2007 Trend Reports on Cosmetic Plastic Surgery in the United States

Financial woes do not seem to have hampered American's desire to look younger, according to the latest statistics from the American Society of Plastic Surgeons (ASPS). In 2007, even as the impact of sub-prime mortgage crisis hit home, American's spending on cosmetic surgery increased 9 percent to $12.4 billion from 2006.

Almost 12 million cosmetic plastic surgery procedures were performed in 2007, representing a 7 percent increase from 2006 and a 59 percent increase from 2000. What's more, 5.1 million reconstructive plastic surgery procedures were performed last year.

Curious what your neighbors are getting nipped and tucked? Learn about more ASAPS statistics.

Cosmetic Surgical Procedures

The numbers of surgical cosmetic procedures such as breast augmentation, liposuction and tummy tucks remained unchanged from 2006, with more than 1.8 million procedures performed in 2007.

The top five surgical procedures were:

Procedure	# Performed in 2007	% Change from 2006
Breast Augmentation	348,000	Up 6 percent
Liposuction	302,000	Unchanged
Nose Reshaping	285,000	Down 7 percent
Eyelid Surgery	241,000	Up 3 percent
Tummy Tuck	148,000	Up 1 percent

Trend alert: While not in the top five, facelifts appear to be making a comeback after years of decline. According to the new statistics, facelifts increased 14 percent for women and 16 percent for men in 2007, compared with 2006.

Minimally Invasive Cosmetic Procedures

Minimally invasive cosmetic procedures rose by nine percent in 2007, approaching the 10 million mark. Use of injectable fillers such as hyaluronic acid (Restylane, Hylaform, Hylaform Plus and Juvederm) leapt from the fifth most popular minimally invasive procedure in 2006 to second most popular in 2007.

The top five minimally invasive procedures in 2007 were:

Procedure	# Performed in 2007	% Change from 2006
Botox	4.6 million	Up 13 percent
Hyaluronic acid fillers	1.1 million	Up 35 percent
Chemical peel	1 million	Down 4 percent
Laser hair removal	906,000	Up 2 percent
Microdermabrasion	897,000	Up 10 percent

Reconstructive Plastic Surgery Procedures

Reconstructive plastic surgery procedures decreased 2 percent in 2007, compared with 2006.

The top five reconstructive procedures were:

Procedure	# Performed in 2007	% Change from 2006
Tumor removal	3.9 million	Down 1 percent
Laceration repair	286,000	Down 9 percent
Scar revision	150,000	Down 9 percent
Hand surgery	142,000	Down 9 percent
Breast reduction	106,000	Up 2 percent

The Mars and Venus of Cosmetic Surgery

The top five cosmetic surgeries for women in 2007 were:

Breast augmentation
Liposuction
Nose reshaping
Eyelid surgery
Tummy tick

For men, the top five cosmetic surgeries in 2007 were:

Nose re-shaping
Eyelid surgery
Liposuction
Breast reduction
Hair transplantation

Cosmetic minimally invasive procedures for the face increased considerably for both women and men:

Use of Radiesse increased 123 percent for women and 134 percent for men in 2007
Laser skin resurfacing increased 32 percent for both women and men
Use of Sculptra increased 38 percent for both women and men
Use of hyaluronic acid fillers (Restylane, Hylaform, Hylaform Plus and Juvederm) increased 35 percent for women and 24 percent for men
Botox increased 14 percent for women and 4 percent for men

Trend alert: Plastic surgery procedures of the face and chest were popular among both women and men in 2007, increasing at similar rates for similar procedures. For example, facelifts increased 14 percent for women and 16 percent for men from 2006. Breast augmentation for women increased 6 percent, and chest or pectoral implants for men increased 8 percent.
What's more, reconstructive breast reduction for women increased 2 percent. By contrast, there was a 9 percent decrease in reconstructive breast reduction reported in 2006. Male breast reduction increased 7 percent in 2007.

Cosmetic Surgery Among Ethnic Patients

The new statistics also analyzed plastic surgery procedures among ethnic patients. Almost a quarter of all cosmetic plastic surgery procedures were performed on ethnic patients in 2007, up 13 percent from 2006.

Since 2006, cosmetic plastic surgery procedures increased by 8 percent in Hispanics, 8 percent in African Americans and 26 percent in Asian Americans.

The most commonly requested surgical procedures for ethnic patients were the same as in 2006. African-American patients requested nose reshaping, liposuction and breast reduction. Asian-American patients requested nose reshaping, breast augmentation. Hispanic patients requested breast augmentation, nose reshaping and liposuction.

About the 2007 ASPS Statistics

ASPS procedural statistics are collected through the first online national database for plastic surgery procedures, Tracking Operations and Outcomes for Plastic Surgeons (TOPS). This data is then combined with an annual survey sent to American Board of Medical Specialties certified physicians most likely to perform plastic surgery.