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INDUSTRIES

&

MARKETSCosmeticsurgeryCHAPTER

01GlobaloverviewCountrieswiththehighesttotalnumberofsurgicalandnon-surgicalcosmeticproceduresin2022Countrieswiththemostcosmeticproceduresworldwide2022Numberofprocedures3,000,000

4,000,00001,000,0002,000,0001,693,3255,000,0006,000,0007,000,0008,000,0007,448,196UnitedStatesBrazil3,020,552Japan2,459,326MexicoTurkey1,097,054GermanyArgentinaItaly1,032,7911,016,517747,391ColombiaIndia732,783711,9223Description:Cosmeticproceduresarepopularamongpeoplewhowanttoenhancetheirbody'sfeaturesthroughsurgicalandnon-surgicalmethods.Asof2022,theUnitedStateshadthelargestnumberofcosmeticprocedures,withover7.4millionprocedures.Brazilhadthesecondlargestnumberofcosmeticprocedures,withoverthreemillionproceduresthatyear.ReadmoreNote(s):Worldwide;2022;Includingallsurgicalandnon-surgicalcosmeticprocedures.Source(s):ISAPSCountrieswiththehighestnumberofsurgicalandnonsurgicalcosmeticproceduresin2022,byproceduretypeCountrieswithhighestnumberofsurgicalandnonsurgicalcosmeticprocedures2022NumberofproceduresSurgicalNonsurgical4,000,00001,000,000971,2942,000,0002,049,2571,645,4353,000,0005,000,0006,000,0005,802,7617,000,000BrazilUnitedStatesMexico938,096755,229470,875Turkey626,179466,453266,330ColombiaArgentinaGermanyIndia461,589554,929461,130571,661387,767324,155359,157262,556Japan2,100,169Italy484,8344Description:In2022,BrazilovertookthethronefromtheU.Sinhavingthehighestnumberofsurgicalcosmeticproceduresintheworld.ThenumberofplasticsurgeriesdecreasedslightlyintheU.S.comparedto2021,whileinBrazilsurgerynumbersincreasedover25percenttoovertwomillionby2022.StilltheUnitedStatesremainsintheleadforthetotalnumberofbothsurgicalandnon-surgicalcosmeticproceduresduetothelargenumberofnon-surgicalproceduresperformed,amountingto[...]

ReadmoreNote(s):Worldwide;2022Source(s):ISAPSTop10surgicalcosmeticproceduresworldwidein2022Topsurgicalcosmeticproceduresworldwide2022Numberofprocedures0500,0001,000,0001,500,0001,409,1032,000,0002,500,0002,303,9292,174,616LiposuctionBreastaugmentationEyelidsurgeryAbdominoplasty1,180,623Breastlift955,026944,468Rhinoplasty(nosejob)ButtockaugmentationLipEnhancement/perioralprocedureFatgrafting-face820,762699,264648,894632,860Breastreduction5Description:Themostcommonsurgicalcosmeticproceduresworldwideincludeliposuction,breastaugmentation,andeyelidsurgery.In2022,nearly2.2millionbreastaugmentationprocedureswereperformed.Themostcommonnon-surgicalcosmeticproceduresareBotulinumtoxin,hyaluronicacid,andhairremoval.Thepopularityandaccesstocosmeticprocedurescanvarygreatlyfromcountrytocountry.ReadmoreNote(s):Worldwide;2022;ProceduresperformedbyplasticsurgeonsSource(s):ISAPSTopnonsurgicalcosmeticproceduresworldwidein2022Topnon-invasivecosmeticproceduresworldwide2022Numberofprocedures01,000,0002,000,0003,000,0004,000,0005,000,0006,000,0007,000,0008,000,0009,000,000

10,000,0009,221,419BotulinumtoxinHyaluronicacid4,312,037Hairremoval1,798,253Chemicalpeel844,616778,716NonsurgicalfatreductionNonsurgicalskintighteningCellulitetreatmentFullFieldAblative734,257449,314367,983CalciumHydroxylapatite350,7166Description:Thetopnonsurgicalcosmeticprocedureworldwidein2022wasBotulinumtoxin,alsoknownasBotox.Duringthatyear,plasticsurgeonsperformedover7.3millionBotoxinjectionsworldwide.Thesecondandthirdmostcommontypesofnonsurgicalcosmeticproceduresgloballywerehyaluronicacidandhairremoval.Hyaluronicacidinjections,atypeofdermalfiller,canbeusedtorestorelostvolumeorreducewrinklesandlines.

ReadmoreNote(s):Worldwide;2022;ProceduresperformedbyplasticsurgeonsSource(s):ISAPSCountrieswiththehighestnumberofplasticsurgeonsin2022Countrieswithhighestnumberofplasticsurgeons2022Numberofsurgeons01,0002,0003,0004,0005,0006,0007,0008,000UnitedStatesBrazil7,4616,200JapanChina3,0503,000SouthKoreaIndia2,7182,6002,3942,2002,000MexicoArgentinaRussiaGermanyEgyptTurkeyColombia1,5501,4501,3001,2007Description:Theplasticsurgerymarketisgrowingglobally,andmanycountriesareknownfortheirexpertiseinplasticsurgery.In2022,theU.S.hadthehighestnumberofplasticsurgeonsintheworld,with7,461surgeons.Brazilhadthesecondlargestnumberofplasticsurgeons,with6,200surgeons,followedbyJapaninthirdplaceovertakingChinainthenumberofplasticsurgeons.ReadmoreNote(s):Worldwide;2022Source(s):ISAPSSelectcountries'shareofcosmeticsurgicalproceduresandplasticsurgeonsworldwidein2022Percentageofplasticsurgeonsandplasticsurgicalproceduresbycountry2022PercentageofglobaltotalShareoftotalglobalplasticsurgeons

Shareoftotalglobalsurgicalprocedures0%2%4%6%8%10%12%14%16%11.6%BrazilUnitedStatesMexico13.7%14%11%4.5%6.3%2.3%2.4%ColombiaTurkey3.1%3.1%2.9%GermanyArgentinaIndia3.1%4.1%3.1%4.9%2.6%5.7%Japan2.4%2.2%1.8%Italy8Description:In2022,anestimated14percentofallplasticsurgeonsworldwidepracticedintheUnitedStates.Brazil,ontheotherhand,hadthehighestshareofsurgicalproceduresatnearly14percent.Thatisofallthecosmeticproceduresperformedgloballyin2022,roughlyoneinsevenwasconductedinBrazil.ReadmoreNote(s):Worldwide;2022Source(s):ISAPSCHAPTER

02UnitedStatesNumberofsurgicalandnonsurgicalcosmeticproceduresintheUnitedStatesfrom1997to2022Surgicalandnonsurgicalcosmeticprocedures-UnitedStates1997-2022SurgicalproceduresNonsurgicalprocedures*8,000,0007,000,0006,000,0005,000,0004,000,0003,000,0002,000,0001,000,00001997201520172018201920202021202210Description:ThenumberofsurgicalandnonsurgicalcosmeticprocedurescarriedoutintheUnitedStatesincreasedsignificantlyfrom1997to2022.In1997,therewere900thousandsurgicalproceduresintheUnitedStates,whilein2022,therewereover1.87million.Nonsurgicalprocedureshaveconsiderablyoutrunsurgicalprocedures.In2022,justover7.3millionproceduresinvolvedtoxinsandfillersintheUnitedStates.ReadmoreNote(s):UnitedStates;1997to2022Source(s):ASAPSPercentageofsurgicalcosmeticproceduresintheUnitedStatesin2022,byagegroupAgedistributionsurgicalcosmeticproceduresU.S.202240%35%30%36%30%27%25%20%15%10%5%8%0%17-3536-5051-7071andolderAgeinyears11Description:In2022,ofthetotal1.87millionsurgicalcosmeticproceduresconductedintheU.S.,overathirdwereamongU.S.adultsaged50to70years.Ofthisagegroup,thetopsurgicalprocedurewasliposuction.

ReadmoreNote(s):UnitedStates;2022Source(s):ASAPSDistributionofcosmeticsurgicalandnon-surgicalprocedurepracticesintheUnitedStatesin2022,byregionandproceduretypeRegionaldistributionofcosmeticprocedurepracticesintheU.S.2022PercentageofallproceduresRegion1:NewEngland(CT,ME,MA,NH,RI,VT)&MiddleAtlantic(NJ,NY,PA)Region2:EastNorthCentral(IL,IN,MI,OH,WI)&WestNorthCentral(IA,KS,MN,MO,Ne,ND,SD)Region3:SouthAtlantic(DE,DC,FL,GA,MD,NC,SC,VA,WV)Region4:EastSouthCentral(AL,KY,MS,TN)&WestSouthCentral(AR,LA,OK,TX)Region5:Mountain(AZ,CO,ID,MT,NV,NM,UT,WY)&Pacific(AK,CA,HI,OR,WA)0%20%40%60%80%100%120%Cosmeticsurgicalprocedures10%13%23%19%35%Cosmeticminimallyinvasiveprocedures13%15%25%18%29%12Description:In2022,overathirdofallcosmeticsurgicalprocedureswereperformedbyplasticsurgeonsinthemountainandpacificregioncoveringthewestoftheU.S.Similarlynearlyathirdofallminimally-invasivecosmeticprocedureswerealsoconductedintheseregions.ReadmoreNote(s):UnitedStates;2022;1,151respondents;Onlineandfaxedversion;activephysiciansSource(s):ASPS;CosmetAssure;PatientNowNumberofreconstructiveproceduresperformedintheUnitedStatesin2022,bytypeofprocedureNumberofreconstructiveproceduresintheU.S.in2022,bytypeNumberofprocedures50,000

100,000

150,0000200,000250,000300,000350,000400,000Tumorremoval(includingskincancer)Handsurgery(i.e.,Carpaltunnel,Arthritis,Triggerfinger)Breastreconstruction344,697204,412151,641MaxillofacialScarrevision52,44850,930Lacerationrepair(otherthanfacial)Breastimplantremoval(reconstructivepatientsonly)BurnCare44,85724,31623,39921,27821,27818,91716,21612,96112,615Headandneckreconstruction(includingmicrosurgical)Lowerextremityreconstruction(includingmicrosurgical)TreatmentofdogbitesPressureulcersHerniarepairCleftLip&PalateRepairPelvicfloorreconstruction3,40613Description:In2022,therewereoveronemillionreconstructiveproceduresconductedbyplasticsurgeonsintheUnitedStates(onlyASPSmembersurgeons).Ofthese,tumorremovalwasthemostcommon,followedbyhandsurgery,forexampleforcarpaltunnelsyndromeorarthritis.Thethirdmostcommonprocedurewasbreastreconstruction,thiscouldbedonefollowingamastectomy(breastremovalsurgery)duetobreastcancer.

ReadmoreNote(s):UnitedStates;2022;1,151respondentsSource(s):ASPS;CosmetAssure;PatientNowGrowthinnumberofselectedsurgicalcosmeticproceduresperformedintheUnitedStatesbetween2021and2022SelectedsurgicalcosmeticproceduregrowthintheU.S.2021-2022Growthrate-40%ThreadLift-20%0%20%40%60%80%72%LipenhancementImplantRemovalFacelift22%5%2%Breastlift-3%AbdominoplastyLiposuction-11%-12%BreastaugmentationButtockenhancementBrowlift-18%-22%-26%-29%Rhinoplasty14Description:ThisstatisticshowsthegrowthinthenumberofselectedsurgicalcosmeticproceduresperformedintheUnitedStatesbetween2021and2022.Overthatperiod,threadliftsandlipenhancementproceduresincreasedby72and22percent,respectively.Ontheotherhand,therewere29percentfewerrhinoplastyproceduresin2022comparedtothe2021count.ReadmoreNote(s):UnitedStatesSource(s):ASAPSGrowthinnumberofselectednonsurgicalcosmeticproceduresperformedintheU.S.between2021to2022SelectednonsurgicalcosmeticproceduregrowthintheU.S.2021-2022Growthrate-20%Infusion-10%0%10%20%30%40%50%43%BodycontouringSkintreatmentToxins31%26%24%23%22%MicroneedlingChemicalpeelHairrestorationHairremovalFillers19%14%13%TattooremovalVascularproblems8%-10%15Description:ThisstatisticshowsthegrowthofselectedperformednonsurgicalcosmeticproceduresintheUnitedStatesbetween2021and2022.Overthattimeperiod,infusionsandbodycontouringproceduresincreasedby43and31percent,respectively.Neurotoxins,themostcommonnonsurgicalprocedureintheU.S.in2022,increasedby24percentthatyear.ReadmoreNote(s):UnitedStatesSource(s):ASAPSCHAPTER

03TopproceduresMostperformedsurgicalcosmeticproceduresintheUnitedStatesin2022LeadingsurgicalcosmeticproceduresintheU.S.2022Numberofprocedures050,000100,000150,000200,000250,000300,000350,000400,000450,000LiposuctionBreastaugmentation405,328255,200Abdominoplasty(tummytuck)Mastopexy(Breastlift)207,262138,358131,758RemovalReplacement-BreastImplants17Description:ThisstatisticdepictsthetopsixsurgicalcosmeticproceduresperformedintheUnitedStatesin2022.Inthatyear,over405thousandliposuctionswereperformedthroughoutthecountry.ReadmoreNote(s):UnitedStates;2022Source(s):ASAPSMostperformednonsurgicalcosmeticproceduresintheUnitedStatesin2022LeadingnonsurgicalcosmeticproceduresintheU.S.2022Numberofprocedures0500,0001,000,000

1,500,000

2,000,000

2,500,000

3,000,000

3,500,000

4,000,000

4,500,000Neurotoxins3,945,282SkinTreatment(ChemicalPeels,Hydrofacials,etc)DermalFillers(HyaluronicAcid)Bodycontouring1,047,794649,176400,180HairRemoval398,77218Description:In2022,plasticsurgerypracticesperformedover3.9millioncosmeticproceduresinvolvingneurotoxins(suchasBotox)intheUnitedStates.NeurotoxinswerethusthemostcommonnonsurgicalcosmeticproceduresintheUnitedStatesin2022.Duringthatyear,withoveramillionprocedures,skintreatmentswerethesecondmostcommonlyperformednonsurgicalcosmeticprocedureintheU.S.ReadmoreNote(s):UnitedStates;2022Source(s):ASAPSLeadingsurgicalcosmeticprocedureintheUnitedStatesin2022,byagegroupLeadingsurgicalcosmeticprocedureintheU.S.in2022,byageAge

in

years17-35Top

surgical

procedureBreastAugmentationLiposuction36-5051-70Liposuction71andolderBlepharoplasty19Description:In2022,whileoverallthetopsurgicalprocedurewasliposuction,thiswasnotthecaseamongthoseunder36andabove70years.Breastaugmentationwasthecosmeticsurgerymostoftenundergonebythoseaged17to35years.Meanwhiletheoldestagegroupweremostlikelytoreceiveaneyelidsurgery(blepharoplasty).ReadmoreNote(s):UnitedStates;2022Source(s):ASAPSMostperformedsurgicalcosmeticproceduresonwomenintheUnitedStatesin2022LeadingsurgicalcosmeticproceduresamongwomenintheU.S.2022Numberofprocedures050,000100,000150,000200,000250,000300,000350,000400,000385,413450,000Lipoplasty(Liposuction)Breastaugmentation252,648Abdominoplasty(tummytuck)Mastopexy(BreastLift)202,184136,086129,657RemovalReplacement-BreastImplants20Description:In2022,plasticsurgerypracticesacrosstheUnitedStatesperformed385,413liposuctionsonwomen.Thatyear,liposuctionwasthusthemostcommonlyperformedsurgicalcosmeticprocedureamongwomenintheU.S.,followedbybreastaugmentation.ReadmoreNote(s):UnitedStates;2022Source(s):ASAPSMostperformedsurgicalcosmeticproceduresamongmenintheUnitedStatesin2022LeadingsurgicalcosmeticproceduresonmenintheU.S.2022Numberofprocedures10,00005,00015,00020,00025,000Breastreduction(gynecomastia)21,358Lipoplasty(liposuction)Blepharoplasty(cosmeticeyelidsurgery)Rhinoplasty(Nosesurgery)19,59311,2776,536Abdominoplasty(Tummytuck)4,77121Description:In2022,plasticsurgerypracticesacrosstheU.S.performed21,358breastreductions(gynecomastia)onmen.GynecomastiawasthusthemostcommoncosmeticsurgeryforAmericanmenin2022.Thatyear,thesecondmostperformedplasticsurgeryprocedureamongmenintheU.S.wasliposuction,with19,593liposuctionsregistered.ReadmoreNote(s):UnitedStates;2022Source(s):ASAPSCHAPTER

04RevenueandCostsTotalrevenueofaestheticproceduresintheUnitedStatesin2022,bytype(inbillionU.S.dollars)RevenueofcosmeticproceduresintheU.S.bytype2022141211.8108.586423.30SurgicalproceduresNonsurgicalproceduresTypeofprocedureAllaestheticprocedures23Description:ThisstatisticshowsthetotalrevenueofcosmeticproceduresintheUnitedStatesin2022,bysurgicalandnonsurgicalprocedure.In2022,allaestheticproceduresgenerated11.8billionU.S.dollars,ofwhich8.5billionU.S.dollarsgeneratedfromsurgicalcosmeticprocedures.ReadmoreNote(s):UnitedStatesSource(s):ASAPSTotalrevenuefrommajorsurgicalcosmeticproceduresintheUnitedStatesin2022(inmillionU.S.dollars)RevenuefrommajorsurgicalcosmeticproceduresintheU.S.2022RevenueinmillionU.S.dollars02004006008001,0001,2001,4001,6001,800TummytuckBreastaugmentationLiposuction1,5471,1781,091Breastlift(Mastopexy)Facelift736620Breastreduction(women)ExcisionofExcessSkinEyelidsurgery(Blepharoplasty)Nosesurgery469364352270Buttockaugmentation(FatGrafting&Implants)Necklift1311039886MalebreastreductionBrowlift24Description:In2022,cosmeticsurgeryproceduresgeneratedroughly8.5billionU.S.dollarsintheUnitedStates.Withanestimated1.5billionU.S.dollars,anabdominoplasty,alsoknownastummytuck,generatedthemostrevenuein2022,followedbybreastaugmentationsandliposuctions.ReadmoreNote(s):UnitedStates;2022Source(s):ASAPSTotalrevenuefrommajornonsurgicalcosmeticproceduresintheUnitedStatesin2022(inmillionU.S.dollars)RevenuefrommajornonsurgicalcosmeticproceduresintheU.S.2022RevenueinmillionU.S.dollars60002004008007761,0001,2001,400NeurotoxinsSkintreatmentFillers1,286454426BodycontouringHairrestorationChemicalpeelHairRemovalMicroneedlingInfusion797269452710CellulitetreatmentsVascularproblemsTattooremoval8525/statistics/281414/major-nonsurgical-cosmetic-procedures-expenditures-in-the-usIn2022,over1.2billionU.S.dollarsweremadeinrevenuefromproceduresinvolvingneurotoxinsintheUnitedStates.Thatyear,neurotoxinswerethusthemostcommonnonsurgicalprocedureintheU.S.,followedbyskintreatmentsandfillers.

ReadmoreNote(s):UnitedStates;2022Source(s):ASAPSAveragecostsformajorsurgicalcosmeticproceduresintheUnitedStatesin2022(inU.S.dollars)AveragecostsformajorsurgicalcosmeticproceduresintheU.S.2022CostinU.S.dollars01,0002,0003,0004,0005,0006,0007,0008,0009,00010,000

11,000FaceliftAbdominoplasty(tummytuck)Breastreduction(women)Nosesurgery(Rhinoplasty)Breastlift(Mastopexy)9,6797,4656,3085,9995,324Breastaugmentation4,617Otoplasty(cosmeticearsurgery)Gynecomastia,treatmentof(malebreastreduction)Breastimplantremoval4,4704,3853,6293,5223,514ButtockEnhancementBrowliftBlepharoplasty(cosmeticeyelidsurgery)Liposuction3,3872,7642,554ChinaugmentationClitoralHoodReduction1,52426Description:In2022,faceliftsandtummytucks(abdominoplasty)wereamongthemostexpensiveplasticsurgeryproceduresintheUnitedStates.Thatyear,theaveragecostofafaceliftintheU.S.reached9,679U.S.dollars.

ReadmoreNote(s):UnitedStates;2022Source(s):ASAPSAveragecostsofmajornonsurgicalcosmeticproceduresintheUnitedStatesin2022(inU.S.dollars)*AveragecostsofmajornonsurgicalcosmeticproceduresintheU.S.2022CostinU.S.dollars1,00005001,5002,0002,5003,000HairrestorationVaginalrejuvenationBodycontouring2,5822,2501,065Cellulitetreatment880Skintreatments741CellulitetreatmentsVascularproblems490272233175105TattooremovalHairremovalInfusionSkinTreatment(CombinationLasers)VascularProblems(Sclerotherapy)MuscleTightening/Tone39739637727Description:In2022,hairrestorationandvaginalrejuvenationwerethemostexpensivenonsurgicalproceduresintheUnitedStates.Thatyear,theaveragecostofhairrestorationwasof2,582U.S.dollarsintheU.S.

ReadmoreNote(s):UnitedStates;2022;*Nationalaverageforphysician/surgeonfeesperprocedure.ReadmoreSource(s):ASAPSCHAPTER

05PatientexperienceandattitudesPercentageofU.S.consumerswhosaidselectcosmeticconcernsweremostbothersomeasof2023Mostbothersomecosmeticconcerns2023Percentageofconsumers20%

30%

40%0%10%50%60%70%80%90%87%100%ExcessweightonanypartofthebodySkintextureand/ordiscolorationExcessfatunderthechin/neckLinesandwrinklesaroundandundertheeyesCellulite80%79%79%72%29Description:In2023,nearlynineintenrespondentswerebotheredbyexcessweightonanypartoftheirbody.Skintexture,line/wrinklesandcellulitewereothermostfrequentlyreportedcosmeticconcerns.Yetwhilehairremovalisthetopcosmeticprocedureconsideredbyconsumers,excesshairorunwantedhairisnotonthislistoftopconcerns.IntheUnitedStates,demandforcosmeticprocedureproductsisexpectedtorise,withinjectablesasthelargestandfastestgrowingsegmentonthemarket.

ReadmoreNote(s):UnitedStates;May11-30,2023;3,503respondentsSource(s):ASDS;PureSpectrumCosmeticproceduresmostoftenconsideredbyU.S.consumersasof2023CosmeticproceduresmostoftenconsideredbyU.S.consumers2023Percentageofconsumers0%10%20%30%40%50%60%70%70%80%AnycosmeticprocedureLaserhairremoval65%Laser/energy-baseddevicesforskintighteningBodysculpting53%52%Injectablewrinkle-relaxers49%Laser/energy-baseddevicesforskintone,facialredness,andscars44%30Description:In2023,sevenintenrespondentswereconsideringacosmeticprocedureintheU.S.LaserhairremovalwastheproceduremostoftenconsideredbyU.S.consumers,followedbylaser/energy-baseddevicesforskintightening.

ReadmoreNote(s):UnitedStates;May11-30,2023;3,503respondentsSource(s):ASDSShareofadultswhogaveselectedreasonsfortheriseinpositiveattitudestowardplasticsurgeryintheUnitedStatesin2023ReasonsforriseinpositiveattitudestowardsplasticsurgeryintheU.S.in2023Percentageofrespondents0%10%20%30%40%50%48%60%55%Moreoptionsforsafe,lessinvasiveprocedureswithgoodresultsandminimaldowntimeGreatersocietalfocusonself-careandfeelingconfidentMorecelebritiesandinfluencerstalkingabouttheircosmeticprocedureexperiencesonsocialmedia31%Morerealisticfiltersandeditingappstoshowhowwecouldlookafteracosmeticprocedure22%TheZoomeffect-lookingatourfacesmoreduringthepandemicmadeusmorecritical19%

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