ISAPS INTERNATIONAL SURVEY ON AESTHETIC/COSMETIC PROCEDURES
ISAPS INTERNATIONAL SURVEY ONAESTHETIC/COSMETICPROCEDURESperformed in2018
CONTENTSAbout ISAPS.pageAbout the International Survey onAesthetic/Cosmetic Procedures.page34HIGHLIGHTS OF THE 2018 STATISTICS2018 Statistics at a Glance.pages 6-7NUMBER OF WORLDWIDE PROCEDURESNumber of Worldwide Surgical Procedures.page 9Number of Worldwide Nonsurgical Procedures.page 10Surgical Procedures by Region of the Body.page 11Nonsurgical Procedures by Type of Procedure.page 12Overview of Procedures.page 13PROCEDURES BY ralia.pageThailand.pageSurgical Procedures by Country.pageNonsurgical Procedures by Country.pageCountries Performing the Most Popular Surgical Procedures.pageCountries Performing the MostPopular Nonsurgical l Totals Ranked by Category.pageNonsurgical Totals Ranked by Category.pageCountries Ranked by Total Number of Procedures.pageCountries Ranked by EstimatedNumber of Plastic Surgeons .pageSurgical Procedure Group Ranking by Country.pageNonsurgical Procedure Group Ranking by Country.pagePROCEDURES PERFORMED BY PLASTIC SURGEONSNumber of Worldwide Surgical ProceduresPerformed by Plastic Surgeons.pageNumber of Worldwide Nonsurgical ProceduresPerformed by Plastic Surgeons.pagePercent of Plastic Surgeons PerformingEach Surgical Procedure.pagePercent of Plastic Surgeons PerformingEach Nonsurgical Procedure .pageDEMOGRAPHICSGender Distribution for Cosmetic Procedures – Surgical.pageNumber of Worldwide Nonsurgical ProceduresGender Distribution for Cosmetic Procedures – Nonsurgical.pagePercent of Plastic Surgeons PerformingAge Distribution for Certain Cosmetic Procedures.pagePercent of Plastic Surgeons PerformingCosmetic Procedures by Location.pageMedical E INFO SHEETInfo Sheet: Surgical Procedures.page 47Info Sheet: Nonsurgical Procedures.page 482018INTERNATIONALSURVEYPlease credit the International Society of Aesthetic Plastic Surgery when citing statistical data.Contact ISAPS: 1-603-643-2325 media@isaps.org www.isaps.org2
ABOUT ISAPSFounded in 1970, the International Society of Aesthetic Plastic Surgery (ISAPS) isthe world’s leading professional body for board-certified aesthetic plastic surgeons.Regarded as the leading global authority on aesthetic and cosmetic surgery, ISAPS’threefold mission is to offer aesthetic education worldwide, to provide accurateinformation to the public, and to promote patient safety.ISAPS membership includes the world’s best and most respected reconstructive andaesthetic plastic surgeons in over 100 countries. Through its rigorous membershiprequirements, ISAPS plastic surgeons are considered to be among the most qualifiedsurgeons in their respective countries. Furthermore, ISAPS has become the goldstandard for providing continuing aesthetic education to its members, providingtraining and sponsoring scientific meetings around the world.A full list of ISAPS plastic surgeons can be found online at www.isaps.org.2018INTERNATIONALSURVEYPlease credit the International Society of Aesthetic Plastic Surgery when citing statistical data.Contact ISAPS: 1-603-643-2325 media@isaps.org www.isaps.org3
ABOUT THE INTERNATIONAL SURVEY ON AESTHETIC/COSMETIC PROCEDURESits country’s total, a regression model was used to estimate the number of plasticsurgeons in the country based on its population size and Gross Domestic Product.METHODOLOGYSurvey participants completed a questionnaire that primarily focused on the numberof specific surgical and nonsurgical procedures performed in 2018, along with someancillary questions related to medical tourism.The International Society of Aesthetic Plastic Surgery (ISAPS) issued an invitationto participate in the study to approximately 35,000 Plastic Surgeons whose contactinformation is housed in its proprietary database. In addition, a request was made thatall National Societies encourage their members/constituents to take partin the survey.Final figures have been projected to reflect international statistics and are exclusivelybased on the estimated number of Plastic Surgeons actively practicing in each countryand the respondent sample. This International Survey is focused on physicians who areboard certified (or national equivalent) Plastic Surgeons.To aid in tallying the worldwide estimate of plastic surgeons, representatives fromNational Societies provided recent counts for 97% of the 46,300 total estimatedplastic surgeons. For those cases in which the National Society did not provideStudies such as this must often address outlying responses. Though the outlying valuesmay be legitimate, their presence can distort the averages, which provide the basisof the estimated projections. Significant outliers in this survey were adjusted in orderto protect the reasonableness of the extrapolated values. Additional standard dataediting procedures were followed to ensure responses met survey guidelines. Allreported data values have been analyzed for statistical reasonableness.Country-specific data are only shown for those countries that provided a sufficientsurvey response for the figures to be considered valid. No adjustments other thanstandard data editing procedures were applied to country-specific results.The International Survey on Aesthetic/Cosmetic Procedures Performed in 2018 wascompiled, tabulated, and analyzed by Industry Insights, Inc. (www.industryinsights.com),an independent research firm based in Columbus, OH. The survey leader was ScottHackworth, a CPA and data scientist who along with his firm has conducted variousforms of research on trends in Aesthetic Plastic Surgery for more than 30 years.2018INTERNATIONALSURVEYPlease credit the International Society for Aesthetic Plastic Surgery when citing statistical data.Contact: ISAPS 1-603-643-2325 media@surgery.org www.isaps.org4
HIGHLIGHTSOF THE INTERNATIONAL SURVEY ONAESTHETIC/COSMETICPROCEDURESPERFORMED IN 2018
2018 STATISTICS AT A GLANCETop 5Top 5Top 5surgical proceduressurgical proceduressurgical proceduresworldwideabsolute numbers and changes compared to 20171. Breast Augmentation2. Liposuction3. Eyelid Surgery4. Abdominoplasty5. Rhinoplasty1,862,506 procedures 6,1%1,732,620 procedures 9,2%1,099,960 procedures-22%888,712 procedures 9,7%726,907 procedures-20,7%for women1. Breast Augmentation2. Liposuction3. Eyelid Surgery4. Abdominoplasty5. Breast Lift1,841,098 procedures1,482,395 procedures872,367 procedures812,387 procedures710,014 proceduresfor men1. Gynecomastia2. Liposuction3. Eyelid Surgery4. Rhinoplasty5. Ear Surgery269,720 procedures250,225 procedures227,593 procedures188,696 procedures98,728 proceduresTop 5Top 5Top 5nonsurgical proceduresnonsurgical proceduresnonsurgical proceduresworldwideabsolute numbers and changes compared to 20171. Botulinum Toxin6,097,516 procedures 17,4%2. Hyaluronic Acid3,729,833 procedures 11,6%3. Hair Removal916,869 procedures-8,8%4. Nonsurgical Fat Reduction 473,316 procedures-1,1%5. Photo Rejuvenation436,656 procedures-25%for women1. Botulinum Toxin5,344,764 procedures2. Hyaluronic Acid3,382,281 procedures3. Hair Removal766,768 procedures4. Nonsurgical Fat Reduction 392,494 procedures5. Photo Rejuvenation382,843 proceduresfor men1. Botulinum Toxin2. Hyaluronic Acid3. Hair Removal4. Nonsurgical Fat Reduction5. Photo Rejuvenation752,752 procedures347,552 procedures150,101 procedures80,822 procedures53,813 procedures2018INTERNATIONALSURVEYPlease credit the International Society of Aesthetic Plastic Surgery when citing statistical data.Contact ISAPS: 1-603-643-2325 media@isaps.org www.isaps.org6
2018 STATISTICS AT A GLANCEtotal procedures performedWORLDWIDE10,607,227most common COSMETICprocedures persurgical procedures12,659,147nonsurgical proceduresAGE GROUPUnited States is the country with the18 years or youngerRhinoplasty19-34 years oldBotulinum Toxin1,384,126 procedures35-50 years oldBotulinum Toxin2,839,004 procedures51-64 years oldBotulinum Toxin1,473,770 procedures65 years oldBotulinum Toxin364,631 proceduresmost surgeons:7,009 plastic surgeons55,899 proceduresUnited States is the country with themost nonsurgical procedures:2,869,485 proceduresBRAZILBrazil is the country with themost surgical procedures:1,492,383 procedures2018INTERNATIONALSURVEYPlease credit the International Society of Aesthetic Plastic Surgery when citing statistical data.Contact ISAPS: 1-603-643-2325 media@isaps.org www.isaps.org7
NUMBER OFWORLDWIDEPROCEDURESPERFORMED BY PLASTIC SURGEONS IN 20188
NUMBER OF WORLDWIDE SURGICAL PROCEDURESPERFORMED BY PLASTIC SURGEONSRankSURGICAL PROCEDURESTotalPercent ofTotal SurgicalProceduresTotal Proceduresin 2017Total Proceduresin 2014Percent Change2018 vs. 2017Percent Change2018 vs. 20141Breast %20.8%3Eyelid east Lift710,0146.7%657,832498,9577.3%29.7%7Fat Grafting (face)542,3055.1%602,760965,727-11.1%-78.1%8Breast ft398,7983.8%465,296477,425-16.7%-19.7%10Buttock Augmentation (implants and fat comastia269,7202.5%243,272172,0489.9%36.2%12Ear Surgery262,0782.5%287,070247,518-9.5%5.6%13Neck Lift225,5782.1%263,219NA-16.7%NA14Brow Lift220,0552.1%249,343NA-13.3%NA15Upper Arm Lift138,9221.3%137,03098,3631.4%29.2%16Labiaplasty (excluding vaginal acial Bone Contouring98,7270.9%98,003123,6340.7%-25.2%18Thigh Lift84,5080.8%86,728NA-2.6%NA19Lower Body Lift81,1470.8%88,029NA-8.5%NA20Buttock Lift43,7340.4%43,364NA0.85%NATOTAL SURGICAL 018INTERNATIONALSURVEYPlease credit the International Society of Aesthetic Plastic Surgery when citing statistical data.Contact ISAPS: 1-603-643-2325 media@isaps.org www.isaps.org9
NUMBER OF WORLDWIDE NONSURGICAL PROCEDURESPERFORMED BY PLASTIC SURGEONSRankNONSURGICAL PROCEDURESTotalPercent of TotalNonsurgicalProceduresTotal Proceduresin 2017Total Proceduresin 2014Percent Change2018 vs. 2017Percent Change2018 vs. 20141Botulinum aluronic r urgical Fat Reduction473,3163.7%478,739NA-1.1%NA5Photo Rejuvenation436,6563.4%545,953NA-25.0%NA6Chemical ative Resurfacing201,7971.6%214,652NA-6.4%NA8Full Field Ablative192,8801.5%170,854NA11.4%NA9Calcium 9%10Poly-L-Lactic ,37210.4 %24,5%TOTAL NONSURGICAL PROCEDURES12,659,1472018INTERNATIONALSURVEYPlease credit the International Society of Aesthetic Plastic Surgery when citing statistical data.Contact ISAPS: 1-603-643-2325 media@isaps.org www.isaps.org10
NUMBER OF WORLDWIDE SURGICAL PROCEDURESBY REGION OF THE BODYTOTAL SURGICAL PROCEDURES201820172014Percent Change2018 vs. 2017Percent Change2018 vs. 2014NA-13.3%NAEar Surgery262,078287,070247,518-9.5%5.6%Eyelid lift398,798465,296477,425-16.7%-19.7%Facial Bone Contouring98,72798,003123,6340.73%-25.2%Fat Grafting (face)542,305602,760965,727-11.1%-78.1%Neck 254849,445-20.7%-16.9%TOTAL FACE & HEAD3,574,4084,189,8304,091,200-17.2%-14.5%Breast east Lift710,014657,832498,9577.3%29.7%Breast a269,720243,272172,0489.8%36.2%TOTAL plasty888,712802,234682,5689.7%23.2%Buttock Augmentation346,432372,496222,4297.5%35.8%Buttock 6801,372,9019.2%20.8%Lower Body Lift81,14788,029NA-8.5%NAThigh Lift84,50886,728NA-2.6%NAUpper Arm 4138,76599,432-4.6%25.0%TOTAL BODY & AL SURGICAL ODY & EXTREMITIES249,343BREAST220,055FACE & HEADBrow Lift2018INTERNATIONALSURVEYPlease credit the International Society of Aesthetic Plastic Surgery when citing statistical data.Contact ISAPS: 1-603-643-2325 media@isaps.org www.isaps.org11
NUMBER OF WORLDWIDE NONSURGICAL PROCEDURESBY TYPE OF PROCEDURETOTAL NONSURGICAL PROCEDURES201820172014Percent Change2018 vs. 2017Percent Change2018 vs. 20144,830,91117.4%20.8%Calcium aluronic ctic Acid72,75672,85272,495-0.1%0.4%TOTAL hemical Peel408,485357,753493,04312.4%-20.7%Full Field Ablative192,880170,854NA11.4%NAMicro-Ablative Resurfacing201,797214,652NA-6.4%NAPhoto Rejuvenation436,656545,953NA-25.0%NATOTAL FACIAL r al Fat Reduction473,316478,739NA-1.1%NATOTAL OTHER1,390,1851,476,1111,277,581-6.2%8.1%TOTAL 23,266,37522,006,79818,577,7475.4%20.2%TOTAL ALL 6INJECTABLESBotulinum Toxin2018INTERNATIONALSURVEYPlease credit the International Society of Aesthetic Plastic Surgery when citing statistical data.Contact ISAPS: 1-603-643-2325 media@isaps.org www.isaps.org12
OVERVIEW OF ALL PROCEDURESTOTAL PROCEDURESINCREASED BYIN 20185.4%-0.6%TOTALFACE & NECKprocedures-17.2%TOTAL SURGICALPROCEDURESDECREASED BY0.6%TOTALBREASTprocedures9.7%TOTALBODY & EXTREMITIESproceduresTOTAL NONSURGICALPROCEDURESINCREASED JUVENATION-4.0%2018INTERNATIONALSURVEYPlease credit the International Society of Aesthetic Plastic Surgery when citing statistical data.Contact ISAPS: 1-603-643-2325 media@isaps.org www.isaps.org13
PROCEDURESBY COUNTRY14
USATOTAL NUMBER OFPROCEDURES IN THE USAUSA4,361,867TOTAL SURGICAL PROCEDURES 1,492,383FACE & HEADTOTAL NONSURGICAL POCEDURES PROCEDURES 2,869,485BODY & EXTREMITIESINJECTABLESFACIAL REJUVENATIONBrow Lift24,041Abdominoplasty148,801Botulinum Toxin1,463,409Chemical Peel85,580Ear Surgery12,546Buttock Augmentation32,268Calcium Hydroxylapatite30,349Full Field Ablative39,391Eyelid Surgery119,784Buttock Lift6,238Hyaluronic Acid763,000Micro-Ablative oly-L-Lactic Acid21,798Photo Rejuvenation122,377Facial Bone Contouring8,691Lower Body Lift6,939TOTAL INJECTABLES2,278,556TOTAL FACIAL REJUVENATION294,658Fat Grafting (face)49,413Thigh Lift10,233Neck Lift30,279Upper Arm Lift19,064Rhinoplasty48,222Labiaplasty13,668TOTAL FACE & HEAD366,781TOTAL BODY & EXTREMITIES523,599MOST COMMON PROCEDURESBREASTBreast Augmentation321,362Breast Implant Removal44,577Breast Lift131,208Breast Reduction78,921Gynecomastia25,933TOTAL BREAST602,003MOST COMMON PROCEDURESOTHERHair Removal145,507Nonsurgical Fat Reduction150,764TOTAL OTHER296,270TOTAL% OFTOTALBotulinum Toxin1,463,40951.0%Hyaluronic Acid763,00026.6%150,7645.3%TOTAL% OFTOTALNonsurgical FatReductionBreast Augmentation321,36221.5%Hair Removal145,5075.1%Liposuction286,38819.1%Photo east Lift131,2088.8%Eyelid Surgery119,7848.0%2018INTERNATIONALSURVEYPlease credit the International Society of Aesthetic Plastic Surgery when citing statistical data.Contact ISAPS: 1-603-643-2325 media@isaps.org www.isaps.org15
BRAZILTOTAL NUMBER OFPROCEDURES IN BRAZILBRAZIL2,267,405TOTAL SURGICAL PROCEDURES 1,498,327FACE & HEADTOTAL NONSURGICAL POCEDURES PROCEDURES 769,078BODY & EXTREMITIESINJECTABLESFACIAL REJUVENATIONBrow Lift33,883Abdominoplasty140,774Botulinum Toxin392,530Chemical Peel33,627Ear Surgery43,408Buttock Augmentation75,821Calcium Hydroxylapatite10,740Full Field Ablative9,653Eyelid Surgery132,207Buttock Lift3,133Hyaluronic Acid252,971Micro-Ablative ly-L-Lactic Acid19,754Photo Rejuvenation28,321Facial Bone Contouring10,612Lower Body Lift5,562TOTAL INJECTABLES675,996TOTAL FACIAL REJUVENATION78,954Fat Grafting (face)56,962Thigh Lift7,736Neck Lift27,618Upper Arm Lift14,832Rhinoplasty85,858Labiaplasty18,476TOTAL FACE & HEAD448,085TOTAL BODY & EXTREMITIES514,445MOST COMMON PROCEDURESBREASTBreast Augmentation275,283Breast Implant Removal14,576Breast Lift108,681Breast Reduction98,900Gynecomastia38,358TOTAL BREAST535,797TOTAL% OFTOTALBreast ominoplasty140,7749.4%Eyelid Surgery132,2078.8%Breast Lift108,6817.3%MOST COMMON PROCEDURESOTHERHair Removal8,567Nonsurgical Fat Reduction5,562TOTAL OTHER14,129TOTAL% OFTOTALBotulinum Toxi
Founded in 1970, the International Society of Aesthetic Plastic Surgery (ISAPS) is the world’s leading professional body for board-certified aesthetic plastic surgeons. Regarded as the leading global authority on aesthetic and cosmetic surgery, ISAPS’ threefold mission is to offer aesthetic education worldwide, to provide accurate
The International Society of Aesthetic Plastic Surgery (ISAPS) issued an invitation to participate in the study to approximately 35,000 Plastic Surgeons whose contact information is housed in its proprietary database. In addition, a request was made that all National Societies encourage their members/constituents to take part in the survey.
MONTHLY E-MAGAZINE MESSAGE FROM THE ISAPS PRESIDENT Nazim Cerkes, MD, PhD Dear friends and ISAPS members, Despite the COVID-19 pandemic, life goes on, and most of us have still been busy practicing. Many of us have already been vaccinated in the last couple of months, and I am hopeful that the next few months will be more promising for us and .
An aesthetic judgement is a decision made by an individual regarding the aesthetic value, the quality, of an artwork. The outcome of an aesthetic judgement is expressed through observable expressions of aesthetic judgements, such as a person speaking positively about a work or purposely reexperiencing an artwork. Aesthetic judgements
Please credit The Aesthetic Society when citing statistical data. 2 Contact: The Aesthetic Society 562.799.2356 media@surgery.org www.surgery.org fax: 562.799.1098 The Aesthetic Society was founded in 1967 when aesthetic surgery was only beginning to be recognized as the important subspecialty it is today.
Aesthetic Plastic Surgery (ASAPS), and the official English-language journal of sixteen major international societies of plastic, aesthetic, and reconstructive surgery representing South America, Central America, Europe, Asia, and the Middle East as well as the official journal of The Rhinoplasty Society. Published monthly, ASJ is a peer .
210 Aesthetic Surgery Journal 39(2) and meta-analysis to provide data-driven VTE prevention recommendations.7 The American Society for Aesthetic Plastic Surgery’s Patient Safety Committee has published a “Common Sense” protocol for VTE prevention.8 The great interest and effort among all plastic surgery societies to
Thus contemporary philosophers have, following this tradition, defined aesthetic value in terms of our delighting in and savouring an object with pleasure.* An object is of intrinsic aesthetic value if it appropriately gives rise to pleasure in our contemplation of it. . Aesthetic Value: Beau
definition used is one proposed by Russell and Norvig: “Artificial Intelligence is the study of human intelligence and actions replicated artificially, such that the resultant bears to its .
