Data from a total of 1,391 plastic surgeons were compiled for this survey.
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1 ISAPS International Survey on Aesthetic/Cosmetic Procedures Performed in 2014 Methodology: Survey participants completed a single-page questionnaire that focused on the number of specific surgical and non-surgical procedures they performed in The International Society of Aesthetic Plastic Surgery (ISAPS) issued an invitation to participate in the study to approximately 35,000 Plastic Surgeons whose contact information is housed in its proprietary database. In addition, a request was made that all National Societies encourage their members/constituents to take part in the survey. Data from a total of 1,391 plastic surgeons were compiled for this survey. Final figures have been projected to reflect international statistics and are exclusively based on the estimated number of Plastic Surgeons in each country and the respondent sample. This International Survey is focused on physicians who are board certified (or national equivalent) Plastic Surgeons. To aid in tallying the world-wide estimate of plastic surgeons, representatives from National Societies provided recent counts for over 96% of the 40,000 total estimated plastic surgeons. For those cases in which the National Society did not provide its country s total, a simple regression equation was used to estimate the number of plastic surgeons in the country based on its population size and Gross Domestic Product. Studies such as this must often address outlying responses. Though the outlying values may be legitimate, their presence can distort the averages, which provide the basis of the estimated projections. Significant outliers in this survey were adjusted in order to protect the reasonableness of the extrapolated values. Additional standard data editing procedures were followed to ensure responses met survey guidelines. All reported data values have been analyzed for statistical reasonableness. The survey methodology followed for the 2013 and 2014 surveys was adjusted from prior years methodologies. Country-specific data are only shown for those countries that provided a sufficient survey response for the figures to be considered valid. No adjustments other than standard data editing procedures were applied to country-specific results. The International Survey on Aesthetic/Cosmetic Procedures Performed in 2014 was compiled, tabulated, and analyzed by Industry Insights, Inc. ( an independent research firm based in Columbus, OH. The survey leader was Scott Hackworth, a CPA and research analyst who along with his firm has conducted various forms of research on trends in Aesthetic Plastic Surgery for nearly 20 years. 1
2 International Study on Aesthetic/Cosmetic Procedures Performed in 2014 World-Wide Totals USA Brazil Japan South Korea Mexico Germany France Colombia Estimated Number of Plastic Surgeons in Country 40,328 6,300 5,473 2,221 2,054 1,550 1, TOTAL PROCEDURES Face & Head Ear Surgery 247,518 13,608 45,207 7,240 6,840 10,463 5,956 7,819 5,748 Eyelid Surgery 1,427, , , , ,712 38,037 44,194 25,327 22,164 Facelift 477,425 77,805 74,706 21,077 18,938 17,112 13,597 13,186 7,496 Facial Bone Contouring 123,634 9,072 10,672 8,418 10,989 9,192 1,795 1,302 2,242 Fat Grafting 965, , ,306 33,404 83,577 35,092 22,989 24,425 17,870 Hair Transplantation 115,946 4,599 13,901 4,398 11,009 2,790 1, Rhinoplasty 849,445 54,873 83,025 38, ,597 38,828 12,188 11,666 17,803 Total Face & Head Procedures 4,207, , , , , , ,798 84,189 74,290 Breast Breast Augmentation 1,348, , ,042 15,169 23,950 45,570 47,905 40,442 39,881 Breast Reconstruction with Implants 223,492 54,243 21,564 10,305 9,880 9,099 4,404 4,912 2,594 Breast Lift 498, ,864 80,836 4,775 4,971 18,492 15,821 16,426 13,718 Breast Reduction 432,280 71,631 77,169 8,840 5,833 11,408 16,262 18,183 11,609 Breast Revision 277,528 75,663 33,440 5,997 6,943 6,510 7,553 8,009 6,023 Gynecomastia 172,048 19,467 24,738 1,333 7,025 6,464 8,368 4,456 3,696 Total Breast Procedures 2,952, , ,789 46,419 58,601 97, ,312 92,426 77,520 Body & Extremities Abdominoplasty 682, , ,884 2,021 7,189 33,201 21,536 20,549 24,292 Buttock Augmentation 222,429 19,530 50, ,520 24,521 1,211 1,539 20,900 Labiaplasty 99,432 8,946 15,872 2,643 1,130 3,116 6,199 3,097 2,185 Liposuction 1,372, , ,606 22,454 29,167 65,302 51,978 26,600 50,322 Penile Enlargement 10, Upper Arm Lift 98,363 15,561 12, ,859 4,074 4,427 2,537 Total Body & Extremities Procedures 2,485, , ,451 27,674 40, ,153 85,151 57, ,434 Total Surgical Procedures 9,645,395 1,483,020 1,343, , , , , , ,244 Non-Surgical Procedures Injectables Botulinum Toxin 4,830,911 1,353, , , , , ,072 77,064 45,372 Calcium Hydroxylapatite 194,709 68,544 9,140 15,169 12,550 4,387 3,050 2, Hyaluronic Acid 2,690, , , , ,232 78,973 96,249 80,209 20,843 Poly-L-Lactic Acid 72,495 30, ,264 2,093 1,310 1,
3 International Study on Aesthetic/Cosmetic Procedures Performed in 2014 World-Wide Totals USA Brazil Japan South Korea Mexico Germany France Colombia Facial Rejuvenation Chemical Peel 493, ,741 16,145 94,548 4,519 9,812 3,281 5,966 2,233 Dermabrasion 83,443 9,765 5,801 10,261 5,299 2,651 3, ,007 Laser Skin Resurfacing 480,271 53,487 52,650 81,933 45,599 6,045 2, ,408 Microdermabrasion 366, ,098 4,926 18,479 1,931 24,413 1, ,057 Other Hair Removal 1,277, ,781 76, ,851 4,046 19,313 3,116 12,673 25,688 Sclerotherapy 101,721 21,924 11,767 8,462 1,602 3,224 2, Total Non-Surgical Procedures 10,591,506 2,581, , , , , , , ,871 Total Procedures 20,236,901 4,064,571 2,058,505 1,260, , , , , ,115 3
4 Total Face & Head Procedures Rank * Country: % of World-Wide Total 1 Brazil 501, % 2 USA 438, % 3 South Korea 341, % 4 Japan 252, % 5 Mexico 151, % 6 Germany 101, % 7 France 84, % 8 Colombia 74, % Total Breast Procedures Rank * Country: % of World-Wide Total 1 USA 627, % 2 Brazil 422, % 3 Germany 100, % 4 Mexico 97, % 5 France 92, % 6 Colombia 77, % 7 South Korea 58, % 8 Japan 46, % Total Body & Extremities Rank * Country: % of World-Wide Total 1 Brazil 419, % 2 USA 417, % 3 Mexico 132, % 4 Colombia 100, % 5 Germany 85, % 6 France 57, % 7 South Korea 40, % 8 Japan 27, % Total Surgical Procedures Rank * Country: % of World-Wide Total 1 USA 1,483, % 2 Brazil 1,343, % 3 South Korea 440, % 4 Mexico 381, % 5 Japan 326, % 6 Germany 287, % 7 Colombia 252, % 8 France 233, % * Rankings are based solely on those countries from which a sufficient survey response was received and data were considered to be representative. 4
5 Total Non-Surgical Procedures Rank * Country: % of World-Wide Total 1 USA 2,581, % 2 Japan 933, % 3 Brazil 715, % 4 South Korea 539, % 5 Mexico 324, % 6 Germany 246, % 7 France 182, % 8 Colombia 104, % Total Procedures Rank * Country: % of World-Wide Total 1 USA 4,064, % 2 Brazil 2,058, % 3 Japan 1,260, % 4 South Korea 980, % 5 Mexico 706, % 6 Germany 533, % 7 France 416, % 8 Colombia 357, % * Rankings are based solely on those countries from which a sufficient survey response was received and data were considered to be representative. 5
6 Countries by Estimated Number of Plastic Surgeons (Top 30) Rank Country Plastic Surgeons Percent of Total Plastic Surgeons 1 United States 6, % 2 Brazil 5, % 3 China 2, % 4 Japan 2, % 5 India 2, % 6 South Korea 2, % 7 Russia 2, % 8 Mexico 1, % 9 Turkey 1, % 10 Germany 1, % 11 Colombia % 12 France % 13 Spain % 14 United Kingdom % 15 Italy % 16 Chinese Taipei % 17 Canada % 18 Venezuela % 19 Egypt % 20 Peru % 21 Argentina % 22 Australia % 23 Thailand % 24 Greece % 25 Netherlands % 26 Belgium % 27 Iran % 28 Saudi Arabia % 29 Portugal % 30 Israel % 6
7 Countries by Total Number of Procedures 2014 Total Surgical Procedures % of total surgical procedures Total Nonsurgical Procedures % of total nonsurgical procedures Total Procedures % of total procedures Rank* 1 USA 1,483, % 2,581, % 4,064, % 2 Brazil 1,343, % 715, % 2,058, % 3 Japan 326, % 933, % 1,260, % 4 South Korea 440, % 539, % 980, % 5 Mexico 381, % 324, % 706, % 6 Germany 287, % 246, % 533, % 7 France 233, % 182, % 416, % 8 Colombia 252, % 104, % 357, % * Rankings are based solely on those countries from which a sufficient survey response was received and data were considered to be representative. Number of World-Wide Surgical Procedures Performed by Plastic Surgeons Rank Surgical Procedure Total Percent of Total Surgical Procedures 2014 Rank** 1 Eyelid Surgery 1,427, % 3 2 Liposuction 1,372, % 2 3 Breast Augmentation 1,348, % 1 4 Fat Grafting 965, % * 5 Rhinoplasty 849, % 5 6 Abdominoplasty 682, % 6 7 Breast Lift 498, % 7 8 Facelift 477, % 9 9 Breast Reduction 432, % 8 10 Breast Revision 277, % * 11 Ear Surgery 247, % Breast Reconstruction with Implants 223, % * 13 Buttock Augmentation 222, % Gynecomastia 172, % Facial Bone Contouring 123, % Hair Transplantation 115, % Labiaplasty 99, % Upper Arm Lift 98, % Penile Enlargement 10, % 19 Total Surgical Procedures 9,645,395 * Procedure was not included in 2014 survey. ** Ranks have been adjusted to allow more accurate comparability between years. 7
8 Number of World-Wide Nonsurgical Procedures Performed by Plastic Surgeons Rank Nonsurgical Procedure Total Percent of Total Nonsurgical Procedures 1 Botulinum Toxin 4,830, % 2 Hyaluronic Acid 2,690, % 3 Hair Removal 1,277, % 4 Chemical Peel 493, % 5 Laser Skin Resurfacing 480, % 6 Microdermabrasion 366, % 7 Calcium Hydroxylapatite 194, % 8 Sclerotherapy 101, % 9 Dermabrasion 83, % 10 Poly-L-Lactic Acid 72, % Total Nonsurgical Procedures 10,591,506 Countries Performing Most Popular Surgical Procedures Rank * Country Number of Procedures Percentage of Total Eyelid Surgery 1 Brazil 161, % 2 Japan 138, % 3 USA 136, % 4 South Korea 107, % 5 Germany 44, % 6 Mexico 38, % 7 France 25, % 8 Colombia 22, % Breast Augmentation 1 USA 297, % 2 Brazil 185, % 3 Germany 47, % 4 Mexico 45, % 5 France 40, % 6 Colombia 39, % 7 South Korea 23, % 8 Japan 15, % Liposuction 1 USA 243, % 2 Brazil 217, % 3 Mexico 65, % 4 Germany 51, % 5 Colombia 50, % 6 South Korea 29, % 7 France 26, % 8 Japan 22, % 8
9 Countries Performing Most Popular Surgical Procedures Rank * Country Number of Procedures Percentage of Total Fat Grafting 1 USA 142, % 2 Brazil 112, % 3 South Korea 83, % 4 Mexico 35, % 5 Japan 33, % 6 France 24, % 7 Germany 22, % 8 Colombia 17, % Rhinoplasty 1 South Korea 102, % 2 Brazil 83, % 3 USA 54, % 4 Mexico 38, % 5 Japan 38, % 6 Colombia 17, % 7 Germany 12, % 8 France 11, % Abdominoplasty 1 USA 128, % 2 Brazil 121, % 3 Mexico 33, % 4 Colombia 24, % 5 Germany 21, % 6 France 20, % 7 South Korea 7, % 8 Japan 2, % * Rankings are based solely on those countries from which a sufficient survey response was received and data were considered to be representative. 9
10 2014 Gender Distribution for Cosmetic Procedures The following list includes both surgical and nonsurgical cosmetic procedures. Procedure FEMALE (Number of Procedures) Percent of Total Rank within Category (Surgical/ Nonsurgical) MALE (Number of Procedures) Percent of Total Rank within Category (Surgical/ Nonsurgical) Abdominoplasty 636, % 5 46, % 9 Breast Augmentation 1,342, % 1 5, % 13 Breast Lift 498, % % 15 Breast Reconstruction with Implants 223, % % 15 Breast Reduction 432, % % 15 Breast Revision 277, % % 15 Buttock Augmentation 213, % 12 9, % 12 Ear Surgery 147, % , % 6 Eyelid Surgery 1,132, % 3 295, % 1 Facelift 411, % 9 65, % 8 Facial Bone Contouring 90, % 16 32, % 10 Fat Grafting 809, % 4 156, % 5 Gynecomastia dna dna dna 172, % 4 Hair Transplantation 23, % 17 92, % 7 Labiaplasty 99, % % 15 Liposuction 1,197, % 2 175, % 3 Penile Enlargement dna dna dna 10, % 11 Rhinoplasty 614, % 6 234, % 2 Upper Arm Lift 94, % 15 3, % 14 Totals - Surgical Procedures 8,245, % 1,399, % Non-Surgical Procedures: Botulinum Toxin 4,190, % 1 640, % 1 Calcium Hydroxylapatite 173, % 7 21, % 7 Chemical Peel 450, % 4 42, % 6 Dermabrasion 63, % 9 20, % 8 Hair Removal 1,054, % 3 222, % 3 Hyaluronic Acid 2,393, % 2 296, % 2 Laser Skin Resurfacing 417, % 5 62, % 4 Microdermabrasion 318, % 6 48, % 5 Poly-L-Lactic Acid 60, % 10 11, % 9 Sclerotherapy 90, % 8 11, % 10 Totals - Non-Surgical Procedure 9,213, % 1,378, % TOTALS ALL PROCEDURES 17,459, % 2,777, % dna = Does not apply 10
11 Most Common Procedures by Country USA Total Surgical Procedures Breast Augmentation 297,297 Liposuction 243,306 Fat Grafting 142,317 Eyelid Surgery 136,395 Abdominoplasty 128,961 Non-Surgical Procedures Botulinum Toxin 1,353,996 Hyaluronic Acid 556,164 Hair Removal 200,781 Microdermabrasion 154,098 Chemical Peel 132,741 Brazil Surgical Procedures Liposuction 217,606 Breast Augmentation 185,042 Eyelid Surgery 161,235 Abdominoplasty 121,884 Fat Grafting 112,306 Non-Surgical Procedures Botulinum Toxin 355,581 Hyaluronic Acid 182,141 Hair Removal 76,239 Laser Skin Resurfacing 52,650 Chemical Peel 16,145 Japan Surgical Procedures Eyelid Surgery 138,990 Rhinoplasty 38,779 Fat Grafting 33,404 Liposuction 22,454 Facelift 21,077 Non-Surgical Procedures Hair Removal 310,851 Botulinum Toxin 212,372 Hyaluronic Acid 181,744 Chemical Peel 94,548 Laser Skin Resurfacing 81,933 11
12 South Korea Surgical Procedures Eyelid Surgery 107,712 Rhinoplasty 102,597 Fat Grafting 83,577 Liposuction 29,167 Breast Augmentation 23,950 Non-Surgical Procedures Botulinum Toxin 275,688 Hyaluronic Acid 179,232 Laser Skin Resurfacing 45,599 Calcium Hydroxylapatite 12,550 Poly-L-Lactic Acid 9,264 Mexico Surgical Procedures Liposuction 65,302 Breast Augmentation 45,570 Rhinoplasty 38,828 Eyelid Surgery 38,037 Fat Grafting 35,092 Non-Surgical Procedures Botulinum Toxin 173,957 Hyaluronic Acid 78,973 Microdermabrasion 24,413 Hair Removal 19,313 Chemical Peel 9,812 Germany Surgical Procedures Liposuction 51,978 Breast Augmentation 47,905 Eyelid Surgery 44,194 Fat Grafting 22,989 Abdominoplasty 21,536 Non-Surgical Procedures Botulinum Toxin 130,072 Hyaluronic Acid 96,249 Dermabrasion 3,556 Chemical Peel 3,281 Hair Removal 3,116 12
13 France Surgical Procedures Breast Augmentation 40,442 Liposuction 26,600 Eyelid Surgery 25,327 Fat Grafting 24,425 Abdominoplasty 20,549 Non-Surgical Procedures Hyaluronic Acid 80,209 Botulinum Toxin 77,064 Hair Removal 12,673 Chemical Peel 5,966 Calcium Hydroxylapatite 2,736 Colombia Surgical Procedures Liposuction 50,322 Breast Augmentation 39,881 Abdominoplasty 24,292 Eyelid Surgery 22,164 Buttock Augmentation 20,900 Non-Surgical Procedures Botulinum Toxin 45,372 Hair Removal 25,688 Hyaluronic Acid 20,843 Laser Skin Resurfacing 4,408 Microdermabrasion 4,057 13
14 Countries Performing Most Popular Non-Surgical Procedures Rank* Country Number of Procedures Percentage of Total Botulinum Toxin 1 USA 1,353, % 2 Brazil 355, % 3 South Korea 275, % 4 Japan 212, % 5 Mexico 173, % 6 Germany 130, % 7 France 77, % 8 Colombia 45, % Hyaluronic Acid 1 USA 556, % 2 Brazil 182, % 3 Japan 181, % 4 South Korea 179, % 5 Germany 96, % 6 France 80, % 7 Mexico 78, % 8 Colombia 20, % Hair Removal 1 Japan 310, % 2 USA 200, % 3 Brazil 76, % 4 Colombia 25, % 5 Mexico 19, % 6 France 12, % 7 South Korea 4, % 8 Germany 3, % Chemical Peel 1 USA 132, % 2 Japan 94, % 3 Brazil 16, % 4 Mexico 9, % 5 France 5, % 6 South Korea 4, % 7 Germany 3, % 8 Colombia 2, % 14
15 Countries Performing Most Popular Non-Surgical Procedures Rank* Country Number of Procedures Percentage of Total Laser Skin Resurfacing 1 Japan 81, % 2 USA 53, % 3 Brazil 52, % 4 South Korea 45, % 5 Mexico 6, % 6 Colombia 4, % 7 Germany 2, % 8 France % Microdermabrasion 1 USA 154, % 2 Mexico 24, % 3 Japan 18, % 4 Brazil 4, % 5 Colombia 4, % 6 South Korea 1, % 7 Germany 1, % 8 France % Calcium Hydroxylapatite 1 USA 68, % 2 Japan 15, % 3 South Korea 12, % 4 Brazil 9, % 5 Mexico 4, % 6 Germany 3, % 7 France 2, % 8 Colombia % Sclerotherapy 1 USA 21, % 2 Brazil 11, % 3 Japan 8, % 4 Mexico 3, % 5 Germany 2, % 6 South Korea 1, % 7 Colombia % 8 France % 15
16 Countries Performing Most Popular Non-Surgical Procedures Rank* Country Number of Procedures Percentage of Total Dermabrasion 1 Japan 10, % 2 USA 9, % 3 Brazil 5, % 4 South Korea 5, % 5 Germany 3, % 6 Mexico 2, % 7 Colombia 1, % 8 France % Poly-L-Lactic Acid 1 USA 30, % 2 South Korea 9, % 3 Mexico 2, % 4 France 1, % 5 Germany 1, % 6 Brazil % 7 Japan % 8 Colombia 0 0.0% * Rankings are based solely on those countries from which a sufficient survey response was received and data were considered to be representative. 16
17 Surgical Procedure Group Ranking by Country Rank Country Total % of Total USA 1 Total Breast Procedures 627, % 2 Total Face & Head Procedures 438, % 3 Total Body & Extremities Procedures 417, % Brazil 1 Total Face & Head Procedures 501, % 2 Total Breast Procedures 422, % 3 Total Body & Extremities Procedures 419, % Japan 1 Total Face & Head Procedures 252, % 2 Total Breast Procedures 46, % 3 Total Body & Extremities Procedures 27, % South Korea 1 Total Face & Head Procedures 341, % 2 Total Breast Procedures 58, % 3 Total Body & Extremities Procedures 40, % Mexico 1 Total Face & Head Procedures 151, % 2 Total Body & Extremities Procedures 132, % 3 Total Breast Procedures 97, % Germany 1 Total Face & Head Procedures 101, % 2 Total Breast Procedures 100, % 3 Total Body & Extremities Procedures 85, % France 1 Total Breast Procedures 92, % 2 Total Face & Head Procedures 84, % 3 Total Body & Extremities Procedures 57, % Colombia 1 Total Body & Extremities Procedures 100, % 2 Total Breast Procedures 77, % 3 Total Face & Head Procedures 74, % * Percentage reflects portion of countries total surgical procedures 17
18 Average Number of Surgical Procedures per Plastic Surgeon World- Wide Totals USA Brazil Japan South Korea Mexico Germany France Colombia Face & Head Ear Surgery Eyelid Surgery Facelift Facial Bone Contouring Fat Grafting Hair Transplantation Rhinoplasty Total Face & Head Procedures Breast Breast Augmentation Breast Reconstruction with Implants Breast Lift Breast Reduction Breast Revision Gynecomastia Total Breast Procedures Body & Extremities Abdominoplasty Buttock Augmentation Labiaplasty Liposuction Penile Enlargement Upper Arm Lift Total Body & Extremities Procedures Total Surgical Procedures
Survey participants completed a two-page questionnaire that focused on the number of surgical and non-surgical procedures they performed in 2013.
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