Two articles released in February and March of 2010 confirm that cosmetic procedures are on the rise, according to studies conducted by the American Academy of Cosmetic Surgery and the American Society for Aesthetic Plastic Surgery. Not only are plastic surgery procedures more commonplace, but people are more accepting and open about getting cosmetic/plastic surgery.
New data released by the American Academy of Cosmetic Surgery (AACS) affirms that people are more comfortable getting cosmetic surgery and more open discussing their procedures. In addition, information reveals that cosmetic enhancement is more acceptable than ever before – as indicated on TV, in magazines and online.
The AACS survey recent survey stated that “71% of respondents think society is less judgmental about cosmetic surgery than it was just five years ago.” Furthermore, nearly 62% of the respondents proclaimed that “society’s attitude toward cosmetic surgery made them feel more comfortable about getting a procedure,”
In addition, according to recent research and statistics released by the American Society for Aesthetic Plastic Surgery (ASAPS), almost 10 million cosmetic surgical and nonsurgical procedures were performed in the United States in 2009. The Aesthetic entity known for its collection of procedural statistics since 1997, proclaimed a 147% increase in the overall number of cosmetic procedures since it first began tracking statistics. Part of the reason for the increase is the introduction of lower-cost cosmetic enhancers, like non-surgical filler injections that erase signs of aging and wrinkles, like botulinum toxin type A, including Botox and Dysport. The most popular surgical procedure is still breast augmentation.
"Plastic surgery is feeling the effects of the recession, just like many other sectors of the marketplace," said Renato Saltz, MD, Aesthetic Society president. "However, repeat patients and those putting off surgery are likely the reason for the small growth in nonsurgical cosmetic procedures. Growth in demand will likely return as the recession eases and baby boomer's offspring begin to explore surgical options."
ASAPS Reports Nearly 10 Million Cosmetic Procedures in 2009
Trends and demographic data
Surgical
• Breast augmentation (311,957 procedures)
• Liposuction (283,735 procedures)
• Eyelid surgery (149,943 procedures)
• Abdominoplasty (127,923 procedures)
• Face lift (94,247 procedures)
Nonsurgical
• Botulinum toxin type A, such as Botox and Dysport (2,557,068 procedures)
• Hyaluronic acid, such as Hylaform, Restylane and Juvederm (1,313,038 procedures)
• Laser hair removal (1,280,031 procedures)
• Microdermabrasion (621,943 procedures)
• Chemical peel (529,285 procedures)
Top cosmetic procedures for women:
Surgical
• Breast augmentation (311,957 procedures)
• Lipoplasty (243,217 procedures)
• Eyelid surgery (124,939 procedures)
• Abdominoplasty (123,041 procedures)
• Breast reduction (113,511 procedures)
Nonsurgical
• Botulinum toxin type A, such as Botox and Dysport (2,299,282 procedures)
• Hyaluronic acid, such as Hylaform, Restylane and Juvederm (1,221,820 procedures)
• Laser hair removal (1,113,996 procedures)
• Microdermabrasion (565,031 procedures)
• Chemical peel (492,335 procedures)
Women had 91% of cosmetic procedures. The number of procedures—surgical and nonsurgical—performed on women was more than 9 million, a decrease of 3.4% from the previous year. Since 1997, surgical procedures increased 67%, while nonsurgical procedures have increased 225%.
Top cosmetic procedures for men:
Surgical
• Liposuction (40,519 procedures)
• Rhinoplasty (32,661 procedures)
• Eyelid surgery (25,004 procedures)
• Male breast reduction (16,801 procedures)
• Hair transplantation (13,064 procedures)
Nonsurgical
• Botulinum toxin type A, such as Botox and Dysport (257,786 procedures)
• Laser hair removal (166,035 procedures)
• Hyaluronic acid, such as Hylaform, Restylane and Juvederm (91,218 procedures)
• Microdermabrasion (56,912 procedures)
• Hair transplantation (13,064 procedures)
• Laser skin resurfacing (48,980 procedures
Men had 9% of cosmetic procedures. The number of procedures—surgical and nonsurgical—performed on men was more than 900,000, an increase of 9% from the previous year. Surgical procedures decreased 3%; nonsurgical procedures increased 11%. Since 1997, surgical procedures have decreased 18% while nonsurgical procedures have increased 290%.
Frequency of cosmetic procedures by age group:
• Ages 35–50 (45% of total)—Top surgical procedure is liposuction; top nonsurgical procedure is Botulinum toxin type A; 4.4 million procedures
• Ages 51–64 (27% of total)—Top surgical procedure is eyelid surgery; top nonsurgical procedures is Botulinum toxin type A; 2.6 million procedures
• Ages 19–34 (20% of total)—Top surgical procedure is breast augmentation; top nonsurgical procedure is laser hair removal; 2 million procedures
• Ages 65 and older (7% of total)—Top surgical procedure is eyelid surgery; top nonsurgical procedure is Botulinum toxin type A; 607,054 procedures
• Ages 18 and younger (2% of total)—Top surgical procedure is rhinoplasty; top nonsurgical procedure is laser hair removal; 203,308 procedures
Racial and ethnic distribution
Racial and ethnic minorities accounted for 22% of all cosmetic procedures in 2009. Hispanics again led minority racial and ethnic groups in the number of procedures: Hispanics, 9%; African Americans, 6%; Asians, 4%; and other non-Caucasians, 3%.
Location and fees
More than 58% of cosmetic procedures in 2009 were performed in office-based facilities; 23% in freestanding surgicenters; and 18% in hospitals. Americans spent almost $10.5 billion on cosmetic procedures; $6 billion was for surgical procedures, and $4.5 billion was for nonsurgical procedures.
About the ASAPS Cosmetic Surgery National Data Bank
ASAPS, working with an independent research firm, compiled the 13-year national data for procedures performed 1997–2009. A paper-based questionnaire was mailed to 21,000 board-certified physicians (8,500 dermatologists, 7,000 otolarynologists and 5,500 plastic surgeons). A total of 928 completed and valid responses (410 plastic surgeons, 347 dermatologists, and 171 otolaryngologists) were received in time for tabulation.
Final figures have been projected to reflect nationwide statistics and are based exclusively on the board-certified plastic surgeons, otolaryngologists and dermatologists. The findings have been aggregated and extrapolated to the known population of 24,000 physicians who are board-certified in these specialties. Though the confidence intervals change by procedure, depending on the grouping’s sample size and the response variance, the overall survey portion of this research has a standard error of +/- 3.15% at a 95% level of confidence.
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