2003
Cosmetic Surgery Statistics
The American Society of Aesthetic Plastic Surgeons (ASAPS) sent out
a survey to more than 14,000 doctors and used the results
to project national averages for 23,000 medical specialists.
The results have an error margin of +/- 3.92% at a 95%
level of confidence.
New York, NY (February 18, 2004) - Highlights of 2003 cosmetic surgery statistics released today by
the American Society for Aesthetic Plastic Surgery (ASAPS),
the nation's leading organization for cosmetic surgery
education and research:
- There were
nearly 8.3 million surgical and nonsurgical cosmetic
procedures performed in 2003, according to the most
comprehensive survey to date of U.S. physicians and
surgeons by the American Society for Aesthetic Plastic
Surgery (ASAPS). Surgical procedures represented 22
percent of the total, and nonsurgical procedures were
78 percent of the total.
- From 2002-2003,
there was a 20 percent increase in the total number
of cosmetic procedures. Surgical procedures increased
by 12 percent, and nonsurgical procedures increased
by 22 percent.
- Since 1997,
there has been a 293 percent increase in the total
number of cosmetic procedures. Surgical procedures
increased by 87 percent, and nonsurgical procedures
increased by 471 percent.
- The top
five surgical cosmetic procedures in 2003 were: liposuction
(384,626, up 3 percent from 2002); breast augmentation
(280,401, up 12 percent); eyelid surgery (267,627,
up 17 percent); rhinoplasty (172,420, up 10 percent);
and breast reduction (147,173, up 17 percent).
- The top
five nonsurgical cosmetic procedures in 2003 were:
Botox injection (2,272,080, up 37 percent from 2002);
laser hair removal (923,200, up 25 percent); microdermabrasion
(858,312, down 17 percent); chemical peel (722,248,
up 46 percent); and collagen injection (620,476, down
21 percent).
- Women had
nearly 7.2 million cosmetic procedures, 87 percent
of the total. The number of cosmetic procedures for
women increased 16 percent from 2002.
- The top
five surgical procedures for women were: liposuction,
breast augmentation, eyelid surgery, breast reduction
and rhinoplasty.
- Men had
nearly 1.1 million cosmetic procedures, 13 percent
of the total (up from 12 percent of the total in 2002).
The number of cosmetic procedures for men increased
31 percent from 2002.
- The top
five surgical procedures for men were: liposuction,
rhinoplasty, eyelid surgery, breast reduction to treat
enlarged male breasts, and hair transplantation.
- People age
35-50 had the most procedures -- 3.7 million and 45
percent of the total. People age 19-34 had 24 percent
of procedures; age 51-64 had 23 percent; age 65-and-over
had 5 percent; and age 18-and-younger had less than
3 percent.
- The most
common procedures for age 18-and-under were: chemical
peel, laser hair removal, microdermabrasion, rhinoplasty,
and otoplasty (ear reshaping).
- Racial and
ethnic minorities had 20 percent of all cosmetic procedures,
an increase of 1 percent from 2002: Hispanics, 8 percent;
African-Americans, 6 percent; Asians, 4 percent; and
other non-Caucasians, 2 percent.
- Where cosmetic
surgeries were performed: office facility, 52 percent
(up 7 percent from 2002); hospital 25 percent; and
free-standing surgicenter, 23 percent.
Figures may not add exactly to totals and percentages may not equal
100 percent due to rounding.
Top
Surgical Procedures
The five most popular surgical cosmetic procedures
in 2003 were: liposuction (384,626); breast augmentation
(280,401); eyelid surgery (267,627); rhinoplasty (172,420);
and female breast reduction (147,173). Breast reduction
may be covered by insurance, depending on terms of the
policy and individual patient factors.
There were significant percentage
increases from 2002 in several body contouring procedures
often used to treat patients with major weight loss:
abdominoplasty (increased by 42 percent to 117,693 procedures);
lower body lift (increased by 127 percent to 10,964
procedures); thigh lift (increased by 109 percent to
8,806 procedures); and upper arm lift (increased by
68 percent to 10,595 procedures). There were also large
percentage increases for buttock lift (increased by
70 percent to 3,565 procedures) and buttock augmentation
(increased by 533 percent to 3,885 procedures). Large
percentage changes are common in cases where the total
number of procedures is small.
Top
Nonsurgical Procedures
Botox injections continued to rank first among all cosmetic
procedures (surgical and nonsurgical combined), increasing
37 percent from 2002. The top five nonsurgical cosmetic
procedures were: Botox injection (2,272,080); laser
hair removal (923,200); microdermabrasion (858,312);
chemical peel (722,248); and collagen injection (620,476).
Human-derived collagen products (CosmoDerm, CosmoPlast)
were used in 29 percent of collagen injection procedures.
There were 116,211 procedures using hyaluronic acid
(Hylaform, Restylane) and 31,913 procedures using calcium
hydroxylapatite (Radiance).
Gender
Distribution
Women had 87 percent of cosmetic procedures. The number
of procedures performed on women was nearly 7.2 million,
an increase of 16 percent from 2002. The top five
surgical cosmetic procedures for women in 2003 were:
liposuction (322,975 and 84 percent of liposuction total);
breast augmentation (280,401); eyelid surgery (216,829
and 81 percent of total); breast reduction (147,173);
and rhinoplasty (119,047 and 69 percent of total). The
number of surgical procedures for women increased 11
percent overall from 2002.
The top five nonsurgical cosmetic
procedures for women were: Botox injection (1,963,012
and 86 percent of Botox total); microdermabrasion (774,261
and 90 percent of total); laser hair removal (695,210
and 75 percent of total); chemical peel (640,081 and
89 percent of total); and collagen injection (568,797
and 92 percent of total). The number of nonsurgical
procedures for women increased 17 percent overall from
2002.
Men had 13 percent of cosmetic procedures,
up 1 percent from 2002. The number of procedures performed
on men was nearly 1.1 million, an increase of 31 percent
from 2002. The top five surgical cosmetic procedures
for men in 2003 were: liposuction (61,646 and 16
percent of liposuction total); rhinoplasty (53,376 and
31 percent of total); eyelid surgery (50,798 and 19
percent of total); breast reduction to treat enlarged
male breasts (22,049); and hair transplantation (14,891
and 90 percent of total). Surgical procedures for men
increased 22 percent overall from 2002.
The top five nonsurgical cosmetic
procedures for men were: Botox injection (309,063
and 14 percent of Botox total); laser hair removal (227,990
and 25 percent of total); microdermabrasion (84,049
and 10 percent of total); chemical peel (82,174 and
11 percent of total); and collagen injection (51,674
and 8 percent of total). Nonsurgical procedures for
men increased 34 percent overall from 2002.
Age
Distribution
Americans age 35-50 had 3.7 million surgical
and nonsurgical cosmetic procedures, representing 45
percent of all procedures performed in 2003. Liposuction
was the most popular surgical procedure (179,650 and
47 percent of liposuction total). Botox injection was
the number one nonsurgical procedure (1,238,891 and
55 percent of Botox total).
The 19-34 age group had nearly
2 million cosmetic procedures, and 24 percent of all
procedures. The most popular surgical procedure in this
age group was breast augmentation (150,208 and 54 percent
of the breast augmentation total). Laser hair removal
was the most popular nonsurgical procedure (332,166
and 36 percent of laser hair removal total).
The 51-64 age group had 1.9
million cosmetic procedures, and 23 percent of all procedures.
The number one surgical procedure was eyelid surgery
(104,835 and 39 percent of the eyelid surgery total).
The most popular nonsurgical procedure was Botox injection
(601,417 and 27 percent of Botox total).
The 65-and-over age group
had 5 percent of all cosmetic procedures (388,601).
The most popular surgical procedure was eyelid surgery
(33,990, and 13 percent of eyelid surgery total). The
number one nonsurgical procedure was Botox injection
(104,820 and 5 percent of Botox total).
The 18-and-under age group
had less than 3 percent of all cosmetic procedures (223,594),
down slightly from 2002. The most popular surgical procedure
was rhinoplasty (23,013 and 13 percent of rhinoplasty
total). The most popular nonsurgical procedure was chemical
peel (51,997 and 7 percent of chemical peel total).
Racial
and Ethnic Distribution
Racial and ethnic minorities accounted for 20 percent
of all cosmetic procedures in 2003, an increase of 1
percent from 2002. Hispanics led minority racial and
ethnic groups in the number of procedures: Hispanics,
8%; African-Americans, 6% (an increase of 1 percent
from 2002); Asians, 4%; and other non-Caucasians, 2%.
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