ISAPS International Survey on Aesthetic/Cosmetic Procedures Performed in 2010 ppt

1 ISAPSInternationalSurveyonAesthetic/Cosmetic ProceduresPerformedin2010  Methodology:  Surveyparticipantscompletedatwo‐page,English‐basedquestio nnaire  thatfocusedonthenumberof surgicalandnon‐surgicalprocedurestheyperformedin2010.  TheInternationalSocietyof Aesthetic PlasticSurgeons (ISAPS)issued an invitationtoparticipateinthe studytoapproximately20,000PlasticSurgeonswhosecontactinformationishou sedintheirproprietary database.In addition, a request was made that all National Societies encourage their members/constituentstotakepartinthesurvey.Threereminderrequestsweredistributedin orderto maximizetheresponse.  Atotalof698completedresponseswerereceivedintimefortabulation.  Final figures have been projec ted to reflect international statistics and are exclusively based on the estimated number of Plastic Surgeonsineach country and the responding sample.Wher eas  the U.S.‐ basedstudyfundedbytheAmericanSocietyofAestheticPlasticSurgeryincludesBoardCertifiedPlastic Surgeons,Dermatologists, andOtolaryngologists,thisInternationalSurveyisfocuseden tirelyon board  certified(ornationalequivalent)PlasticSurgeons.  To aid in tallying the world‐wide number of plastic surgeons, representatives from National Societies providedthecountsforover90%ofthe33,000totalestimatedplasticsurgeons.Forcasesinwhichthe National Society didnot provide its country’s total, a regressionequation was created to estimate the numb erofplasticsurgeonsinthecountrybasedonitspopulationsizeandGrossDomesticProduct.  In cases where a country received an insufficient survey response, the projection base included respondentsfromthecountry’scontinent.Aweightingsystemwasemployedtoemphasizeresponses fromtheparticularcountr y.  Caution is urged when comparing against prior years, because studies  such as this can experience substantial variances within specific procedures.In addition, the overall methodology was slightly modified and National Societies from several countries materially restated their estimated number of plasticsurgeonsfor2010.Figuresfor2 009werenotrecomputed.  Though the confidence intervals change by procedure and by country‐depending on  the sample size andresponsevarianceofeach‐theoverallsurveyportionofthisresearchholdsastandarderrorof+/‐ 3.67%ata95%levelofconfidence.  TheInternationalSurveyonAesthetic/CosmeticProceduresPerformedin2010wascompile d,tabulated, andanalyzedbyIndustryInsights,Inc.(www.industryinsights.com),anindependentresearchfirmbased inColumbus,OH.TheSurveyleaderwasScottHackworth,aCertifiedPublicAccountantwhoalongwith hisfirmhasconductedvariousformsofresearchontrendsinAestheticPlasticSurgeryforover15years. 2  CountriesbyNumberofPlasticSurgeons(Top25) Rank  PlasticSurgeons PercentofTotalPlastic Surgeons PercentofTotalProcedures Rankin 2009   1 U.S. 5,970 18.1% 17.9% 1 2 Brazil 5,024 15.2% 13.6% 3 3 China 2,000 6.1% 6.8% 2 4 India 2,000 6.1% 6.2% 4 5 Japan 1,831 5.5% 6.4% 6 6 Mexico 1,518 4.6% 4.9% 5 7 Italy 1,500 4.5% 4.4% 13 8 Korea,South 1,250 3.8% 4.2% 7 9 France 953 2.9% 2.8% 14 10 Colombia 950 2.9% 2.7% 18 11 Germany 863 2.6% 2.4% 8 12 Turkey 700 2.1% 2.3% 9 13 Spain 567 1.7% 1.6% 10 14 Russia 515 1.6% 1.5% 12 15 UnitedKingdom 450 1.4% 1.3% 17 16 Canada 425 1.3% 1.4% 15 17 Venezuela 383 1.2% 1.1% 22 18 Taiwan 350 1.1% 1.2% 16 19 Argentina 347 1.1% 1.0% 11 20 Greece 286 0.9% 0.9% 19 21 Thailand 265 0.8% 0.9% 20 22 Australia 228 0.7% 0.8% 21 23 SaudiArabia 225 0.7% 0.8% 23 24 Netherlands 215 0.7% 0.6% 24 25 Romania 200 0.6% 0.6% *   NationalSocietiesofthefollowingcountriesmateriallyrestatedtheircountry’sestimatednumberofplasticsurgeonsin2010 comparedtothefigureusedin2009:Brazil;China;Colombia;France;Italy;andUnitedKingdom.Thismayaffectranking comparisons,since2009rankingswerenotrecomputed. *DidnotplaceintheTop25in20 10.PortugalfellfromtheTop25listin2010.   3  CountriesbyTotalNumberofProcedures(Top25) Rank  TotalSurgical Procedures %oftotal surgical procedures Total Nonsurgical Procedures %oftotal nonsurgical procedures Total Procedures %oftotal procedures Rank in 2009   1 U.S. 1,620,855 17.1% 1,693,437 18.6% 3,314,292 17.9% 1 2 Brazil 1,592,106 16.8% 925,672 10.2% 2,517,778 13.6% 2 3 China 588,880 6.2% 676,280 7.4% 1,265,160 6.8% 3 4 Japan 525,790 5.6% 657,530 7.2% 1,183,320 6.4% 6 5 India 553,420 5.8% 593,640 6.5% 1,147,060 6.2% 4 6 Mexico 437,351 4.6% 479,749 5.3% 917,100 4.9% 5 7 Italy 396,750 4.2% 418,995 4.6% 815,745 4.4% 9 8 Korea,South 361,988 3.8% 408,925 4.5% 770,913 4.2% 7 9 France 261,198 2.8% 249,943 2.7% 511,142 2.8% 14 10 Colombia 319,305 3.4% 173,822 1.9% 493,126 2.7% 17 11 Germany 229,273 2.4% 218,615 2.4% 447,888 2.4% 8 12 Turkey 205,114 2.2% 224,196 2.5% 429,310 2.3% 11 13 Spain 150,459 1.6% 154,190 1.7% 304,649 1.6% 12 14 Russia  138,854 1.5% 135,728 1.5% 274,583 1.5% 10 15 Canada  117,164 1.2% 138,559 1.5% 255,723 1.4% 16 16 UnitedKingdom 118,467 1.3% 116,645 1.3% 235,112 1.3% 18 17 Taiwan 102,708 1.1% 118,409 1.3% 221,116 1.2% 19 18 Venezuela 130,595 1.4% 79,848 0.9% 210,443 1.1% 20 19 Argentina 117,140 1.2% 76,954 0.8% 194,094 1.0% 13 20 Thailand 77,417 0.8% 85,205 0.9% 162,623 0.9% 21 21 Greece 76,471 0.8% 82,531 0.9% 159,002 0.9% * 22 SaudiArabia 66,310 0.7% 74,702 0.8% 141,012 0.8% 25 23 Australia  61,364 0.6% 78,662 0.9% 140,026 0.8% 22 24 Netherlands 57,358 0.6% 55,163 0.6% 112,520 0.6% * 25 Romania 52,854 0.6% 52,232 0.6% 105,086 0.6% *   NationalSocietiesofthefollowingcountriesmateriallyrestatedtheircountry’sestimatednumberofplasticsurgeonsin2010comparedtothe figureusedin2009:Brazil;China;Colombia;France;Italy;andUnitedKingdom.Thismayaffectrankingcomparisons,since2009rankingswere notrecomputed.  *DidnotplaceinTop25in20 10.Hungary,Portugal,andBelgiumfellfromtheTop25listin2011.  NumberofProceduresandPlasticSurgeonsbyContinent Rank Co ntinent TotalProcedures PercentofTotal Procedures PlasticSurgeons PercentofTotal PlasticSurgeons Rankin 2009   1 Asia 5,879,349 31.7% 9,512 28.8% 1 2 NorthAmerica 4,566,581 24.6% 8,042 24.3% 2 3 Europe 3,980,135 21.4% 7,469 22.6% 3 4 SouthAmerica 3,645,758 19.6% 7,137 21.6% 4 5 Africa 320,006 1.7% 594 1.8% 5 6 Oceania 165,997 0.9% 273 0.8% 6  Total 18,557,82533,027   NationalSocietiesofthefollowingcountriesmateriallyrestatedtheircountry’sestimatednumberofplasticsurgeonsin2010comparedtothe figureusedin2009:Brazil;China;Colombia;France;Italy;andUnitedKingdom.Thismayaffectrankingcomparisons,since2009rankingswere notrecomputed. 4   NumberofWorld‐WideSurgicalProceduresPerformedbyPlasticSurgeons Rank SurgicalProcedure Total PercentofTotal SurgicalProcedures Rankin 2009   1 Lipoplasty 2,174,803 23.0% 1 2 Breastaugmentation 1,506,475 15.9% 2 3 Blepharoplasty 1,085,153 11.5% 3 4 Rhinoplasty 985,325 10.4% 4 5 Abdominoplasty 681,344 7.2% 5 6 Breastreduction(women) 549,994 5.8% 6 7 Breastlift 543,848 5.7% 7 8 Facelift 421,029 4.4% 8 9 Otoplasty 242,271 2.6% 10 10 Gynecomastia,treatmentof(malebreastreduction) 235,947 2.5% 9 11 Lipaugmentation(otherthaninje ctablematerials) 221,703 2.3% 11 12 Foreheadlift 135,242 1.4% 13 13 Buttockaugmentation 119,007 1.3% 14 14 Chinaugmentation 108,178 1.1% 16 15 Upperarmlift 94,026 1.0% 15 16 Hairtransplantation 77,480 0.8% 12 17 Thighlift 70,558 0.7% 17 18 Vaginalrejuvenation 67,665 0.7% 18 19 Lowerbodylift 64,475 0.7% 19 20 Cheekimplants 40,891 0.4% 21 21 Buttocklift 36,977 0.4% 20   TotalSurgicalProcedures 9,462,391   NationalSocietiesofthefollowingcountriesmateriallyrestatedtheircountry’sestimatednumberofplasticsurgeonsin2010comparedto thefigureusedin2009:Brazil;China;Colombia;France;Italy;andUnitedKingdom.Thismayaffectrankingcomparisons,since2009 rankingswerenotrecomputed.     5  NumberofWorld‐WideNonsurgicalProceduresPerformedbyPlasticSurgeons Rank NonsurgicalProcedure T  Total PercentofTotal NonsurgicalProcedures T  Rankin 2009 1 BotulinumToxinTypeA(BotoxDysport) 3,072,372 33.8% 1 2 HyaluronicAcidinjection 2,045,899 22.5% 2 3 Autologousfatinjection   836,864 9.2% 4 4 Laserhairremoval 796,192 8.8% 3 5 IPLLaserTreatment 583,536 6.4% 5 6 Microdermabrasion 394,148 4.3% 7 7 Chemicalpeel 305,585 3.4% 6 8 NoninvasiveTightening 285,074 3.1% 10 9 LaserSkinResurfacing 189,657 2.1% 8 10 CalciumHydroxylapatiteinjection 180,769 2.0% 12 11 Laser‐AssistedLipoplasty 176,800 1.9% * 12 Dermabrasion 109,198 1.2% 11 13 Sclerotherapy 99,220 1.1% 9 14 PenisEnlargements 20,121 0.2% *  TotalNonsurgicalProcedures 9,095,434  *Itemswerenotsurveyedfor2009. T Collagen,Poly‐L‐LaticAcid,PolymethylMethacrylate,Fraxel,InjectionLipolysis,Lasertreatmentoflegveins,andOtherFillerswerenot reportedduetoaninsufficientnumberofplasticsurgeonsreportingtheyperformedtheprocedurein2010.   Thoughsomemayconsiderthisasurgicalprocedure,itisclassifiedasanonsurgicalprocedureinthisstudysinceitsindicationsare approximatelythesameasfiller. 6    CountriesPerformingMostPopularSurgicalProcedures Rank Country NumberofProcedures PercentageofTotal Rankin2010  Lipoplasty 1 Brazil 436,887 20.1% 1 2 U.S. 402,259 18.5% 2 3 China 134,720 6.2% 3 4 India 130,480 6.0% 4 5 Japan 118,612 5.5% 5 Breastaugmentation 1 U.S. 336,648 22.3% 2 2 Brazil 254,214 16.9% 3 3 Mexico 85,099 5.6% 5 4 Italy 75,225 5.0% * 5 China 55,400 3.7% 1 *DidnotplaceinTop5for2009.Indiafellfromthetop5in2010. Blepharoplasty 1 Brazil 155,543 14.3% 3 2 U.S. 127,937 11.8% 2 3 China 73,480 6.8% 1 4 Japan 66,172 6.1% 5 5 Italy 63,330 5.8% * *DidnotplaceinTop5for2009.MexicofellfromtheTop5in2010. Rhinoplasty 1 Brazil 106,609 10.8% 3 2 U.S. 75,521 7.7% 1 3 China 125,700 12.8% 2 4 India 113,040 11.5% 4 5 Japan 112,497 11.4% * *DidnotplaceinTop5for2009.MexicofellfromTop5in2010. Abdominoplasty 1 U.S. 154,265 22.6% 1 2 Brazil 125,600 18.4% 3 3 Mexico 39,756 5.8% * 4 India 33,660 4.9% 4 5 China 33,480 4.9% 2 *DidnotplaceinTop5for2009.JapanfellfromTop5in2010.   NationalSocietiesofthefollowingcountriesmateriallyrestatedtheircountry’sestimatednumberofplasticsurgeonsin 2010comparedtothefigureusedin2009:Brazil;China;Colombia;France;Italy;andUnitedKingdom.Thismayaffect rankingcomparison s,since2009rankingswerenotrecomputed.  7  CountriesPerformingMostPopularNonsurgicalProcedures Rank Country NumberofProcedures PercentageofTotal Rankin 2010   BotulinumToxinTypeA(BotoxDysport) 1 U.S. 579,739 18.9% 1 2 Brazil 268,131 8.7% 2 3 China 228,660 7.4% 3 4 Japan 213,659 7.0% 5 5 Mexico 195,883 6.4% 4 HyaluronicAcid 1 U.S. 256,048 12.5% 2 2 China 151,880 7.4% 3 3 Japan 149,648 7.3% * 4 Italy 143,040 7.0% * 5 Brazil 142,983 7.0% 1 *DidnotplaceinTop5for2009.MexicoandHungaryfellfromTop5in2010. Autologousfat   1 Brazil 148,208 17.7% 3 2 U.S. 121,430 14.5% 1 3 China 56,060 6.7% 2 4 Japan 51,616 6.2% 5 5 India 50,620 6.0% 4 Laserhairremoval 1 U.S. 146,086 18.3% 1 2 Brazil 104,348 13.1% 2 3 China 77,580 9.7% 3 4 Japan 76,371 9.6% 4 5 India 69,020 8.7% * *DidnotplaceinTop5for2009.SouthKoreafellfromTop5in2010. IPLLaserTreatment 1 U.S. 108,535 18.6% 2 2 Brazil 77,772 13.3% 1 3 Japan 54,600 9.4% * 4 China 45,240 7.8% 4 5 India 41,340 7.1% * *DidnotplaceinTop5for2009.MexicoandGermanyfellfromTop5in2010.   NationalSocietiesofthefollowingcountriesmateriallyrestatedtheircountry’sestimatednumberofplasticsurgeonsin2010 comparedtothefigureusedin2009:Brazil;China;Colombia;France;Italy;andUnitedKingdom.Thismayaffectranking comparisons,since2009rankingswerenotrecomputed.   Thoughsomemayconsiderthisasurgicalprocedure,itisclassifiedasanonsurgicalprocedureinthisstudysinceitsindicationsare approximatelythesameasfiller.   8  MostCommonProceduresByCountry  NumberofProcedures Performed UnitedStates SurgicalProcedures Lipoplasty 402,259 Breastaugmentation 336,648 Abdominoplasty 154,265 Breastlift 128,295 Blepharoplasty 127,937 NonsurgicalProcedures BotulinumToxinTypeA(BotoxDysport) 579,739 HyaluronicAcid 256,048 Microdermabrasion 147,638 Laserhairremoval 146,086 Autologousfat   121,430 Brazil SurgicalProcedures Lipoplasty 436,887 Breastaugmentation 254,214 Blepharoplasty 155,543 Abdominoplasty 125,600 Rhinoplasty 106,609 NonsurgicalProcedures BotulinumToxinTypeA(BotoxDysport) 268,131 Autologousfat   148,208 HyaluronicAcid 142,983 Laserhairremoval 104,348 IPLLaserTreatment 77,772 China SurgicalProcedures Lipoplasty 134,720 Rhinoplasty 125,700 Blepharoplasty 73,480 Breastaugmentation 55,400 Abdominoplasty 33,480 NonsurgicalProcedures BotulinumToxinTypeA(BotoxDysport) 228,660 HyaluronicAcid 151,880 Laserhairremoval 77,580 Autologousfat   56,060 IPLLaserTreatment 45,240    Thoughsomemayconsiderthisasurgicalprocedure,itisclassifiedasanonsurgicalprocedureinthis studysinceitsindicationsareapproximatelythesameasfiller.  9   MostCommonProceduresByCountry (continued)  NumberofProcedures Performed Japan SurgicalProcedures Lipoplasty 118,612 Rhinoplasty 112,497 Blepharoplasty 66,172 Breastaugmentation 50,114 Abdominoplasty 29,735 NonsurgicalProcedures BotulinumToxinTypeA(BotoxDysport) 213,659 HyaluronicAcid 149,648 Laserhairremoval 76,371 IPLLaserTreatment 54,600 Autologousfat   51,616 India SurgicalProcedures Lipoplasty 130,480 Rhinoplasty 113,040 Blepharoplasty 62,340 Breastaugmentation 51,000 Abdominoplasty 33,660 NonsurgicalProcedures BotulinumToxinTypeA(BotoxDysport) 193,100 HyaluronicAcid 127,800 Laserhairremoval 69,020 IPLLaserTreatment 41,340 Autologousfat   50,620    Thoughsomemayconsiderthisasurgicalprocedure,itisclassifiedasanonsurgicalprocedureinthis studysinceitsindicationsareapproximatelythesameasfiller.  10  Average Surgeon's Fee* (U.S. Dollars) Charged per Surgical Procedure Facelift $5,526 Abdominoplasty $4,150 Breastreduction(women) $3,924 Breastlift $3,684 Breastaugmentation $3,450 Lipoplasty $2,658 Rhinoplasty $2,609 Gynecomastia,treatmentof(malebreastreduction) $2,419 Otoplasty $2,039 Blepharoplasty $1,973 *Averagesareweightedbasedonnumberofproceduresperformedineachcountryand thecountry'saveragereportedfee.   AverageSurgeon'sFee(U.S.Dollars)ChargedPerSurgicalProcedure— ByTop5Countries U.S. Brazil China Japan India Abdominoplasty $4,946 $3,731 $2,983 $3,048 $2,699 Blepharoplasty $2,429 $1,845 $1,292 $1,366 $1,191 Breastaugmentation $3,629 $2,921 $2,666 $2,794 $2,405 Breastlift $4,095 $3,109 $2,712 $2,971 $2,483 Breastreduction(women) $4,562 $3,230 $2,980 $3,128 $2,730 Facelift $6,442 $4,724 $4,009 $4,323 $3,689 Gynecomastia,treatmentof(malebreastreduction) $3,199 $2,305 $1,759 $1,837 $1,607 Lipoplasty $2,998 $2,789 $1,967 $2,034 $1,816 Otoplasty $2,745 $1,977 $1,519 $1,561 $1,412 Rhinoplasty $3,993 $3,031 $1,973 $2,053 $1,825