Plastic Surgery Around the World

A new hierarchy of countries with the most surgical and nonsurgical cosmetic procedures has emerged, according to the first-ever global snapshot of plastic surgery around the world.

The International Society of Aesthetic Plastic Surgery (ISAPS) Biennial Global Survey of plastic surgeons and procedures shows that while the United States continues to dominate the field, some relative newcomers with emerging economies, such as India and China, are establishing themselves as major centers for plastic surgery.

ISAPS' top 25 countries for cosmetic plastic surgery are:

  1. United States
  2. China
  3. Brazil
  4. India
  5. Mexico
  6. Japan
  7. South Korea
  8. Germany
  9. Turkey
  10. Spain
  1. Argentina
  2. Russia
  3. Italy
  4. France
  5. Canada
  6. Taiwan
  7. United Kingdom
  8. Colombia
  9. Greece
  10. Thailand
  1. Australia
  2. Venezuela
  3. Saudi Arabia
  4. Netherlands
  5. Portugal

Most Popular Surgical Procedures

The ISAPS Global Survey shows that liposuction accounts for 18.8 percent of all surgical procedures, and breast augmentation has fallen to second place, making up 17 percent of the procedures performed. Next up are blepharoplasty (eyelid lift) at 13.5 percent, rhinoplasty (nose surgery) at 9.4 percent and abdominoplasty (tummy tuck) at 7.3 percent.

One of the most popular ethnic plastic surgery procedures is Asian blepharoplasty, which is gaining in popularity in the U.S. and abroad. Asians with a "single eyelid" choose this procedure to create an eyelid crease and the "double eyelid" that they prefer.

Most Popular Nonsurgical Procedures

The number of nonsurgical procedures performed by plastic surgeons has squeaked past surgical procedures. This shift reflects advances in cosmetic surgery innovation and the desirability of less expensive treatments, according to ISAPS.

The top five nonsurgical procedures are Botulinum Toxin Type A injections like Botox and Dysport (32.7 percent), hyaluronic acid injections (20.1 percent), laser hair removal (13.1 percent), autologous fat injections (5.9 percent) and intense pulsed light (IPL) treatments (4.4 percent).

The ISAPS Global Survey estimates the total number of board certified (or national equivalent) plastic surgeons practicing today worldwide to be 30,817. During 2009, they performed a combined worldwide total of 17,295,557 surgical and nonsurgical procedures.

The ISAPS Biennial Global Survey took one year to complete and represents 75 percent of all procedures performed worldwide in 2009. It represents the first time reliable international plastic surgery data has been obtained and analyzed by independent statistical specialists.