2020 Plastic Surgery Statistics Report

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PLASTIC SURGERYSTATISTICS REPORTASPS National Clearinghouse ofPlastic Surgery Procedural Statistics2020ASPS Public Relations: Phone 773-332-4719 Fax 847-981-5482 Email media@plasticsurgery.org1

PLASTIC SURGERYSTATISTICS REPORTTable of ContentsIntroductitonAbout the American Society of Plastic Surgeons. 3Methodology and Validity. 42020 Quick Facts - Plastic Surgery Trends. 52020 Quick Facts - Demographic Trends. 6Statistical ReportsCosmetic Procedure Trends.7-8Cosmetic Procedure Charts. 9Reconstructive Procedure Trends and Charts.10Cosmetic Surgery Gender Distribution – Female. 11-12Cosmetic Surgery Gender Distribution – Male. 13-14Cosmetic Surgery Age Distribution (13-19).15Cosmetic Surgery Age Distribution (20-29).16Cosmetic Surgery Age Distribution (30-39).17Cosmetic Surgery Age Distribution (40-54).18Cosmetic Surgery Age Distribution (55-69).19Cosmetic Surgery Age Distribution (70 and Over).20Regional Distribution . 21-22Average Surgeon/Physician Fees – Cosmetic Procedures.23Cosmetic Demographics.24Reconstructive Demographics.25Reconstructive Breast Procedures.25Body Contouring After Massive Weight Loss.26Gender Confirmation Surgery Statistics.2622020

About the American Society of Plastic SurgeonsPLASTIC SURGERYSTATISTICS REPORTThe American Society of Plastic Surgeons PlasticSurgery.orgASPS , a non-profit organization, supports members in their efforts toprovide the highest quality patient care through education, researchand advocacy. It is the only organization with two decades of plasticsurgery statistics – 1992-2020. ASPS is the largest organization of boardcertified plastic surgeons in the world. With more than 8,000 members,the Society is recognized as a leading authority and information sourceon cosmetic and reconstructive plastic surgery. ASPS comprises morethan 93 percent of all board-certified plastic surgeons in the UnitedStates. Founded in 1931, the Society represents physicians certifiedby The American Board of Plastic Surgery, Inc. (ABPS ) or The RoyalCollege of Physicians and Surgeons of Canada.The ASPS online newsroom is the most comprehensive site forjournalistic research on cosmetic and reconstructive plastic surgeryon the Internet. The latest news releases and the online version of theNational Clearinghouse of Plastic Surgery Statistics are available. 2020Full color graphics and statistical graphs can be downloaded or areavailable by contacting the ASPS Public Relations Department.Pre- and Postoperative Photos and B-RollASPS has a library of pre- and postoperative images and B-roll availableto the media by contacting the ASPS Public Relations Department.The ASPS mission is to advance quality care to plastic surgery patientsby encouraging high standards of training, ethics, physician practice,and research in plastic surgery.ASPS Member Surgeons are uniquely qualified to perform cosmetic andreconstructive plastic surgery on the face and all areas of the body.Consumers can visit the ASPS at PlasticSurgery.org to find ASPS MemberSurgeons in their area or learn more about cosmetic and reconstructiveplastic surgery, like us on Facebook.com/PlasticSurgeryASPS and followus at Twitter.com/ASPS News.ASPS Member Surgeons have thefollowing qualifications:ASPS Spokespersons NetworkThe ASPS Spokespersons Network is a valuable plastic surgery resource.It comprises more than 100 plastic surgeons from across the UnitedStates and Canada trained and available to assist journalists.These spokespersons provide expert perspectives on a broad range ofplastic surgery topics including procedural details, the patient-physicianrelationship, emerging trends, teens, and minorities.They are also knowledgeable about the Society’s positions on healthcare reform, scope of practice and other issues that affect patientcare.To arrange interviews with members of the ASPS SpokespersonsNetwork, contact the ASPS Public Relations Department.3Are certified by TheAmerican Board ofPlastic Surgery andtrained specifically inplastic surgery.Have at least 6 yearssurgical training,minimum of 3 yearsplastic surgery training.Operate only inaccredited medicalfacilities.Adhere to a strictcode of ethics.Fulfill continuingeducation requirements,including patientsafety techniques.Are partners withpatients in cosmeticand reconstructiveplastic surgery

Methodology and ValidityPLASTIC SURGERYSTATISTICS REPORTMethodologySince 1992, the American Society of Plastic Surgeons (ASPS ) has been the source of cosmetic andreconstructive plastic surgery statistical trends in the U.S., and this series represents over two decades ofprocedural data. ASPS has partnered with Data Harbor Solutions, a health care industry data managementand technology development company, to ensure objectivity in the gathering, analysis and publication of itsprocedural statistics.Since 2000, the report represents a universal and comprehensive estimate of cosmetic and reconstructiveplastic surgery procedures performed by ASPS Member Surgeons as well as other physicians most likely toperform 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 andcertification in medicine. The American Board of Plastic Surgery (ABPS ) represents physicians who arecertified by ABPS , the only ABMS member board that certifies surgeons in plastic surgery of the face andentire body.ASPS offers the most comprehensive, reliable statistics on cosmetic and reconstructive plastic surgeryprocedures performed in the United States. The annual questionnaire was distributed to more than 24,600 ABMSboard-certified physicians (An online and faxed version of the questionnaire were made available. A total of 463active physicians returned questionnaires. Overall, 618 active physicians were included in the final sample). Thisdata is combined with the first online national database for plastic surgery procedures Tracking Operations andOutcomes for Plastic SurgeonsSM (TOPSSM).All responses are aggregated and extrapolated to the entire population of more than 24,600 board certifiedphysicians most likely to perform cosmetic and reconstructive plastic surgery procedures, resulting in the mostaccurate census available.ValidityResults of the survey are based on a 95 percent confidence level with a 4.96 percent margin of error.42020

PLASTIC SURGERYSTATISTICS REPORT2020 Quick FactsCosmetic and Reconstructive Plastic Surgery Trends2020Percentage change 2020 vs. 20192020 Top 5 CosmeticSurgical 112)-3%15.6 MillionCosmetic Procedures 2.3 million Cosmetic SurgicalProcedures 14% 13.2 million CosmeticMinimally-Invasive Procedures %(193,073)-33%6.8 Million(3% increase from 2019)5Breast Augmentation continues to be one ofthe top 5 cosmetic surgical procedures andhas been since 2006. Silicone implants wereused in 84% and saline implants in 16% of allbreast augmentations in 2020.2020 Top 5 ReconstructiveProcedures4%BotulinumToxin Type A(4.4 M)Soft TissueFiller(3.4 M)-13%TumorRemoval(5.2 931,473)BreastAugmentationReconstructive Procedures2020 Top 5 CosmeticMinimally InvasiveProceduresLaser ar Revision(263,643)(256,085)-6%-8%Intense Pulsed Light(IPL) Treatment(827,409)1%Hand Surgery(206,928)-12%Intense Pulsed Light (IPL) treatmentreplaces Laser Skin removal in the top 5cosmetic minimally invasive procedureswith over 827,000 IPL procedures in2020.Tumor Removal continues tooverwhelm the top reconstructiveprocedures performed every year withapproximately 5.2 million proceduresin 2020.

PLASTIC SURGERYSTATISTICS REPORT2020 Quick FactsCosmetic Plastic Demographic TrendsPercentage change 2020 vs. 2019Make up the least number of cosmetic procedures – only 2% ofthe total. Some of the most common procedures for teens were:nose reshaping, eyelid surgery, ear surgery, laser hair removaland laser skin resurfacing. 15%88,000 surgical 8%141,000 minimally-invasive 20%229,000 total cosmetic procedures13-19 year old 18%283,000 surgical 14%485,000 minimally-invasive 20%FEMALE92% of all cosmetic procedures12.4 million total cosmetic procedures 2.0 million surgical 10.4 million minimally-invasive 15% 13% 15%768,000 total cosmetic procedures20-29 year oldMALE8% of all cosmetic procedures 17%364,000 surgical 16%1.8 million minimally-invasive 17%2.1 million total cosmetic procedures1.1 million total cosmetic procedures 289,000 surgical 820,000 minimally-invasive 18% 12% 20%30-39 year oldMake up the majority of cosmetic procedures – 45% of the total.ETHNIC 14%684,000 surgical 14%5.4 million minimally-invasive 14%6.1 million total cosmetic proceduresCaucasians (10.3 million)Hispanic (1.9 million)African Americans (1.7 million)Asian Americans (1.2 million)40-54 year old 14%728,000 surgical 11%3.2 million minimally-invasive 15% 20% 4%no change 5%3.9 million total cosmetic procedures55-69 year old 16.7 billion was spent on cosmetic procedures in the U.S. 20%136,000 surgical 8%110,000 minimally-invasive 31%246,000 total cosmetic procedures70 and Over6Did you know Region with the most cosmetic procedures performed in the U.S.is South Atlantic - 3.8 million (25%) procedures. Average length of time Board-Certified physicians reported theystopped performing surgical procedures in 2020 due to Covid-19is 8.1 weeks.2020

PLASTIC SURGERYSTATISTICS REPORTCosmetic Procedure TrendsCOSMETIC SURGICAL PROCEDURES20202019Breast augmentation (Augmentation mammaplasty)**** †193,073287,085212,500% CHANGE2020 vs. 2019% CHANGE2020 vs. 2000-33%-9%Breast implant removals (Augmentation patients only)****36,36733,64240,7878%-11%Breast lift (Mastopexy)****87,051110,28052,836-21%65%Breast reduction (Aesthetic patients only)****33,57446,340*-28%*Breast reduction in men (Gynecomastia)****18,57520,95520,351-11%-9%Buttock augmentation with fat grafting*****21,82328,076*-22%Buttock implants****1,179970*22%*Buttock lift****2,8723,9451,356-27%112%Calf augmentation****Cheek implant (Malar augmentation) 326,924-2%63%139,933159,37442,218-12%231%46%Chin augmentation (Mentoplasty) Dermabrasion Ear surgery (Otoplasty) 53,09555,00036,295-3%Eyelid surgery (Blepharoplasty) 325,112354,105327,514-8%-1%Facelift (Rhytidectomy) -27%Hair ehead lift Lip augmentation (other than injectable materials) Lip reduction**** -20%-40%3974%Lower body lift****Neck lift Nose reshaping (Rhinoplasty) 89,155-3%-9%Pectoral implants****697664*5%*9,2759,7125,303-4%75%Tummy tuck r arm lift****14,44717,422338-17%4174%2,314,7202,678,302 1,901,049-14%22%Thigh Lift****TOTAL COSMETIC SURGICAL PROCEDURESAll figures are projected.Average length of time Board-Certified physicians reported they stopped performing surgical procedures in 2020due to Covid-19 is 8.1 weeks. Projections have been updated to reflect a more comprehensive set of Board-Certified physicians performingthese procedures*Data unavailable in prior year.†84% of total 2020 breast implants were silicone; 16% were saline.****Counts of procedures performed by ASPS member surgeons only.72000ASPS Procedural Statistics represent procedures performed by ASPS member surgeons certified by The American Board ofPlastic Surgery as well as other physicians certified by American Board of Medical Specialties-recognized boards. ASPS, 2021ASPS Member Only Procedural Statistics represent procedures performed by ASPS member surgeons certified by The AmericanBoard of Plastic Surgery . ASPS, 2021Margin of error /- 4.96%2020

PLASTIC SURGERYSTATISTICS REPORTCosmetic Procedure TrendsCOSMETIC MINIMALLY-INVASIVE PROCEDURES20202000% CHANGE2020 vs. 2019-13%-24%-33%-13%-12%-28%-8%-6%-10%-7%-21%-23%% CHANGE2020 vs. -9%*Platelet-Rich Plasma (PRP) 231,140275,101*-16%*Polylactic acid (Sculptra ) 134,123165,064*-19%*Polymethyl-methacrylate microspheres (Bellafill ) 70,98981,992*-13%*TOTAL COSMETIC MINIMALLY-INVASIVE PROCEDURES13,281,23515,750,363 131%Botulinum Toxin Type A (Botox , Dysport , Xeomin )***Cellulite treatment (Velosmooth , Endermology) Chemical peelInjection lipolysis (e.g., Kybella ) Intense Pulsed Light (IPL) treatment Laser hair removalLaser skin resurfacing Ablative Non-ablative (Fraxel , etc.) Laser tattoo removal Laser treatment of leg veinsMicrodermabrasionNon-invasive fat reduction (Coolsculpting , Liposonix ,Emsculpt , Vanquish , Zerona )Non-surgical skin tightening (Pelleve , Thermage , Ulthera )SclerotherapySoft Tissue FillersAcellular Dermal Matrix****Allograft Adipose Matrix Calcium hydroxylapatite (Radiesse ) Fat-face Hyaluronic acid (Juvederm Ultra , Juvederm Ultra Plus ,Perlane , Restylane , Belotero ) TOTAL COSMETIC PROCEDURESAll figures are projected.Average length of time Board-Certified physicians reported they stopped performing surgical proceduresin 2020 due to Covid-19 is 8.1 weeks. Projections have been updated to reflect a more comprehensive set of Board-Certified physicians performing theseprocedures*Data unavailable in prior year.***Botulinum Toxin Type A numbers for 2019 have been restated without adjustment for anatomic sites injected.****Counts of procedures performed by ASPS member surgeons only.82019ASPS Procedural Statistics represent procedures performed by ASPS member surgeons certified by The American Board ofPlastic Surgery as well as other physicians certified by American Board of Medical Specialties-recognized boards.ASPS Member Only Procedural Statistics represent procedures performed by ASPS member surgeons certified by The AmericanBoard of Plastic Surgery . ASPS, 2021Margin of error /- 4.96%2020

PLASTIC SURGERYSTATISTICS REPORTTop 5 Cosmetic Plastic Surgery ProceduresTOP FIVE COSMETIC SURGICAL 7193,073 -11% from 2019 -20% from 2019 -33% from 2019 -3% from 2019 -8% from 2019TOP FIVE COSMETIC MINIMALLY-INVASIVE PROCEDURESBotulinumToxin Type A4.4 million -13% from 20199Laser SkinResurfacingChemicalPeel3.4 million997,245931,473 -11% from 2019 -8% from 2019Soft TissueFillers -33% from 2019IntensePulsed Light827,409 -12% from 20192020

PLASTIC SURGERYSTATISTICS REPORTReconstructive Procedure TrendsRECONSTRUCTIVE PROCEDURESDog bite repair Birth defect (congenital deformities)Breast implant removals (Reconstructive patients only)****Breast reconstruction****Breast reduction (reconstructive patients only)****Burn care****Hand surgery (excluding microsurgical)****Head and neck reconstruction****Hernia repair****Laceration repair (other than facial) Lower extremity reconstruction (including microsurgical)****Maxillofacial surgery Migraine peripheral trigger site surgeryPelvic floor reconstruction****Pressure ulcers****Scar revisionTumor removal (including skin cancer)Other reconstructive procedures****TOTAL RECONSTRUCTIVE PROCEDURES% CHANGE2020 vs.2019% CHANGE2020 vs. 4866,652,591 *3%*TOP FIVE RECONSTRUCTIVE PROCEDURES10TumorRemovalLacerationRepair5.1 million386,710 4% from 2019 -1% from 2019All figures are projected.Average length of time Board-Certified physicians reported they stopped performing surgical procedures in2020 due to Covid-19 is 8.1 weeks. Projections have been updated to reflect a more comprehensive set of Board-Certified physicians performingthese procedures*Data unavailable in prior year.****Counts of procedures performed by ASPS member surgeons ,643256,085206,928 -6% from 2019 23% from 2019 In 2000 figure included all animal bites. In 2000 figure included facial laceration repair. In 2020 and 2019 figure includes facial laceration repair.ASPS Procedural Statistics represent procedures performed by ASPS member surgeons certified by The American Board of PlasticSurgery as well as other physicians certified by American Board of Medical Specialties-recognized boards. ASPS, 2021Margin of error /- 4.96% 1% from 20192020

PLASTIC SURGERYSTATISTICS REPORTCosmetic Surgery Gender DistributionFEMALE2020COSMETIC SURGICAL PROCEDURESBreast augmentation (Augmentation mammaplasty)****†Breast implant removals (Augmentation patients only)****Breast lift (Mastopexy)****Breast reduction (Aesthetic patients only)****Breast reduction in men (Gynecomastia)****Buttock augmentation with fat grafting****Buttock implants****Buttock lift****Calf augmentation****Cheek implant (Malar augmentation) Chin augmentation (Mentoplasty) Dermabrasion Ear surgery (Otoplasty) Eyelid surgery (Blepharoplasty) Facelift (Rhytidectomy) Forehead lift Hair transplantationLabiaplasty****Lip augmentation (other than injectable materials) LiposuctionLower body lift****Neck lift Nose reshaping (Rhinoplasty) Thigh Lift****Tummy tuck (Abdominoplasty)****Upper arm lift****TOTAL COSMETIC SURGICAL PROCEDURESTOTAL PROCEDURESTOTAL FEMALE2020% OF %2,295,7222,006,36287%% CHANGE2020vs. -1%-59%-13%-24%-20%3%-12%-2%-5%-17%-17%-13%% CHANGE2020 vs. 89%-38%**20%72%56%*33%TOP FIVE FEMALE COSMETIC SURGICAL PROCEDURESNoseReshapingEyelidSurgery287,434279,306 -8% from 2019 -2% from 88,252 -10% from 2019 -33% from 2019 -20% from 2019Face Lift2020All figures are projected.*Data unavailable in prior year.****Counts of procedures performed by ASPSmember surgeons only.Average length of time Board-Certifiedphysicians reported they stopped performingsurgical procedures in 2020 due to Covid-19 is8.1 weeks. Projections have been updated to reflect a morecomprehensive set of Board-Certified physiciansperforming these procedures†84% of total 2020 breast implants weresilicone; 16% were saline.ASPS Procedural Statistics represent proceduresperformed by ASPS member surgeons certifiedby The American Board of Plastic Surgery aswell as other physicians certified by AmericanBoard of Medical Specialties-recognized boards. ASPS, 2021

PLASTIC SURGERYSTATISTICS REPORTCosmetic Surgery Gender 94%88%96%84%87%86%81%95%96%93%94%97%% CHANGE2020 vs. 34,123110,74383%-19%*TOTAL COSMETIC MINIMALLY-INVASIVE PROCEDURES11,250,08510,429,96293%-15%114%TOTAL COSMETIC PROCEDURES13,545,80712,436,32492%-15%95%COSMETIC MINIMALLY-INVASIVE PROCEDURES2020TOTAL PROCEDURESBotulinum Toxin Type A (Botox , Dysport , Xeomin )***Cellulite treatment (Velosmooth , Endermology) Chemical peelLaser hair removalLaser skin resurfacing Laser treatment of leg veinsMicrodermabrasionSclerotherapySoft Tissue FillersCalcium hydroxylapatite (Radiesse ) Fat-face Hyaluronic acid (Juvederm Ultra , Juvederm UltraPlus , Perlane , Restylane , Belotero ) Polylactic acid (Sculptra ) 2020TOTAL FEMALE% OF TOTALPROCEDURES% CHANGE2020 vs. 2000497%216%-6%5%484%-35%-46%-67%393%*105%*All figures are projected.*Data unavailable in prior year.***Botulinum Toxin Type A numbers for 2020and 2019 have been restated without adjustmentfor anatomic sites injected.****Counts of procedures performed by ASPSmember surgeons only.TOP FIVE FEMALE COSMETIC MINIMALLY-INVASIVE PROCEDURESAverage length of time Board-Certifiedphysicians reported they stopped performingsurgical procedures in 2020 due to Covid-19 is8.1 weeks.BotulinumToxin Type A4.1 million -12% from 201912Soft TissueFillers2.9 million -10% from 2019Laser HairRemovalChemicalPeelLaser SkinResurfacing889,742871,674635,618 -8% from 2019 -28% from 2019 -33% from 2019 Projections have been updated to reflect a morecomprehensive set of Board-Certified physiciansperforming these proceduresASPS Procedural Statistics represent proceduresperformed by ASPS member surgeons certifiedby The American Board of Plastic Surgery aswell as other physicians certified by AmericanBoard of Medical Specialties-recognized boards. ASPS, 2021

PLASTIC SURGERYSTATISTICS REPORTCosmetic Surgery Gender DistributionMALE2020COSMETIC SURGICAL PROCEDURESBreast augmentation (Augmentation mammaplasty)****†Breast implant removals (Augmentation patients only)****Breast lift (Mastopexy)****Breast reduction (Aesthetic patients only)****Breast reduction in men (Gynecomastia)****Buttock augmentation with fat grafting****Buttock implants****Buttock lift****Calf augmentation****Cheek implant (Malar augmentation) Chin augmentation (Mentoplasty) Dermabrasion Ear surgery (Otoplasty) Eyelid surgery (Blepharoplasty) Facelift (Rhytidectomy) Forehead lift Hair transplantationLabiaplasty****Lip augmentation (other than injectable materials) LiposuctionLower body lift****Neck lift Nose reshaping (Rhinoplasty) Thigh Lift****Tummy tuck (Abdominoplasty)****Upper arm lift****TOTAL COSMETIC SURGICAL PROCEDURESTOTAL PROCEDURESTOTAL MALE2020% OF 14%8%8%69%0%4%11%9%14%18%6%4%2%% CHANGE2020 vs. %-21%6%-11%-5%0%-16%-18%% CHANGE2020 vs. -27%TOP FIVE MALE COSMETIC SURGICAL PROCEDURES2020All figures are projected.*Data unavailable in prior year.****Counts of procedures performed by ASPSmember surgeons only.Average length of time Board-Certifiedphysicians reported they stopped performingsurgical procedures in 2020 due to Covid-19 is8.1 weeks. Projections have been updated to reflect a morecomprehensive set of Board-Certified physiciansperforming these procedures†84% of total 2020 breast implants weresilicone; 16% were saline.NoseReshapingEyelidSurgery65,12145,806 -8% from 2019 -5% from 201913LiposuctionEarSurgery28,63822,81522,464 -16% from 2019 -21% from 2019 -4% from 2019CheekImplantASPS Procedural Statistics represent proceduresperformed by ASPS member surgeons certifiedby The American Board of Plastic Surgery aswell as other physicians certified by AmericanBoard of Medical Specialties-recognized boards. ASPS, 2021

PLASTIC SURGERYSTATISTICS REPORTCosmetic Surgery Gender Distribution2020MALECOSMETIC MINIMALLY-INVASIVE PROCEDURES2020TOTAL PROCEDURES2020% OF TOTALPROCEDURESTOTAL MALE% CHANGE2020 vs. 2019-17%-20%-36%-30%-8%-23%-26%-8%-12%-16%-7%% CHANGE2020 vs. 2000182%*-79%-8%482%10%13%-39%137%*103%Botulinum Toxin Type A (Botox , Dysport , Xeomin )***Cellulite treatment (Velosmooth , Endermology) Chemical peelLaser hair removalLaser skin resurfacing Laser treatment of leg veinsMicrodermabrasionSclerotherapySoft Tissue FillersCalcium hydroxylapatite (Radiesse ) Fat-face %12%4%16%13%14%19%5%4%7%6%Hyaluronic acid (Juvederm Ultra , Juvederm UltraPlus , Perlane , Restylane , Belotero ) 2,619,65072,4023%-9%*134,12323,38017%-17%*TOTAL COSMETIC MINIMALLY-INVASIVE PROCEDURES11,250,085820,1237%-20%29%TOTAL COSMETIC PROCEDURES13,545,8071,109,4838%-18%8%Polylactic acid (Sculptra ) All figures are projected.*Data unavailable in prior year.***Botulinum Toxin Type A numbers for 2020 and2019 have been restated without adjustment foranatomic sites injected.TOP FIVE MALE COSMETIC MINIMALLY-INVASIVE PROCEDURES****Counts of procedures performed by ASPSmember surgeons only.Average length of time Board-Certified physiciansreported they stopped performing surgicalprocedures in 2020 due to Covid-19 is 8.1 weeks.BotulinumToxin Type A265,247 -17% from 201914Laser SkinResurfingLaser HairRemoval125,571122,190 -8% from 2019 -30% from 2019Soft TissueFillersMicrodermabrasion118,61496,853 -12% from 2019 -26% from 2019 Projections have been updated to reflect a morecomprehensive set of Board-Certified physiciansperforming these proceduresASPS Procedural Statistics represent proceduresperformed by ASPS member surgeons certified byThe American Board of Plastic Surgery as wellas other physicians certified by American Board ofMedical Specialties-recognized boards. ASPS,2021

PLASTIC SURGERYSTATISTICS REPORTCosmetic Surgery Age DistributionCOSMETIC SURGICAL PROCEDURESAGE 13-19% OF TOTAL PROCEDURESAGE 13-19% CHANGE 2020 vs 20193,2332%640%2%Breast lift (Mastopexy)****1,0061%-23%Breast reduction (Aesthetic patients only)****1,8435%-26%Breast reduction in men (Gynecomastia)****2,82315%-11%120%-29%Cheek implant (Malar augmentation) 3,0333%-11%Chin augmentation (Mentoplasty) 2,5176%-5%Breast augmentation (Augmentation mammaplasty)**** Breast implant removals (Augmentation patients only)**** Buttock lift****Dermabrasion -34%2,1522%-14%17,34033%-3%5,3012%-9%Forehead lift 740%-4%Labiaplasty****8799%-16%Ear surgery (Otoplasty) Eyelid surgery (Blepharoplasty) Lip augmentation (other than injectable materials) 3311%-23%2,3461%-22%Lower body lift****431%0%Neck lift %-8%LiposuctionNose reshaping (Rhinoplasty) Thigh Lift****Tummy tuck (Abdominoplasty)****Upper arm lift****TOTAL COSMETIC SURGICAL PROCEDURESCOSMETIC MINIMALLY-INVASIVE PROCEDURESAGE 13-192020 TOTALAGE 13-19% OF TOTAL PROCEDURES0%-12%4,0350%-35%Laser hair removal47,8506%-29%Laser skin resurfacing 47,9795%-8%Laser treatment of leg 0%-17%1,1491%-10%4,7110%-8%1,7861%-20%TOTAL COSMETIC MINIMALLY-INVASIVE PROCEDURES141,7741%-20%TOTAL COSMETIC PROCEDURES229,7402%-15%Chemical peelMicrodermabrasionSclerotherapySoft Tissue FillersCalcium hydroxylapatite (Radiesse ) Fat-face Hyaluronic acid (Juvederm Ultra , Juvederm Ultra Plus ,Perlane , Restylane , Belotero ) Polylactic acid (Sculptra ) Age13-19AGE 13-19% CHANGE 2020 vs 201912,767Botulinum Toxin Type A (Botox , Dysport , Xeomin )***15AGE 13-192020 TOTALAll figures are projected. Total represe

fi ˆˇ ˆ fi 6 13-19 year old 20-29 year old 30-39 year old 40-54 year old 55-69 year old 70 and Over Make up the least number of cosmetic procedures - only 2% of

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