The American Society for Aesthetic Plastic Surgery Reports Americans Spent Largest Amount on Cosmetic Surgery Since The Great Recession of 2008

Published on December 17, 2014

The American Society for Aesthetic Plastic Surgery Reports Americans Spent Largest Amount on Cosmetic Surgery Since The Great Recession of 2008

More Than 12 Billion Dollars Spent on Surgical and Nonsurgical Procedures in 2013

NEW YORK, NY (March 20, 2014) – The American Society for Aesthetic Plastic Surgery (ASAPS) today released its complete 17th annual multi-specialty statistical data indicating a 12% overall increase in cosmetic procedures performed in the United States in 2013. More than 11 million cosmetic surgical and nonsurgical procedures were performed by board-certified plastic surgeons, dermatologists and otolaryngologists in the United States, totaling more than 12 billion dollars for the first time since the Great Recession began in 2008. Of that total, more than 7 billion was spent on surgical procedures and more than 5 billion was spent on nonsurgical procedures.

This year, liposuction replaced breast augmentation as the most frequently performed surgical procedure with a 16% increase and more than one billion was spent on the procedure nationwide.

The top five surgical procedures were:

“The numbers do not come as a surprise,” states Jack Fisher, MD, President of ASAPS. “Technological advances, less-invasive procedures, greater accessibility are making aesthetic procedures, surgical and nonsurgical, far more attractive to the public at-large. Further, the rebounding economy is encouraging people to start investing in themselves once again.”

Buttock augmentation and labiaplasty which have not previously been considered ‘popular’ took the top spots for the most significant increases in number of procedures performed over the course of a one-year period – with buttock augmentation in the lead with a 58% increase and labiaplasty coming in second with a 44% increase compared to 2012.

Women had more than 10.3 million cosmetic procedures, 90.6% of the total. The number of cosmetic procedures for women increased over 471% from 1997. The top five surgical procedures for women were: breast augmentation, liposuction, tummy tuck, breast lift and eyelid surgery.

Men had more than 1 million cosmetic procedures, 9.4% of the total. The number of cosmetic procedures for men increased over 273% from 1997. The top five surgical procedures for men were: liposuction, eyelid surgery, nose surgery, male breast reduction and ear surgery.

“Last year we saw a record number of consumers conducting online research for cosmetic surgery,” said Tom Seery, Founder/CEO of RealSelf, whose website noted significant year-over-year topic growth across ASAPS’ top five surgical procedures. From 2012 to 2013, liposuction increased 76%, breast augmentation 62%, eyelid surgery 58%, tummy tuck 48%, and rhinoplasty 53%. One of the most active communities on RealSelf is around the Brazilian Butt Lift—with consumer interest more than doubling from 2012 to 2013.

Botulinum Toxin (including Botox, Dysport and Xeomin) remained the most frequently performed noninvasive procedure with a 15.6% increase. Nonsurgical procedures increased in 2013 by 13.1% with 9.5 million procedures.

The top five nonsurgical procedures were:

  • Botulinum Toxin (3,766,148 procedures, up 15.6%)
  • Hyaluronic Acid (1,872,172 procedures, up 31.5%)
  • Hair Removal (901,571 procedures, up 2%)
  • Microdermabrasion (479,865 procedures, down 3.8%)
  • Photo Rejuvenation (456,613 procedures, up 35.3%)

In 2013, more than 2.5 billion dollars was spent on injectables alone. In addition, nearly 1.9 billion was spent on skin rejuvenation, a fast-growing sector of the aesthetic nonsurgical industry.

“A significant increase in the number of both cosmetic surgical and non-surgical procedures suggests that people are once again investing in their appearance and perhaps have more disposable income to do so.Given the state of the economy and the competitiveness of the job market, we expect to see the numbers for anti-aging procedures continue to increase,” notes Michael Edwards, MD, President-Elect of ASAPS.

To obtain a full copy of the report, please visit the media section of The Society’s website:

The American Society for Aesthetic Plastic Surgery (ASAPS) is recognized as the world’s leading organization devoted entirely to aesthetic plastic surgery and cosmetic medicine of the face and body.  ASAPS is comprised of over 2,600 Plastic Surgeons; active members are certified by the American Board of Plastic Surgery (USA) or by the Royal College of Physicians and Surgeons of Canada and have extensive training in the complete spectrum of surgical and non-surgical aesthetic procedures. International active members are certified by equivalent boards of their respective countries. All members worldwide adhere to a strict Code of Ethics and must meet stringent membership requirements.


About the ASAPS Cosmetic Surgery National Data Bank

ASAPS, working with an independent research firm, compiled the 17-year national data for procedures performed from 1997-2013. A paper-based questionnaire was mailed to 23,600 board certified physicians (9,600 dermatologists, 8,500 otolaryngologists, and 5,500 plastic surgeons). An online version of the questionnaire was also available.  A total of 771 physicians returned questionnaires, of which 57 were retired or otherwise inactive during 2013.  Of the 714 active respondents, the sample consisted of 326 plastic surgeons, 257 dermatologists, and 131 Otolaryngologists).

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 26,700 active 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 +/- 3.62% at a 95% level of confidence.

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