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Cosmetic surgery statistics see a rise in non-surgical treatments & eyelid surgery in the US

The American Society for Aesthetic Plastic Surgery releases annual reports about cosmetic surgery statistics that is called their Cosmetic Surgery National Data Bank Statistics.
Non-surgical procedures were up 44% in 2015 compared to 2014.
The injectables saw a 21% increase in 2015. Injectables include hyaluronic acid gels such as Belotero, Juvederm Ultra, Juvederm Ultra Plus, Perlane, Restylane, Voluma as well as Sculptra, poly-L-lactic acid and Botox Xeomin. 61.9% of these cosmetic procedures were performed in the office (outpatient clinic), 26% in a free standing surgical centre and only 11.9 % in a hospital.
The top five non-surgical procedures done in 2015 in the USA were:

  • botulinum toxin with over 4 million procedures,
  • hyaluronic acid (fillers) with over 2 million procedures
  • hair removal (1.14 million procedures),
  • chemical peels (0.6 million procedures)
  • microdermabrasion (0.5 million procedures).

In the US their surgical procedures are continuing to go up but more slowly than before. There was only an increase of 17 % in 2015 from 2014.
The top four cosmetic surgical procedures were done were:

  • liposuction,
  • breast augmentation,
  • tummy tuck
  • eyelid surgery

I was most interested to see that they only recorded 169,708 eyelid surgery procedures in the whole of the USA. In fact their top surgical procedure, liposuction, only had 396,048 procedures, so looking at the figures where we have almost 4.3 million Botox procedures but under 200,000 eyelid surgeries, it is very clear that the non-surgical procedures form the majority of the cosmetic treatments.
The cosmetic surgery statistics also looked at gender, age and race.
The top surgical procedures for women were similar to the top cosmetic surgical procedures overall, whereas men showed an increase in nose surgery and eyelid surgery together with male breast reduction and facelift.
People aged 35 to 50 had the most procedures performed. Only 1.7% of the total 5.1 million procedures were in patients aged 18, or under, 10% were in patients aged 65 and over and the remainder in between. The most common cosmetic surgical procedure in that 18 and under age group was ear surgery.
The most common cosmetic surgical procedure in patients aged 65 and over was eyelid surgery.
As can be expected the most common surgical procedure in the age group 19 to 34 was breast augmentation, and in the US population, the most common surgical procedure between the ages of 35 and 64 was liposuction for weight reduction and body remodelling.
These are US figures and although not directly applicable to the UK figures they are most interesting to look at as they go into considerable detail based on age and whether the procedures are surgical or non-surgical.
Regarding expenditure, the American population spent 1.5 billion dollars more between 2014 and 2015 with the cost of American cosmetic surgical and non-surgical procedures coming to 13.5 billion in 2015. 42% of that expenditure was from the non-surgical procedures. 13.5 billion is the highest amount ever spent in the US on cosmetic surgery and procedures ever.
The cosmetic surgery and treatments industry growth are considerable, but it is not at all surprising. It reflects their healthy and robust economy where many people can afford to invest in themselves, and many people perceive aesthetic enhancements and procedures as essential. The 2017 BAAPS UK figures showed a slight decline in surgery but did not examine the non-surgical treatments in their report. In the US non-surgical cosmetic procedures started in 1997 below that of surgery.
In the USA since 1997 surgical procedures had only just doubled by 2015 whereas non-surgical cosmetic procedures have increased more than tenfold over the period 1997 to 2015 from 740,751 to 10879909 in 2015. This shows a trend that we are visualising here in Europe and the UK as well.
In the USA there were significant increases between 2014 and 2015 for non-surgical skin tightening which was up by 58%. This includes peels and treatment modalities such as Ultherapy which is FDA approved for lifting face, neck, and décolletage.
The USA report also included buttock lifts up 32% and male breast reduction up 26% in one year.
As an oculoplastic surgeon, I am specifically interested in their eyelid surgery statistics which has remained remarkably stable since 1997. In 1997 they recorded 159,232 eyelid operations whereas in 2015 this was increased slightly to 169,708 procedures. This overall increase is only 6.6%, but the increase between 2014 and 2015 formed 2.4%. I will be fascinated to see the USA cosmetic surgery statistics for 2016 when they become available.


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