Statistics. The American Society for Aesthetic Plastic Surgery. Cosmetic Surgery National Data Bank

Transcription

1 Statistics The American Society for Aesthetic Plastic Surgery Cosmetic Surgery National Data Bank The Authoritative Source for Current U.S. Statistics on Cosmetic Surgery Expanded Data for : -year Comparisons, 9 Cosmetic Procedures Multi-specialty Data

2 Table Of Contents Introduction to ASAPS Statistics Cosmetic Surgery Trends (Graphs) Statistics Quick Facts Top Procedures (Graphs) National Totals (Table) Percent of Change (Graph) Percent of Change: 997- (Table) Top Procedures by Gender (Graphs) Gender Distribution (Table) Age Distribution (Table) National Average Fees (Table) General Information (Graphs) ASAPS Member Profile (Table) Procedure Quick Facts Consumer Attitudes Survey ASAPS Spokesperson Network Experts on all types of cosmetic procedures, both surgical and nonsurgical, are available for interviews and information ASAPS spokespersons are geographically diverse Media Center at Downloadable statistics and full-color graphs ASAPS Procedure Quick Facts (downloadable procedures at a glance ) Frequent postings of new information, news releases and position statements Automatic notification of new postings available on request (contact media@surgery.org) Other Resources for the Media Before-and-after patient photos Video B-roll and news packages Consumer tips Invited media attendance at ASAPS scientific meetings Media briefings and special events Contact at.9., or media@surgery.org for prompt assistance.

3 About ASAPS The American Society for Aesthetic Plastic Surgery (ASAPS) was founded in 97, when cosmetic surgery was only beginning to be recognized as an important subspecialty of plastic surgery. Since then, education and research in cosmetic surgery have been the focus of ASAPS mission, enabling its members to pioneer major advances in the field. ASAPS membership in the United States is restricted to American Board of Plastic Surgery certified surgeons who meet additional requirements for clinical experience and continuing education in cosmetic surgery. However, ASAPS recognizes the contributions of physicians and surgeons in multiple specialties when compiling its national statistics on cosmetic surgery. ASAPS appreciates the support of these specialists in providing accurate data on the number of cosmetic procedures they perform each year. About ASAPS Statistics: The Cosmetic Surgery National Data Bank The Cosmetic Surgery National Data Bank, sponsored by the American Society for Aesthetic Plastic Surgery (ASAPS), is the most comprehensive collection of data available on the number of surgical and nonsurgical cosmetic procedures performed in the United States. ASAPS is the only organization providing -year multi-specialty data on the 9 top cosmetic procedures. To collect the data, more than, surveys were sent to board-certified physicians and surgeons in the following specialties: Plastic Surgery, Otolaryngology, and Dermatology. Survey results were used to project national totals for the approximately, U.S. medical specialists most likely to perform several or more cosmetic procedures. The survey portion of this research has a standard error of +/-. percent at a 9 percent level of confidence. PLEASE CREDIT THE AMERICAN SOCIETY FOR AESTHETIC PLASTIC SURGERY WHEN CITING STATISTICAL DATA. Phone.9. Fax.9.

4 Number of Procedures Cosmetic Surgery Trends Surgical and Nonsurgical Cosmetic Procedures: Totals,99,7 997,77,9 99,,9,7,,7,,9,,,99 999,, Surgical Cosmetic Procedures 97,99,9,9,9, Nonsurgical Cosmetic Procedures,,77,,9 9,7,9 Phone.9. Fax.9.

5 Quick Facts: Highlights of the ASAPS Statistics on Cosmetic Surgery There were nearly.9 million surgical and nonsurgical cosmetic procedures performed in, according to the most comprehensive survey to date of U.S. physicians and surgeons by the American Society for Aesthetic Plastic Surgery (ASAPS). Surgical procedures represented percent of the total, and nonsurgical procedures were percent of the total. From -, there was a percent increase in the total number of cosmetic procedures. Surgical procedures increased by 7 percent, and nonsurgical procedures increased by percent. Since 997, there has been a percent increase in the total number of cosmetic procedures. Surgical procedures increased by percent, and nonsurgical procedures increased by 7 percent. The top five surgical cosmetic procedures in were: liposuction (7,, up percent from ); breast augmentation (,, up 9 percent); eyelid surgery (9,, up percent); rhinoplasty (,7, down percent); and facelift (7,, up percent). The top five nonsurgical cosmetic procedures in were: Botox injection (,7,, up percent from ); laser hair removal (,,99, up percent); chemical peel (,,, up percent); microdermabrasion (,9,, up percent); and hyaluronic acid (Hylaform, Restylane) (,9, up 9 percent). Women had nearly.7 million cosmetic procedures, 9 percent of the total. The number of cosmetic procedures for women increased 9 percent from. The top five surgical procedures for women were: liposuction, breast augmentation, eyelid surgery, tummy tuck and facelift. Men had nearly. million cosmetic procedures, percent of the total. The number of cosmetic procedures for men increased percent from. The top five surgical procedures for men were: liposuction, eyelid surgery, rhinoplasty, male breast reduction and hair transplantation. People age - had the most procedures. million and percent of the total. People age - had percent of procedures; age 9- had percent; age -and-over had percent; and age -and-younger had percent. The most common procedures for age -and-under were: laser hair removal, chemical peel, microdermabrasion, rhinoplasty, and laser skin resurfacing. Racial and ethnic minorities had percent of all cosmetic procedures. Hispanics,. percent; African-Americans,. percent; Asians,. percent; and other non-caucasians,. percent. Where cosmetic surgeries were performed: office facility, percent; free-standing surgicenter, 9 percent; and hospital, percent. Americans spent just under $. billion on cosmetic procedures in. Figures may not add exactly to totals and percentages may not equal % due to rounding. Phone.9. Fax.9.

6 Top Surgical Cosmetic Procedures in Liposuction (lipoplasty) Breast augmentation Eyelid surgery (blepharoplasty) Rhinoplasty Facelift 7,, 9,,7 7, Top Nonsurgical Cosmetic Procedures in Botox,7, Laser hair removal,,99 Chemical peel Microdermabrasion,,,9, Hyaluronic acid (Hylaform, Restylane),9 Phone.9. Fax.9.

7 National Totals for Cosmetic Procedures Surgical Procedures Abdominoplasty (tummy tuck) Blepharoplasty (cosmetic eyelid surgery) Breast augmentation Breast lift Breast nipple enlargement (cosmetic only) Breast nipple reduction (not with breast reduction) Breast reduction (women)* Buttock augmentation Buttock lift Calf augmentation Cheek implants Chin augmentation Facelift Forehead lift Gynecomastia, treatment of (male breast reduction) Hair transplantation Lip augmentation (other than injectable materials) Lipoplasty (liposuction)** Lower body lift Otoplasty (cosmetic ear surgery) Pectoral (male chest) augmentation Rhinoplasty (nose reshaping) Thigh lift Umbilicoplasty (not with abdominoplasty) Upper arm lift Nonsurgical Procedures Botox injection Cellulite treatment (mechanical roller massage therapy) Chemical peel Dermabrasion (not including microdermabrasion) Laser hair removal Laser skin resurfacing *** Laser treatment of leg veins Microdermabrasion Sclerotherapy Soft tissue fillers: ) Autologous fat ) Calcium hydroxylapatite (Radiesse/Radiance) ) Collagen**** ) Hyaluronic acid (Hylaform, Restylane) ) Polyactate (New-Fill/Sculptra) Number of Procedures,97 9,, 9, 77,7,7,,9,,9 7, 9, 9,,9, 7,,9, 79,7,, 7,,7,,7,,,,,99 9,7 7,,9, 7,97 99,9 9,7 7,,9, A C B D E Percent of Total.%.%.%.%.%.%.%.%.%.%.%.%.%.%.%.%.%.%.%.9%.7% 9.%.%.9%.%.% 9.%.%.%.%.% 7.%.% Overall Rank Category Rank The top surgical procedures are indicated in bold superscript numbers in the column headed Number of Procedures, while the top nonsurgical procedures are indicated by bold superscript letters. For all procedures, overall rank (surgical and nonsurgical categories combined) and rank within category (surgical vs. nonsurgical) are provided in separate columns. *Breast reduction may be covered by insurance, depending on terms of the policy and individual patient factors. **.% of these procedures were ultrasound-assisted lipoplasty (UAL). ***.% of these procedures were performed with ablative lasers and.9% were performed with nonablative lasers. ****.% of these procedures used bovine-derived collagen products and.% used human-derived collagen products. Final figures are projected to reflect nationwide statistics and are based on a survey of doctors who have been certified by American Board of Medical Specialties recognized boards, including but not limited to the American Board of Plastic Surgery. The survey portion of this research has a standard error of +/-.% at a 9% level of confidence. Figures for procedures include but are not limited to those performed by ASAPS members in the U.S. ASAPS members are plastic surgeons certified by the American Board of Plastic Surgery who specialize in cosmetic surgery of the face and the entire body. Component figures may not add exactly to totals and percentages may not equal % due to rounding. In no cases are the sums of component figures off by more than.% from the national total number of procedures. Totals - Surgical Procedures Totals - Nonsurgical Procedures Totals - All Procedures,9,9 9,7,9,, 7.9%.% Phone.9. Fax.9.

8 Surgical and Nonsurgical Cosmetic Procedures: -year Comparison, 997- Liposuction (lipoplasty) 7, 7, Breast augmentation Eyelid surgery (blepharoplasty),7 9,, 9, Botox,7,7, Chemical peel,7,, Laser skin resurfacing, 9,7 997 Notes from the Percent of Change in Select Procedures table, opposite *Breast reduction may be covered by insurance, depending on terms of the policy and individual patient factors. D=Does not apply =Not available (was not asked in prior survey) Final figures are projected to reflect nationwide statistics and are based on a survey of doctors who have been certified by American Board of Medical Specialties recognized boards, including but not limited to the American Board of Plastic Surgery. The survey portion of this research has a standard error of +/-.% at a 9% level of confidence. Figures for procedures include but are not limited to those performed by ASAPS members in the U.S. ASAPS members are plastic surgeons certified by the American Board of Plastic Surgery who specialize in cosmetic surgery of the face and the entire body. Component figures may not add exactly to totals and percentages may not equal % due to rounding. In no cases are the sums of component figures off by more than.% from the national total number of procedures. Phone.9. Fax.9.

9 Percent of Change in Select Procedures:997- Surgical Procedures Abdominoplasty (tummy tuck) Blepharoplasty (cosmetic eyelid surgery) Breast augmentation Breast lift Breast nipple enlargement (cosmetic only) Breast nipple reduction (not with breast reduction) Breast reduction (women)* Buttock augmentation Buttock lift Calf augmentation Cheek implants Chin augmentation Facelift Forehead lift Gynecomastia, treatment of (male breast reduction) Hair transplantation Lip augmentation (other than injectable materials) Lipoplasty (liposuction) Lower body lift Otoplasty (cosmetic ear surgery) Pectoral (male chest) augmentation Rhinoplasty (nose reshaping) Thigh lift Umbilicoplasty (not with abdominoplasty) Upper arm lift Nonsurgical Procedures,97 9,, 9, 77,7,7,,9,,9 7, 9, 9,,9, 7,,9, 79,7,, 7, 7,9 7,7, 7,9 9,9 7,7,,,7,7 7,999, 7,9,9,,,,9 7,,7 7,,,,9, 9,,7 9, 7,7,9, 7,7 99,9,9,, 7,,,99 7,,9, vs +% +% +9% +% +9% +9% -% -% +7% -% +% +% +% +% -% +% +% +% +% -% -9% -% +% +7% +%. Note that large percentage changes are common in cases where the total number of procedures is small. 997 Female Male 997 vs Female Male +9% +% +9% +% +% +9% -% -% +% -7% +% +% +% +% D +9% +% +9% +7% +% D +7% +9% +% +7% +% -9% D D +7% D -9% +% -% +7% +% -% -9% -% +% +% +% -% -% -9% -7% +% +% +% +% +% +% +9% +% +% -% +7% +% +7% +7% -% +7% +% +% +% +% +7% = +% +% +% +9% +% +% +% +9% +% +79% D -% +% +% +% D +7% +9% +% +% +7% D D D +9% -9% +% +% +% +7% -% +% +9% +7% -% +9% +977% Botox injection Cellulite treatment (mechanical roller massage therapy) Chemical peel Dermabrasion (not including microdermabrasion) Laser hair removal Laser skin resurfacing Laser treatment of leg veins Microdermabrasion Sclerotherapy Soft tissue fillers: ) Autologous fat ) Calcium hydroxylapatite (Radiesse/Radiance) ) Collagen ) Hyaluronic acid (Hylaform, Restylane) ) Polyactate (New-Fill/Sculptra),7,,7,,,,,99 9,7 7,,9, 7,97 99,9 9,7 7,,9,,7, 7,99 7, 7, 9, 7,7 7,,, 9,,9,7,,7,7,,,9 7, +% +9% +% +% +% +% +% +% +% +% +9% +7% +9% +7% +% +% +% +9% +% +% +% +7% +7% +% +9% +% +% +% +% +7% +% +7% +9% +9% +% -% +% +77% -% +% +7% +% -% -% +7% -% +7% -% +% +% +% +% +% +% +% +% +% +% +7% +% +% +% +% +% +7% +% +% +7% -% +% +% +% Totals - Surgical Procedures Totals - Nonsurgical Procedures Totals All Procedures Totals For Procedures Reported In Both And Totals For Procedures Reported In Both 997 And,9,9 9,7,9,,,, 7,,7,9,,,9,,99,,99 97,99,,77,99,7,99,7 +% +% +79% +9% +7% +9% +9% +% +79% Phone.9. Fax.9. 7

10 Top Cosmetic Surgeries for Women in Liposuction, Breast augmentation, Eyelid surgery 9,9 Tummy Tuck Facelift,, Top Cosmetic Surgeries for Men in Liposuction Eyelid surgery Rhinoplasty Male breast reduction Hair transplantation,,,99 9, 9, Notes from the Gender Distribution for Cosmetic Procedures table, opposite Columns for Female and Male indicate number of procedures in each gender category. The rankings of procedures overall (surgical and nonsurgical categories combined) are indicated in the column Overall Rank. The rankings of procedures within their surgical and nonsurgical categories are indicated in the column Rank within Category. *Breast reduction may be covered by insurance, depending on terms of the policy and individual patient factors. D=Does not apply Final figures are projected to reflect nationwide statistics and are based on a survey of doctors who have been certified by American Board of Medical Specialties recognized boards, including but not limited to the American Board of Plastic Surgery. The survey portion of this research has a standard error of +/-.% at a 9% level of confidence. Figures for procedures include but are not limited to those performed by ASAPS members in the U.S. ASAPS members are plastic surgeons certified by the American Board of Plastic Surgery who specialize in cosmetic surgery of the face and the entire body. Component figures may not add exactly to totals and percentages may not equal % due to rounding. In no cases are the sums of component figures off by more than.% from the national total number of procedures. Phone.9. Fax.9.

11 Gender Distribution for Cosmetic Procedures Surgical Procedures Abdominoplasty (tummy tuck) Blepharoplasty (cosmetic eyelid surgery) Breast augmentation Breast lift Breast nipple enlargement (cosmetic only) Breast nipple reduction (not with breast reduction) Breast reduction (women)* Buttock augmentation Buttock lift Calf augmentation Cheek implants Chin augmentation Facelift Forehead lift Gynecomastia, treatment of (male breast reduction) Hair transplantation Lip augmentation (other than injectable materials) Lipoplasty (liposuction) Lower body lift Otoplasty (cosmetic ear surgery) Pectoral (male chest) augmentation Rhinoplasty (nose reshaping) Thigh lift Umbilicoplasty (not with abdominoplasty) Upper arm lift Nonsurgical Procedures Female, 9,9, 9, 7,,7,, 99,7,, 7, D,,,,7,79 D 7,9,77,, % of Total for This Procedure 9.%.9% 99.% 9.% 97.% 9.%.9%.% 7.% 9.% 9.% D.% 9.% 7.%.% 9.7% D 7.% 9.% 9.% 9.% Overall Rank D 9 7 D Category Rank 7 9 D 9 D 7 Male,7, D D D 7, 7,9,, 9, 9, 99,,7, 79,99 7 % of Total for This Procedure.%.% D D.7% 9.% D.7%.7%.%.%.% 7.%.%.%.%.9%.%.%.%.%.%.9% Overall Rank D D D 9 9 Category Rank D D D Botox injection Cellulite treatment (mechanical roller massage therapy) Chemical peel Dermabrasion (not including microdermabrasion) Laser hair removal Laser skin resurfacing Laser treatment of leg veins Microdermabrasion Sclerotherapy Soft tissue fillers: ) Autologous fat ) Calcium hydroxylapatite (Radiesse/Radiance) ) Collagen ) Hyaluronic acid (Hylaform, Restylane) ) Polyactate (New-Fill/Sculptra),,,9 977,77,,,,9 97,7 999,9 79,9 9,, 7,,97 9.% 99.%.%.%.%.% 9.% 9.% 9.% 9.% 9.9% 9.9% 9.% ,9 77,, 9,7 9,7 9, 99,,7,9,7,,,.%.9%.%.%.9%.%.7% 9.%.%.9%.%.%.9% Totals - Surgical Procedures Totals - Nonsurgical Procedures Totals All Procedures,7,7,79,,,79 7.7%.% 9.%,7 9,9,7, 9.% 79.% 9.9% Phone.9. Fax.9. 9

12 Age Distribution for Cosmetic Procedures Surgical Procedures Abdominoplasty (tummy tuck) Blepharoplasty (cosmetic eyelid surgery) Breast augmentation Breast lift Breast nipple enlargement (cosmetic only) Breast nipple reduction (not with breast reduction) Breast reduction (women)* Buttock augmentation Buttock lift Calf augmentation Cheek implants Chin augmentation Facelift Forehead lift Gynecomastia, treatment of (male breast reduction) Hair transplantation Lip augmentation (other than injectable materials) Lipoplasty (liposuction) Lower body lift Otoplasty (cosmetic ear surgery) Pectoral (male chest) augmentation Rhinoplasty (nose reshaping) Thigh lift Umbilicoplasty (not with abdominoplasty) Upper arm lift Nonsurgical Procedures Botox injection Cellulite treatment (mechanical roller massage therapy) Chemical peel Dermabrasion (not including microdermabrasion) Laser hair removal Laser skin resurfacing Laser treatment of leg veins Microdermabrasion Sclerotherapy Soft tissue fillers: ) Autologous fat ) Calcium hydroxylapatite (Radiesse/Radiance) ) Collagen ) Hyaluronic acid (Hylaform, Restylane) ) Polyactate (New-Fill/Sculptra) Totals - Surgical Procedures Totals - Nonsurgical Procedures Totals All Procedures and Under,9,, ,9,7,9 7,,7,9 7,99,,,9 7 9,, 9,, % of Total.%.%.%.%.%.%.%.7%.7%.%.%.%.%.%.9%.7%.%.7%.%.%.%.%.%.9%.%.%.%.%.%.%.%.%.%.% Phone.9. Fax.9. 9-,9 9, 7,,,7 9,7,,,97,97,9,,,777, 7,7,77,,9,99,9,99 7,, 9, 9,9,99,79 7,7, 99,,79 9, 77,,779,9,97,,,7 % of Total.%.%.%.% 7.%.%.9%.%.9%.% 9.%.7%.%.%.% 7.%.7%.%.%.%.%.%.%.%.% 9.%.%.9% 7.%.%.%.%.%.% 9.%.%.%.%.% -,7,9, 7,9 7, 9, 77,,,7, 7,9,77,,,7 9,,77,9 7,7 9,,,, 9,,97,,9,,,77,,,79,,99,,9,99,9,7 % of Total.% 9.% 9.%.% 9.%.%.%.%.7% 7.% 7.%.7% 7.% 9.%.% 7.9%.%.%.%.%.% 9.% 7.%.%.%.%.%.7%.% 9.% 9.%.%.9%.7%.%.%.% 7.%.%.%.7% -,7,,, 9 7 7,,7 9,, 9,,,,,99 9,,9,9,7,7 9, 7,,7,, 7, 9,9,,,, 9,9,9 7,,,9,9,97,9,7 % of Total.%.9%.%.%.7%.%.%.%.%.% 9.% 9.% 7.%.% 7.%.%.%.% 9.%.%.% 7.%.%.%.%.9% 7.7% 9.9%.%.7%.%.% 9.7%.%.% 7.9%.7%.%.%.%.% +,,9, 9,9 7, 9, ,79,7 99,9,77,,77,,,,9,7 7,, 7,7,7 7,7 7,9 79,7 % of Total.7%.7%.%.9%.%.%.%.7%.%.%.%.%.%.%.%.%.9%.%.%.%.7%.%.9%.%.7% 9.%.%.%.% 7.%.% 9.% 7.%.7%.9%.% Columns for each age category indicate number of procedures performed. The column for Percent of Total indicates percent of the total for that specific procedure. The top procedures in each age category are indicated with superscript numbers. The rankings for surgical and nonsurgical cosmetic procedures are not differentiated in this listing. *Breast reduction may be covered by insurance, depending on terms of the policy and individual patient factors. Final figures are projected to reflect nationwide statistics and are based on a survey of doctors who have been certified by American Board of Medical Specialties recognized boards, including but not limited to the American Board of Plastic Surgery. The survey portion of this research has a standard error of +/-.% at a 9% level of confidence. Figures for procedures include but are not limited to those performed by ASAPS members in the U.S. ASAPS members are plastic surgeons certified by the American Board of Plastic Surgery who specialize in cosmetic surgery of the face and the entire body. Component figures may not add exactly to totals and percentages may not equal % due to rounding. In no cases are the sums of component figures off by more than.% from the national total number of procedures.

13 National Average for Physician/ Surgeon Fees Per Procedure Surgical Procedures Abdominoplasty (tummy tuck) Blepharoplasty (cosmetic eyelid surgery) Breast augmentation Breast lift Breast nipple enlargement (cosmetic only) Breast nipple reduction (not with breast reduction) Breast reduction (women)* Buttock augmentation Buttock lift Calf augmentation Cheek implants Chin augmentation Facelift Forehead lift Gynecomastia, treatment of (male breast reduction) Hair transplantation Lip augmentation (other than injectable materials) Lipoplasty (liposuction)* Lower body lift Otoplasty (cosmetic ear surgery) Pectoral (male chest) augmentation Rhinoplasty (nose reshaping) Thigh lift Umbilicoplasty (not with abdominoplasty) Upper arm lift Nonsurgical Procedures Botox injection Cellulite treatment (mechanical roller massage therapy) Chemical peel Dermabrasion (not including microdermabrasion) Laser hair removal Laser skin resurfacing - Ablative Laser skin resurfacing - Nonablative Laser treatment of leg veins Microdermabrasion Sclerotherapy Soft tissue fillers: ) Autologous fat ) Calcium hydroxylapatite (Radiesse/Radiance) ) Collagen*** ) Hyaluronic acid (Hylaform, Restylane) ) Polyactate (New-Fill/Sculptra) Totals - Surgical Procedures Totals - Nonsurgical Procedures Totals All Procedures National Average $,97 $, $,7 $, $, $, $, $,9 $,7 $, $,9 $, $,9 $, $, $,9 $,7 $,7 $7, $,9 $, $,7 $,7 $, $,7 $7 $ $7 $,9 $ $, $, $ $ $7 $, $,9 $9 $ $9 Total Expenditures $7,9, $77,,7 $,,97, $9,,79 $,, $,, $79,9,77 $,,77 $,, $7, $9,, $,, $97,,79 $,9,9 $,9,7 $,, $,, $,9,9, $,9, $7,, $,7, $7,9, $,, $,, $,9,7 $,9,7, $,77, $7,7, $,7, $,,7 $7,79,7 $,7, $,9,9 $,,77 $,9,77 $9,,7 $7,,7 $,, $7,97, $7,77, $7,79,, $,7,9,9 $,,, Source: American Society for Aesthetic Plastic Surgery Individual physician/surgeon fees within regions may vary depending on whether the practice is in an urban, suburban or rural area. Figures are for physician/surgeon fees only and do not include fees for the surgical facility, anesthesia, medical tests, prescriptions, surgical garments, or other miscellaneous costs related to surgery. Figures for procedures often performed on more than one site in the same session reflect typical fees for one site. *Breast reduction may be covered by insurance, depending on terms of the policy and individual patient factors. Fees may vary. **.% of these procedures were ultrasound-assisted lipoplasty (UAL). ***.% of these procedures used human-derived collagen products; cost may be higher. The figures are based on a survey of doctors who have been certified by American Board of Medical Specialties recognized boards, including but not limited to the American Board of Plastic Surgery. The survey portion of this research has a standard error of +/-.% at a 9% level of confidence. Figures for procedures include but are not limited to those performed by ASAPS members in the U.S. ASAPS members are plastic surgeons certified by the American Board of Plastic Surgery who specialize in cosmetic surgery of the face and the entire body. Percentage Difference Between Regional Fees and National Average Phone.9. Fax.9. -% -% -% Region Region Region Region Region The regional breakdowns used in the above table are as follows: +% +% Region New England & Middle Atlantic (CT, ME, MA, NH, NJ, NY, PA, RI, VT) Region NE Central & NW Central (IA, IL, IN, KS, MI, MN, MO, NE, ND, OH, SD, WI) Region S Atlantic (DE, DC, FL, GA, MD, NC, SC, VA, WV) Region SE Central & SW Central (AL, AR, KY, LA, MS, OK, TN, TX) Region Mountain & Pacific (AK, AZ, CA, CO, HI, ID, MT, NV, NM, OR, UT, WA, WY)

14 Breast Augmentation Procedures Performed in Women and Under* According to Reason for Surgery % % % % 7% % Cosmetic bilateral breast augmentation** Severe asymmetry Tubular breast deformity Poland's syndrome (congenital absent breast) Congenital micromastia (severe underdevelopment) Other Percent of Total Procedures According to Type of Facility % 9% % Office Facility Free-standing Surgicenter Hospital Percent of Total Procedures According to Race/Ethnicity.%.%.%.% Hispanics African-Americans People of Asian descent Other Non-Caucasians Total (rounded) = % *In, there were, procedures performed on women and under, just over percent of the total number of breast augmentations. Only one-half of percent of the total number of breast augmentation procedures were performed on women and under for purely cosmetic bilateral breast enlargement. **The FDA recommends that cosmetic breast augmentation be restricted to women age and above. Phone.9. Fax.9.

15 ASAPS Member Practice Profile Surgical Procedures Abdominoplasty (tummy tuck) Blepharoplasty (cosmetic eyelid surgery) Breast augmentation Breast lift Breast nipple enlargement (cosmetic only) Breast nipple reduction (not with breast reduction) Breast reduction (women)* Buttock augmentation Buttock lift Calf augmentation Cheek implants Chin augmentation Facelift Forehead lift Gynecomastia, treatment of (male breast reduction) Hair transplantation Lip augmentation (other than injectable materials) Lipoplasty (liposuction) Lower body lift Otoplasty (cosmetic ear surgery) Pectoral (male chest) augmentation Rhinoplasty (nose reshaping) Thigh lift Umbilicoplasty (not with abdominoplasty) Upper arm lift Nonsurgical Procedures Botox injection Cellulite treatment (mechanical roller massage therapy) Chemical peel Dermabrasion (not including microdermabrasion) Laser hair removal Laser skin resurfacing Laser treatment of leg veins Microdermabrasion Sclerotherapy Soft tissue fillers: ) Autologous fat ) Calcium hydroxylapatite (Radiesse/Radiance) ) Collagen ) Hyaluronic acid (Hylaform, Restylane) ) Polyactate (New-Fill/Sculptra) Totals - Surgical Procedures Totals - Nonsurgical Procedures Totals All Procedures Average Procedures per ASAPS Member A E C B D The top five procedures in each category are indicated and are numbered through for surgical procedures and A through E for nonsurgical procedures. Active Members of the American Society for Aesthetic Plastic Surgery (ASAPS) are certified by the American Board of Plastic Surgery (in Canada, the Royal College of Physicians and Surgeons of Canada) and specialize in cosmetic surgery of the face and body. Only ASAPS members practicing in the U.S. are included in the national statistics (along with other U.S. plastic surgeons, otolaryngologists and dermatologists). ASAPS surgeons are elected to membership following documentation of their clinical experience in cosmetic plastic surgery, fulfillment of specified Continuing Medical Education (CME) requirements in cosmetic surgery, and review of their professional reputation. ASAPS members are required to operate only in accredited, state-licensed or Medicare-certified facilities. Among physicians from multiple specialties, ASAPS members performed the highest average number of surgical cosmetic procedures per doctor in. The survey portion of this research has a standard error of +/-.% at a 9% level of confidence. Phone.9. Fax.9.

16 *National average; surgeon fees are based on ASAPS statistics. Fees vary considerably by geographic region and population density. Facility fees, anesthesia and other surgical costs not included. **With any procedure, a revision or touch-up may sometimes be necessary. ***Human-derived products may cost more. Phone.9. Fax.9.

17 ASAPS Procedure Quick Facts (continued) Nonsurgical Procedures Best Candidate Fees* Length of Procedure Number of Treatments Results** Back to Work Botox Injection Forehead, frown lines, crow s-feet and vertical neck bands $7 mins Repeat treatments - months Temporary No downtime Cellulite treatment (mechanical roller massage therapy) Chemical peel (ranges from light to deep) Dimpled thighs and buttocks Sun-damaged or unevenly pigmented skin $ $7 Ongoing One or multiple Temporary Long-lasting No downtime Depends on Depends on type of peel type of peel Dermabrasion (not including microdermabrasion) Laser hair removal Laser skin resurfacing: ablative Laser skin resurfacing: nonablative Laser treatment of leg veins Microdermabrasion Sclerotherapy Soft Tissue Fillers: ) Autologous Fat ) Calcium hydroxylapatite (Radiesse/Radiance) ) Collagen*** ) Hyaluronic acid (Hylaform, Restylane) ) Polyactate (New-Fill/Sculptra) Acne, wrinkles around mouth, sun-damaged skin Unwanted hair on face or body Fair, healthy, non-oily skin, fine wrinkles Fair to medium skin color, sun damage, red blood vessels, spider veins, sallow skin Very small spider veins Fine lines, crow s-feet, age spots, acne scars Spider veins Nasolabial folds, lips, frown lines, and facial recontouring Nasolabial folds, frown lines, crow s feet, and lips Frown lines, crow s feet, nasolabial folds Nasolabial folds, forehead wrinkles, smile lines, and lips FDA-approved for treatment of facial wasting in HIV patients $,9 $ $, $, $ $ $7 $, $,9 $9 $ $9 - mins mins - hrs Depends on type of peel Few mins - hrs Depends on area Few mins -. hrs Less than hour mins - hour mins - hour mins - hour hour depending on the sites Less than hour Less than hour Less than hour Less than hour Multiple sessions Multiple sessions One or multiple depending on depth of imperfection - sessions every weeks Multiple sessions Multiple sessions - week intervals - treatments Injections Highly variable, repeat treatments Repeat treatments years or longer Repeat treatments - months Repeat treatments months- year Highly variable, repeat treatments Long-lasting Ongoing Long-lasting Temporary Permanent Temporary Permanent Temporary Temporary Temporary Temporary Up to years 7- days No downtime 7- days No downtime No downtime No downtime No downtime Minor - days, Major 7- days No downtime No downtime No downtime No downtime *National average; surgeon fees are based on ASAPS statistics. Fees vary considerably by geographic region and population density. Facility fees, anesthesia and other surgical costs not included. **With any procedure, a revision or touch-up may sometimes be necessary. ***Human-derived products may cost more. Phone.9. Fax.9.

18 Quick Facts: Consumer Attitudes Survey Data from February Consumer Survey of American Households Americans general approval of cosmetic surgery % of women say they approve of cosmetic surgery 9% of men say they approve of cosmetic surgery Would not be embarrassed about having cosmetic surgery % of women say that, if they had cosmetic surgery in the future, they would not be embarrassed if people outside their immediate family and close friends knew about it 79% of men would not be embarrassed Attitude toward cosmetic surgery compared to years ago (women) % More favorable 7% Same % Less favorable Attitude toward cosmetic surgery compared to years ago (men) 9% More favorable 7% Same % Less favorable Would consider cosmetic surgery for self, now or in the future % of women % of men Would consider cosmetic surgery for self, now or in the future, by age (includes both men and women) % of Americans age or older % of -to- year olds % of -to- year olds % of -to- year olds % of -to- year olds % of -to- year olds Would consider cosmetic surgery for self, now or in the future, by marital status (includes both men and women) 7% of married Americans % of unmarried Americans Would consider cosmetic surgery for self, now or in the future, by race/ethnicity (includes both men and women) % of white Americans % of non-white Americans Would consider cosmetic surgery for self, now or in the future, by child in household (includes both men and women) % of Americans with child in household % of Americans with no child in household Would consider cosmetic surgery for self, now or in the future, by household income (includes both men and women) % Under $, % $,-$, 7% $,-$7, % $7,+ Figures may not add exactly to totals and percentages may not equal % due to rounding. Phone.9. Fax.9.

19 ASAPS Quick Facts The American Society for Aesthetic Plastic Surgery (ASAPS) Founded in 97 Primary mission: education and research in cosmetic plastic surgery members, mostly in the U.S. and Canada International members in countries U.S. members are plastic surgeons certified by the American Board of Plastic Surgery (in Canada, by the Royal College of Physicians and Surgeons of Canada) and specializing in cosmetic surgery of the face and body Sponsor of accredited cosmetic surgery Continuing Medical Education (CME) for qualified plastic surgeons since 97 Sponsor of the Cosmetic Surgery National Data Bank since 997 Peer-reviewed publication: Aesthetic Surgery Journal, the world s most widely read clinical journal of cosmetic surgery

20 Office West th Street, Suite New York, New York phone:.9. fax:.9.