, to help boost their self esteem and productivity.

"People are becoming more aware of plastic and cosmetic surgery. Also, it's becoming more affordable for people," says Facial & Plastic Surgeon Dr. William I. Owen.

"A lot of people are coming in and buying a little bit at a time to make themselves look better. Instead of spending thousands of dollars, they may spend hundreds of dollars," says M.D., Clinical Professor Dr. Tina Alster at Georgetown University Medical Center.

Doctors say many people spend the extra money on revamping their face because it does more than lift lines, but it also lifts spirits.

"They think if they look better, they'll feel better and perform better on the work force," adds Dr. Alster.

"It usually makes them feel better about themselves. They usually have a better outlook on life," states Dr. Owen.

The procedures can run from around $130 dollars for a microdermabrasion, to over $6000 dollars for a facelift.

However, with the annual spending of over $13 billion dollars, it shows America still wants to look beautiful.

Cosmetic statistics according to the American Society for Aesthetic Plastic Surgery

Procedures in 2007:

American Society for Aesthetic Plastic Surgery reports an 8% increase in surgical procedures January 3, 2000.

NEW YORK, NY– Nearly 11.7 million cosmetic surgical and nonsurgical procedures were performed in the United States in 2007, according to statistics released today by the American Society for Aesthetic Plastic Surgery. The Aesthetic Society, which has been collecting multi-specialty procedural statistics since 1997 says the overall number of cosmetic procedures has increased 457 percent since the collection of the statistics first began. The most frequently performed procedure was Botox injections and the most popular surgical procedure was liposuction.

"Our statistics confirm that aesthetic plastic surgery is not defined by race or gender," said Aesthetic Society President Foad Nahai, MD. "The number of surgical and nonsurgical procedures performed on men increased 17 percent since last year, and 22 percent of the aesthetic procedures were performed on traditional racial and ethnic minorities."

Trends and Demographic Data

Top surgical and nonsurgical cosmetic procedures among men and women in 2007:

Surgical
Number of Procedures Nonsurgical Number of Procedures
Liposuction 456,828 Botox 2,775,176
Breast augmentation 399,440 Hyaluronic Acid (Hylaform, Juvederm, Restylane) 1,448,716
Eyelid surgery 240,763
Laser Hair Removal 1,412,657
Abdominoplasty 185,335 Microdermabrasion 829,658
Female breast reduction 153,087 Laser Skin Resurfacing 647,707

Top cosmetic procedures for WOMEN:

Surgical
Number of Procedures Nonsurgical Number of Procedures
Breast augmentation 399,440 Botox 2,445,656
Lipoplasty 398,848 Hyaluronic Acid (Hylaform, Juvederm, Restylane) 1,364,533 
Eyelid surgery 208,199 Laser Hair Removal 1,226,974
Abdominoplasty 180,457 Microdermabrasion 743,748
Breast Reduction 153,087 IPL Laser Treatment 584,530

Women had 91 percent of cosmetic procedures. The number of procedures (surgical and nonsurgical) performed on women was over 10.6 million, an increase of 1 percent from the previous year. Surgical procedures increased 9 percent; nonsurgical procedures decreased by less than 1 percent. Since 1997, surgical procedures increased 142 percent, while nonsurgical procedures have increased 743 percent.

Top cosmetic procedures for MEN:

Surgical
Number of Procedures Nonsurgical Number of Procedures
Liposuction 57,980 Botox injection 329,519
Eyelid surgery 32,564 Laser hair removal 185,684 
Rhinoplasty 31,713 Microdermabrasion 85,910
Male breast reduction 20,280 Hyaluronic Acid (Hylaform, Juvederm, Restylane) 84,184 
Hair transplantation 16,491 IPL Laser Treatment 63,177

Men had 9 percent of cosmetic procedures. The number of procedures (surgical and nonsurgical) performed on men was just over 1 million, an increase of 17 percent from the previous year. Surgical procedures increased 5 percent; nonsurgical procedures increased 21 percent. Since 1997, surgical procedures have increased 3 percent while nonsurgical procedures have increased 886 percent.

Frequency of cosmetic procedures by AGE GROUP:

% of total  Age Number of Procedures Top Surgical Procedure
Top Nonsurgical Procedure
47% 35-50 5.4 million Liposuction Botox 
25% 51-64 2.9 million Eyelid Surgery Botox 
21% 19-34 2.4 million Breast augmentation Laser Hair Removal 
6% 65 and over 700,096 Eyelid Surgery Botox 
2% 18 and under 205,119
Cosmetic ear surgery Laser Hair Removal

Racial and Ethnic Distribution

Traditional racial and ethnic minorities accounted for 22 percent of all cosmetic procedures in 2007. Hispanics again led minority racial and ethnic groups in the number of procedures: Hispanics, 9 percent; African-Americans, 6 percent; Asians, 5 percent; and other non-Caucasians, 2 percent.

Location and Fees

Almost fifty-four percent (54 percent) of cosmetic procedures in 2007 were performed in office-based facilities; 28 percent in freestanding surgicenters; and 17 percent in hospitals. Americans spent just over $13 billion on cosmetic procedures; $8.3 billion was for surgical procedures, and $4.7 billion was for nonsurgical procedures.

Quick Facts 2007

There were nearly 11.7 million surgical and nonsurgical cosmetic procedures performed in the United States in 2007, as reported by the American Society for Aesthetic Plastic Surgery (ASAPS). Surgical procedures accounted for nearly 18% of the total with nonsurgical procedures making up 82% of the total.

From 2006-2007, there was a 2 percent increase in the total number of cosmetic procedures. Surgical procedures increased by 8 percent, and nonsurgical procedures increased by 1 percent.

Since 1997, there has been a 457 percent increase in the total number of cosmetic procedures. Surgical procedures increased by 114 percent, and nonsurgical procedures increased by 754 percent.

The top five surgical cosmetic procedures in 2007 were: liposuction (456,828 procedures); breast augmentation (399,440 procedures); eyelid surgery (240,763 procedures); abdominoplasty (185,335 procedures); and breast reduction (153,087 procedures).

The top five nonsurgical cosmetic procedures in 2007 were: Botox injection (2,775,176 procedures); hyaluronic acid (1,448,716 procedures); laser hair removal (1,412,657 procedures); microdermabrasion (829,658 procedures); and IPL laser treatment (647,707 procedures).

Women had nearly 10.6 million cosmetic procedures, 91% percent of the total. The number of cosmetic procedures for women increased 1 percent from 2006.

The top five surgical procedures for women were: breast augmentation, liposuction, eyelid surgery, abdominoplasty and breast reduction.

Men had nearly 1.1 million cosmetic procedures, 9 percent of the total. The number of cosmetic procedures for men increased 17 percent from 2006.

The top five surgical procedures for men were: liposuction, eyelid surgery, rhinoplasty, breast reduction to treat enlarged male breasts, and hair transplantation.

People age 35-50 had the most procedures – 5.4 million and 46 percent of the total. People age 19-34 had 21 percent of procedures; age 51-64 had 25 percent; age 65-and-over had 6 percent; and age 18-and-younger had less than 2 percent.

The most common procedures for age 18-and-under were: laser hair removal, microdermabrasion, chemical peel, otoplasty (ear reshaping) and rhinoplasty.

Traditional racial and ethnic minorities, as of last year, had approximately 21 percent of all cosmetic procedures, an decrease of 1 percent from 2006: Hispanics, 9 percent; African-Americans, 6 percent; Asians, 5 percent; and other non-Caucasians, 2 percent.

Where cosmetic surgeries were performed: office facility, 54 percent, hospital 17 percent; and free-standing surgicenter, 29 percent.

Of the doctors surveyed 70 percent say they do not offer "spa" services (e.g. wraps, facials, massages) in conjunction with their medical practices. 86 percent of the doctors say they do not work in conjunction with medical spas where nonsurgical procedures, such as injections and laser procedures are performed.

Americans spent just under $13.2 billion on cosmetic procedures last year.

Figures may not add exactly to totals and percentages may not equal 100 percent due to rounding.

2007 National Average for Physician/Surgeon Fees Per Procedure
Source: The American Society for Aesthetic Plastic Surgery for Statistical Data

• Breast reduction may be covered by insurance, depending on terms of the policy and individual patient factors. Fees may vary.

• Figures are for physician/surgeon fees only and do not include fees for the surgical facility, anesthesia, medical tests, prescriptions, surgical garments, or other miscellaneous costs related to surgery. Figures for procedures often performed on more than one site in the same session reflect typical fees for one site.

Procedure – National Average – Total Expenditures

Abdominoplasty $5,350 $991,544,589
Blepharoplasty (cosmetic eyelid surgery) $2,840 $683,766,194
Breast augmentation - silicone gel implants $4,087 $644,001,114
Breast augmentation - saline implants $3,690 $892,490,535
Breast lift $4,341 $547,740,074
Breast reduction (women) $5,417 $829,274,709
Buttock augmentation $4,250 $22,629,543
Buttock lift $4,885 $18,501,921
Cheek implants $2,840 $6,833,664
Chin augmentation $2,254 $41,135,210
Facelift $6,792 $938,332,057
Forehead lift $3,337 $203,954,225
Gynecomastia, treatment of (male breast reduction) $3,455 $70,068,803
Hair transplantation $5,874 $115,596,766
Lip augmentation (other than injectable materials) $1,611 $17,194,980
Lipoplasty: Suction-assisted $2,920 $1,065,095,608
Lipoplasty: Ultrasound-assisted $2,963 $272,800,583
Lower body lift $8,043 $102,232,154
Otoplasty (cosmetic ear surgery) $3,085 $87,655,016
Rhinoplasty $4,357 $661,376,647
Thigh lift $4,783 $88,156,130
Upper arm lift $3,864 $84,503,776
Vaginal rejuvenation $2,434 $10,967,459

Total - Surgical Procedures: $8,395,851,754

Botox injection $380 $1,054,566,736
Chemical peel $718 $412,907,539
Dermabrasion (does not include microdermabrasion) $1,544 $50,902,583
Fraxel $1,130 $189,106,682
IPL Laser Treatment $411 $266,207,571
Noninvasive Tightening $1,194 $308,332,955
Injection lipolysis (mesotherapy/lipodissolve) $905 $32,630,717
Laser hair removal $387 $546,698,426
Laser skin resurfacing - Ablative $2,418 $189,630,089
Laser skin resurfacing - Nonablative $580 $250,256,567
Laser treatment of leg veins $462 $84,127,009
Microdermabrasion $130 $107,855,592
Sclerotherapy $377 $177,808,006
Soft Tissue Fillers: Autologous fat $1,546 $68,869,664
Calcium Hydroxylapatite (Radiance) $803 $95,876,016
Collagen, Bovine (includes Zyderm/Zyplast) $397 $7,183,853
Collagen, Human (incl. Alloderm/Cymetra, Autologen, CosmoDerm, CosmoPlast, Dermalogen, Facian, Isolagen) $542 $24,755,136
Hyaluronic Acid (incl. Hylaform, Juvederm, Perlane/Restylane) $576 $834,460,585
Poly-L-Lactic Acid (Sculptra) $1,027 $35,915,975
Polymethyl Methacrylate (Artecoll, Artefill) $1,180 $14,248,622

Total - Nonsurgical Procedures: $4,752,340,323

Total - All Procedures: $13,148,192,077

• Final figures are projected to reflect nationwide statistics and are based on a survey of doctors who have been certified by American Board of Medical Specialties recognized boards, including but not limited to the American Board of Plastic Surgery. The survey portion of this research has a standard of error +/- 3.25 at a 95% level of confidence.

• Figures for procedures include but are not limited to those performed by ASAPS members. ASAPS members are plastic surgeons certified by the American Board of Plastic Surgery who specialize in cosmetic surgery of the face and the entire body.

• Component figures may not add exactly to totals and percentages may not equal 100% due to rounding.

For more stats, click the link below, or download the PDF file at the top of this story.

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