2018 Plastic Surgery Statistics Report

ASPS Public Relations:

Phone 773-332-4719 | Fax 847-981-5482 | Email media@plasticsurgery.org

www.PlasticSurgery.org

ASPS National Clearinghouse of Plastic Surgery

Procedural Statistics

2018

Plastic Surgery

Statistics

Report

ASPS Public Relations

Phone:

773-332-4719

Fax:

847-981-5482

Email:

aross@plasticsurgery.org

Website:

www.plasticsurgery.org

2018 Plastic Surgery Statistics

Table of Contents

Introduction

About the American Society of Plastic Surgeons ...................................................................................... 3

Methodology and Validity ..........................................................................................................................4

2018 Quick Facts - Plastic Surgery Trends ................................................................................................. 5

2018 Quick Facts - Demographic Trends ....................................................................................................6

Statistical Reports

Cosmetic Procedure Trends ........................................................................................................................8

Cosmetic Procedure Charts ........................................................................................................................ 9

Reconstructive Procedure Trends and Charts ..........................................................................................10

Cosmetic Surgery Gender Distribution – Female ....................................................................................11

Top Five Cosmetic Surgery Gender Distribution Charts – Female ...........................................................12

Cosmetic Surgery Gender Distribution – Male .......................................................................................13

Top Five Cosmetic Surgery Gender Distribution Charts – Male .............................................................. 14

Cosmetic Surgery Age Distribution (13-19) .............................................................................................15

Cosmetic Surgery Age Distribution (20-29) .............................................................................................16

Cosmetic Surgery Age Distribution (30-39) .............................................................................................17

Cosmetic Surgery Age Distribution (40-54) .............................................................................................18

Cosmetic Surgery Age Distribution (55 and Over) ...................................................................................19

Regional Distribution ..............................................................................................................................20

Average Surgeon/Physician Fees – Cosmetic Procedures ......................................................................22

Cosmetic Demographics ..........................................................................................................................23

Reconstructive Demographics .................................................................................................................24

Reconstructive Breast Procedures ...........................................................................................................24

Body Contouring after Massive Weight Loss ..........................................................................................25

Gender Conﬁrmation Surgery Statistics ..................................................................................................25

2018

Plastic Surgery

Statistics

Report

ASPS Public Relations

Phone:

773-332-4719

Fax:

847-981-5482

Email:

aross@plasticsurgery.org

Website:

www.plasticsurgery.org

Please credit the AMERICAN SOCIETY OF

PLASTIC SURGEONS when citing statistical

data or using graphics.

2018 Plastic Surgery Statistics

About the American Society of Plastic Surgeons

The American Society of Plastic Surgeons

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 93 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 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.

PlasticSurgery.org

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.

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

qualications:

✔

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

Please credit the AMERICAN SOCIETY OF

PLASTIC SURGEONS when citing statistical

data or using graphics.

2018

Plastic Surgery

Statistics

Report

ASPS Public Relations

Phone:

847-228-9900

Fax:

847-981-5482

Email:

media@plasticsurgery.org

Website:

www.plasticsurgery.org

2018 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 553 active physicians returned questionnaires. Overall, 724 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 Surgeons

(TOPS

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 ±4.12 percent margin of error.

2018

Plastic Surgery

Statistics

Report

ASPS Public Relations

Phone:

773-332-4719

Fax:

847-981-5482

Email:

aross@plasticsurgery.org

Website:

www.plasticsurgery.org

Please credit the AMERICAN SOCIETY OF

PLASTIC SURGEONS when citing statistical

data or using graphics.

2018 Quick Facts

Cosmetic and Reconstructive Plastic Surgery Trends

2018 Top 5 Cosmetic Surgical Procedures

2018 vs. 2017

Breast augmentation (313,000)  4%

Liposuction (258,000)  5%

Nose Reshaping (213,000)  2%

Eyelid surgery (206,000)  1%

Tummy Tuck (130,000) no change

Percentage change 2018 vs. 2017

17.7 million cosmetic procedures  2%

• 1.8 million cosmetic surgical procedures  1%

• 15.9 million cosmetic minimally-invasive procedures  2%

5.8 million reconstructive procedures  no change

2018 Top 5 Cosmetic Minimally-Invasive Procedures

2018 vs. 2017

Botulinum toxin type A (7.4 million)  3%

Soft tissue ﬁllers (2.6 million)  2%

Chemical peel (1.38 million) 1%

Laser hair removal (1.0 million)  1%

Microdermabrasion (709,000)  4%

2017 Top 5 Reconstructive Procedures

2018 vs. 2017

Tumor removal (4.5 million) no change

Laceration repair (253,000) no change

Maxillofacial surgery (204,000) no change

Scar revision (182,000) no change

Hand surgery (138,000) no change

Breast augmentation continues to be the top cosmetic surgical procedure

and has been since 2006. Silicone implants were used in 88%, and saline

implants in 12%, of all breast augmentations in 2018.

Cosmetic surgical procedures, not among the Top 5, with notable gains in

2018 include:

• Buttock augmentation w/ fat grafting – up 10%

• Hair Transplantation – up 19%

Facial rejuvenation procedures continue to experience growth, as 2018

marked the highest number of botulinum toxin type A injections to date,

with over 7.4 million injections!

Tumor removal is overwhelming the top reconstructive

procedure performed every year with approximately 4.5 million

procedures in 2018!

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

Please credit the AMERICAN SOCIETY OF

PLASTIC SURGEONS when citing statistical

data or using graphics.

2018

Plastic Surgery

Statistics

Report

ASPS Public Relations

Phone:

773-332-4719

Fax:

847-981-5482

Email:

aross@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, 2018

2018 Quick Facts

Cosmetic Plastic Surgery Demographic Trends

Age

13-19 year olds 2018 vs. 2017

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.

227,000 total cosmetic procedures  1%

65,000 surgical  1%

162,000 minimally-invasive no change

20-29 year olds 2018 vs. 2017

831,000 total cosmetic procedures  1%

264,000 surgical  1%

567,000 minimally-invasive ↑  1%

30-39 year olds 2018 vs. 2017

2.9 million total cosmetic procedures  2%

397,000 surgical  3%

2.5 million minimally-invasive  2%

40-54 year olds 2018 vs. 2017

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

7.8 million total cosmetic procedures  1%

571,000 surgical ↑  1%

7.2 million minimally-invasive  1%

55 and over 2018 vs. 2017

4.2 million total cosmetic procedures ↑  2%

381,000 surgical  1%

3.8 million minimally-invasive  2%

Gender

Female 2018 vs. 2017

92% of all cosmetic procedures

14.7 million total cosmetic procedures  2%

• 1.5 million surgical  1%

• 13.3 million minimally-invasive  2%

Male 2018 vs. 2017

8% of all cosmetic procedures

1.3 million total cosmetic procedures  1%

• 215,000 surgical no change

• 1.1 million minimally-invasive  2%

Ethnic

2018 vs. 2017

Caucasians (12.4 million)  1%

Hispanics (1.9 million)  2%

African Americans (1.6 million)  1%

Asian Americans (1.2 million)  1%

Did you know…

• $16.5 billion was spent on cosmetic procedures in the U.S.

• Region with the most cosmetic procedures performed

in the U.S. is Mountain/Paciﬁc – 5.2 million procedures

• Patients having multiple procedures at the same time

are up 2%

Please credit the AMERICAN SOCIETY OF

PLASTIC SURGEONS when citing statistical

data or using graphics.

2018

Plastic Surgery

Statistics

Report

ASPS Public Relations

Phone:

773-332-4719

Fax:

847-981-5482

Email:

aross@plasticsurgery.org

Website:

www.plasticsurgery.org

All ﬁgures are projected.

* Data unavailable in prior year.

**88% of total 2017 breast implants were silicone;

12% 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, 2019

Margin of error = +/- 4.12%

2018 Cosmetic Plastic Surgery Statistics

Cosmetic Procedure Trends

COSMETIC SURGICAL PROCEDURES

2018 2017 2000

% CHANGE

2018 vs. 2017

% CHANGE

2018 vs. 2000

Breast augmentation (Augmentation mammaplasty)**

313,735 300,378

212,500 4% 48%

Breast implant removals (Augmentation patients only) 29,236 27,507 40,787 6% -28%

Breast lift (Mastopexy) 109,638 105,219 52,836 4% 108%

Breast reduction (Aesthetic patients only)**** 43,591 43,635 * 0% *

Breast reduction in men (Gynecomastia) 24,753 26,839 20,351 -8% 22%

Buttock augmentation with fat grafting**** 24,099 20,301 * 19% *

Buttock implants**** 946 1,323 * -28% *

Buttock lift 4,824 4,804 1,356 0% 256%

Calf augmentation**** 655 658 * 0% *

Cheek implant (Malar augmentation) 14,369 14,277 10,427 1% 38%

Chin augmentation (Mentoplasty) 16,400 16,136 26,924 2% -39%

Dermabrasion 80,697 84,276 42,218 -4% 91%

Ear surgery (Otoplasty) 22,884 23,433 36,295 -2% -37%

Eyelid surgery (Blepharoplasty)

206,529 209,571

327,514 -1% -37%

Facelift (Rhytidectomy) 121,531 125,697 133,856 -3% -9%

Forehead lift 38,795 39,886 120,971 -3% -68%

Hair transplantation 23,658 19,979 44,694 18% -47%

Labiaplasty**** 10,246 10,253 * 0% *

Lip augmentation (other than injectable materials) 30,859 29,797 18,589 4% 66%

Lip reduction**** 1,069 1,065 * 0% *

Liposuction

258,558 246,354

354,015 5% -27%

Lower body lift 9,098 9,075 207 0% 4295%

Neck lift 53,571 53,028 * 1% *

Nose reshaping (Rhinoplasty)

213,780 218,924

389,155 -2% -45%

Pectoral implants**** 700 983 * -29% *

Thigh Lift 10,100 9,648 5,303 5% 90%

Tummy tuck (Abdominoplasty)

130,081 129,753

62,713 0% 107%

Upper arm lift 17,338 18,033 338 -4% 5030%

TOTAL COSMETIC SURGICAL PROCEDURES

1,811,740 1,790,832 1,901,049 1% -5%

Top 5 procedures appear in bold.

2018

Plastic Surgery

Statistics

Report

ASPS Public Relations

Phone:

773-332-4719

Fax:

847-981-5482

Email:

aross@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.

****Counts of procedures performed by ASPS

member surgeons only.

^^^In 2017 ﬁgure is restated to include fat ﬁllers

performed only to the face

Note that Collagen was excluded from the results due

to an insufﬁcient sample of responding physicians

who perform this procedure

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, 2019

ASPS Member Only Procedural Statistics represent

procedures performed by ASPS member surgeons

certiﬁed by The American Board of Plastic

Margin of error = +/- 4.12%

COSMETIC MINIMALLY-INVASIVE PROCEDURES

2018 2017 2000

% CHANGE

2018 vs. 2017

% CHANGE

2018 vs. 2000

Botulinum Toxin Type A (Botox

, Dysport

, Xeomin

)***

7,437,378 7,230,967

786,911 3% 845%

Cellulite treatment (Velosmooth

, Endermology) 37,220 37,034 23,952 1% 55%

Chemical peel

1,384,327 1,376,703

1,149,457 1% 20%

Injection lipolysis (e.g., Kybella

) 63,993 62,587 * 2% *

Intense Pulsed Light (IPL) treatment 675,552 667,561 * 1% *

Laser hair removal

1,077,490 1,086,830

735,996 -1% 46%

Laser skin resurfacing 594,266 587,903 170,951 1% 248%

Ablative 160,733 161,670 * -1% *

Non-ablative (Fraxel

, etc.) 433,533 426,233 * 2% *

Laser treatment of leg veins 217,836 218,929 245,424 0% -11%

Microdermabrasion

709,413 740,287

868,315 -4% -18%

Non-invasive fat reduction (e.g., Coolsculpting

, Liposonix

) 376,962 356,378 * 6% *

Non-surgical skin tightening (e.g., Pelleve

, Thermage

, Ulthera

) 335,290 333,334 * 1% *

Sclerotherapy 323,234 324,340 866,555 0% -63%

Soft Tissue Fillers

2,676,970 2,631,014

* 2% *

Acellular Dermal Matrix**** 8,575 8,349 * 3% *

Calcium hydroxylapatite (Radiesse

)

227,234 237,244 * -4% *

Fat-face^^^ 45,360 39,090 * 16% *

Hyaluronic acid (e.g., Juvederm Ultra

, Ultra Plus

, Voluma

, Volbella

, Vollure

Restylane Lyft

, Restylane Silk

, Belotero

, Bolvella

, Restylane

)

2,128,923 2,091,476 * 2% *

Platelet-Rich Plasma (PRP) 127,394 113,356 * 12% *

Polylactic acid (Sculptra

) 121,920 123,860 * -2% *

Polymethyl-methacrylate microspheres (Bellafill

) 17,564 17,639 * 0% *

TOTAL COSMETIC MINIMALLY-INVASIVE PROCEDURES

15,909,931 15,653,867 4,847,561 2% 228%

TOTAL COSMETIC PROCEDURES

17,721,671 17,444,699 6,748,610 2% 163%

2018 Cosmetic Plastic Surgery Statistics

Cosmetic Procedure Trends

2018

Plastic Surgery

Statistics

Report

ASPS Public Relations

Phone:

773-332-4719

Fax:

847-981-5482

Email:

aross@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, 2019

Margin of error = +/- 4.12%

2018 Top Five Cosmetic Plastic Surgery Procedures

Cosmetic Procedure Charts

Breast Augmentation

313,735

Liposuction

258,558

Eyelid Surgery

206,529

Tummy Tuck

130,081

2018 TOP FIVE COSMETIC SURGICAL PROCEDURES

Nose Reshaping

213,780

 -2% from 2017

 -1% from 2017

 5% from 2017

no change

 4% from 2017

Botulinum Toxin Type A

7.4 million

Soft Tissue Fillers

2.6 million

Chemical Peel

1.3 million

Laser Hair Removal

1.0 million

Microdermabrasion

709,413

 4% from 2017

2% from 2017

 1% from 2017

2018 TOP FIVE COSMETIC MINIMALLY-INVASIVE PROCEDURES

 -1% from 2017

 -4% from 2017

Please credit the AMERICAN SOCIETY OF

PLASTIC SURGEONS when citing statistical

data or using graphics.

Please credit the AMERICAN SOCIETY OF

PLASTIC SURGEONS when citing statistical

data or using graphics.

2018

Plastic Surgery

Statistics

Report

2018 Reconstructive Plastic Surgery Statistics

Reconstructive Procedure Trends

RECONSTRUCTIVE PROCEDURES

2018 2017 2000

% CHANGE

2018 vs. 2017

% CHANGE

2018 vs. 2000

Dog bite repair^ 26,906 27,923 43,089 -4% -38%

Birth defect (congenital deformities) 32,870 31,582 40,076 4% -18%

Breast implant removals (Reconstructive patients only)**** 19,149 19,415 16,287 -1% 18%

Breast reconstruction**** 101,657 106,295 78,832 -4% 29%

Breast reduction (reconstructive patients only) 57,535 59,463 * -3% *

Burn care 17,682 16,964 * 4% *

Hand surgery (excluding microsurgical)

138,345 138,095

* 0% *

Head and neck reconstruction**** 27,439 27,898 * -2% *

Hernia repair**** 11,173 10,758 * 4% *

Laceration repair (other than facial)^^

253,447 253,760

358,666 0% -29%

Lower extremity reconstruction (including microsurgical)**** 15,029 15,625 * -4% *

Maxillofacial surgery^^^

204,521 204,778

79,331 0% 158%

Pelvic ﬂoor reconstruction**** 1,719 1,592 * 8% *

Scar revision

182,250 182,321

221,858 0% -18%

Tumor removal (including skin cancer)

4,462,519 4,479,033

* 0% *

Other reconstructive procedures 253,639 258,851 376,270 -2% -33%

TOTAL RECONSTRUCTIVE PROCEDURES

5,805,880 5,834,353 * 0% *

Top 5 procedures appear in bold.

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 2018 and 2017 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, 2019

Margin of error = +/- 4.12%

Tumor Removal

4.4 million

Laceration Repair

253,447

Maxillofacial Surgery

204,521

2018 TOP FIVE RECONSTRUCTIVE PROCEDURES

Scar Revision

182,250

Hand Surgery

138,345

No change

Please credit the AMERICAN SOCIETY OF

PLASTIC SURGEONS when citing statistical

data or using graphics.

No change

Please credit the AMERICAN SOCIETY OF

PLASTIC SURGEONS when citing statistical

data or using graphics.

2018

Plastic Surgery

Statistics

Report

ASPS Public Relations

Phone:

773-332-4719

Fax:

847-981-5482

Email:

aross@plasticsurgery.org

Website:

www.plasticsurgery.org

All ﬁgures are projected.

* Data unavailable in prior year.

**88% of total 2018 breast implants were silicone;

12% were saline.

***Botulinum Toxin Type A numbers are of anatomic

sites injected.

^^^In 2017 ﬁgure is restated to include fat ﬁllers

performed only to the face

Note that Collagen was excluded from the results due

to an insufﬁcient sample of responding physicians

who perform this procedure.

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, 2019

COSMETIC SURGICAL PROCEDURES

2018

TOTAL PROCEDURES

2018

TOTAL FEMALE

% OF TOTAL

PROCEDURES

% CHANGE

2018 vs. 2017

% CHANGE

2018 vs. 2000

Breast augmentation (Augmentation mammaplasty)**

313,735 313,735

100% 4% 48%

Breast implant removals (Augmentation patients only) 29,236 29,236 100% 6% -28%

Breast lift (Mastopexy) 109,638 109,638 100% 4% 108%

Breast reduction in men (Gynecomastia) 24,753 0 0% - -

Buttock implants 946 816 86% -29% *

Buttock lift 4,824 4,454 92% 0% 241%

Calf augmentation 655 278 42% -1% *

Cheek implant (Malar augmentation) 14,369 10,488 73% 0% 20%

Chin augmentation (Mentoplasty) 16,400 6,817 42% -8% -62%

Dermabrasion 80,697 70,211 87% -3% 152%

Ear surgery (Otoplasty) 22,884 13,289 58% 0% -31%

Eyelid surgery (Blepharoplasty)

206,529 175,035

85% -1% -35%

Facelift (Rhytidectomy) 121,531 109,514 90% -4% -8%

Forehead lift 38,795 34,187 88% -3% -68%

Hair transplantation 23,658 6,818 29% 23% 68%

Lip augmentation (other than injectable materials) 30,859 29,622 96% 4% 61%

Liposuction

258,558 229,030

89% 5% -24%

Lower body lift 9,098 8,357 92% 1% *

Nose reshaping (Rhinoplasty)

213,780 161,120

75% -3% -33%

Pectoral implants 700 0 0% - -

Thigh Lift 10,100 9,614 95% 5% 89%

Tummy tuck (Abdominoplasty)

130,081 125,189

96% 0% 107%

Upper arm lift 17,338 16,975 98% -4% 4922%

TOTAL COSMETIC SURGICAL PROCEDURES

1,679,164 1,464,423 87% 1% -3%

COSMETIC MINIMALLY-INVASIVE

PROCEDURES

2018

TOTAL PROCEDURES

2018

TOTAL FEMALE

% OF TOTAL

PROCEDURES

% CHANGE

2018 vs. 2017

% CHANGE

2018 vs. 2000

Botulinum toxin type A (Botox

Dysport

Xeomin

)***

7,437,378 6,984,566

94% 3% 908%

Cellulite treatment (e.g., Velosmooth

, Endermology) 37,220 32,499 87% 2% 36%

Chemical peel

1,384,327 1,281,644

93% 1% 35%

Laser hair removal

1,077,490 892,822

83% -1% 48%

Laser skin resurfacing 594,266 518,682 87% 1% 247%

Laser treatment of leg veins 217,836 188,331 86% -1% -16%

Microdermabrasion

709,413 572,528

81% -4% -27%

Sclerotherapy 323,234 318,691 99% 0% -62%

Soft tissue ﬁllers

2,523,437 2,422,735

96% 1% 302%

Calcium hydroxylapatite (e.g., Radiesse®) 227,234 211,560 93% -5% *

Fat-face^^^ 45,360 42,664 94% 16% *

Hyaluronic acid (e.g., Juvederm Ultra

, Ultra Plus

, Voluma

Volbella

, Vollure

, Restylane Lyft

, Restylane Silk

Belotero®, Bolvella

, Restylane

)

2,128,923 2,067,026 97% 2% *

Polylactic acid (Sculptra

)

121,920 101,485 83% -2% *

TOTAL COSMETIC MINIMALLY-INVASIVE

PROCEDURES

14,304,601 13,212,498 92% 2% 171%

TOTAL COSMETIC PROCEDURES

15,983,765 14,676,921 92% 2% 130%

2018 Cosmetic Surgery Gender Distribution

Female

Top 5 procedures appear in bold

Please credit the AMERICAN SOCIETY OF

PLASTIC SURGEONS when citing statistical

data or using graphics.

2018

Plastic Surgery

Statistics

Report

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, 2019

ASPS Public Relations

Phone:

773-332-4719

Fax:

847-981-5482

Email:

aross@plasticsurgery.org

Website:

www.plasticsurgery.org

2018 Cosmetic Surgery Gender Distribution Charts

Female

2018 TOP FIVE FEMALE COSMETIC SURGICAL PROCEDURES

Tummy Tuck

125,189

Nose Reshaping

161,120

Liposuction

229,030

Eyelid Surgery

175,035

Breast Augmentation

313,735

 4 % from 2017

 5 % from 2017

 -1% from 2017

Botulinum Toxin Type A

5.4 million

Soft Tissue Fillers

1.8 million

Chemical Peel

1.1 million

Laser Hair Removal

938,000

Microdermabrasion

825,000

2018 TOP FIVE FEMALE COSMETIC MINIMALLY-INVASIVE PROCEDURES

Botulinum Toxin Type A

6.9 million

Soft Tissue Fillers

2.4 million

Chemical Peel

1.2 million

Laser Hair Removal

892,822

Microdermabrasion

572,528

 3% from 2017

 1% from 2017

 -1% from 2017

 -4% from 2017

no change

Please credit the AMERICAN SOCIETY OF

PLASTIC SURGEONS when citing statistical

data or using graphics.

 -1% from 2017

Please credit the AMERICAN SOCIETY OF

PLASTIC SURGEONS when citing statistical

data or using graphics.

2018

Plastic Surgery

Statistics

Report

2018 Cosmetic Surgery Gender Distribution

Male

Top 5 procedures appear in bold

All ﬁgures are projected.

* Data unavailable in prior year.

***Botulinum Toxin Type A numbers are of

anatomic sites injected.

^^^In 2017 ﬁgure is restated to include fat ﬁllers

performed only to the face

Note that Collagen was excluded from the results

due to an insufﬁcient sample of responding

physicians who perform this procedure

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, 2019

ASPS Public Relations

Phone:

773-332-4719

Fax:

847-981-5482

Email:

aross@plasticsurgery.org

Website:

www.plasticsurgery.org

COSMETIC SURGICAL PROCEDURES

2018

TOTAL PROCEDURES

2018

TOTAL MALE

% OF TOTAL

PROCEDURES

% CHANGE

2018 vs. 2017

% CHANGE

2018 vs. 2000

Breast augmentation (Augmentation mammaplasty)

313,735

0 0% - -

Breast implant removals (Augmentation patients only) 29,236 0 0% - -

Breast lift (Mastopexy) 109,638 0 0% - -

Breast reduction in men (Gynecomastia) 24,753

24,753

100% -8% 22%

Buttock implants 946 130 14% -28% *

Buttock lift 4,824 370 8% 5% 671%

Calf augmentation 655 377 58% 0% *

Cheek implant (Malar augmentation) 14,369 3,881 27% 3% 133%

Chin augmentation (Mentoplasty) 16,400 9,583 58% 10% 5%

Dermabrasion 80,697 10,486 13% -10% -27%

Ear surgery (Otoplasty) 22,884 9,595 42% -5% -44%

Eyelid surgery (Blepharoplasty)

206,529 31,494

15% -2% -45%

Facelift (Rhytidectomy) 121,531 12,017 10% 3% -21%

Forehead lift 38,795 4,608 12% -3% -64%

Hair transplantation 23,658

16,840

71% 17% -59%

Lip augmentation (other than injectable materials) 30,859 1,237 4% 5% 433%

Liposuction

258,558 29,528

11% 5% -43%

Lower body lift 9,098 741 8% -5% *

Nose reshaping (Rhinoplasty)

213,780 52,660

25% 1% -65%

Pectoral implants 700 700 100% - -

Thigh Lift 10,100 486 5% 2% 121%

Tummy tuck (Abdominoplasty)

130,081

4,892 4% 0% 113%

Upper arm lift 17,338 363 2% -1% *

TOTAL COSMETIC SURGICAL PROCEDURES

1,679,164 214,741 13% 0% -45%

COSMETIC MINIMALLY-INVASIVE

PROCEDURES

2018

TOTAL PROCEDURES

2018

TOTAL MALE

% OF TOTAL

PROCEDURES

% CHANGE

2018 vs. 2017

% CHANGE

2018 vs. 2000

Botulinum toxin type A (Botox

, Dysport

, Xeomin

)***

7,437,378 452,812

6% -3% 381%

Cellulite treatment (e.g., Velosmooth

, Endermology) 37,220 4,721 13% -7% *

Chemical peel

1,384,327 102,683

7% -4% -49%

Laser hair removal

1,077,490 184,668

17% 0% 39%

Laser skin resurfacing 594,266 75,584 13% 3% 250%

Laser treatment of leg veins 217,836 29,505 14% 3% 40%

Microdermabrasion

709,413 136,885

19% -4% 59%

Sclerotherapy 323,234 4,543 1% 8% -83%

Soft tissue ﬁllers

2,523,437 100,702

4% 5% 101%

Calcium hydroxylapatite (e.g., Radiesse

) 227,234 15,674 7% 3% *

Fat-face^^^ 45,360 2,696 6% 9% *

Hyaluronic acid (e.g., Juvederm Ultra

, Ultra Plus

, Voluma

Volbella

, Vollure

, Restylane Lyft

, Restylane Silk®, Belotero

Bolvella

, Restylane

)

2,128,923

61,897 3% 6% *

Polylactic acid (Sculptra

)

121,920 20,435 17% 2% *

TOTAL COSMETIC MINIMALLY-INVASIVE

PROCEDURES

14,304,601 1,092,103 8% -2% 72%

TOTAL COSMETIC PROCEDURES

15,983,765 1,306,844 8% -1% 29%

Please credit the AMERICAN SOCIETY OF

PLASTIC SURGEONS when citing statistical

data or using graphics.

2018

Plastic Surgery

Statistics

Report

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, 2019

2018 Cosmetic Surgery Gender Distribution Charts

Male

2018 TOP FIVE MALE COSMETIC SURGICAL PROCEDURES

Botulinum Toxin Type A

452,812

Laser Hair Removal

184, 668

Microdermabrasion

136,885

Chemical Peel

102,683

Soft Tissue Fillers

100,702

2018 TOP FIVE MALE COSMETIC MINIMALLY-INVASIVE PROCEDURES

Hair Transplantation

16,840

Breast Reduction in Men

24,753

Eyelid Surgery

31,494

Nose Reshaping

52,660

Liposuction

29,528

 -2% from 2017

 -8% from 2017

 5% from 2017

 1% from 2017

 17% from 2017

 -3% from 2017

 -4% from 2017

 5% from 2017

no change

 -4% from 2017

ASPS Public Relations

Phone:

773-332-4719

Fax:

847-981-5482

Email:

media@plasticsurgery.org

Website:

www.plasticsurgery.org

Please credit the AMERICAN SOCIETY OF

PLASTIC SURGEONS when citing statistical

data or using graphics.

Please credit the AMERICAN SOCIETY OF

PLASTIC SURGEONS when citing statistical

data or using graphics.

2018

Plastic Surgery

Statistics

Report

2018 Cosmetic Surgery Age Distribution

Age 13-19

Top 5 procedures appear in bold

ASPS Public Relations

Phone:

773-332-4719

Fax:

847-981-5482

Email:

media@plasticsurgery.org

Website:

www.plasticsurgery.org

COSMETIC SURGICAL PROCEDURES

AGE 13-19

2018 TOTAL

AGE 13-19

% OF TOTAL PROCEDURES

AGE 13-19

% CHANGE 2018 vs 2017

Breast augmentation (augmentation mammaplasty)^

8,636

3% 2%

Breast implant removals (augmentation patients only)^ 103 0% 4%

Breast lift (mastopexy) 1,978 2% 2%

Breast reduction in men (gynecomastia)

6,330

26% -8%

Chin augmentation (mentoplasty) 1,414 9% 3%

Dermabrasion 3,451 4% -7%

Ear surgery (otoplasty)

6,391

28% -3%

Eyelid surgery (blepharoplasty) 1,969 1% -1%

Lip augmentation (other than injectable materials) 298 1% 3%

Liposuction

4,164

2% 7%

Nose reshaping (rhinoplasty)

30,260

14% -1%

TOTAL COSMETIC SURGICAL PROCEDURES

64,994 4% -1%

COSMETIC MINIMALLY-INVASIVE PROCEDURES

AGE 13-19

2018 TOTAL

AGE 13-19

% OF TOTAL PROCEDURES

AGE 13-19

% CHANGE 2018 vs 2017

Botulinum toxin type A (Botox

, Dysport

, Xeomin

)***

21,575

0% 3%

Chemical peel

7,207

1% 4%

Laser hair removal

69,416

6% -1%

Laser skin resurfacing

28,880

5% 0%

Laser treatment of leg veins

19,464

9% -2%

Microdermabrasion 7,046 1% -3%

Sclerotherapy 1,805 1% 1%

Soft Tissue Fillers 6,607 0% 0%

Calcium hydroxylapatite (e.g., Radiesse

) 766 0% -4%

Fat-face^^^ 394 1% 14%

Hyaluronic acid (e.g., Juvederm Ultra

, Ultra Plus

, Voluma

, Volbella

Vollure®, Restylane Lyft

, Restylane Silk

, Belotero

, Bolvella

, Restylane

)

3,791 0% 1%

Polylactic acid (Sculptra

)

1,656 1% -3%

TOTAL COSMETIC MINIMALLY-INVASIVE PROCEDURES

162,000 1% 0%

TOTAL COSMETIC PROCEDURES

226,994 1% -1%

All values are projected.

^Totals represents only 18 and 19 years olds.

***Botulinum Toxin Type A numbers are of anatomic

sites injected.

^^^In 2017 ﬁgure is restated to include fat ﬁllers

performed only to the face.

Note that Collagen was excluded from the results due

to an insufﬁcient sample of responding physicians

who perform this procedure.

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, 2019

Please credit the AMERICAN SOCIETY OF

PLASTIC SURGEONS when citing statistical

data or using graphics.

2018

Plastic Surgery

Statistics

Report

2018 Cosmetic Surgery Age Distribution

Age 20-29

Top 5 procedures appear in bold

ASPS Public Relations

Phone:

773-332-4719

Fax:

847-981-5482

Email:

aross@plasticsurgery.org

Website:

www.plasticsurgery.org

All values are projected.

***Botulinum Toxin Type A numbers are of anatomic

sites injected.

^^^In 2017 ﬁgure is restated to include fat ﬁllers

performed only to the face.

Note that Collagen was excluded from the results due

to an insufﬁcient sample of responding physicians

who perform this procedure.

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, 2019

COSMETIC SURGICAL PROCEDURES

AGE

20-29

2018

TOTAL

AGE 20-29

% OF TOTAL PROCEDURES

AGE 20-29

% CHANGE 2018 vs 2017

Breast augmentation (Augmentation mammaplasty)

90,395

29% 5%

Breast implant removals (Augmentation patients only) 3,817 13% 7%

Breast lift (Mastopexy)

14,889

14% 4%

Breast reduction in men (Gynecomastia) 8,639 35% -8%

Buttock implants 193 20% -27%

Buttock lift 616 13% 4%

Calf augmentation 247 38% -2%

Cheek implant (Malar augmentation) 1,354 9% 2%

Chin augmentation (Mentoplasty) 2,262 14% 1%

Dermabrasion 5,423 7% -3%

Ear surgery (Otoplasty) 6,958 30% -2%

Eyelid surgery (Blepharoplasty) 3,574 2% -4%

Facelift (Rhytidectomy) 345 0% -2%

Forehead lift 216 1% -3%

Hair transplantation 2,059 9% 17%

Lip augmentation (other than injectable materials) 1,491 5% 5%

Liposuction

39,569

15% 4%

Lower body lift 883 10% 1%

Nose reshaping (Rhinoplasty)

66,563

31% -3%

Pectoral implants 350 50% -29%

Thigh Lift 628 6% 6%

Tummy tuck (Abdominoplasty)

12,302

9% -1%

Upper arm lift 1,621 9% -3%

TOTAL COSMETIC SURGICAL PROCEDURES

264,394 16% 1%

COSMETIC MINIMALLY-INVASIVE

PROCEDURES

AGE 20-29

2018 TOTAL

AGE 20-29

% OF TOTAL PROCEDURES

AGE 20-29

% CHANGE 2018 vs 2017

Botulinum toxin type A (Botox

, Dysport

, Xeomin

)***

109,385

1% 2%

Cellulite treatment (e.g., Velosmooth

, Endermology) 8,126 22% -1%

Chemical peel 16,451 1% 2%

Laser hair removal

233,181

22% 0%

Laser skin resurfacing

33,044

6% 1%

Laser treatment of leg veins

27,982

13% 0%

Microdermabrasion

55,922

8% -1%

Sclerotherapy 14,033 4% -1%

Soft tissue ﬁllers

69,257

3% 2%

Calcium hydroxylapatite (e.g., Radiesse

) 4,395 2% -6%

Fat-face^^^ 2,228 5% 15%

Hyaluronic acid (e.g., Juvederm Ultra

, Ultra Plus

, Voluma

, Volbella

Vollure

, Restylane Lyft

, Restylane Silk

, Belotero

, Bolvella

, Restylane

)

56,203 3% 3%

Polylactic acid (Sculptra

)

6,431 5% -3%

TOTAL COSMETIC MINIMALLY-INVASIVE PROCEDURES

567,381 4% 1%

TOTAL COSMETIC PROCEDURES

831,775 5% 1%

2018

Plastic Surgery

Statistics

Report

2018 Cosmetic Surgery Age Distribution

Age 30-39

Top 5 procedures appear in bold

ASPS Public Relations

Phone:

773-332-4719

Fax:

847-981-5482

Email:

aross@plasticsurgery.org

Website:

www.plasticsurgery.org

All values are projected.

***Botulinum toxin type A numbers are of anatomic

sites injected.

^^^In 2017 ﬁgure is restated to include fat ﬁllers

performed only to the face.

Note that Collagen was excluded from the results due

to an insufﬁcient sample of responding physicians

who perform this procedure.

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, 2019

COSMETIC SURGICAL PROCEDURES

AGE 30-39

2018 TOTAL

AGE 30-39

% OF TOTAL PROCEDURES

AGE 30-39

% CHANGE 2018 vs 2017

Breast augmentation (Augmentation mammaplasty)

116,351

37% 5%

Breast implant removals (Augmentation patients only) 8,451 29% 6%

Breast lift (Mastopexy)

32,904

30% 4%

Breast reduction in men (Gynecomastia) 4,383 18% -8%

Buttock implants 315 33% -29%

Buttock lift 1,317 27% -3%

Calf augmentation 267 41% 1%

Cheek implant (Malar augmentation) 3,022 21% 1%

Chin augmentation (Mentoplasty) 2,149 13% 1%

Dermabrasion 7,944 10% -7%

Ear surgery (Otoplasty) 4,029 18% -1%

Eyelid surgery (Blepharoplasty) 13,058 6% 0%

Facelift (Rhytidectomy) 1,889 2% -3%

Forehead lift 1,605 4% -2%

Hair transplantation 1,924 8% 18%

Lip augmentation (other than injectable materials) 4,003 13% 4%

Liposuction

88,906

34% 7%

Lower body lift 2,472 27% -1%

Nose reshaping (Rhinoplasty)

50,471

24% -3%

Pectoral implants 127 18% -29%

Thigh Lift 2,895 29% 5%

Tummy tuck (Abdominoplasty)

45,953

35% -1%

Upper arm lift 2,532 15% -3%

TOTAL COSMETIC SURGICAL PROCEDURES

396,967 24% 3%

COSMETIC MINIMALLY-INVASIVE

PROCEDURES

AGE 30-39

2018 TOTAL

AGE 30-39

% OF TOTAL PROCEDURES

AGE 30-39

% CHANGE 2018 vs 2017

Botulinum toxin type A (Botox

, Dysport

, Xeomin

)***

1,371,034

18% 5%

Cellulite treatment (e.g., Velosmooth

, Endermology) 19,890 53% 0%

Chemical peel

178,552

13% -1%

Laser hair removal

314,843

29% -1%

Laser skin resurfacing 50,161 8% 1%

Laser treatment of leg veins 65,534 30% -1%

Microdermabrasion

162,350

23% -4%

Sclerotherapy 67,001 21% 1%

Soft tissue ﬁllers

281,318

11% 0%

Calcium hydroxylapatite (e.g., Radiesse

) 18,664 8% -6%

Fat-face^^^ 5,864 13% 14%

Hyaluronic acid (e.g., Juvederm Ultra®, Ultra Plus

, Voluma

, Volbella

Vollure

, Restylane Lyft

, Restylane Silk

, Belotero

, Bolvella

, Restylane

)

243,225 11% 0%

Polylactic acid (Sculptra

)

13,565 11% -3%

TOTAL COSMETIC MINIMALLY-INVASIVE

PROCEDURES

2,510,683 18% 2%

TOTAL COSMETIC PROCEDURES

2,907,650 18% 2%

2018

Plastic Surgery

Statistics

Report

2018 Cosmetic Surgery Age Distribution

Age 40-54

Top 5 procedures appear in bold

ASPS Public Relations

Phone:

773-332-4719

Fax:

847-981-5482

Email:

aross@plasticsurgery.org

Website:

www.plasticsurgery.org

All values are projected.

***Botulinum toxin type A numbers are of anatomic

sites injected.

^^^In 2017 ﬁgure is restated to include fat ﬁllers

performed only to the face.

Note that Collagen was excluded from the results due

to an insufﬁcient sample of responding physicians

who perform this procedure.

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, 2019

COSMETIC SURGICAL PROCEDURES

AGE 40-54

2018 TOTAL

AGE 40-54

% OF TOTAL PROCEDURES

AGE 40-54

% CHANGE 2018 vs 2017

Breast augmentation (Augmentation mammaplasty)

90,604

29% 3%

Breast implant removals (Augmentation patients only) 12,233 42% 6%

Breast lift (Mastopexy) 42,648 39% 5%

Breast reduction in men (Gynecomastia) 3,290 13% -8%

Buttock implants 369 39% -29%

Buttock lift 2,047 42% 2%

Calf augmentation 99 15% -1%

Cheek implant (Malar augmentation) 6,265 44% 0%

Chin augmentation (Mentoplasty) 4,172 25% 5%

Dermabrasion 30,876 38% -5%

Ear surgery (Otoplasty) 3,342 15% -2%

Eyelid surgery (Blepharoplasty)

89,729

43% 2%

Facelift (Rhytidectomy) 39,263 32% -6%

Forehead lift 15,747 41% -1%

Hair transplantation 4,994 21% 20%

Lip augmentation (other than injectable materials) 10,978 36% 2%

Liposuction

99,681

39% 4%

Lower body lift 3,933 43% 0%

Nose reshaping (Rhinoplasty)

45,137

21% -1%

Pectoral implants 137 20% -29%

Thigh Lift 4,771 47% 4%

Tummy tuck (Abdominoplasty)

54,189

42% 2%

Upper arm lift 7,318 42% -5%

TOTAL COSMETIC SURGICAL PROCEDURES

571,822 34% 1%

COSMETIC MINIMALLY-INVASIVE

PROCEDURES

AGE 40-54

2018 TOTAL

AGE 40-54

% OF TOTAL PROCEDURES

AGE 40-54

% CHANGE 2018 vs 2017

Botulinum toxin type A (Botox

, Dysport

, Xeomin

)***

4,228,531

57% 2%

Cellulite treatment (e.g., Velosmooth

, Endermology) 9,188 25% 2%

Chemical peel

577,163

42% 0%

Laser hair removal

390,298

36% -1%

Laser skin resurfacing 247,223 42% 2%

Laser treatment of leg veins 67,827 31% 0%

Microdermabrasion

314,253

44% -5%

Sclerotherapy 155,501 48% -1%

Soft tissue ﬁllers

1,239,115

49% 0%

Calcium hydroxylapatite (e.g., Radiesse

) 89,289 39% -4%

Fat-face^^^ 15,410 34% 18%

Hyaluronic acid (e.g., Juvederm Ultra

, Ultra Plus

, Voluma®, Volbella

Vollure

, Restylane Lyft

, Restylane Silk

, Belotero

, Bolvella

, Restylane

)

1,064,853 50% 1%

Polylactic acid (Sculptra

) 69,563 57% -2%

TOTAL COSMETIC MINIMALLY-INVASIVE

PROCEDURES

7,229,099 51% 1%

TOTAL COSMETIC PROCEDURES

7,800,921 49% 1%

Please credit the AMERICAN SOCIETY OF

PLASTIC SURGEONS when citing statistical

data or using graphics.

2018

Plastic Surgery

Statistics

Report

2018 Cosmetic Surgery Age Distribution

Age 55 and over

Top 5 procedures appear in bold

ASPS Public Relations

Phone:

773-332-4719

Fax:

847-981-5482

Email:

aross@plasticsurgery.org

Website:

www.plasticsurgery.org

All values are projected.

***Botulinum toxin type A numbers are of anatomic

sites injected.

^^^In 2017 ﬁgure is restated to include fat ﬁllers

performed only to the face.

Note that Collagen was excluded from the results due

to an insufﬁcient sample of responding physicians

who perform this procedure.

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, 2019

COSMETIC SURGICAL PROCEDURES

AGE 55 AND OVER

2018 TOTAL

AGE 55 AND OVER

% OF TOTAL PROCEDURES

AGE 55 AND OVER

% CHANGE 2018 vs 2017

Breast augmentation (Augmentation mammaplasty) 7,749 2% 4%

Breast implant removals (Augmentation patients only) 4,632 16% 6%

Breast lift (Mastopexy) 17,219 16% 3%

Breast reduction in men (Gynecomastia) 2,111 9% -8%

Buttock implants 69 7% -28%

Buttock lift 844 17% -2%

Calf augmentation 42 6% 0%

Cheek implant (Malar augmentation) 3,728 26% 1%

Chin augmentation (Mentoplasty) 6,403 39% 0%

Dermabrasion

33,003

41% -2%

Ear surgery (Otoplasty) 2,164 9% -2%

Eyelid surgery (Blepharoplasty)

98,199

48% -4%

Facelift (Rhytidectomy)

80,034

66% -2%

Forehead lift

21,227

55% -4%

Hair transplantation 14,681 62% 18%

Lip augmentation (other than injectable materials) 14,089 46% 5%

Liposuction

26,238

10% 4%

Lower body lift 1,810 20% 1%

Nose reshaping (Rhinoplasty)

21,349

10% -1%

Pectoral implants 86 12% -26%

Thigh Lift 1,806 18% 7%

Tummy tuck (Abdominoplasty) 17,637 14% -3%

Upper arm lift 5,867 34% -3%

TOTAL COSMETIC SURGICAL PROCEDURES

380,987 23% -1%

COSMETIC MINIMALLY-INVASIVE

PROCEDURES

AGE 55 AND OVER

2018 TOTAL

AGE 55 AND OVER

% OF TOTAL PROCEDURES

AGE 55 AND OVER

% CHANGE 2018 vs 2017

Botulinum toxin type A (Botox

, Dysport

,Xeomin

)***

1,706,853

23% 3%

Cellulite treatment (e.g., Velosmooth

, Endermology) 16 0% 0%

Chemical peel

604,954

44% 2%

Laser hair removal 69,752 6% -2%

Laser skin resurfacing

234,958

40% 0%

Laser treatment of leg veins 37,029 17% 2%

Microdermabrasion

169,842

24% -3%

Sclerotherapy 84,894 26% 0%

Soft tissue ﬁllers

927,140

37% 3%

Calcium hydroxylapatite (e.g., Radiesse

) 114,120 50% -4%

Fat-face^^^ 21,464 47% 15%

Hyaluronic acid (e.g., Juvederm Ultra

, Ultra Plus

, Voluma

, Volbella

Vollure

, Restylane Lyft

, Restylane Silk

, Belotero

, Bolvella

, Restylane

)

760,851 36% 4%

Polylactic acid (Sculptra

) 30,705 25% 0%

TOTAL COSMETIC MINIMALLY-INVASIVE

PROCEDURES

3,835,438 27% 2%

TOTAL COSMETIC PROCEDURES

4,216,425 26% 2%

2018 Plastic Surgery Statistics Report

ASPS Public Relations Phone: 773-332-4719 | Fax: 847-981-5482 | Email: aross@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

% OF TOTAL PROCEDURES

Top 5 procedures appear in bold

New England

(CT, ME, MA, NH, RI, VT)

Middle Atlantic

(NJ, NY, PA)

East North Central

(IL, IN, MI, OH, WI)

West North Central

(IA, KS, MN, MO, NE, ND, SD)

Mountain

(AZ, CO, ID, MT, NV, NM, UT, WY)

Paciﬁc

(AK, CA, HI, OR, WA)

Region 3 Region 4 Region 5Region 2Region 1

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)

COSMETIC SURGICAL PROCEDURES

TOTAL PROCEDURES

Region 1 Region 2 Region 3 Region 4 Region 5

Breast augmentation (Augmentation mammaplasty)

313,735 46,738

15%

53,522

17%

50,623

16%

50,900

16%

111,952

36%

Breast implant removals (Augmentation patients only) 29,236 5,923 20% 4,986 17% 6,131 21% 6,211 21% 5,985 20%

Breast lift (Mastopexy) 109,638 14,185 13% 16,153 15% 22,412 20%

22,686

21% 34,202 31%

Breast reduction (Aesthetic patients only) 43,591 7,036 16% 12,353 28% 6,495 15% 9,068 21% 8,639 20%

Breast reduction in men (Gynecomastia) 24,753 8,200 33% 4,317 17% 4,004 16% 2,936 12% 5,296 21%

Buttock augmentation with fat grafting 24,099 5,401 22% 6,778 28% 4,970 21% 4,060 17% 2,890 12%

Buttock implants 946 148 16% 128 14% 267 28% 217 23% 186 20%

Buttock lift 4,824 1,175 24% 1,587 33% 854 18% 671 14% 537 11%

Calf augmentation 655 191 29% 67 10% 179 27% 78 12% 140 21%

Cheek implant (Malar augmentation) 14,369 2,613 18% 1,327 9% 2,786 19% 6,318 44% 1,325 9%

Chin augmentation (Mentoplasty) 16,400 3,785 23% 2,426 15% 2,432 15% 1,790 11% 5,967 36%

Dermabrasion 80,697 9,797 12%

24,324

30% 17,555 22% 9,124 11% 19,897 25%

Ear surgery (Otoplasty) 22,884 4,397 19% 4,395 19% 3,395 15% 3,640 16% 7,057 31%

Eyelid surgery (Blepharoplasty)

206,529 37,988

18%

28,169

14%

45,663

22%

24,597

12%

70,112

34%

Facelift (Rhytidectomy) 121,531 24,302 20% 14,224 12%

27,904

23% 17,278 14%

37,823

31%

Forehead lift 38,795 6,207 16% 5,336 14% 6,752 17% 7,372 19% 13,128 34%

Hair transplantation 23,658 2,298 10% 2,322 10% 2,801 12% 10,942 46% 5,295 22%

Labiaplasty 10,246 2,019 20% 1,655 16% 2,353 23% 1,310 13% 2,909 28%

Lip augmentation (other than injectable materials) 30,859 8,260 27% 5,208 17% 5,143 17% 6,208 20% 6,040 20%

Lip reduction 1,069 193 18% 371 35% 206 19% 155 14% 144 13%

Liposuction

258,558 44,581

17%

33,276

13%

58,312

23%

40,077

16%

82,312

32%

Lower body lift 9,098 2,701 30% 1,390 15% 980 11% 1,913 21% 2,114 23%

Neck lift 53,571 10,416 19% 6,465 12% 11,337 21% 8,467 16% 16,886 32%

Nose reshaping (Rhinoplasty)

213,780 62,045

29%

29,187

14%

26,649

12%

39,024

18%

56,875

27%

Pectoral implants 700 110 16% 73 10% 196 28% 127 18% 194 28%

Thigh Lift 10,100 2,458 24% 1,577 16% 1,414 14% 1,976 20% 2,675 26%

Tummy tuck (Abdominoplasty)

130,081 25,476

20% 24,038 18% 21,810 17% 21,462 16% 37,295 29%

Upper arm lift 17,338 4,999 29% 2,403 14% 3,681 21% 2,379 14% 3,876 22%

TOTAL COSMETIC SURGICAL PROCEDURES

1,811,740 343,642 19% 288,057 16% 337,304 19% 300,986 17% 541,751 30%

2018 Regional Distribution

ASPS Public Relations Phone: 773-332-4719 | Fax: 847-981-5482 | Email: aross@plasticsurgery.org | Website: www.plasticsurgery.org

% OF TOTAL PROCEDURES

Top 5 procedures appear in bold

2018 Regional Distribution

2018 Plastic Surgery Statistics Report

New England

(CT, ME, MA, NH, RI, VT)

Middle Atlantic

(NJ, NY, PA)

East North Central

(IL, IN, MI, OH, WI)

West North Central

(IA, KS, MN, MO, NE, ND, SD)

Region 3 Region 4Region 2Region 1

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)

COSMETIC MINIMALLY-INVASIVE PROCEDURES

TOTAL PROCEDURES

Region 1 Region 2 Region 3 Region 4 Region 5

Botulinum Toxin Type A (Botox

, Dysport

, Xeomin

)***

7,437,378 1,480,985

20%

990,319

13%

1,757,242

24%

1,066,583

14%

2,142,249

29%

Cellulite treatment (Velosmooth

, Endermology) 37,220 8,284 22% 8,321 22% 7,432 20% 4,112 11% 9,071 24%

Chemical peel

1,384,327 337,429

24%

209,550

15%

271,286

20%

125,982

440,080

32%

Injection lipolysis (e.g., Kybella

)

63,993 11,724

18%

12,497 20%

13,318 21%

8,550

13% 17,904

28%

Intense Pulsed Light (IPL) treatment

675,552

182,297

27%

102,077 15%

118,561

18% 59,407

213,210

32%

Laser hair removal

1,077,490 188,725

18%

142,208

13%

237,664

22%

166,965

15%

341,928

32%

Laser skin resurfacing 594,266 118,256 20% 129,180 22% 92,486 16% 58,324 10% 196,020 33%

Laser treatment of leg veins 217,836 52,987 24% 22,786 10% 35,314 16% 23,847 11% 82,902 38%

Microdermabrasion

709,413

177,864 25%

137,436

19%

147,209

21% 80,653 11% 166,251 23%

Non-invasive fat reduction (Coolsculpting

, Liposonix

) 376,962 77,463 21% 49,733 13% 85,629 23% 52,694 14% 111,443 30%

Non-surgical skin tightening (Pelleve

, Thermage

, Ulthera

) 335,290 66,132 20% 47,092 14% 77,176 23% 45,707 14% 99,183 30%

Sclerotherapy 323,234 49,660 15% 37,875 12% 68,720 21%

119,661

37% 47,318 15%

Soft Tissue Fillers

2,676,970 786,400

29%

345,535

13%

506,265

19%

279,258

10%

759,512

28%

Acellular Dermal Matrix 8,575 1,543 18% 1,783 21% 1,830 21% 1,110 13% 2,309 27%

Calcium hydroxylapatite (Radiesse

) 227,234 78,452 35% 33,120 15% 43,560 19% 33,653 15% 38,449 17%

Fat-face 45,360 7,883 17% 8,595 19% 10,733 24% 3,499 8% 14,650 32%

Hyaluronic acid (Juvederm Ultra

, Ultra Plus

, Voluma

, Volbella

, Vollure

Restylane Lyft

, Restylane Silk

, Belotero

, Bolvella

, Restylane

)

2,128,923 654,002 31% 257,336 12% 396,117 19% 177,435 8% 644,033 30%

Platelet-Rich Plasma (PRP)

127,394 27,011 21% 16,636 13% 29,384 23% 18,839 15% 35,524 28%

Polylactic acid (Sculptra

) 121,920 14,495 12% 27,118 22% 18,505 15% 43,568 36% 18,234 15%

Polymethyl-methacrylate microspheres ( Bellaﬁll

) 17,564 3,014 17% 947 5% 6,136 35% 1,154 7% 6,313 36%

TOTAL COSMETIC MINIMALLY-INVASIVE PROCEDURES

15,909,931 3,538,206 22% 2,234,609 14% 3,418,302 21% 2,091,743 13% 4,627,071 29%

TOTAL COSMETIC PROCEDURES

17,721,671 3,881,848 22% 2,522,666 14% 3,755,606 21% 2,392,729 14% 5,168,822 29%

RECONSTRUCTIVE PROCEDURES

TOTAL PROCEDURES

Region 1 Region 2 Region 3 Region 4 Region 5

Breast reconstruction

101,657 20,393 20% 17,169 17% 21,313 21% 21,598 21% 21,184 21%

All values are projected.

***Botulinum toxin type A numbers are of anatomic sites injected.

Note that Collagen was excluded from the results due to an

insufﬁcient sample of responding physicians who perform this

procedure

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

Mountain

(AZ, CO, ID, MT, NV, NM, UT, WY)

Paciﬁc

(AK, CA, HI, OR, WA)

Region 5

Please credit the AMERICAN SOCIETY OF

PLASTIC SURGEONS when citing statistical

data or using graphics.

2018

Plastic Surgery

Statistics

Report

2018 Average Surgeon/Physician Fees

Cosmetic Procedures

ASPS Public Relations

Phone:

773-332-4719

Fax:

847-981-5482

Email:

aross@plasticsurgery.org

Website:

www.plasticsurgery.org

* 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, 2019

COSMETIC SURGICAL PROCEDURES

NATIONAL AVERAGE

SURGEON/PHYSICIAN FEE

TOTAL

EXPENDITURE

Breast augmentation (Augmentation mammaplasty) $3,824 $1,199,722,640

Breast implant removals (Augmentation patients only) $2,566 $75,019,576

Breast lift (Mastopexy) $4,816

$528,016,608

Breast reduction (Aesthetic patients only) $5,680 $247,596,880

Breast reduction in men (Gynecomastia) $3,978 $98,467,434

Buttock augmentation with fat grafting $4,341 $104,613,759

Buttock implants

$4,750

$4,493,500

Buttock lift

$4,802 $23,164,848

Calf augmentation $3,844 $2,517,820

Cheek implant (Malar augmentation) $3,015 $43,322,535

Chin augmentation (Mentoplasty) $2,364 $38,769,600

Dermabrasion $1,249 $100,790,553

Ear surgery (Otoplasty) $3,163 $72,382,092

Eyelid surgery (Blepharoplasty) $3,156 $651,805,524

Facelift (Rhytidectomy) $7,655 $930,319,805

Forehead lift $3,623 $140,554,285

Hair transplantation * *

Labiaplasty $2,924 $29,959,304

Lip augmentation (other than injectable materials) $1,767 $54,527,853

Lip reduction $2,009 $2,147,621

Liposuction $3,518 $909,607,044

Lower body lift $8,157 $74,212,386

Neck lift $5,242 $280,819,182

Nose reshaping (Rhinoplasty) $5,350 $1,143,723,000

Pectoral implants $4,335 $3,034,500

Thigh Lift $5,317 $53,701,700

Tummy tuck (Abdominoplasty) $6,253 $813,396,493

Upper arm lift $4,482 $77,708,916

COSMETIC MINIMALLY-INVASIVE PROCEDURES

NATIONAL AVERAGE

SURGEON/PHYSICIAN FEE

TOTAL

EXPENDITURE

Botulinum Toxin Type A (Botox

, Dysport

, Xeomin

) $397 $2,952,639,066

Cellulite treatment (Velosmooth

, Endermology) * *

Chemical peel $669 $926,114,763

Injection lipolysis (e.g., Kybella

) $1,054 $67,448,622

Intense Pulsed Light (IPL) treatment $391 $264,140,832

Laser hair removal $285 $307,084,650

Laser skin resurfacing * *

Ablative $2,071 $332,878,043

Non-ablative (Fraxel

, etc.) $1,144 $495,961,752

Laser treatment of leg veins $429 $93,451,644

Microdermabrasion $131 $92,933,103

Non-invasive fat reduction (Coolsculpting

, Liposonix

) $1,417 $534,155,154

Non-surgical skin tightening (Pelleve

, Thermage

, Ulthera

) $2,059 $690,362,110

Sclerotherapy $336 $108,606,624

Soft Tissue Fillers * *

Acellular Dermal Matrix $2,065 $17,707,375

Calcium hydroxylapatite (Radiesse

)

$691 $157,018,694

Fat-face $2,126 $96,435,360

Hyaluronic acid (e.g., Juvederm Ultra

, Ultra Plus

, Voluma

, Volbella

, Vollure

Restylane Lyft

, Restylane Silk

, Belotero

, Bolvella

, Restylane

)

$682 $1,451,925,486

Platelet-Rich Plasma (PRP) $683 $87,010,102

Polylactic acid (Sculptra

) $915 $111,556,800

Polymethyl-methacrylate microspheres (Bellafill)

$889 $15,614,396

Total 2018 Expenditures

$16,507,440,034

2018

Plastic Surgery

Statistics

Report

ASPS Public Relations

Phone:

773-332-4719

Fax:

847-981-5482

Email:

aross@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, 2019

2018 Cosmetic Demographics

Cosmetic minimally-invasive

procedures by group

Caucasian

African-

American

Asian/Pacic

Islander

Hispanic Other

Botulinum toxin type A (Botox

, Dysport

, Xeomin

)

78% 5% 5% 10% 2%

Soft tissue llers

80% 6% 5% 8% 1%

Chemical peel

82% 3% 5% 7% 3%

Laser hair removal

77% 7% 4% 8% 3%

Microdermabrasion

76% 5% 5% 9% 5%

Cosmetic surgical procedures by group Caucasian

African-

American

Asian/Pacic

Islander

Hispanic Other

Breast Augmentation

74% 7% 5% 11% 3%

Rhinoplasty

74% 6% 5% 11% 5%

Blepharoplasty

81% 3% 7% 7% 2%

Liposuction

77% 8% 4% 10% 1%

Abdominoplasty

68% 12% 4% 13% 2%

Ethnicity breakdown of cosmetic procedures 2018 % 2018 2017 % 2017

% CHANGE

2018 vs. 2017

Caucasian

12,475,361 70% 12,335,710 70% 1%

Hispanic

1,941,222 11% 1,911,652 11% 2%

African-American

1,617,300 9% 1,593,506 9% 1%

Asian-American

1,166,980 7% 1,150,603 7% 1%

Other

520,808 3% 513,479 3% 1%

Cosmetic Procedures Performed In* 2018 % 2018 2017 % 2017

% CHANGE

2018 vs. 2017

Ofce

6,055,495 34% 5,975,048 34% 1%

Hospital

4,488,550 25% 4,457,417 25% 1%

Free-standing Ambulatory Surgical Facility

7,177,626 41% 7,072,485 40% 1%

Patient behavior

2018 % 2018 2017 % 2017

% CHANGE

2018 vs. 2017

Cosmetic Patients who are repeat patients

45% 45%

Patients having multiple cosmetic procedures at

the same time

42% 41%

Please credit the AMERICAN SOCIETY OF

PLASTIC SURGEONS when citing statistical

data or using graphics.

2018

Plastic Surgery

Statistics

Report

2018 Reconstructive Demographics

ASPS Public Relations

Phone:

847-228-9900

Fax:

847-981-5482

Email:

aross@plasticsurgery.org

Website:

www.plasticsurgery.org

RECONSTRUCTIVE BREAST PROCEDURES

TOTAL

PROCEDURES

13-19 20-29 30-39 40-54 55 AND OVER

Breast reconstruction* 101,657 509 2,517 11,896 50,833

35,902

Saline implants 4,402 - - - -

Silicone implants 78,814 - - - -

Implant alone 13,295 - - - -

Tissue expander and implant 69,921 - - - -

Pedicle TRAM 1,757 - - - -

Free TRAM 2,042 - - - -

DIEP Flap 9,497 - - - -

Latissimus Dorsi ﬂap 4,188 - - - -

Other flap 957 - - - -

Timing - Immediate 75,153 - - - -

Timing - Delayed 26,504 - - - -

Unilateral 34,323 - - - -

Bilateral 67,334 - - - -

Acellular dermal matrix 61,713 - - - -

Fat grafts 33,291 - - - -

Breast reduction (reconstructive patients only) 57,279 - - - -

Breast implant removals (Reconstructive patients only) 19,149 139 1,100 3,501 9,139

5,270

2018 Reconstructive Breast Procedures

(with age distribution)

* 95% of total breast implants were silicone: 5%

were saline.

All values are projected.

ASPS procedural statistics represent procedures

performed by ASPS Member Surgeons certiﬁed by

The American Board of Plastic Surgery

ASPS, 2019

Cosmetic Procedures Performed In*

2018 % 2018 2017 % 2017

% CHANGE

2018 vs. 2017

Ofce

827,297 14% 838,837 14% -1%

Hospital

3,518,997 61% 3,518,016 60% 0%

Free-standing Ambulatory Surgical Facility

1,459,586 25% 1,477,500 25% -1%

Reconstructive procedures by group Caucasian

African-

American

Asian/Pacic

Islander

Hispanic Other

Breast reconstruction

71% 13% 4% 11% 1%

Burn care

70% 13% 4% 10% 3%

Cleft Lip & Palate Repair

46% 3% 11% 26% 14%

Tumor removal

75% 9% 5% 9% 3%

Treatment of dog bites

72% 11% 3% 12% 2%

2018

Plastic Surgery

Statistics

Report

ASPS Public Relations

Phone:

773-332-4719

Fax:

847-981-5482

Email:

aross@plasticsurgery.org

Website:

www.plasticsurgery.org

Please credit the AMERICAN SOCIETY OF

PLASTIC SURGEONS when citing statistical

data or using graphics.

All values are projected.

Member Body Contouring projections are included within

Cosmetic Member Trends Worksheet.

ASPS procedural statistics represent procedures

performed by ASPS Member Surgeons certiﬁed by

BODY CONTOURING AFTER MASSIVE WEIGHT LOSS PROCEDURES

2018 2017

% CHANGE

2018 vs. 2017

Breast lift (Mastopexy) after massive weight loss

15,360 14,811 4%

Lower body lift after massive weight loss

6,463 6,407 1%

Thigh lift after massive weight loss

4,034 3,864 4%

Tummy tuck (Abdominoplasty) after massive weight loss

23,206 22,944 1%

Upper arm lift after massive weight loss

6,955 7,249 -4%

TOTAL BODY CONTOURING AFTER MASSIVE WEIGHT LOSS PROCEDURES

56,018 55,275 1%

GENDER CONFIRMATION SURGERIES

2018 2017

Male to Female patients 2,885 2.483

Female to Male patients 6,691 5,821

TOTAL GENDER CONFIRMATION SURGERIES

9,576 8,304

2018 Body Contouring After Massive Weight Loss

2018 Gender Confirmation Surgery Statistics