11.5 Million Cosmetic Procedures in 2006

American Society for Aesthetic Plastic Surgery reports slight increase from 2005

NEW YORK, NY (March 09, 2007) — Nearly 11.5 million cosmetic surgical and nonsurgical procedures were performed in the United States in 2006, according to statistics released today by the American Society for Aesthetic Plastic Surgery (ASAPS). Compared to 2005, cosmetic surgical and nonsurgical increased 1 percent. The Aesthetic Society, which has been collecting multi-specialty procedural statistics since 1997 says the overall number of cosmetic procedures has increased 446 percent since the collection of the statistics first began. The most frequently performed procedure was Botox injections and the most popular surgical procedure was liposuction.

“The FDA approval of silicone breast implants in late 2006 seems to have made an impact, as silicone implants are up 18 percent from 2005.  For the first time breast augmentation is the top surgical procedure for women, although lipoplasty continues to be the top overall surgical procedure as it has been since the Aesthetic Society started collecting nationwide procedural statistics in 1997,” said Aesthetic Society president James Stuzin, MD.   “Furthermore, as the safety and efficacy of the nonsurgical procedures on the market continue to improve the numbers of those procedures performed by board-certified plastic surgeons continues to rise year after year.”


Top surgical and nonsurgical cosmetic procedures among men and women in 2006:
Surgical # procedures Nonsurgical  # procedures
Liposuction 403,684 Botox 3,181,592
Breast augmentation 383,886 Hyaluronic Acid
(Hylaform, Restylane)
Eyelid surgery 209,999 Laser Hair Removal  1,475,296   
Abdominoplasty 172,457 Microdermabrasion 993,071
 Female breast reduction 169,314 Laser Skin Resurfacing 556,172


Top cosmetic procedures for WOMEN:
Surgical # procedures   Nonsurgical # procedures
Breast augmentation 383,885  Botox 2,881,119
Lipoplasty 350,420 Hyaluronic Acid 
(Hylaform, Restylane)
Eyelid surgery 182,397  Laser Hair Removal 1,308,739
Abdominoplasty 164,800 Microdermabrasion 921,970
Breast Reduction 145,822  Sclerotherapy  541,291

Women had 92 percent of cosmetic procedures.  The number of procedures (surgical and nonsurgical) performed on women was over 10.5 million, an increase of 1 percent from the previous year.  Surgical procedures decreased 9 percent; nonsurgical procedures increased 4 percentSince 1997, surgical procedures increased 123 percent, while nonsurgical procedures have increased 749 percent.

Top cosmetic procedures for MEN:
Surgical # procedures Nonsurgical # procedures
Liposuction 53,263 Botox injection 300,472
Rhinoplasty 33,143 Laser hair removal 166,557
Eyelid surgery   27,602 Hyaluronic Acid
 (Hylaform, Restylane)
Male breast reduction 23,670  Microdermabrasion  71,102
Facelift 14,051 Laser Skin Resurfacing 48,451

Men had 8 percent of cosmetic procedures.  The number of procedures (surgical and nonsurgical) performed on men was nearly 1 million, a decrease of 5 percent from the previous year. Surgical procedures decreased 9 percent; nonsurgical procedures decreased 3 percent.  Since 1997, surgical procedures have decreased 2%, while nonsurgical procedures have increased 722 percent.

Frequency of cosmetic procedures by AGE GROUP:
% of total Age # procedures  Top surgical procedure  Top nonsurgical procedure
47% 35-50 4.5 million Liposuction Botox
26%  51-64 2.9 million Eyelid Surgery Botox
20% 19-34 2.5 million Breast Augmentation Laser Hair Removal
5% 65 and over 589,229 Eyelid Surgery Botox
1% 18 and under 178,041  Rhinoplasty  Laser Hair Removal 

Racial and Ethnic Distribution
Racial and ethnic minorities accounted for 21.7 percent of all cosmetic procedures in 2006.  Hispanics again led minority racial and ethnic groups in the number of procedures: Hispanics, 9.7 percent; African-Americans, 6.6 percent; Asians, 4.7 percent; and other non-Caucasians, 0.8 percent.

Location and Fees
46 percent of cosmetic procedures in 2006 were performed in office-based facilities; 28.9 percent in freestanding surgicenters; and 24.8 percent in hospitals. Americans spent just under $12.2 billion on cosmetic procedures; $7.6 billion was for surgical procedures, and $4.5 billion was for nonsurgical procedures.

About the ASAPS Cosmetic Surgery National Data Bank
ASAPS, working with an independent research firm, compiled 10-year national data for procedures performed 1997-2006 by multiple specialists, including but not limited to plastic surgeons certified by the American Board of Plastic Surgery.  More than 14,000 questionnaires were mailed nationwide, and results of the survey were used to project national data. The survey data has a standard error of +/- 3.14 percent at a 95 percent level of confidence.

View 2006 ASAPS Statistics




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 nonsurgical 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.


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