2017 Plastic Surgery Statistics Report - American Society of Plastic ...

PLASTIC SURGERY STATISTICS REPORT ASPS National Clearinghouse of Plastic Surgery Procedural Statistics ASPS Public Relations Phone: 773-332-4719 Fax: 847-981-5482 Email: [email protected]

www.PlasticSurgery.org

2017 Plastic Surgery Statistics Report

2017 Plastic Surgery Statistics Table of Contents Introduction About the American Society of Plastic Surgeons.......................................................................................3 Methodology and Validity...........................................................................................................................4 2017 Quick Facts - Plastic Surgery Trends..................................................................................................5 2017 Quick Facts - Demographic Trends.....................................................................................................6 Statistical Reports Cosmetic Procedure Trends......................................................................................................................7-8 Cosmetic Procedure Charts.........................................................................................................................8

ASPS Public Relations Phone: 773-332-4719 Fax: 847-981-5482 Email: [email protected] Website: www.plasticsurgery.org

Reconstructive Procedure Trends and Charts.............................................................................................9 Cosmetic Surgery Gender Distribution – Female.....................................................................................10 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 ...............................................................................................................................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 Gender Confirmation Surgery Statistics...................................................................................................23

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Please credit the AMERICAN SOCIETY OF PLASTIC SURGEONS when citing statistical data or using graphics.

2017 Plastic Surgery Statistics 2017 Plastic Surgery Statistics Report


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 – 1992-2015. 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.

®

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 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.

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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.

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. ✔ 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


2017 Plastic Surgery Statistics Methodology and Validity 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 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 24,500 ABMS board-certified physicians (An online and faxed version of the questionnaire were made available. A total of 571 active physicians returned questionnaires. Overall, 783 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 ±4.05 percent margin of error.

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2017 Quick Facts Cosmetic and Reconstructive Plastic Surgery Trends Percentage change 2017 vs. 2016 17.5 million cosmetic procedures  2% • 1.8 million cosmetic surgical procedures  1% • 15.7 million cosmetic minimally-invasive procedures  2% 5.8 million reconstructive procedures  no change

2017 Top 5 Cosmetic Surgical Procedures

ASPS Public Relations Phone: 773-332-4719

Breast augmentation (300,000) Liposuction (246,000) Nose Reshaping (218,000) Eyelid surgery (209,000) Tummy Tuck (129,000)

2017 vs. 2016

 3%  5%  2% no change  2%

Breast augmentation continues to be the top cosmetic surgical procedure and has been since 2006. Silicone implants were used in 87%, and saline implants in 13%, of all breast augmentations in 2017. Cosmetic surgical procedures, not among the Top 5, with notable gains in 2017 include: • Buttock augmentation w/ fat grafting – up 10% • Breast Reduction – up 11% • Hair Transplantation – up 19%

Fax: 847-981-5482 Email: [email protected] 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, 2018

2017 Top 5 Cosmetic Minimally-Invasive Procedures

Botulinum toxin type A (7.2 million) Soft tissue fillers (2.7 million) Chemical peel (1.4 million) Laser hair removal (1.0 million) Microdermabrasion (740,000)

Tumor removal (4.5 million) Laceration repair (253,000) Maxillofacial surgery (204,000) Scar revision (182,000) Hand surgery (138,000) Please credit the AMERICAN SOCIETY OF PLASTIC SURGEONS when citing statistical data or using graphics.

 2%  3% 1%  2%  4%

Facial rejuvenation procedures continue to experience growth, as 2017 marked the highest number of botulinum toxin type A injections to date, with over 7.2 million injections!

2017 Top 5 Reconstructive Procedures

5

2017 vs. 2016

2017 vs. 2016

no change no change  1%  1%  2%

Tumor removal is overwhelming the top reconstructive procedure performed every year with approximately 4.5 million procedures in 2017!


2017 Quick Facts Cosmetic Plastic Surgery Demographic Trends Age

Gender

13-19 year olds

2017 vs. 2016

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. 229,000 total cosmetic procedures

no change

66,000 surgical  1% 163,000 minimally-invasive

20-29 year olds ASPS Public Relations Phone: 773-332-4719 Fax: 847-981-5482

2017 vs. 2016

827,000 total cosmetic procedures

no change

260,000 surgical  2% 566,000 minimally-invasive

↑

 1%

Email: [email protected]

30-39 year olds

2.8 million total cosmetic procedures

 2%

Website: www.plasticsurgery.org

387,000 surgical

 2%

2.5 million minimally-invasive

 2%

40-54 year olds 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, 2018


2017 vs. 2016

2017 vs. 2016

92% of all cosmetic procedures 14.5 million total cosmetic procedures • 1.4 million surgical • 13 million minimally-invasive Male

 2%  1%  2% 2017 vs. 2016

8% of all cosmetic procedures 1.3 million total cosmetic procedures 1% • 214,000 surgical no change • 1.1 million minimally-invasive 1% Ethnic

Caucasians (12.3 million) Hispanics (1.9 million) African Americans (1.6 million) Asian Americans (1.1 million)

2017 vs. 2016

 8%  16%  17% no change

2017 vs. 2016

Make up the majority of cosmetic procedures – 49% of the total. 7.7 million total cosmetic procedures

 2%

564,000 surgical ↑

 1%


 2%

55 and over

6

no change

Female

2017 vs. 2016

4.1 million total cosmetic procedures ↑

 2%

384,000 surgical

 1%


 2%

Did you know… • $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 million procedures • Patients having multiple procedures at the same time are up 4%


ASPS Public Relations Phone: 773-332-4719 Fax: 847-981-5482 Email: [email protected] Website: www.plasticsurgery.org All figures are projected. * Data unavailable in prior year. **87% of total 2017 breast implants were silicone; 13% 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, 2018 Margin of error = +/- 4.05%

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2017 Cosmetic Plastic Surgery Statistics

Top 5 procedures appear in bold.

Cosmetic Procedure Trends

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) Full Facelift Mini Facelift 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 COSMETIC SURGICAL PROCEDURES

2017

2016

2000

% CHANGE 2017 vs. 2016

% CHANGE 2017 vs. 2000

300,378 27,507 105,219 43,635 26,839 20,301 1,323 4,804 658 14,277 16,136 84,276 23,433 209,571 125,697 96,438 29,259 39,886 19,979 10,253 29,797 1,065 246,354 9,075 53,028 218,924 983 9,648 129,753 18,033

290,467 28,467 101,264 39,148 27,760 18,489 2,999 4,251 419 13,197 16,688 88,182 23,709 209,020 131,106 97,110 33,996 43,038 16,784 12,666 28,430 3,547 235,237 11,299 55,227 223,018 1,153 9,929 127,633 17,860

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

3% -3% 4% 11% -3% 10% -56% 13% 57% 8% -3% -4% -1% 0% -4% -1% -14% -7% 19% -19% 5% -70% 5% -20% -4% -2% -15% -3% 2% 1%

41% -33% 99% * 32% * * 254% * 37% -40% 100% -35% -36% -6% * * -67% -55% * 60% * -30% 4284% * -44% * 82% 107% 5235%

1,790,832

1,780,987

1,901,049

1%

-6%


ASPS Public Relations Phone: 773-332-4719 Fax: 847-981-5482 Email: [email protected] Website: www.plasticsurgery.org 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. 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, 2018 Margin of error = +/- 4.05%

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2017 Cosmetic Plastic Surgery Statistics Cosmetic Procedure Trends

COSMETIC MINIMALLY-INVASIVE PROCEDURES

% CHANGE 2017 vs. 2016

% CHANGE 2017 vs. 2000

2017

2016

2000

7,230,967 37,034 1,376,703 62,587 667,561 1,086,830 587,903 161,670 426,233 218,929 740,287 356,378 333,334 324,340 2,691,265 8,349 237,244 13,656 13,656 85,685

7,056,255 30,995 1,360,850 55,660 656,781 1,109,385 586,662 166,194 420,468 217,179 775,014 333,082 306,089 323,009 2,600,868 7,809 242,563 14,126 14,126 79,208

786,911 23,952 1,149,457 * * 735,996 170,951 * * 245,424 868,315 * * 866,555 652,885 * * 587,615 * 65,270

2% 19% 1% 12% 2% -2% 0% -3% 1% 1% -4% 7% 9% 0% 3% 7% -2% -3% -3% 8%

819% 55% 20% * * 48% 244% * * -11% -15% * * -63% 312% * * -98% * 31%

2,091,476

2,012,672

*

4%

*

113,356 123,860 17,639

102,101 125,044 17,345

* * *

11% -1% 2%

* * *

TOTAL COSMETIC MINIMALLY-INVASIVE PROCEDURES

15,714,118

15,411,829

5,500,446

2%

186%

TOTAL COSMETIC PROCEDURES

17,504,950

17,192,816

7,401,495

2%

137%

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 (Fraxel®, etc.) Laser treatment of leg veins Microdermabrasion Non-invasive fat reduction (e.g., Coolsculpting®, Liposonix®)┼ Non-surgical skin tightening (e.g., Pelleve®, Thermage®, Ulthera®) Sclerotherapy Soft Tissue Fillers Acellular Dermal Matrix**** Calcium hydroxylapatite (Radiesse®) Collagen Porcine/bovine-based (Evolence®, Zyderm®, Zyplast®) Fat Hyaluronic acid (Juvederm Ultra®, Juvederm Ultra Plus®, Perlane®, Restylane®, Belotero®) Platelet-Rich Plasma (PRP)┼ Polylactic acid (Sculptra®) Polymethyl-methacrylate microspheres (Artefill®)


2017 Top Five Cosmetic Plastic Surgery Procedures Cosmetic Procedure Charts

2017 TOP FIVE COSMETIC SURGICAL PROCEDURES

Breast Augmentation

 3% from 2016

300,378

Liposuction

 5% from 2016

246,354

Nose Reshaping

 -2% from 2016

218,924

Eyelid Surgery ASPS Public Relations Phone: 773-332-4719

No change

209,571

Tummy Tuck

129,753

 2% from 2016


2017 TOP FIVE COSMETIC MINIMALLY-INVASIVE PROCEDURES

Botulinum Toxin Type A

 2% from 2016

7.2 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, 2018 Margin of error = +/- 4.05%

Soft Tissue Fillers

2.7 million

Chemical Peel

1.4 million

Laser Hair Removal

1.0 million

Microdermabrasion

740,287

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3% from 2016  1% from 2016  -2% from 2016  -4% from 2016


ASPS Public Relations Phone: 847-228-9900 Fax: 847-981-5482

2017 Reconstructive Plastic Surgery Statistics Reconstructive Procedure Trends

Top 5 procedures appear in bold.

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^^^^ Pelvic floor reconstruction**** Scar revision Tumor removal (including skin cancer) Skin cancer tumor removal Base cell Squamous cell Melanoma Other reconstructive procedures

TOTAL RECONSTRUCTIVE PROCEDURES

% CHANGE 2017 vs. 2016

2000

2016

27,923 31,582 19,415 106,295 59,463 16,964 138,095 27,898 10,758 253,760 15,625 204,778 1,592 182,321 4,479,033 3,878,488 2,398,350 1,200,906 279,232 258,851

28,991 29,959 18,778 109,256 61,821 16,183 135,250 28,496 9,938 253,361 16,444 202,688 1,421 181,190 4,473,238 3,885,947 2,391,373 1,204,846 289,728 253,993

43,089 40,076 16,287 78,832 * * * * * 358,666 * 79,331 * 221,858 * * * * * 376,270

-4% 5% 3% -3% -4% 5% 2% -2% 8% 0% -5% 1% 12% 1% 0% 0% 0% 0% -4% 2%

-35% -21% 19% 35% * * * * * -29% * 158% * -18% * * * * * -31%

5,834,353

5,821,007

*

0%

*

Email: [email protected] Website: www.plasticsurgery.org All figures are projected. * Data unavailable in prior year. ****Counts of procedures performed by ASPS member surgeons only. În 2000 figure included all animal bites. ^În 2000 figure included facial laceration repair. ^^^În 2017 and 2016 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, 2018 Margin of error = +/- 4.05%

2017 TOP FIVE RECONSTRUCTIVE PROCEDURES

Tumor Removal

253,760

Maxillofacial Surgery

204,778

Scar Revision

182,321

Hand Surgery

138,095

10


No change

4.5 million

Laceration Repair

% CHANGE 2017 vs. 2000

2017

No change  1% from 2016  1% from 2016  2% from 2016


2017 Cosmetic Surgery Gender Distribution Female Top 5 procedures appear in bold

COSMETIC SURGICAL PROCEDURES

ASPS Public Relations Phone: 773-332-4719 Fax: 847-981-5482 Email: [email protected] Website: www.plasticsurgery.org All figures are projected. * Data unavailable in prior year. **87% of total 2016 breast implants were silicone; 13% 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, 2017

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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


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®)

2017

TOTAL PROCEDURES 300,378 27,507 105,219 26,839 1,323 4,804 658 14,277 16,136 84,276 23,433 209,571 125,697 39,886 19,979 29,797 246,354 9,075 218,924 983 9,648 129,753 18,033 1,662,550

2017

TOTAL PROCEDURES 7,230,967 37,034 1,376,703 1,086,830 587,903 218,929 740,287 324,340 2,551,921 237,244 13,656 85,685

2017

TOTAL FEMALE 300,378 27,507 105,219 0 1,142 4,450 280 10,497 7,419 72,639 13,307 177,290 113,978 35,149 5,536 28,616 218,174 8,298 166,531 0 9,170 124,869 17,667 1,448,116

2017

TOTAL FEMALE 6,763,207 31,941 1,269,278 902,462 514,609 190,157 597,445 320,130 2,452,401 221,972 12,969 80,540

% OF TOTAL PROCEDURES 100% 100% 100% 0% 86% 93% 43% 74% 46% 86% 57% 85% 91% 88% 28% 96% 89% 91% 76% 0% 95% 96% 98% 87%

% OF TOTAL PROCEDURES 94% 86% 92% 83% 88% 87% 81% 99% 96% 94% 95% 94%

% CHANGE 2017 vs. 2016

% CHANGE 2017 vs. 2000

3% -3% 4% -56% 13% 54% 9% 0% -5% -2% 0% -4% -8% 17% 5% 5% -20% -1% -3% 2% 1%

41% -33% 99% * 240% * 20% -58% 160% -31% -34% -4% -67% 36% 56% -28% * -30% 80% 107% 5127%

1%

-4%

% CHANGE 2017 vs. 2016 2% 19% 1% -1% 0% 1% -5% 0% 3% -2% -3% 8%

% CHANGE 2017 vs. 2000 876% 33% 34% 50% 245% -15% -24% -62% 307% * -98% 31%

2,091,476

2,033,006

97%

4%

*

123,860

103,914

84%

-1%

*


14,154,914

13,041,630

92%

2%

168%


15,817,464

14,489,746

92%

2%

127%


2017 Cosmetic Surgery Gender Distribution Charts Female 2017 TOP FIVE FEMALE COSMETIC SURGICAL PROCEDURES

Breast Augmentation

 3 % from 2016

300,000

Liposuction

 5 % from 2016

218,000

Eyelid Surgery

no change

177,000

Nose Reshaping

 -1% from 2016

166,000

ASPS Public Relations Phone: 773-332-4719

Tummy Tuck

124,000

 2% from 2016


2017 TOP FIVE FEMALE COSMETIC MINIMALLY-INVASIVE PROCEDURES


 2% from 2016

5.4 6.7 million

Soft Tissue Fillers

2.4 1.8 million


Chemical Peel

1.2 1.1 million

Laser Hair Removal

902,000 938,000

Microdermabrasion

825,000 597,000

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 3% from 2016  1% from 2016  -1% from 2016  -5% from 2016



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, 2018

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2017 Cosmetic Surgery Gender Distribution Male 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



Top 5 procedures appear in bold 2017

TOTAL PROCEDURES 300,378 27,507 105,219 26,839 1,323 4,804 658 14,277 16,136 84,276 23,433 209,571 125,697 39,886 19,979 29,797 246,354 9,075 218,924 983 9,648 129,753 18,033 1,662,550

2017

TOTAL PROCEDURES 7,230,967 37,034 1,376,703 1,086,830 587,903 218,929 740,287 324,340 2,551,921 237,244 13,656 85,685

TOTAL MALE 0 0 0 26,839 181 354 378 3,780 8,717 11,637 10,126 32,281 11,719 4,737 14,443 1,181 28,180 777 52,393 983 478 4,884 366

2017

% OF TOTAL PROCEDURES 0% 0% 0% 100% 14% 7% 57% 26% 54% 14% 43% 15% 9% 12% 72% 4% 11% 9% 24% 100% 5% 4% 2%

214,434

13%

2017

% OF TOTAL PROCEDURES 6% 14% 8% 17% 12% 13% 19% 1% 4% 6% 5% 6%

TOTAL MALE 467,760 5,093 107,425 184,368 73,294 28,772 142,842 4,210 99,520 15,272 687 5,145

% CHANGE 2017 vs. 2016

% CHANGE 2017 vs. 2000

-3% -55% 11% 59% 5% -6% -3% 0% 4% -3% -5% 20% 2% 5% -19% -5% 0% 0% -1%

32% * 638% * 126% -4% -19% -41% -44% -23% -63% -64% 409% -46% * -65% 117% 113% *

0%

-46%

% CHANGE 2017 vs. 2016

% CHANGE 2017 vs. 2000

5% 22% 3% -5% -1% -1% -1% -3% 0% -3% -4% 6%

397% * -47% 38% 240% 37% 66% -84% 99% * -99% 31%

2,091,476

58,470

3%

1%

*

123,860

19,946

16%

-3%

*


14,154,914

1,113,284

8%

1%

76%


15,817,464

1,327,718

8%

1%

29%


2017 Cosmetic Surgery Gender Distribution Charts Male 2017 TOP FIVE MALE COSMETIC SURGICAL PROCEDURES

Nose Reshaping

 -5% from 2016

52,000

Eyelid Surgery

 4% from 2016

32,000

Liposuction

 5% from 2016

28,000

Breast Reduction in Men

 -3% from 2016

26,000

Hair Transplantation ASPS Public Relations

14,000

 20% from 2016

Phone: 773-332-4719 Fax: 847-981-5482 Email: [email protected] Website: www.plasticsurgery.org

2017 TOP FIVE MALE COSMETIC MINIMALLY-INVASIVE PROCEDURES


 5 % from 2016

467,000


Laser Hair Removal

184,000

Microdermabrasion

142,000

Chemical Peel

107,000

Soft Tissue Fillers

99,000

14


 -5% from 2016  -1% from 2016  3 % from 2016 no change


2017 Cosmetic Surgery Age Distribution Age 13-19 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)


ASPS Public Relations Phone: 773-332-4719 Fax: 847-981-5482 Email: [email protected] 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, 2018

15


COSMETIC MINIMALLY-INVASIVE PROCEDURES

Top 5 procedures appear in bold AGE 13-19 2017 TOTAL

AGE 13-19 % OF TOTAL PROCEDURES

AGE 13-19 % CHANGE 2017 vs 2016

8,435 99 1,936 6,863 1,377 3,713 6,610 1,998 288 3,889 30,681

3% 0% 2% 26% 9% 4% 28% 1% 1% 2% 14%

4% -3% 5% -3% -4% -3% -1% 1% 6% 4% -2%

65,889

4%

-1%

AGE 13-19 2017 TOTAL


AGE 13-19 % CHANGE 2017 vs 2016

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®)

20,976 6,956 70,018 28,860 19,958 7,280 1,793 7,067 800 46 743 3,762 1,716

0% 1% 6% 5% 9% 1% 1% 0% 0% 0% 1% 0% 1%

1% 0% -1% 0% 2% -5% -1% 2% -1% -4% 8% 3% 0%


162,908

1%

0%


228,797

1%

0%


2017 Cosmetic Surgery Age Distribution Age 20-29 COSMETIC SURGICAL PROCEDURES

ASPS Public Relations Phone: 773-332-4719 Fax: 847-981-5482 Email: [email protected] 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, 2018

16




AGE 20-29 % CHANGE 2017 vs 2016

85,690 3,556 14,290 9,367 265 595 251 1,332 2,248 5,606 7,100 3,737 353 222 1,757 1,425 38,082 872 68,624 496 594 12,395 1,669

29% 13% 14% 35% 20% 12% 38% 9% 14% 7% 30% 2% 0% 1% 9% 5% 15% 10% 31% 50% 6% 10% 9%

4% -4% 4% -3% -56% 12% 57% 8% -2% -5% 0% 1% -5% -8% 20% 5% 6% -20% -2% -15% -3% 2% 2%

260,526

16%

2%



107,423 8,167 16,199 232,850 32,690 27,844 56,633 14,224 70,791 4,682 639 4,209

1% 22% 1% 21% 6% 13% 8% 4% 3% 2% 5% 5%

1% 19% 0% -3% 0% 0% -5% 1% 2% -2% -2% 7%

54,662

3%

3%

6,599

5%

0%


566,821

4%

-1%


827,347

5%

0%

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



AGE 20-29 % CHANGE 2017 vs 2016



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, 2018

17


2017 Cosmetic Surgery Age Distribution Age 30-39 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





AGE 30-39 % CHANGE 2017 vs 2016

111,210 7,951 31,578 4,753 441 1,351 265 3,003 2,135 8,549 4,085 13,118 1,954 1,634 1,625 3,865 83,040 2,491 52,208 179 2,765 46,295 2,608

37% 29% 30% 18% 33% 28% 40% 21% 13% 10% 17% 6% 2% 4% 8% 13% 34% 27% 24% 18% 29% 36% 14%

2% -3% 3% -3% -56% 14% 58% 9% -3% -3% -2% 0% -3% -8% 19% 5% 5% -19% -1% -14% -3% 3% 1%

387,103

23%

2%

AGE 30-39 2017 TOTAL 1,306,718 19,799 181,156 317,604 49,629 66,522 169,432 66,565 290,791 19,880 2,141 11,077

AGE 30-39 % OF TOTAL PROCEDURES 18% 53% 13% 29% 8% 30% 23% 21% 11% 8% 16% 13%

AGE 30-39 % CHANGE 2017 vs 2016 2% 19% 2% -2% 0% 2% -4% 1% 4% -1% -2% 7%

243,774

12%

5%

13,919

11%

0%


2,468,216

17%

2%


2,855,319

18%

2%


ASPS Public Relations Phone: 773-332-4719 Fax: 847-981-5482 Email: [email protected] 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, 2018

18


2017 Cosmetic Surgery Age Distribution Age 40-54 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





AGE 40-54 % CHANGE 2017 vs 2016

87,623 11,543 40,724 3,567 521 2,001 100 6,237 3,983 32,568 3,423 88,364 41,847 15,869 4,176 10,814 96,091 3,925 45,765 192 4,598 52,934 7,714

29% 42% 39% 13% 39% 42% 15% 44% 25% 39% 15% 42% 33% 40% 21% 36% 39% 43% 21% 20% 48% 41% 43%

3% -3% 4% -3% -56% 12% 56% 8% -4% -3% -2% -1% -3% -8% 19% 6% 4% -20% -2% -14% -3% 0% 2%

564,579

34%

1%



4,136,368 9,052 579,782 395,291 241,934 68,128 331,463 156,573 1,254,138 93,222 4,795 28,533 1,056,538

57% 24% 42% 36% 41% 31% 45% 48% 49% 39% 35% 33% 51%

2% 21% 2% -2% 0% 1% -4% -1% 3% -2% -4% 7% 4%

AGE 40-54 % CHANGE 2017 vs 2016

71,050

57%

-1%


7,172,729

51%

2%


7,737,308

49%

2%


ASPS Public Relations Phone: 773-332-4719 Fax: 847-981-5482 Email: [email protected] 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, 2018

19


2017 Cosmetic Surgery Age Distribution Age 55 and over 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



Top 5 procedures appear in bold AGE 55 AND OVER 2017 TOTAL

AGE 55 AND OVER % OF TOTAL PROCEDURES

AGE 55 AND OVER % CHANGE 2017 vs 2016

7,420 4,358 16,691 2,289 96 857 42 3,705 6,393 33,840 2,215 102,354 81,543 22,161 12,421 13,405 25,252 1,787 21,646 116 1,691 18,129 6,042

2% 16% 16% 9% 7% 18% 6% 26% 40% 40% 9% 49% 65% 56% 62% 45% 10% 20% 10% 12% 18% 14% 34%

4% -4% 5% -3% -56% 14% 56% 8% -3% -6% -2% 1% -5% -7% 19% 4% 5% -20% -3% -16% -3% 3% 0%

384,453

23%

-1%

AGE 55 AND OVER 2017 TOTAL

AGE 55 AND OVER % OF TOTAL PROCEDURES

AGE 55 AND OVER % CHANGE 2017 vs 2016

1,659,482 16 592,610 71,067 234,790 36,477 175,479 85,185 929,134 118,660 6,035 41,123 732,740

23% 0% 43% 7% 40% 17% 24% 26% 36% 50% 44% 48% 35%

4% 23% 0% -1% 0% 0% -5% 1% 3% -2% -3% 9% 4%

30,576

25%

-2%


3,784,240

27%

2%


4,168,693

26%

2%

2017 Regional Distribution 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) Full Facelift Mini Facelift Forehead lift Hair transplantation Labiaplasty ┼ Lip augmentation (other than injectable materials) Lip reduction Liposuction Lower body lift Neck lift Nose reshaping (rhinoplasty)

Top 5 procedures appear in bold

TOTAL PROCEDURES 300,378 27,507 105,219 43,635 26,839 20,301 1,323 4,804 658 14,277 16,136 84,276 23,433 209,571 125,697 96,438 29,259 39,886 19,979 10,253 29,797 1,065 246,354 9,075 53,028 218,924

Pectoral implants Thigh lift Tummy tuck (abdominoplasty) Upper arm lift

983 9,648 129,753 18,033


1,790,832

Region 1

Region 2

Region 3

Region 4

Region 5

44,748 5,463 13,344 7,114 8,891 4,596 203 1,148 194 2,622 3,762 10,335 4,548 37,788 24,753 18,902 5,851 6,318 1,921 2,060 7,976 189 43,335 2,721 10,208 63,538

15% 20% 13% 16% 33% 23% 15% 24% 29% 18% 23% 12% 19% 18% 20% 20% 20% 16% 10% 20% 27% 18% 18% 30% 19% 29%

50,736 4,645 15,347 12,490 4,588 5,767 183 1,561 66 1,306 2,340 25,659 4,546 28,584 14,860 11,427 3,433 5,541 1,981 1,640 5,030 383 32,345 1,400 6,464 30,188

17% 47,508 16% 49,225 17% 5,825 21% 5,786 21,773 15% 21,726 21% 29% 6,502 15% 8,897 17% 4,299 16% 3,151 28% 4,145 20% 3,420 14% 374 28% 304 32% 867 18% 688 10% 184 28% 79 9% 2,825 20% 6,208 15% 2,417 15% 1,761 30% 18,335 22% 9,721 19% 3,547 15% 3,765 14% 46,341 22% 25,721 12% 18,105 28,422 23% 12% 21,755 23% 13,955 12% 6,667 23% 4,150 14% 6,873 17% 7,580 10% 2,296 11% 9,264 16% 2,331 23% 1,324 17% 4,966 17% 5,935 36% 199 19% 153 13% 55,559 23% 37,807 15% % OF TOTAL 968 PROCEDURES 11% 1,908 12% 11,111 21% 8,298 14% 27,017 12% 39,171

16% 21% 21% 20% 12% 17% 23% 14% 12% 43% 11% 12% 16% 12% 14% 14% 14% 19% 46% 13% 20% 14% 15% 21% 16% 18%

108,161 5,788 33,029 8,632 5,910 2,373 259 540 135 1,316 5,856 20,226 7,027 71,137 39,557 30,399 9,158 13,574 4,517 2,898 5,890 141 77,308 2,078 16,947 59,010

36% 21% 31% 20% 22% 12% 20% 11% 21% 9% 36% 24% 30% 34% 31% 32% 31% 34% 23% 28% 20% 13% 31% 23% 32% 27%

155 2,371 25,668 5,251

16% 25% 20% 29%

102 1,522 23,740 2,524

10% 16% 18% 14%

18% 19% 17% 14%

276 2,522 36,524 3,968

28% 26% 28% 22%

341,220 19%

285,538 16%

275 1,364 22,197 3,791

28% 14% 17% 21%

332,264 19%

175 1,869 21,624 2,499

296,211 17%

535,599 30%

2017 Plastic Surgery Statistics Report Region 1

Region 2

Region 3

Region 4

Region 5 All values are projected.

New England (CT, ME, MA, NH, RI, VT) Middle Atlantic (NJ, NY, PA)

20

ASPS Public Relations

East North Central (IL, IN, MI, OH, WI) 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)

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, 2018

Pacific (AK, CA, HI, OR, WA)

Phone: 773-332-4719 | Fax: 847-981-5482 | Email: [email protected] | Website: www.plasticsurgery.org

2017 Regional Distribution Top 5 procedures appear in bold COSMETIC MINIMALLY-INVASIVE PROCEDURES Botulinum toxin type A (Botox®, Dysport®)*** Cellulite treatment (e.g., Velosmooth®, Endermology) Chemical peel Injection lipolysis (e.g., Kybella®) Intense pulsed light (IPL) Laser hair removal Laser skin resurfacing Laser treatment of leg veins Microdermabrasion Non-invasive fat reduction (e.g., Coolsculpting®, Liposonix®) Non-surgical skin tightening (e.g., Pelleve®, Thermage®, Ulthera®) Sclerotherapy Soft tissue fillers Acellular Dermal Matrix ┼ Calcium hydroxylapatite (e.g., Radiesse®) Collagen Fat Hyaluronic acid (e.g., Juvederm Ultra®, Juvederm Ultra Plus®, Perlane®, Restylane®, Prevelle Silk®) Platelet-Rich Plasma (PRP) Polylactic acid (Sculptra®) Polymethyl-methacrylate microspheres (e.g., Artefill)

TOTAL PROCEDURES 7,230,967 37,034 1,376,703 62,587 667,561 1,086,830 587,903 218,929 740,287 356,378 333,334 324,340 2,691,265 8,349 237,244 13,656 85,685 2,091,476 113,356 123,860 17,639

Region 1

Region 2

1,454,427 8,326 338,960 11,698 180,141 190,361 115,831 53,791 187,461 73,973 66,410 49,830 773,691 1,487 79,168 6,905 14,596

953,302 8,279 204,270 12,223 102,917 142,007 130,392 22,903 143,417 47,492 45,895 37,628 352,432 1,789 35,281 915 15,914

20% 22% 25% 19% 27% 18% 20% 25% 25% 21% 20% 15% 29% 18% 33% 51% 17%

13% 22% 15% 20% 15% 13% 22% 10% 19% 13% 14% 12% 13% 21% 15% 7% 19%

Region 3 1,725,730 7,395 269,792 13,288 120,733 232,651 94,287 35,140 153,631 83,423 78,283 68,265 506,561 1,800 45,938 2,263 20,277

24% 20% 20% 21% 18% 21% 16% 16% 21% 23% 23% 21% 19% 22% 19% 17% 24%

Region 4 1,016,448 4,217 122,808 8,279 59,890 170,113 57,128 23,966 86,730 50,320 45,440 121,137 284,576 1,049 35,490 1,582 6,743

Region 5

14% 11% 9% 13% 9% 16% 10% 11% 12% 14% 14% 37% 11% 13% 15% 12% 8%

177,836 9%

2,081,060 8,817 440,873 17,099 203,880 351,698 190,265 83,129 169,048 101,170 97,306 47,480 774,005 2,224 41,367 1,991 28,155

29% 24% 32% 27% 31% 32% 32% 38% 23% 28% 29% 15% 29% 27% 17% 15% 33%

629,838 30%

255,363 12%

385,296 18%

23,797 21% 14,873 12% 3,027 17%

14,656 13% 27,553 22% 961 5%

26,146 23% 18,801 15% 6,040 34%

16,597 15% 44,109 36% 1,170 7%

643,143 31% 32,160 28% 18,524 15% 6,441 37%


15,714,118

3,504,900 22%

2,203,157 14%

3,389,179 22%

2,051,052 13%

4,565,830 29%


17,504,950

3,846,120 22%

2,488,695 14%

3,721,443 21%

2,347,263 13%

5,101,429 29%

Region 5

% OF TOTAL PROCEDURES

RECONSTRUCTIVE PROCEDURES

TOTAL PROCEDURES 106,295

Breast reconstruction

Region 1 20,901 20%

Region 2

Region 3

Region 4

17,952 17%

22,288 21%

22,583 21%

22,571 21%

2017 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.

New England (CT, ME, MA, NH, RI, VT) Middle Atlantic (NJ, NY, PA)

21


East North Central (IL, IN, MI, OH, WI) 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)

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, 2018

Pacific (AK, CA, HI, OR, WA)

Phone: 773-332-4719 | Fax: 847-981-5482 | Email: [email protected] | Website: www.plasticsurgery.org

2017 Average Surgeon/Physician Fees 2017 Plastic Surgery Statistics Report


* Data unavailable 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, 2018

22


Cosmetic Procedures

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) Full Facelift Mini Facelift 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 (Brachioplasty)

COSMETIC MINIMALLY-INVASIVE PROCEDURES Botulinum Type A toxin injections (e.g., Botox®, Dysport®) Cellulite treatment (e.g., Velosmooth®, Endermology) Chemical peel Injection lipolysis (e.g., Kybella®) ┼ Intense Pulsed Light (IPL) Laser hair removal Laser skin resurfacing Ablative Non-ablative (e.g., Fraxel®, etc.) Laser treatment of leg veins Microdermabrasion Non-invasive fat reduction (e.g., Coolsculpting®, Liposonix®) ┼ Non-surgical skin tightening (e.g., Pelleve®, Thermage®, Ulthera®┼ Sclerotherapy Soft Tissue Fillers Acellular Dermal Matrix ┼ Calcium hydroxylapatite (e.g., Radiesse®) Collagen Porcine/bovine-based (e.g., Evolence®, Zyderm®, Zyplast®) Fat Hyaluronic acid (e.g., Juvederm Ultra®, Juvederm Ultra Plus®, Perlane®, Restylane®) Platelet-Rich Plasma (PRP) Polylactic acid (e.g., Sculptra®) Polymethyl-methacrylate microspheres (e.g., Artefill®)

Total 2017 Expenditures

NATIONAL AVERAGE SURGEON/PHYSICIAN FEE $3,718 $2,357 $4,672 $5,482 $3,641 $4,096 $4,884 $5,113 $3,707 $2,837 $2,236 $1,170 $2,909 $3,026 $7,448 $7,052 $4,752 $3,374 * $2,984 $1,665 $1,943 $3,374 $7,679 $4,819 $5,125 $4,196 $4,857 $5,992 $4,223

NATIONAL AVERAGE SURGEON/PHYSICIAN FEE $385 * $698 $1,149 $392 $293 $2,124 $1,114 $400 $137 $1,481 $2,060 $322 * $662 * $1,951 $682 * $903 $855

TOTAL EXPENDITURE $1,116,805,404 $64,838,783 $491,583,168 $239,207,070 $97,720,799 $83,152,896 $6,461,532 $24,562,852 $2,439,206 $40,503,849 $36,080,096 $98,602,920 $68,166,597 $634,161,846 $936,191,256 $680,080,776 $139,038,768 $134,575,364 * $30,594,952 $49,612,005 $2,069,295 $831,198,396 $69,686,925 $255,541,932 $1,121,985,500 $4,124,668 $46,860,336 $777,479,976 $76,153,359

TOTAL EXPENDITURE $2,783,922,295 * $960,938,694 $71,912,463 $261,683,912 $318,441,190 $343,387,080 $474,823,562 $87,571,600 $101,419,319 $527,795,818 $686,668,040 $104,437,480 * $157,055,528 * $167,171,435 $1,426,386,632 * $111,845,580 $15,081,345 $16,760,022,499


2017 Cosmetic Demographics Patient behavior

2017

45%

48%

41%

42%

Email: [email protected] Website: www.plasticsurgery.org All values are projected. *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® as well as other physicians certified by American Board of Medical Specialties-recognized boards. © ASPS, 2018

23


% CHANGE 2017 vs. 2016

% CHANGE 2017 vs. 2016

2017

% 2017

2016

% 2016

Caucasian

12,335,710

70%

11,392,019

70%

8%

Hispanic

1,911,652

11%

1,654,228

10%

16%

African-American

1,593,506

9%

1,367,616

8%

17%

Asian-American

1,150,603

7%

1,154,084

7%

0%

513,479

3%

822,828

5%

-38%

Caucasian

AfricanAmerican

Asian/Pacific Islander

Hispanic

Other

Breast Augmentation

76%

6%

5%

11%

2%

Rhinoplasty

75%

6%

4%

10%

5%

Blepharoplasty

83%

3%

6%

7%

2%

Liposuction

77%

8%

4%

10%

1%

Abdominoplasty

70%

11%

5%

12%

2%

Caucasian

AfricanAmerican


Hispanic

Other

Botulinum toxin type A (Botox , Dysport )

80%

4%

5%

10%

1%

Soft tissue fillers

81%

5%

4%

8%

1%

Chemical peel

83%

3%

5%

7%

3%

Laser hair removal

78%

6%

5%

8%

3%

Microdermabrasion

77%

5%

5%

9%

5%

Cosmetic surgical procedures by group

Fax: 847-981-5482

% 2016

Patients having multiple cosmetic procedures at the same time

Other

Phone: 773-332-4719

2016

Cosmetic Patients who are repeat patients

Ethnicity breakdown of cosmetic procedures


% 2017

Cosmetic minimally-invasive procedures by group ®

®


2017 Reconstructive Demographics Reconstructive procedures by group Breast reconstruction Burn care Cleft Lip & Palate Repair Tumor removal Treatment of dog bites

Caucasian

AfricanAmerican


Hispanic

Other

71.1%

13.7%

3.2%

10.4%

1.6%

69.7%

13.2%

4.2%

9.5%

3.5%

46.5%

4.2%

10.5%

25.1%

13.6%

76.2%

8.6%

4.1%

8.5%

2.6%

72.4%

10.5%

2.9%

12.5%

1.6%

2017 Reconstructive Breast Procedures (with age distribution) RECONSTRUCTIVE BREAST PROCEDURES ASPS Public Relations Phone: 847-228-9900 Fax: 847-981-5482 Email: [email protected] Website: www.plasticsurgery.org

* 95% of total breast implants were silicone: 5% were saline. ‡

Due to a methodologic change, projection is not comparable to prior years All values are projected.

ASPS procedural statistics represent procedures performed by ASPS Member Surgeons certified by The American Board of Plastic Surgery® © ASPS, 2018

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Breast reconstruction* Saline implants Silicone implants Implant alone Tissue expander and implant TRAM flap DIEP flap Latissimus Dorsi flap Other flap Timing-Immediate Timing-Dlayed Unilateral Bilateral Acellular dermal matrix Fat grafts Breast reduction (reconstructive patients only) Breast implant removals (Reconstructive patients only)

TOTAL PROCEDURES 106,295 4,400 82,579 12,246 74,733 4,194 9,495 4,589 1,038 78,511 27,784 35,965 70,330 59,774 31,862 59,198 19,415

13-19

20-29

30-39

40-54

55 AND OVER

511 145

2,561 1,153

12,160 3,722

54,679 8,881

36,384 5,514


2017 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

ASPS Public Relations Phone: 773-332-4719 Fax: 847-981-5482 Email: [email protected] Website: www.plasticsurgery.org All values are projected. ****Counts of procedures performed by ASPS member surgeon only.

ASPS procedural statistics represent procedures performed by ASPS Member Surgeons certified by The American Board of Plastic Surgery® ©ASPS, 2018

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% CHANGE 2017 vs. 2016

2017

2016

14,811 6,407 3,864 22,944 7,249

13,174 6,449 4,778 23,985 6,859

12% -1% -19% -4% 6%

55,275

55,245

0%

2017 Gender Confirmation Surgery Statistics GENDER CONFIRMATION SURGERIES Transfeminine (Male to Female) patients**** Transmasculine (Female to Male) patients****┼

TOTAL GENDER CONFIRMATION SURGERIES

% CHANGE 2017 vs. 2016

2017

2016

2,483 5,821

1,759 1,497

41% 289%

8,304

3,256

155%