2005 ASPS U.S.A. Cosmetic Surgery Statistics
10.2 Million Cosmetic Plastic Surgery Procedures in 2005 – Up 11%
More than 10.2 million cosmetic plastic surgery procedures were performed in the United States in 2005, up 11 percent from 2004, according to statistics released by the American Society of Plastic Surgeons (ASPS). In addition, more than 5.4 million reconstructive plastic surgery procedures were performed last year, reports the ASPS.
“The statistics show that in a solid economy, more Americans are willing to invest in anti-aging remedies such as cosmetic plastic surgery,” said ASPS President Bruce Cunningham, MD. “For many, cosmetic plastic surgery is the new take on ‘growing old gracefully.’”
Cosmetic Surgical Procedures
Surgical cosmetic procedures increased 4 percent, with more than 1.8 million procedures performed in 2005. The top five surgical procedures were liposuction (324,000), nose reshaping (298,000), breast augmentation (291,000), eyelid surgery (231,000), and tummy tuck (135,000). This is the first time in six years facelifts did not make the top five surgical procedures, according to ASPS statistics.
“The facelift is still a highly sought after procedure, nearly 109,000 were performed last year,” noted Dr. Cunningham. “However, the fact it didn’t make the top five surgical procedures can be attributed to increased consumer demand for minimally-invasive injectable wrinkle fillers and fighters as a remedy to combat facial aging.”
Cosmetic Non-Surgical Procedures
Rest and relaxation seem like impossible feats to most Americans trying to balance the demands of family and career. This balancing act could account for the continued growth in minimally-invasive cosmetic plastic surgery procedures with 8.4 million performed in 2005. According to the statistics released by the American Society of Plastic Surgeons (ASPS), minimally-invasive procedures increased 13 percent from the previous year and 53 percent since 2000.
Minimally-invasive cosmetic procedures are mostly performed in an outpatient setting, do not call for general anesthesia, require little to no downtime and usually cost less than the more invasive cosmetic surgeries. The top five minimally-invasive procedures were Botox® (3.8 million), chemical peel (1 million), microdermabrasion (838,000), laser hair removal (783,000), and sclerotherapy (590,000). This is the fourth consecutive year that these minimally-invasive procedures have been ranked in the top five.
“For facial rejuvenation especially, we have seen a shift from surgical treatments to a more subtle approach,” said ASPS President Bruce Cunningham, MD. “As patients choose to address signs of aging with less invasive procedures, plastic surgeons also have more tools at their disposal to care for these patients. For instance, plastic surgeons may use more than one type of product or procedure to treat different areas of a patient’s face.”
Since 2000, total surgical cosmetic procedures have decreased by five percent. In the same time period, facelifts decreased 19 percent and forehead lifts 54 percent; however, Botox® injections increased 388 percent and laser skin resurfacing 59 percent. Another notable trend - collagen and fat injections have decreased 58 and 13 percent respectively since 2004, but on the rise are hyaluronic acid (Restylane®, Hylaform®), polylactic acid (Sculptra™), and calcium hydroxylapatite (Radiesse™) fillers. This can be attributed to the fact that collagen and fat injections can be time consuming with allergy tests and harvesting procedures, and the newer fillers can achieve similar, if not better, results.
Reconstructive Surgical Procedures
Reconstructive plastic surgery, which improves function and appearance to abnormal areas of the body, remained relatively stable in 2005. The top five reconstructive procedures were tumor removal (3.9 million), laceration repair (344,000), scar revision (181,000), hand surgery (172,000) and breast reduction (114,000).
New Procedures
Vaginal rejuvenation, pectoral implants, buttock implants and calf augmentation have been touted in the media recently as the “hot” new procedures taking plastic surgery by storm. According to a statistics report released in which the American Society of Plastic Surgeons (ASPS) tracked these procedures for the first time, the reality is quite different from the hype. These unconventional procedures are being done infrequently, when compared to mainstream cosmetic plastic surgery procedures.
“These trendy new procedures that are supposedly all the rage around the country, simply are not being performed in large numbers,” said ASPS President Bruce Cunningham, MD. “We haven’t seen rampant interest in these procedures in our practices and now the statistics show how few of these procedures are actually being performed. That’s not to say that these procedures may not increase in popularity in the future, but right now, they are not as popular as they have been portrayed in the media.”
Reports of the public’s alleged growing interest in vaginal rejuvenation began in 2004. Based on these reports, ASPS tracked this and other touted procedures to verify whether or not the reality equaled the hype. In 2005, just 793 vaginal rejuvenation procedures were performed, according to ASPS statistics. Other “fringe” plastic surgery procedures tracked for the first time in 2005 were: buttock implants (542), calf augmentation (337) and pectoral implants (206).
These procedures are dwarfed when compared to mainstream procedures such as liposuction (323,605), nose reshaping (298,413), breast augmentation (291,350), eyelid surgery (230,697) and tummy tucks (134,746). Overall more than 1.8 million surgical cosmetic procedures were performed in 2005.
Ethnicity
The number of ethnic patients who chose to enhance their appearance or minimize the signs of aging through cosmetic plastic surgery took a substantial jump in 2005, with nearly 2.3 million procedures performed – an increase of 65 percent from 2004, according to statistics released by the American Society of Plastic Surgeons (ASPS). Hispanics continue to lead all ethnic groups with more than 921,000 cosmetic procedures performed, up 67 percent from 2004; followed by African Americans with 769,000 procedures, up 67 percent; and Asians with 437,000 procedures, up 58 percent.
“We are seeing a significant increase in the number of cosmetic plastic surgery procedures across all ethnic groups,” said ASPS President Bruce Cunningham, MD. “The increase can be, in large part, attributed to greater exposure to the benefits of plastic surgery, a growing acceptance of the specialty, and increased economic power within these ethnic groups. Ethnic patients are reading about plastic surgery in their favorite magazines or newspapers and watching the latest advances regularly on the nightly news – plastic surgery is now primetime.”
Hispanics comprised 9 percent of the 10.2 million cosmetic plastic surgery procedures in 2005. The most commonly requested surgical cosmetic procedures for Hispanics were nose reshaping, breast augmentation, and liposuction.
African Americans made up 8 percent of the total cosmetic plastic surgery procedures in 2005. The most commonly requested surgical procedures for African Americans were nose reshaping, breast reduction, and liposuction.
Asians made up 4 percent of the total cosmetic plastic surgery procedures in 2005. The most commonly requested surgical procedures for Asians were nose reshaping, eyelid surgery, and breast augmentation.
The most commonly requested minimally-invasive cosmetic procedures for all three ethnic groups were Botox®, injectable wrinkle fillers, and chemical peel.
Since 2003, statistics have been collected through the first online national database for plastic surgery procedures, Tracking Operations and Outcomes for Plastic Surgeons (TOPS). This data, combined with the annual survey sent to more than 17,000 board-certified physicians in specialties most likely to perform plastic surgery, results in the most comprehensive census on plastic surgery procedures.
The American Society of Plastic Surgeons is the largest organization of board-certified plastic surgeons in the world. With more than 6,000 members, the society is recognized as a leading authority and information source on cosmetic and reconstructive plastic surgery. ASPS comprises 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 or The Royal College of Physicians and Surgeons of Canada.
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