2020 Plastic Surgery Statistics Report

PLASTIC SURGERY

STATISTICS REPORT

2020

ASPS National Clearinghouse of

Plastic Surgery Procedural Statistics

ASPS Public Relations:

Phone 773-332-4719 | Fax 847-981-5482 | Email media@plasticsurgery.org

PLASTIC SURGERY

STATISTICS REPORT

2020

Table of Contents

Introductiton

About the American Society of Plastic Surgeons ................................................................................ 3

Methodology and Validity ........................................................................................................... 4

2020 Quick Facts - Plastic Surgery Trends ........................................................................................ 5

2020 Quick Facts - Demographic Trends .......................................................................................... 6

Statistical Reports

Cosmetic Procedure Trends .......................................................................................................7-8

Cosmetic Procedure Charts ......................................................................................................... 9

Reconstructive Procedure Trends and Charts ...................................................................................10

Cosmetic Surgery Gender Distribution – Female ...........................................................................11-12

Cosmetic Surgery Gender Distribution – Male ..............................................................................13-14

Cosmetic Surgery Age Distribution (13-19) ...................................................................................... 15

Cosmetic Surgery Age Distribution (20-29) ...................................................................................... 16

Cosmetic Surgery Age Distribution (30-39) ...................................................................................... 17

Cosmetic Surgery Age Distribution (40-54) ...................................................................................... 18

Cosmetic Surgery Age Distribution (55-69) ...................................................................................... 19

Cosmetic Surgery Age Distribution (70 and Over) ..............................................................................20

Regional Distribution ..........................................................................................................21-22

Average Surgeon/Physician Fees – Cosmetic Procedures ......................................................................23

Cosmetic Demographics ............................................................................................................24

Reconstructive Demographics ..................................................................................................... 25

Reconstructive Breast Procedures ................................................................................................25

Body Contouring After Massive Weight Loss ..................................................................................... 26

Gender Conrmation Surgery Statistics .........................................................................................26

PLASTIC SURGERY

STATISTICS REPORT

2020

PlasticSurgery.org

The ASPS online newsroom is the most comprehensive site for

journalistic research on cosmetic and reconstructive plastic surgery

on the Internet. The latest news releases and the online version of the

National Clearinghouse of Plastic Surgery Statistics are available.

Full color graphics and statistical graphs can be downloaded or are

available by contacting the ASPS Public Relations Department.

Pre- and Postoperative Photos and B-Roll

ASPS has a library of pre- and postoperative images and B-roll available

to the media by contacting the ASPS Public Relations Department.

ASPS Member Surgeons have the

following qualiﬁcations:

About the American Society of Plastic Surgeons

Are certied by The

American Board of

Plastic Surgery and

trained specically in

plastic surgery.

Adhere to a strict

code of ethics.

Have at least 6 years

surgical training,

minimum of 3 years

plastic surgery training.

Fulll continuing

education requirements,

including patient

safety techniques.

Are partners with

patients in cosmetic

and reconstructive

plastic surgery

Operate only in

accredited medical

facilities.

The American Society of Plastic Surgeons

ASPS

, a non-prot organization, supports members in their efforts to

provide the highest quality patient care through education, research

and advocacy. It is the only organization with two decades of plastic

surgery statistics – 1992-2020. ASPS is the largest organization of board-

certied plastic surgeons in the world. With more than 8,000 members,

the Society is recognized as a leading authority and information source

on cosmetic and reconstructive plastic surgery. ASPS comprises more

than 93 percent of all board-certied plastic surgeons in the United

States. Founded in 1931, the Society represents physicians certied

by The American Board of Plastic Surgery, Inc.

(ABPS

) or The Royal

College of Physicians and Surgeons of Canada.

The ASPS mission is to advance quality care to plastic surgery patients

by encouraging high standards of training, ethics, physician practice,

and research in plastic surgery.

ASPS Member Surgeons are uniquely qualied to perform cosmetic and

reconstructive plastic surgery on the face and all areas of the body.

Consumers can visit the ASPS at PlasticSurgery.org to nd ASPS Member

Surgeons in their area or learn more about cosmetic and reconstructive

plastic surgery, like us on Facebook.com/PlasticSurgeryASPS and follow

us at Twitter.com/ASPS_News.

ASPS Spokespersons Network

The ASPS Spokespersons Network is a valuable plastic surgery resource.

It comprises more than 100 plastic surgeons from across the United

States and Canada trained and available to assist journalists.

These spokespersons provide expert perspectives on a broad range of

plastic surgery topics including procedural details, the patient-physician

relationship, emerging trends, teens, and minorities.

They are also knowledgeable about the Society’s positions on health

care reform, scope of practice and other issues that affect patient

care.

To arrange interviews with members of the ASPS Spokespersons

Network, contact the ASPS Public Relations Department.

PLASTIC SURGERY

STATISTICS REPORT

2020

Methodology and Validity

Methodology

Since 1992, the American Society of Plastic Surgeons

(ASPS

) has been the source of cosmetic and

reconstructive plastic surgery statistical trends in the U.S., and this series represents over two decades of

procedural data. ASPS has partnered with Data Harbor Solutions, a health care industry data management

and technology development company, to ensure objectivity in the gathering, analysis and publication of its

procedural statistics.

Since 2000, the report represents a universal and comprehensive estimate of cosmetic and reconstructive

plastic surgery procedures performed by ASPS Member Surgeons as well as other physicians most likely to

perform plastic surgery procedures. These physicians are all certied by American Board of Medical Specialties

(ABMS) recognized boards.

ABMS is the umbrella organization for the 24 approved medical specialty boards in the United States.

Established in 1933, ABMS serves to provide information concerning issues involving specialization and

certication in medicine. The American Board of Plastic Surgery

(ABPS

) represents physicians who are

certied by ABPS

, the only ABMS member board that certies surgeons in plastic surgery of the face and

entire body.

ASPS offers the most comprehensive, reliable statistics on cosmetic and reconstructive plastic surgery

procedures performed in the United States. The annual questionnaire was distributed to more than 24,600 ABMS

board-certied physicians (An online and faxed version of the questionnaire were made available. A total of 463

active physicians returned questionnaires. Overall, 618 active physicians were included in the nal sample). This

data is combined with the rst online national database for plastic surgery procedures Tracking Operations and

Outcomes for Plastic Surgeons

(TOPS

All responses are aggregated and extrapolated to the entire population of more than 24,600 board certied

physicians most likely to perform cosmetic and reconstructive plastic surgery procedures, resulting in the most

accurate census available.

Validity

Results of the survey are based on a 95 percent condence level with a ±4.96 percent margin of error.

PLASTIC SURGERY

STATISTICS REPORT

2020

2020 Quick Facts

Cosmetic and Reconstructive Plastic Surgery Trends

Nose

Reshaping

(352,555)

• 2.3 million Cosmetic Surgical

Procedures



14%

• 13.2 million Cosmetic

Minimally-Invasive Procedures



16%

Facelift

(234,374)

Laser Skin

Resurfacing

(997,245)

Intense Pulsed Light

(IPL) Treatment

(827,409)

Botulinum

Toxin Type A

(4.4 M)

Chemical

Peel

(931,473)

Eyelid

Surgery

(325,112)

Soft Tissue

Filler

(3.4 M)

-3%

Liposuction

(211,067)

-20%

-33%

-11%

-8%

-6%

-1%

2020 Top 5 Cosmetic

Surgical Procedures

Percentage change 2020 vs. 2019

15.6 Million

Cosmetic Procedures

6.8 Million

Reconstructive Procedures

(3% increase from 2019)

2020 Top 5 Cosmetic

Minimally Invasive

Procedures

2020 Top 5 Reconstructive

Procedures

-13%

-11%

23%

-33%

-8%

-12%

Breast

Augmentation

(193,073)

Tumor

Removal

(5.2 M)

Maxillofacial

Surgery

(256,085)

Laceration

Repair

(386,710)

Scar Revision

(263,643)

Hand Surgery

(206,928)

Breast Augmentation continues to be one of

the top 5 cosmetic surgical procedures and

has been since 2006. Silicone implants were

used in 84% and saline implants in 16% of all

breast augmentations in 2020.

Intense Pulsed Light (IPL) treatment

replaces Laser Skin removal in the top 5

cosmetic minimally invasive procedures

with over 827,000 IPL procedures in

2020.

Tumor Removal continues to

overwhelm the top reconstructive

procedures performed every year with

approximately 5.2 million procedures

in 2020.

PLASTIC SURGERY

STATISTICS REPORT

2020

13-19 year old

20-29 year old

30-39 year old

40-54 year old

55-69 year old

70 and Over

Make up the least number of cosmetic procedures – only 2% of

the total. Some of the most common procedures for teens were:

nose reshaping, eyelid surgery, ear surgery, laser hair removal

and laser skin resurfacing.

229,000 total cosmetic procedures 15%

88,000 surgical 8%

141,000 minimally-invasive 20%

768,000 total cosmetic procedures 18%

283,000 surgical 14%

485,000 minimally-invasive 20%

2.1 million total cosmetic procedures 17%

364,000 surgical 16%

1.8 million minimally-invasive 17%

3.9 million total cosmetic procedures 14%

728,000 surgical 11%

3.2 million minimally-invasive 15%

246,000 total cosmetic procedures 20%

136,000 surgical 8%

110,000 minimally-invasive 31%

Make up the majority of cosmetic procedures – 45% of the total.

6.1 million total cosmetic procedures 14%

684,000 surgical 14%

5.4 million minimally-invasive 14%

2020 Quick Facts

Cosmetic Plastic Demographic Trends

Percentage change 2020 vs. 2019

Did you know…

• $16.7 billion was spent on cosmetic procedures in the U.S.

• Region with the most cosmetic procedures performed in the U.S.

is South Atlantic - 3.8 million (25%) procedures.

• Average length of time Board-Certied physicians reported they

stopped performing surgical procedures in 2020 due to Covid-19

is 8.1 weeks.

92% of all cosmetic procedures

12.4 million total cosmetic procedures 15%

•2.0 million surgical 13%

•10.4 million minimally-invasive 15%

FEMALE

8% of all cosmetic procedures

1.1 million total cosmetic procedures 18%

•289,000 surgical 12%

•820,000 minimally-invasive 20%

MALE

ETHNIC

Caucasians (10.3 million) 20%

Hispanic (1.9 million) 4%

African Americans (1.7 million) no change

Asian Americans (1.2 million) 5%

PLASTIC SURGERY

STATISTICS REPORT

2020

Cosmetic Procedure Trends

COSMETIC SURGICAL PROCEDURES

2020 2019 2000

% CHANGE

2020 vs. 2019

% CHANGE

2020 vs. 2000

Breast augmentation (Augmentation mammaplasty)****

†

193,073 287,085 212,500 -33% -9%

Breast implant removals (Augmentation patients only)**** 36,367 33,642 40,787 8% -11%

Breast lift (Mastopexy)**** 87,051 110,280 52,836 -21% 65%

Breast reduction (Aesthetic patients only)**** 33,574 46,340 * -28% *

Breast reduction in men (Gynecomastia)**** 18,575 20,955 20,351 -11% -9%

Buttock augmentation with fat grafting**** 21,823 28,076 * -22% *

Buttock implants**** 1,179 970 * 22% *

Buttock lift**** 2,872 3,945 1,356 -27% 112%

Calf augmentation**** 299 599 * -50% *

Cheek implant (Malar augmentation)◊ 108,189 117,720 10,427 -8% 938%

Chin augmentation (Mentoplasty)◊ 43,900 44,603 26,924 -2% 63%

Dermabrasion◊ 139,933 159,374 42,218 -12% 231%

Ear surgery (Otoplasty)◊ 53,095 55,000 36,295 -3% 46%

Eyelid surgery (Blepharoplasty)◊ 325,112 354,105 327,514 -8% -1%

Facelift (Rhytidectomy)◊ 234,374 261,987 133,856 -11% 75%

Forehead lift◊ 88,675 89,246 120,971 -1% -27%

Hair transplantation 9,670 24,348 44,694 -60% -78%

Labiaplasty**** 9,725 11,218 * -13% *

Lip augmentation (other than injectable materials)◊ 34,236 45,240 18,589 -24% 84%

Lip reduction****◊ 18,301 20,869 * -12% *

Liposuction 211,067 265,209 354,015 -20% -40%

Lower body lift**** 8,433 8,160 207 3% 3974%

Neck lift◊ 160,235 181,024 * -11% *

Nose reshaping (Rhinoplasty)◊ 352,555 362,299 389,155 -3% -9%

Pectoral implants**** 697 664 * 5% *

Thigh Lift**** 9,275 9,712 5,303 -4% 75%

Tummy tuck (Abdominoplasty)**** 97,988 118,210 62,713 -17% 56%

Upper arm lift**** 14,447 17,422 338 -17% 4174%

TOTAL COSMETIC SURGICAL PROCEDURES 2,314,720 2,678,302◊ 1,901,049 -14% 22%

All ﬁgures are projected.

Average length of time Board-Certiﬁed physicians reported they stopped performing surgical procedures in 2020

due to Covid-19 is 8.1 weeks.

◊Projections have been updated to reﬂect a more comprehensive set of Board-Certiﬁed physicians performing

these procedures

*Data unavailable in prior year.

†84% of total 2020 breast implants were silicone; 16% were saline.

****Counts of procedures performed by ASPS member surgeons only.

ASPS Procedural Statistics represent procedures performed by ASPS member surgeons certiﬁed by The American Board of

Plastic Surgery® as well as other physicians certiﬁed by American Board of Medical Specialties-recognized boards.

ASPS Member Only Procedural Statistics represent procedures performed by ASPS member surgeons certiﬁed by The American

Board of Plastic Surgery®. © ASPS, 2021

Margin of error = +/- 4.96%

PLASTIC SURGERY

STATISTICS REPORT

2020

COSMETIC MINIMALLY-INVASIVE PROCEDURES

2020 2019 2000

% CHANGE

2020 vs. 2019

% CHANGE

2020 vs. 2000

Botulinum Toxin Type A (Botox™, Dysport™, Xeomin™)*** 4,401,536 5,043,057 786,911 -13% 459%

Cellulite treatment (Velosmooth◊, Endermology)◊ 86,350 112,975 23,952 -24% 261%

Chemical peel 931,473 1,387,607 1,149,457 -33% -19%

Injection lipolysis (e.g., Kybella™)◊ 135,586 156,153 * -13% *

Intense Pulsed Light (IPL) treatment◊ 827,409 938,263 * -12% *

Laser hair removal 757,808 1,055,456 735,996 -28% 3%

Laser skin resurfacing◊ 997,245 1,087,887 170,951 -8% 483%

Ablative◊ 430,506 456,911 * -6% *

Non-ablative (Fraxel

™

, etc.)◊ 566,739 630,976 * -10% *

Laser tattoo removal◊ 199,945 215,898 * -7% *

Laser treatment of leg veins 168,682 214,800 245,424 -21% -31%

Microdermabrasion 522,693 681,190 868,315 -23% -40%

Non-invasive fat reduction (Coolsculpting

™

, Liposonix

™

Emsculpt

™

, Vanquish

™

, Zerona

™

)

357,938 386,557 * -7% *

on-surgical skin tightening (Pelleve™, Thermage™, Ulthera™)

188,509 334,351 * -44% *

Sclerotherapy 295,331 319,895 866,555 -8% -66%

Soft Tissue Fillers 3,410,730 3,816,274 * -11% *

Acellular Dermal Matrix****

8,354 9,117 * -8% *

Allograft Adipose Matrix◊ 11,280 15,272 * -26% *

Calcium hydroxylapatite (Radiesse

™

)◊ 201,474 243,162 * -17% *

Fat-face◊ 133,720 148,365 * -10% *

Hyaluronic acid (Juvederm Ultra

™

, Juvederm Ultra Plus

™

Perlane

™

, Restylane

™

, Belotero

™

)◊

2,619,650 2,878,201 * -9% *

Platelet-Rich Plasma (PRP)◊ 231,140 275,101 * -16% *

Polylactic acid (Sculptra

™

)◊ 134,123 165,064 * -19% *

Polymethyl-methacrylate microspheres (Bellall™)◊ 70,989 81,992 * -13% *

TOTAL COSMETIC MINIMALLY-INVASIVE PROCEDURES 13,281,235 15,750,363◊ 4,847,561 -16% 174%

TOTAL COSMETIC PROCEDURES 15,595,955 18,428,665 6,748,610 -15% 131%

Cosmetic Procedure Trends

All ﬁgures are projected.

Average length of time Board-Certiﬁed physicians reported they stopped performing surgical procedures

in 2020 due to Covid-19 is 8.1 weeks.

◊Projections have been updated to reﬂect a more comprehensive set of Board-Certiﬁed physicians performing these

procedures

*Data unavailable in prior year.

***Botulinum Toxin Type A numbers for 2019 have been restated without adjustment for anatomic sites injected.

****Counts of procedures performed by ASPS member surgeons only.

ASPS Procedural Statistics represent procedures performed by ASPS member surgeons certiﬁed by The American Board of

Plastic Surgery® as well as other physicians certiﬁed by American Board of Medical Specialties-recognized boards.

ASPS Member Only Procedural Statistics represent procedures performed by ASPS member surgeons certiﬁed by The American

Board of Plastic Surgery®. © ASPS, 2021

Margin of error = +/- 4.96%

PLASTIC SURGERY

STATISTICS REPORT

2020

Breast

Augmentation

Botulinum

Toxin Type A

352,555

4.4 million

3.4 million

234,374

997,245

211,067

931,473

193,073

827,409

Liposuction

Soft Tissue

Fillers

Eyelid

Surgery

Chemical

Peel

Nose

Reshaping

Laser Skin

Resurfacing

Intense

Pulsed Light

Facelift

-3% from 2019

-13% from 2019

-8% from 2019

-11% from 2019

-8% from 2019

-20% from 2019

-33% from 2019

-12% from 2019

Top 5 Cosmetic Plastic Surgery Procedures

TOP FIVE COSMETIC SURGICAL PROCEDURES

TOP FIVE COSMETIC MINIMALLY-INVASIVE PROCEDURES

325,112

PLASTIC SURGERY

STATISTICS REPORT

2020

RECONSTRUCTIVE PROCEDURES

2020 2019 2000

% CHANGE

2020 vs.2019

% CHANGE

2020 vs. 2000

Dog bite repair^ 47,454 43,215 43,089 10% 10%

Birth defect (congenital deformities) 68,915 59,986 40,076 15% 72%

Breast implant removals (Reconstructive patients only)**** 22,676 22,934 16,287 -1% 39%

Breast reconstruction**** 137,808 135,996 78,832 1% 75%

Breast reduction (reconstructive patients only)**** 63,746 65,138 * -2% *

Burn care**** 24,391 25,854 * -6% *

Hand surgery (excluding microsurgical)**** 206,928 204,105 * 1% *

Head and neck reconstruction**** 35,387 35,800 * -1% *

Hernia repair**** 13,191 13,715 * -4% *

Laceration repair (other than facial)^^ 386,710 391,190 358,666 -1% 8%

Lower extremity reconstruction (including microsurgical)**** 23,053 23,510 * -2% *

Maxillofacial surgery^^^ 256,085 207,862 79,331 23% 223%

Migraine peripheral trigger site surgery 4,520 5,121 * -12% *

Pelvic oor reconstruction**** 2,993 3,144 * -5% *

Pressure ulcers**** 17,463 15,431 * 13% *

Scar revision 263,643 279,239 221,858 -6% 19%

Tumor removal (including skin cancer) 5,191,300 5,003,243 * 4% *

Other reconstructive procedures**** 112,223 117,108 376,270 -4% -70%

TOTAL RECONSTRUCTIVE PROCEDURES 6,878,486 6,652,591◊ * 3% *

Tumor

Removal

5.1 million 386,710

263,643

256,085 206,928

Laceration

Repair

Maxillofcial

Surgery

Scar

Revision

Hand

Surgery

-6% from 20194% from 2019

-1% from 2019

23% from 2019

1% from 2019

TOP FIVE RECONSTRUCTIVE PROCEDURES

Reconstructive Procedure Trends

All ﬁgures are projected.

Average length of time Board-Certiﬁed physicians reported they stopped performing surgical procedures in

2020 due to Covid-19 is 8.1 weeks.

◊Projections have been updated to reﬂect a more comprehensive set of Board-Certiﬁed physicians performing

these procedures

*Data unavailable in prior year.

****Counts of procedures performed by ASPS member surgeons only.

^In 2000 ﬁgure included all animal bites.

^^In 2000 ﬁgure included facial laceration repair.

^^^In 2020 and 2019 ﬁgure includes facial laceration repair.

ASPS Procedural Statistics represent procedures performed by ASPS member surgeons certiﬁed by The American Board of Plastic

Surgery® as well as other physicians certiﬁed by American Board of Medical Specialties-recognized boards. © ASPS, 2021

Margin of error = +/- 4.96%

PLASTIC SURGERY

STATISTICS REPORT

2020

Cosmetic Surgery Gender Distribution

COSMETIC SURGICAL PROCEDURES

2020

TOTAL PROCEDURES

2020

TOTAL FEMALE

% OF TOTAL

PROCEDURES

% CHANGE

2020vs. 2019

% CHANGE

2020 vs. 2000

Breast augmentation (Augmentation mammaplasty)****† 193,073 193,073 100% -33% -9%

Breast implant removals (Augmentation patients only)**** 36,367 36,367 100% 8% -11%

Breast lift (Mastopexy)**** 87,051 87,051 100% -21% 65%

Breast reduction (Aesthetic patients only)**** 33,574 33,574 100% -28% *

Breast reduction in men (Gynecomastia)**** 18,575 0 0% - -

Buttock augmentation with fat grafting**** 21,823 21,492 98% * *

Buttock implants**** 1,179 1,018 86% 21% *

Buttock lift**** 2,872 2,515 88% -27% 92%

Calf augmentation**** 299 132 44% -48% *

Cheek implant (Malar augmentation)◊ 108,189 79,551 74% -5% 808%

Chin augmentation (Mentoplasty)◊ 43,900 34,166 78% -2% 92%

Dermabrasion◊ 139,933 125,403 90% -12% 350%

Ear surgery (Otoplasty)◊ 53,095 30,628 58% -3% 60%

Eyelid surgery (Blepharoplasty)◊ 325,112 279,306 86% -8% 3%

Facelift (Rhytidectomy)◊ 234,374 216,350 92% -10% 82%

Forehead lift◊ 88,675 81,468 92% -1% -25%

Hair transplantation 9,670 3,014 31% -59% -26%

Labiaplasty**** 9,725 9,725 100% -13% *

Lip augmentation (other than injectable materials)◊ 34,236 32,972 96% -24% -89%

Liposuction 211,067 188,252 89% -20% -38%

Lower body lift**** 8,433 7,713 91% 3% *

Neck lift◊ 160,235 138,051 86% -12% *

Nose reshaping (Rhinoplasty)◊ 352,555 287,434 82% -2% 20%

Thigh Lift**** 9,275 8,750 94% -5% 72%

Tummy tuck (Abdominoplasty)**** 97,988 94,248 96% -17% 56%

Upper arm lift**** 14,447 14,109 98% -17% *

TOTAL COSMETIC SURGICAL PROCEDURES 2,295,722 2,006,362 87% -13% 33%

FEMALE

Breast

Augmentation

193,073

-10% from 2019

279,306

Eyelid

Surgery

-8% from 2019

287,434

Nose

Reshaping

-2% from 2019

216,350

Face Lift

-20% from 2019

TOP FIVE FEMALE COSMETIC SURGICAL PROCEDURES

All ﬁgures are projected.

*Data unavailable in prior year.

****Counts of procedures performed by ASPS

member surgeons only.

Average length of time Board-Certiﬁed

physicians reported they stopped performing

surgical procedures in 2020 due to Covid-19 is

8.1 weeks.

◊Projections have been updated to reﬂect a more

comprehensive set of Board-Certiﬁed physicians

performing these procedures

†84% of total 2020 breast implants were

silicone; 16% were saline.

ASPS Procedural Statistics represent procedures

performed by ASPS member surgeons certiﬁed

by The American Board of Plastic Surgery® as

well as other physicians certiﬁed by American

Board of Medical Specialties-recognized boards.

188,252

Liposuction

-33% from 2019

PLASTIC SURGERY

STATISTICS REPORT

2020

COSMETIC MINIMALLY-INVASIVE PROCEDURES

2020

TOTAL PROCEDURES

2020

TOTAL FEMALE

% OF TOTAL

PROCEDURES

% CHANGE

2020 vs. 2019

% CHANGE

2020 vs. 2000

Botulinum Toxin Type A (Botox™, Dysport™, Xeomin™)*** 4,401,536 4,136,289 94% -12% 497%

Cellulite treatment (Velosmooth™, Endermology)◊ 86,350 75,621 88% -24% 216%

Chemical peel 931,473 889,742 96% -33% -6%

Laser hair removal 757,808 635,618 84% -28% 5%

Laser skin resurfacing◊ 997,245 871,674 87% -8% 484%

Laser treatment of leg veins 168,682 145,620 86% -21% -35%

Microdermabrasion 522,693 425,840 81% -23% -46%

Sclerotherapy 295,331 279,205 95% -8% -67%

Soft Tissue Fillers 3,088,967 2,970,353 96% -10% 393%

Calcium hydroxylapatite (Radiesse™)◊ 201,474 186,587 93% -17% *

Fat-face◊ 133,720 125,775 94% -10% 105%

Hyaluronic acid (Juvederm Ultra™, Juvederm Ultra

Plus™, Perlane™, Restylane™, Belotero™)◊

2,619,650 2,547,248 97% -9% *

Polylactic acid (Sculptra™)◊

134,123 110,743 83% -19% *

TOTAL COSMETIC MINIMALLY-INVASIVE PROCEDURES 11,250,085 10,429,962 93% -15% 114%

TOTAL COSMETIC PROCEDURES 13,545,807 12,436,324 92% -15% 95%

FEMALE

Botulinum

Toxin Type A

4.1 million 2.9 million

889,742

871,674 635,618

Soft Tissue

Fillers

Laser Skin

Resurfacing

Chemical

Peel

Laser Hair

Removal

-12% from 2019

-10% from 2019

-33% from 2019

-8% from 2019

-28% from 2019

TOP FIVE FEMALE COSMETIC MINIMALLY-INVASIVE PROCEDURES

Cosmetic Surgery Gender Distribution

All ﬁgures are projected.

*Data unavailable in prior year.

***Botulinum Toxin Type A numbers for 2020

and 2019 have been restated without adjustment

for anatomic sites injected.

****Counts of procedures performed by ASPS

member surgeons only.

Average length of time Board-Certiﬁed

physicians reported they stopped performing

surgical procedures in 2020 due to Covid-19 is

8.1 weeks.

◊Projections have been updated to reﬂect a more

comprehensive set of Board-Certiﬁed physicians

performing these procedures

ASPS Procedural Statistics represent procedures

performed by ASPS member surgeons certiﬁed

by The American Board of Plastic Surgery® as

well as other physicians certiﬁed by American

Board of Medical Specialties-recognized boards.

PLASTIC SURGERY

STATISTICS REPORT

2020

Cosmetic Surgery Gender Distribution

COSMETIC SURGICAL PROCEDURES

2020

TOTAL PROCEDURES

2020

TOTAL MALE

% OF TOTAL

PROCEDURES

% CHANGE

2020 vs. 2019

% CHANGE

2020 vs. 2000

Breast augmentation (Augmentation mammaplasty)****† 193,073 0 0% - -

Breast implant removals (Augmentation patients only)**** 36,367 0 0% - -

Breast lift (Mastopexy)**** 87,051 0 0% - -

Breast reduction (Aesthetic patients only)**** 33,574 0 0% - -

Breast reduction in men (Gynecomastia)**** 18,575 18,575 100% -11% -9%

Buttock augmentation with fat grafting**** 21,823 331 2% * *

Buttock implants**** 1,179 161 14% 23% *

Buttock lift**** 2,872 357 12% -28% 644%

Calf augmentation**** 299 167 56% -52% *

Cheek implant (Malar augmentation)◊ 108,189 28,638 26% -16% 1616%

Chin augmentation (Mentoplasty)◊ 43,900 9,734 22% -1% 7%

Dermabrasion◊ 139,933 14,530 10% -14% 1%

Ear surgery (Otoplasty)◊ 53,095 22,467 42% -4% 31%

Eyelid surgery (Blepharoplasty)◊ 325,112 45,806 14% -8% -21%

Facelift (Rhytidectomy)◊ 234,374 18,024 8% -11% 19%

Forehead lift◊ 88,675 7,207 8% 1% -44%

Hair transplantation 9,670 6,656 69% -61% -84%

Labiaplasty**** 9,725 0 0% - *

Lip augmentation (other than injectable materials)◊ 34,236 1,264 4% -26% 445%

Liposuction 211,067 22,815 11% -21% -56%

Lower body lift**** 8,433 720 9% 6% 248%

Neck lift◊ 160,235 22,184 14% -11% *

Nose reshaping (Rhinoplasty)◊ 352,555 65,121 18% -5% -57%

Thigh Lift**** 9,275 525 6% 0% 139%

Tummy tuck (Abdominoplasty)**** 97,988 3,740 4% -16% 63%

Upper arm lift**** 14,447 338 2% -18% *

TOTAL COSMETIC SURGICAL PROCEDURES 2,295,722 289,360 13% -12% -27%

MALE

Eyelid

Surgery

Cheek

Implant

Ear

Surgery

Liposuction

65,121

45,806 28,638

22,815

22,464

Nose

Reshaping

-8% from 2019

-5% from 2019

-16% from 2019

-21% from 2019 -4% from 2019

TOP FIVE MALE COSMETIC SURGICAL PROCEDURES

All ﬁgures are projected.

*Data unavailable in prior year.

****Counts of procedures performed by ASPS

member surgeons only.

Average length of time Board-Certiﬁed

physicians reported they stopped performing

surgical procedures in 2020 due to Covid-19 is

8.1 weeks.

◊Projections have been updated to reﬂect a more

comprehensive set of Board-Certiﬁed physicians

performing these procedures

†84% of total 2020 breast implants were

silicone; 16% were saline.

ASPS Procedural Statistics represent procedures

performed by ASPS member surgeons certiﬁed

by The American Board of Plastic Surgery® as

well as other physicians certiﬁed by American

Board of Medical Specialties-recognized boards.

PLASTIC SURGERY

STATISTICS REPORT

2020

COSMETIC MINIMALLY-INVASIVE PROCEDURES

2020

TOTAL PROCEDURES

2020

TOTAL MALE

% OF TOTAL

PROCEDURES

% CHANGE

2020 vs. 2019

% CHANGE

2020 vs. 2000

Botulinum Toxin Type A (Botox™, Dysport™, Xeomin™)*** 4,401,536 265,247 6% -17% 182%

Cellulite treatment (Velosmooth™, Endermology)◊ 86,350 10,729 12% -20% *

Chemical peel 931,473 41,731 4% -36% -79%

Laser hair removal 757,808 122,190 16% -30% -8%

Laser skin resurfacing◊ 997,245 125,571 13% -8% 482%

Laser treatment of leg veins 168,682 23,062 14% -23% 10%

Microdermabrasion 522,693 96,853 19% -26% 13%

Sclerotherapy 295,331 16,126 5% -8% -39%

Soft Tissue Fillers 3,088,967 118,614 4% -12% 137%

Calcium hydroxylapatite (Radiesse™)◊ 201,474 14,887 7% -16% *

Fat-face◊ 133,720 7,945 6% -7% 103%

Hyaluronic acid (Juvederm Ultra™, Juvederm Ultra

Plus™, Perlane™, Restylane™, Belotero™)◊

2,619,650 72,402 3% -9% *

Polylactic acid (Sculptra™)◊ 134,123 23,380 17% -17% *

TOTAL COSMETIC MINIMALLY-INVASIVE PROCEDURES 11,250,085 820,123 7% -20% 29%

TOTAL COSMETIC PROCEDURES 13,545,807 1,109,483 8% -18% 8%

Cosmetic Surgery Gender Distribution

MALE

All ﬁgures are projected.

*Data unavailable in prior year.

***Botulinum Toxin Type A numbers for 2020 and

2019 have been restated without adjustment for

anatomic sites injected.

****Counts of procedures performed by ASPS

member surgeons only.

Average length of time Board-Certiﬁed physicians

reported they stopped performing surgical

procedures in 2020 due to Covid-19 is 8.1 weeks.

◊Projections have been updated to reﬂect a more

comprehensive set of Board-Certiﬁed physicians

performing these procedures

ASPS Procedural Statistics represent procedures

performed by ASPS member surgeons certiﬁed by

The American Board of Plastic Surgery® as well

as other physicians certiﬁed by American Board of

Medical Specialties-recognized boards. © ASPS,

2021

Botulinum

Toxin Type A

265,247

125,571

122,190

118,614

96,853

Laser Skin

Resurng

Soft Tissue

Fillers

Laser Hair

Removal

-17% from 2019

-8% from 2019

-30% from 2019

-12% from 2019 -26% from 2019

TOP FIVE MALE COSMETIC MINIMALLY-INVASIVE PROCEDURES

Microdermabrasion

PLASTIC SURGERY

STATISTICS REPORT

2020

Cosmetic Surgery Age Distribution

COSMETIC SURGICAL PROCEDURES

AGE 13-19

2020 TOTAL

AGE 13-19

% OF TOTAL PROCEDURES

AGE 13-19

% CHANGE 2020 vs 2019

Breast augmentation (Augmentation mammaplasty)****^ 3,233 2% -34%

Breast implant removals (Augmentation patients only)****^ 64 0% 2%

Breast lift (Mastopexy)**** 1,006 1% -23%

Breast reduction (Aesthetic patients only)**** 1,843 5% -26%

Breast reduction in men (Gynecomastia)**** 2,823 15% -11%

Buttock lift**** 12 0% -29%

Cheek implant (Malar augmentation)◊ 3,033 3% -11%

Chin augmentation (Mentoplasty)◊ 2,517 6% -5%

Dermabrasion◊ 2,152 2% -14%

Ear surgery (Otoplasty)◊

17,340

33% -3%

Eyelid surgery (Blepharoplasty)◊ 5,301 2% -9%

Forehead lift◊ 74 0% -4%

Labiaplasty**** 879 9% -16%

Lip augmentation (other than injectable materials)◊ 331 1% -23%

Liposuction 2,346 1% -22%

Lower body lift**** 43 1% 0%

Neck lift◊ 46 0% -15%

Nose reshaping (Rhinoplasty)◊ 44,686 13% -4%

Thigh Lift**** 46 0% -10%

Tummy tuck (Abdominoplasty)**** 166 0% -17%

Upper arm lift**** 25 0% 0%

TOTAL COSMETIC SURGICAL PROCEDURES 87,966 4% -8%

COSMETIC MINIMALLY-INVASIVE PROCEDURES

AGE 13-19

2020 TOTAL

AGE 13-19

% OF TOTAL PROCEDURES

AGE 13-19

% CHANGE 2020 vs 2019

Botulinum Toxin Type A (Botox™, Dysport™, Xeomin™)*** 12,767 0% -12%

Chemical peel 4,035 0% -35%

Laser hair removal 47,850 6% -29%

Laser skin resurfacing◊ 47,979 5% -8%

Laser treatment of leg veins 15,223 9% -21%

Microdermabrasion 5,140 1% -24%

Sclerotherapy 442 0% -9%

Soft Tissue Fillers 8,338 0% -12%

Calcium hydroxylapatite (Radiesse™)◊ 692 0% -17%

Fat-face◊ 1,149 1% -10%

Hyaluronic acid (Juvederm Ultra™, Juvederm Ultra Plus™,

Perlane™, Restylane™, Belotero™)◊

4,711 0% -8%

Polylactic acid (Sculptra

™

)

◊ 1,786 1% -20%

TOTAL COSMETIC MINIMALLY-INVASIVE PROCEDURES 141,774 1% -20%

TOTAL COSMETIC PROCEDURES 229,740 2% -15%

All ﬁgures are projected.

^Total represents only 18 and 19 year olds.

*Data unavailable in prior year.

***Botulinum Toxin Type A numbers for 2020 and

2019 have been restated without adjustment for

anatomic sites injected.

****Counts of procedures performed by ASPS

member surgeons only.

Average length of time Board-Certiﬁed physicians

reported they stopped performing surgical procedures

in 2020 due to Covid-19 is 8.1 weeks.

◊Projections have been updated to reﬂect a more

comprehensive set of Board-Certiﬁed physicians

performing these procedures

ASPS Procedural Statistics represent procedures

performed by ASPS member surgeons certiﬁed by

The American Board of PlasticSurgery® as well

as other physicians certiﬁed by American Board of

Medical Specialties-recognized boards. © ASPS,

2021

Age

13-19

PLASTIC SURGERY

STATISTICS REPORT

2020

COSMETIC SURGICAL PROCEDURES

AGE 20-29

2020 TOTAL

AGE 20-29

% OF TOTAL PROCEDURES

AGE 20-29

% CHANGE 2020 vs 2019

Breast augmentation (Augmentation mammaplasty)**** 52,695 27% -33%

Breast implant removals (Augmentation patients only)**** 2,108 6% 6%

Breast lift (Mastopexy)**** 9,459 11% -22%

Breast reduction (Aesthetic patients only)**** 5,551 17% -26%

Breast reduction in men (Gynecomastia)**** 6,884 37% -12%

Buttock augmentation with fat grafting**** 882 4% *

Buttock implants**** 241 20% 21%

Buttock lift**** 257 9% -25%

Calf augmentation**** 114 38% -50%

Cheek implant (Malar augmentation)◊ 17,189 16% 1%

Chin augmentation (Mentoplasty)◊ 8,180 19% 3%

Dermabrasion◊ 5,594 4% -12%

Ear surgery (Otoplasty)◊ 15,569 29% -3%

Eyelid surgery (Blepharoplasty)◊ 10,345 3% -9%

Facelift (Rhytidectomy)◊ 742 0% -9%

Forehead lift◊ 148 0% -4%

Hair transplantation 833 9% -60%

Labiaplasty**** 3,155 32% -11%

Lip augmentation (other than injectable materials)◊ 1,671 5% -23%

Liposuction 21,349 10% -22%

Lower body lift**** 581 7% 2%

Neck lift◊ 922 1% -15%

Nose reshaping (Rhinoplasty)◊ 110,133 31% -2%

Thigh Lift**** 566 6% -7%

Tummy tuck (Abdominoplasty)**** 7,518 8% -18%

Upper arm lift**** 773 5% -16%

TOTAL COSMETIC SURGICAL PROCEDURES 283,459 12% -14%

COSMETIC MINIMALLY-INVASIVE PROCEDURES

AGE 20-29

2020 TOTAL

AGE 20-29

% OF TOTAL PROCEDURES

AGE 20-29

% CHANGE 2020 vs 2019

Botulinum Toxin Type A (Botox™, Dysport™, Xeomin™)*** 64,088 1% -14%

Cellulite treatment (Velosmooth™, Endermology)◊ 18,665 22% -23%

Chemical peel 17,651 2% -33%

Laser hair removal 165,638 22% -28%

Laser skin resurfacing◊ 56,006 6% -8%

Laser treatment of leg veins 21,666 13% -22%

Microdermabrasion 41,199 8% -23%

Sclerotherapy 12,821 4% -9%

Soft Tissue Fillers 87,353 3% -10%

Calcium hydroxylapatite (Radiesse™)◊ 3,857 2% -17%

Fat-face◊ 6,501 5% -9%

Hyaluronic acid (Juvederm Ultra™, Juvederm Ultra Plus™,

Perlane™, Restylane™, Belotero™)◊

69,850 3% -9%

Polylactic acid (Sculptra™)◊ 7,145 5% -19%

TOTAL COSMETIC MINIMALLY-INVASIVE PROCEDURES 485,087 4% -20%

TOTAL COSMETIC PROCEDURES 768,546 6% -18%

Cosmetic Surgery Age Distribution

Age

20-29

All ﬁgures are projected.

*Data unavailable in prior year.

***Botulinum Toxin Type A numbers for 2020 and

2019 have been restated without adjustment for

anatomic sites injected.

****Counts of procedures performed by ASPS

member surgeons only.

Average length of time Board-Certiﬁed physicians

reported they stopped performing surgical procedures

in 2020 due to Covid-19 is 8.1 weeks.

◊Projections have been updated to reﬂect a more

comprehensive set of Board-Certiﬁed physicians

performing these procedures

ASPS Procedural Statistics represent procedures

performed by ASPS member surgeons certiﬁed by

The American Board of PlasticSurgery® as well

as other physicians certiﬁed by American Board of

Medical Specialties-recognized boards. © ASPS,

2021

PLASTIC SURGERY

STATISTICS REPORT

2020

Cosmetic Surgery Age Distribution

COSMETIC SURGICAL PROCEDURES

AGE 30-39

2020 TOTAL

AGE 30-39

% OF TOTAL PROCEDURES

AGE 30-39

% CHANGE 2020 vs 2019

Breast augmentation (Augmentation mammaplasty)**** 67,966 35% -33%

Breast implant removals (Augmentation patients only)**** 6,683 18% 8%

Breast lift (Mastopexy)**** 23,639 27% -21%

Breast reduction (Aesthetic patients only)**** 6,130 18% -28%

Breast reduction in men (Gynecomastia)**** 4,466 24% -10%

Buttock augmentation with fat grafting**** 3,527 16% *

Buttock implants**** 393 33% 22%

Buttock lift**** 649 23% -27%

Calf augmentation**** 121 40% -51%

Cheek implant (Malar augmentation)◊ 18,200 17% -11%

Chin augmentation (Mentoplasty)◊ 7,647 17% 2%

Dermabrasion◊ 12,050 9% -12%

Ear surgery (Otoplasty)◊ 8,590 16% -4%

Eyelid surgery (Blepharoplasty)◊ 13,944 4% -9%

Facelift (Rhytidectomy)◊ 2,020 1% -10%

Forehead lift◊ 2,067 2% 1%

Hair transplantation 786 8% -61%

Labiaplasty**** 3,052 31% -13%

Lip augmentation (other than injectable materials)◊ 4,486 13% -24%

Liposuction 54,994 26% -21%

Lower body lift**** 1,902 23% 2%

Neck lift◊ 2,489 2% -12%

Nose reshaping (Rhinoplasty)◊ 84,008 24% -3%

Thigh Lift**** 2,050 22% -6%

Tummy tuck (Abdominoplasty)**** 30,677 31% -17%

Upper arm lift**** 2,239 15% -18%

TOTAL COSMETIC SURGICAL PROCEDURES 364,775 16% -16%

COSMETIC MINIMALLY-INVASIVE PROCEDURES

AGE 30-39

2020 TOTAL

AGE 30-39

% OF TOTAL PROCEDURES

AGE 30-39

% CHANGE 2020 vs 2019

Botulinum Toxin Type A (Botox™, Dysport™, Xeomin™)*** 811,314 18% -14%

Cellulite treatment (Velosmooth™, Endermology)◊ 45,902 53% -24%

Chemical peel 76,656 8% -34%

Laser hair removal 221,432 29% -28%

Laser skin resurfacing◊ 85,868 9% -8%

Laser treatment of leg veins 51,254 30% -21%

Microdermabrasion 118,423 23% -24%

Sclerotherapy 44,211 15% -7%

Soft Tissue Fillers 348,180 11% -10%

Calcium hydroxylapatite (Radiesse™)◊ 16,714 8% -16%

Fat-face◊ 17,285 13% -9%

Hyaluronic acid (Juvederm Ultra™, Juvederm Ultra Plus™,

Perlane™, Restylane™, Belotero™)◊

299,259 11% -9%

Polylactic acid (Sculptra™)◊

14,922 11% -17%

TOTAL COSMETIC MINIMALLY-INVASIVE PROCEDURES 1,803,240 16% -17%

TOTAL COSMETIC PROCEDURES

2,168,015 16% -17%

Age

30-39

All ﬁgures are projected.

*Data unavailable in prior year.

***Botulinum Toxin Type A numbers for 2020 and

2019 have been restated without adjustment for

anatomic sites injected.

****Counts of procedures performed by ASPS

member surgeons only.

Average length of time Board-Certiﬁed physicians

reported they stopped performing surgical procedures

in 2020 due to Covid-19 is 8.1 weeks.

◊Projections have been updated to reﬂect a more

comprehensive set of Board-Certiﬁed physicians

performing these procedures

ASPS Procedural Statistics represent procedures

performed by ASPS member surgeons certiﬁed by

The American Board of PlasticSurgery® as well

as other physicians certiﬁed by American Board of

Medical Specialties-recognized boards. © ASPS,

2021

PLASTIC SURGERY

STATISTICS REPORT

2020

Cosmetic Surgery Age Distribution

COSMETIC SURGICAL PROCEDURES

AGE 40-54

2020 TOTAL

AGE 40-54

% OF TOTAL PROCEDURES

AGE 40-54

% CHANGE 2020 vs 2019

Breast augmentation (Augmentation mammaplasty)**** 53,592 28% -33%

Breast implant removals (Augmentation patients only)**** 15,054 41% 7%

Breast lift (Mastopexy)**** 35,129 40% -22%

Breast reduction (Aesthetic patients only)**** 11,372 34% -29%

Breast reduction in men (Gynecomastia)**** 2,872 15% -11%

Buttock augmentation with fat grafting**** 9,864 45% *

Buttock implants**** 459 39% 22%

Buttock lift**** 1,315 46% -29%

Calf augmentation**** 45 15% -49%

Cheek implant (Malar augmentation)◊ 41,456 38% -8%

Chin augmentation (Mentoplasty)◊ 12,973 30% -5%

Dermabrasion◊ 38,144 27% -16%

Ear surgery (Otoplasty)◊ 5,491 10% -21%

Eyelid surgery (Blepharoplasty)◊ 106,006 33% -10%

Facelift (Rhytidectomy)◊ 49,246 21% -12%

Forehead lift◊ 27,433 31% -3%

Hair transplantation 2,021 21% -60%

Labiaplasty**** 2,131 22% -16%

Lip augmentation (other than injectable materials)◊ 12,058 35% -25%

Liposuction 89,792 43% -21%

Lower body lift**** 3,801 45% 1%

Neck lift◊ 33,868 21% -13%

Nose reshaping (Rhinoplasty)◊ 78,054 22% -5%

Thigh Lift**** 4,150 45% -6%

Tummy tuck (Abdominoplasty)**** 42,380 43% -18%

Upper arm lift**** 5,693 39% -18%

TOTAL COSMETIC SURGICAL PROCEDURES

684,399 30% -14%

COSMETIC MINIMALLY-INVASIVE PROCEDURES

AGE 40-54

2020 TOTAL

AGE 40-54

% OF TOTAL PROCEDURES

AGE 40-54

% CHANGE 2020 vs 2019

Botulinum Toxin Type A (Botox™, Dysport™, Xeomin™)*** 2,503,229 57% -12%

Cellulite treatment (Velosmooth™, Endermology)◊ 21,746 25% -23%

Chemical peel 318,224 34% -34%

Laser hair removal 274,321 36% -28%

Laser skin resurfacing◊ 420,952 42% -8%

Laser treatment of leg veins 51,868 31% -22%

Microdermabrasion 232,805 45% -23%

Sclerotherapy 133,518 45% -8%

Soft Tissue Fillers 1,511,696 49% -10%

Calcium hydroxylapatite (Radiesse™)◊ 79,167 39% -18%

Fat-face◊ 46,341 35% -9%

Hyaluronic acid (Juvederm Ultra™, Juvederm Ultra Plus™,

Perlane™, Restylane™, Belotero™)◊

1,309,693 50% -9%

Polylactic acid (Sculptra™)◊ 76,495 57% -19%

TOTAL COSMETIC MINIMALLY-INVASIVE PROCEDURES

5,468,359 49% -14%

TOTAL COSMETIC PROCEDURES 6,152,758 45% -14%

Age

40-54

All ﬁgures are projected.

*Data unavailable in prior year.

***Botulinum Toxin Type A numbers for 2020 and

2019 have been restated without adjustment for

anatomic sites injected.

****Counts of procedures performed by ASPS

member surgeons only.

Average length of time Board-Certiﬁed physicians

reported they stopped performing surgical procedures

in 2020 due to Covid-19 is 8.1 weeks.

◊Projections have been updated to reﬂect a more

comprehensive set of Board-Certiﬁed physicians

performing these procedures

ASPS Procedural Statistics represent procedures

performed by ASPS member surgeons certiﬁed by

The American Board of PlasticSurgery® as well

as other physicians certiﬁed by American Board of

Medical Specialties-recognized boards. © ASPS,

2021

PLASTIC SURGERY

STATISTICS REPORT

2020

Cosmetic Surgery Age Distribution

COSMETIC SURGICAL PROCEDURES

AGE 55-69

2020 TOTAL

AGE 55-69

% OF TOTAL PROCEDURES

AGE 55-69

% CHANGE 2020 vs 2019

Breast augmentation (Augmentation mammaplasty)**** 13,304 7% -32%

Breast implant removals (Augmentation patients only)**** 10,309 28% 8%

Breast lift (Mastopexy)**** 15,305 18% -20%

Breast reduction (Aesthetic patients only)**** 7,505 22% -28%

Breast reduction in men (Gynecomastia)**** 1,216 7% -11%

Buttock augmentation with fat grafting**** 6,393 29% *

Buttock implants**** 86 7% 23%

Buttock lift**** 578 20% -27%

Calf augmentation**** 19 6% -50%

Cheek implant (Malar augmentation)◊ 26,289 24% -11%

Chin augmentation (Mentoplasty)◊ 10,793 25% -3%

Dermabrasion◊ 64,838 46% -12%

Ear surgery (Otoplasty)◊ 4,295 8% -3%

Eyelid surgery (Blepharoplasty)◊ 155,279 48% -8%

Facelift (Rhytidectomy)◊ 149,970 64% -11%

Forehead lift◊ 50,355 57% 0%

Hair transplantation 6,030 62% -60%

Labiaplasty**** 440 5% -11%

Lip augmentation (other than injectable materials)◊ 15,690 46% -24%

Liposuction 38,389 18% -20%

Lower body lift**** 1,884 22% 6%

Neck lift◊ 97,588 61% -11%

Nose reshaping (Rhinoplasty)◊ 29,451 8% -1%

Thigh Lift**** 2,180 24% -2%

Tummy tuck (Abdominoplasty)**** 15,609 16% -18%

Upper arm lift**** 4,788 33% -18%

TOTAL COSMETIC SURGICAL PROCEDURES 728,583 32% -11%

COSMETIC MINIMALLY-INVASIVE PROCEDURES

AGE 55-69

2020 TOTAL

AGE 55-69

% OF TOTAL PROCEDURES

AGE 55-69

% CHANGE 2020 vs 2019

Botulinum Toxin Type A (Botox™, Dysport™, Xeomin™)*** 1,010,138 23% -13%

Cellulite treatment (Velosmooth™, Endermology)◊ 37 0% -23%

Chemical peel 411,522 44% -32%

Laser hair removal 48,567 6% -29%

Laser skin resurfacing◊ 386,440 39% -8%

Laser treatment of leg veins 28,671 17% -22%

Microdermabrasion 125,126 24% -23%

Sclerotherapy 97,707 33% -7%

Soft Tissue Fillers 1,133,400 37% -10%

Calcium hydroxylapatite (Radiesse)◊ 101,044 50% -17%

Fat-face◊ 62,444 47% -11%

Hyaluronic acid (Juvederm Ultra™, Juvederm Ultra Plus™,

Perlane™, Restylane™, Belotero™)◊

936,137 36% -9%

Polylactic acid (Sculptra™)◊ 33,775 25% -18%

TOTAL COSMETIC MINIMALLY-INVASIVE PROCEDURES

3,241,608 29% -15%

TOTAL COSMETIC PROCEDURES 3,970,191 29% -14%

All ﬁgures are projected.

*Data unavailable in prior year.

***Botulinum Toxin Type A numbers for 2020 and

2019 have been restated without adjustment for

anatomic sites injected.

****Counts of procedures performed by ASPS

member surgeons only.

Average length of time Board-Certiﬁed physicians

reported they stopped performing surgical procedures

in 2020 due to Covid-19 is 8.1 weeks.

◊ Projections have been updated to reﬂect a more

comprehensive set of Board-Certiﬁed physicians

performing these procedures

ASPS Procedural Statistics represent procedures

performed by ASPS member surgeons certiﬁed by

The American Board of PlasticSurgery® as well

as other physicians certiﬁed by American Board of

Medical Specialties-recognized boards. © ASPS,

2021

Age

55-69

PLASTIC SURGERY

STATISTICS REPORT

2020

Cosmetic Surgery Age Distribution

COSMETIC SURGICAL PROCEDURES

AGE 70 AND OVER

2020 TOTAL

AGE 70 AND OVER

% OF TOTAL PROCEDURES

AGE 70 AND OVER

% CHANGE 2020 vs 2019

Breast augmentation (Augmentation mammaplasty)**** 1,612 1% -31%

Breast implant removals (Augmentation patients only)**** 1,982 5% 9%

Breast lift (Mastopexy)**** 2,073 2% -18%

Breast reduction (Aesthetic patients only)**** 993 3% -26%

Breast reduction in men (Gynecomastia)**** 275 1% -14%

Buttock augmentation with fat grafting**** 1,157 5% *

Buttock implants**** - * *

Buttock lift**** 38 1% -30%

Calf augmentation**** - * *

Cheek implant (Malar augmentation)◊ 2,022 2% -11%

Chin augmentation (Mentoplasty)◊ 1,646 4% -6%

Dermabrasion◊ 16,138 12% -11%

Ear surgery (Otoplasty)◊ 644 1% -8%

Eyelid surgery (Blepharoplasty)◊ 32,707 10% -6%

Facelift (Rhytidectomy)◊ 31,824 14% -9%

Forehead lift◊ 8,233 9% 2%

Hair transplantation - * *

Labiaplasty**** 52 1% -16%

Lip augmentation (other than injectable materials)◊ - * *

Liposuction 3,165 1% -19%

Lower body lift**** 164 2% 5%

Neck lift◊ 24,893 16% -11%

Nose reshaping (Rhinoplasty)◊ 4,774 1% -3%

Thigh Lift**** 222 2% -3%

Tummy tuck (Abdominoplasty)**** 1,094 1% -17%

Upper arm lift**** 841 6% -12%

TOTAL COSMETIC SURGICAL PROCEDURES 136,549 6% -8%

COSMETIC MINIMALLY-INVASIVE PROCEDURES

AGE 70 AND OVER

2020 TOTAL

AGE 70 AND OVER

% OF TOTAL PROCEDURES

AGE 70 AND OVER

% CHANGE 2020 vs 2019

Botulinum Toxin Type A (Botox™, Dysport™, Xeomin™)*** - * *

Cellulite treatment (Velosmooth™, Endermology)◊ - * *

Chemical peel 103,385 11% -32%

Laser hair removal - * *

Laser skin resurfacing◊ - * *

Laser treatment of leg veins - * *

Microdermabrasion - * *

Sclerotherapy 6,632 2% -3%

Soft Tissue Fillers - * *

Calcium hydroxylapatite (Radiesse)◊ - * *

Fat-face◊ - * *

Hyaluronic acid (Juvederm Ultra™, Juvederm Ultra Plus™,

Perlane™, Restylane™, Belotero™)◊

- * *

Polylactic acid (Sculptra™)◊ - * *

TOTAL COSMETIC MINIMALLY-INVASIVE PROCEDURES

110,017 1% -31%

TOTAL COSMETIC PROCEDURES 246,566 2% -20%

All ﬁgures are projected.

*Data unavailable in prior year.

***Botulinum Toxin Type A numbers for 2020 and 2019

have been restated without adjustment for anatomic

sites injected.

****Counts of procedures performed by ASPS member

surgeons only.

Average length of time Board-Certiﬁed physicians

reported they stopped performing surgical procedures in

2020 due to Covid-19 is 8.1 weeks.

◊Projections have been updated to reﬂect a more

comprehensive set of Board-Certiﬁed physicians

performing these procedures

ASPS Procedural Statistics represent procedures

performed by ASPS member surgeons certiﬁed by

The American Board of PlasticSurgery® as well as

other physicians certiﬁed by American Board of Medical

Age

and

Over

PLASTIC SURGERY

STATISTICS REPORT

2020

COSMETIC SURGICAL PROCEDURES

TOTAL PROCEDURES

Region 1 Region 2 Region 3 Region 4 Region 5

Breast augmentation (Augmentation mammaplasty)**** 193,073 24,388 13% 32,383 17% 32,779 17% 37,006 19% 66,517 34%

Breast implant removals (Augmentation patients only)**** 36,367 4,412 12% 4,436 12% 6,023 17% 7,527 21% 13,969 38%

Breast lift (Mastopexy)**** 87,051 11,384 13% 13,510 16% 16,200 19% 19,109 22% 26,848 31%

Breast reduction (Aesthetic patients only)**** 33,574 5,260 16% 7,049 21% 8,673 26% 5,187 15% 7,405 22%

Breast reduction in men (Gynecomastia)**** 18,575 4,713 25% 3,371 18% 3,694 20% 2,204 12% 4,593 25%

Buttock augmentation with fat grafting**** 21,823 4,220 19% 3,197 15% 4,221 19% 4,417 20% 5,768 26%

Buttock implants**** 1,179 73 6% 100 8% 64 5% 202 17% 740 63%

Buttock lift**** 2,872 504 18% 647 23% 347 12% 710 25% 664 23%

Calf augmentation**** 299 28 9% 61 20% 30 10% 142 47% 38 13%

Cheek implant (Malar augmentation)

◊

108,189 45,804 42% 22,044 20% 10,037 9% 15,437 14% 14,867 14%

Chin augmentation (Mentoplasty)

◊

43,900 9,561 22% 6,788 15% 7,006 16% 7,748 18% 12,797 29%

Dermabrasion

◊

139,933 13,553 10% 23,960 17% 32,927 24% 21,286 15% 48,207 34%

Ear surgery (Otoplasty)

◊

53,095 10,851 20% 9,659 18% 10,811 20% 7,769 15% 14,005 26%

Eyelid surgery (Blepharoplasty)

◊

325,112 52,881 16% 51,552 16% 91,268 28% 45,134 14% 84,277 26%

Facelift (Rhytidectomy)

◊

234,374 36,178 15% 28,615 12% 70,838 30% 35,064 15% 63,679 27%

Forehead lift

◊

88,675 13,625 15% 14,404 16% 20,239 23% 13,298 15% 27,109 31%

Hair transplantation 9,670 1,562 16% 1,068 11% 1,213 13% 3,230 33% 2,597 27%

Labiaplasty**** 9,725 1,818 19% 1,645 17% 1,502 15% 2,381 24% 2,379 24%

Lip augmentation (other than injectable materials

◊

34,236 5,433 16% 4,044 12% 6,969 20% 4,547 13% 13,243 39%

Lip reduction****

◊

18,301 4,760 26% 2,819 15% 1,679 9% 5,931 32% 3,112 17%

Liposuction 211,067 39,375 19% 35,322 17% 40,178 19% 33,648 16% 62,544 30%

Lower body lift**** 8,433 2,438 29% 1,496 18% 1,083 13% 1,721 20% 1,695 20%

Neck lift

◊

160,235 23,138 14% 18,503 12% 51,371 32% 22,405 14% 44,818 28%

Nose reshaping (Rhinoplasty

◊

352,555 79,048 22% 57,662 16% 57,650 16% 55,711 16% 102,484 29%

Pectoral implants**** 697 30 4% 84 12% 41 6% 85 12% 457 66%

Thigh Lift**** 9,275 2,169 23% 2,163 23% 1,855 20% 1,503 16% 1,585 17%

Tummy tuck (Abdominoplasty)**** 97,988 17,483 18% 18,397 19% 18,439 19% 18,576 19% 25,093 26%

Upper arm lift**** 14,447 3,412 24% 3,040 21% 2,385 17% 2,313 16% 3,297 23%

TOTAL COSMETIC SURGICAL PROCEDURES

2,314,720 418,101 18% 368,019 16% 499,522 22% 374,291 16% 654,787 28%

Regional Distribution

2020 Plastic Surgery Statistics Report

New England

(CT, ME, MA, NH, RI, VT)

Middle Atlantic

(NJ, NY, PA)

East North Central

(IL, IN, MI, OH, WI)

West North Central

(IA, KS, MN, MO, NE, ND, SD)

Mountain

(AZ, CO, ID, MT, NV, NM, UT, WY)

Pacic

(AK, CA, HI, OR, WA)

South Atlantic

(DE, DC, FL, GA, MD, NC, SC, VA, WV)

East South Central

(AL, KY, MS, TN)

West South Central

(AR, LA, OK, TX)

REGION 1 REGION 2 REGION 3 REGION 4 REGION 5

All ﬁgures are projected.

◊Projections have been updated to reﬂect a more

comprehensive set of Board-Certiﬁed physicians

performing these procedures

****Counts of procedures performed by ASPS

member surgeons only.

ASPS procedural statistics represent procedures

performed by ASPS Member Surgeons certiﬁed by

The American Board of Plastic Surgery

as well as

other physicians certiﬁed by American Board of

Medical Specialties-recognized boards.

ASPS, 2021

PLASTIC SURGERY

STATISTICS REPORT

2020

COSMETIC MINIMALLY-INVASIVE PROCEDURES

TOTAL PROCEDURES

Region 1 Region 2 Region 3 Region 4 Region 5

Botulinum Toxin Type A (Botox™, Dysport™, Xeomin™)*** 4,401,536 678,670 15% 856,064 19% 1,286,020 29% 656,383 15% 924,399 21%

Cellulite treatment (Velosmooth™, Endermology)◊

86,350 30,226 35% 5,249 6% 6,170 7% 10,539 12% 34,166 40%

Chemical peel 931,473 107,632 12% 182,953 20% 226,066 24% 151,183 16% 263,639 28%

Injection lipolysis (e.g., Kybella™)◊

135,586 15,357 11% 25,127 19% 40,570 30% 22,253 16% 32,279 24%

Intense Pulsed Light (IPL) treatment◊

827,409 163,984 20% 172,992 21% 158,409 19% 130,045 16% 201,979 24%

Laser hair removal 757,808 108,321 14% 166,506 22% 173,377 23% 107,584 14% 202,020 27%

Laser skin resurfacing◊

997,245 168,252 17% 176,499 18% 253,675 25% 129,513 13% 269,306 27%

Laser tatto removal◊

199,945 9,013 5% 35,756 18% 31,438 16% 60,258 30% 63,480 32%

Laser treatment of leg veins 168,682 38,304 23% 28,220 17% 29,197 17% 39,539 23% 33,422 20%

Microdermabrasion 522,693 82,997 16% 118,357 23% 109,818 21% 69,599 13% 141,922 27%

Non-invasive fat reduction (Coolsculpting™, Liposonix™,

Emsculpt™, Vanquish™, Zerona™)

357,938 67,910 19% 60,603 17% 75,189 21% 78,224 22% 76,012 21%

Non-surgical skin tightening (Pelleve™, Thermage™, Ulthera™)

188,509 49,512 26% 14,303 8% 22,687 12% 30,958 16% 71,049 38%

Sclerotherapy 295,331 41,906 14% 62,450 21% 86,122 29% 67,746 23% 37,107 13%

Soft Tissue Fillers 3,410,730 619,650 18% 549,019 16% 834,779 24% 639,024 19% 768,258 23%

Acellular Dermal Matrix**** 8,354 541 6% 1,550 19% 2,732 33% 1,753 21% 1,778 21%

Allograft Adipose Matrix◊

11,280 1,221 11% 4,030 36% 4,350 39% 702 6% 977 9%

Calcium hydroxylapatite (Radiesse™)◊

201,474 58,067 29% 25,278 13% 50,441 25% 27,712 14% 39,976 20%

Fat-face◊

133,720 16,656 12% 19,717 15% 25,649 19% 27,374 20% 44,324 33%

Hyaluronic acid (Juvederm Ultra™, Juvederm Ultra Plus™,

Perlane™, Restylane™, Belotero™)◊

2,619,650 487,266 19% 458,474 18% 670,123 26% 445,799 17% 557,988 21%

Platelet-Rich Plasma (PRP)◊

231,140 24,367 11% 19,589 8% 31,839 14% 78,928 34% 76,417 33%

Polylactic acid (Sculptra™)◊

134,123 25,262 19% 11,302 8% 34,490 26% 25,015 19% 38,054 28%

Polymethyl-methacrylate microspheres (Bellall™)◊

70,989 6,270 9% 9,079 13% 15,155 21% 31,741 45% 8,744 12%

TOTAL COSMETIC MINIMALLY-INVASIVE

PROCEDURES

13,281,235 2,181,734 16% 2,454,098 18% 3,333,517 25% 2,192,848 17% 3,119,038 23%

TOTAL COSMETIC PROCEDURES 15,595,955 2,599,835 17% 2,822,117 18% 3,833,039 25% 2,567,139 16% 3,773,825 24%

Regional Distribution

RECONSTRUCTIVE PROCEDURESRECONSTRUCTIVE PROCEDURES

TOTAL PROCEDURESTOTAL PROCEDURES

Region 1Region 1 Region 2Region 2 Region 3Region 3 Region 4Region 4 Region 5Region 5

Breast reconstruction**** 137,808 25,292 18% 26,618 19% 27,955 20% 21,557 16% 36,386 26%

2020 Plastic Surgery Statistics Report

New England

(CT, ME, MA, NH, RI, VT)

Middle Atlantic

(NJ, NY, PA)

East North Central

(IL, IN, MI, OH, WI)

West North Central

(IA, KS, MN, MO, NE, ND, SD)

Mountain

(AZ, CO, ID, MT, NV, NM, UT, WY)

Pacic

(AK, CA, HI, OR, WA)

South Atlantic

(DE, DC, FL, GA, MD, NC, SC, VA, WV)

East South Central

(AL, KY, MS, TN)

West South Central

(AR, LA, OK, TX)

REGION 1 REGION 2 REGION 3 REGION 4 REGION 5

All ﬁgures are projected.

◊Projections have been updated to reﬂect a more

comprehensive set of Board-Certiﬁed physicians

performing these procedures

***Botulinum Toxin Type A numbers for 2020 and

2019 have been restated without adjustment for

anatomic sites injected.

****Counts of procedures performed by ASPS

member surgeons only.

ASPS procedural statistics represent procedures

performed by ASPS Member Surgeons certiﬁed by

The American Board of Plastic Surgery

as well as

other physicians certiﬁed by American Board of

Medical Specialties-recognized boards.

ASPS, 2021

PLASTIC SURGERY

STATISTICS REPORT

2020

COSMETIC SURGICAL PROCEDURES

NATIONAL AVERAGE

SURGEON/

PHYSICIAN FEE

TOTAL

EXPENDITURE

Breast augmentation (Augmentation mammaplasty) $4,516

$871,883,395

Breast implant removals (Augmentation patients

only)

$3,049

$110,882,794

Breast lift (Mastopexy) $5,012 $436,323,298

Breast reduction (Aesthetic patients only) $5,913 $198,532,175

Breast reduction in men (Gynecomastia) $4,239

$78,735,335

Buttock augmentation with fat grafting $4,807 $104,897,965

Buttock implants $5,278 $6,222,500

Buttock lift $5,482 $15,745,648

Calf augmentation $3,845 $1,149,711

Cheek implant (Malar augmentation) $3,669 $396,918,394

Chin augmentation (Mentoplasty) $3,137 $137,730,376

Dermabrasion $1,786 $249,949,290

Ear surgery (Otoplasty) $3,736 $198,378,313

Eyelid surgery (Blepharoplasty) $4,120 $1,339,507,738

Facelift (Rhytidectomy) $8,005 $1,876,157,413

Forehead lift $3,900 $345,791,606

Hair transplantation * *

Labiaplasty $3,053 $29,689,888

Lip augmentation (other than injectable materials) $2,299 $78,697,371

Lip reduction $2,503 $45,813,503

Liposuction $3,637 $767,551,628

Lower body lift $7,924 $66,826,465

Neck lift $5,774 $925,262,869

Nose reshaping (Rhinoplasty) $5,483 $1,932,980,274

Pectoral implants $4,857 $3,385,561

Thigh Lift $5,355 $49,664,283

Tummy tuck (Abdominoplasty) $6,154 $603,004,313

Upper arm lift $4,861

$70,226,069

Average Surgeon/Physician Fees

COSMETIC MINIMALLY-INVASIVE

ROCEDURES

NATIONAL AVERAGE

SURGEON/

PHYSICIAN FEE

TOTAL

EXPENDITURE

Botulinum Toxin Type A (Botox™, Dysport™, Xe-

omin™)

$466 $2,050,891,017

Cellulite treatment (Velosmooth™, Endermology) * *

Chemical peel $519 $483,550,921

Injection lipolysis (e.g., Kybella™) $941 $127,573,016

Intense Pulsed Light (IPL) treatment $412 $340,478,804

Laser hair removal $389 $294,497,562

Laser skin resurfacing * *

Ablative $2,509 $1,080,184,327

Non-ablative (Fraxel™, etc.) $1,445 $819,072,456

Laser tatto removal† $423 $84,546,440

Laser treatment of leg veins $312 $52,607,699

Microdermabrasion $167 $87,305,334

Non-invasive fat reduction (Coolsculpting™, Liposo-

nix™, Emsculpt™, Vanquish™, Zerona™)

$1,437 $514,388,960

Non-surgical skin tightening (Pelleve™, Thermage™,

Ulthera™)

$2,456 $462,988,577

Sclerotherapy $413 $122,002,254

Soft Tissue Fillers * *

Acellular Dermal Matrix $2,914 $24,344,785

Allograft Adipose Matrix† * *

Calcium hydroxylapatite (Radiesse™) $717 $144,367,314

Fat-face $2,508 $335,377,730

Hyaluronic acid (Juvederm Ultra™, Juvederm Ultra

Plus™, Perlane™, Restylane™, Belotero™)

$684 $1,791,881,919

Platelet-Rich Plasma (PRP) $981 $226,855,771

Polylactic acid (Sculptra™) $853 $114,362,757

Polymethyl-methacrylate microspheres (Bellall™)

$1,058 $75,080,208

Total 2020 Expenditures $20,174,266,026

*Data unavailable this year.

All values are projected.

Average length of time Board-Certiﬁed physicians reported

they stopped performing surgical procedures in 2020 due to

Covid-19 is 8.1 weeks.

Fees generally vary according to region of country and

patient needs.

These fees are averages only. Fees do not include

anesthesia, operating room facilities or other related

expenses.

ASPS Procedural Statistics represent procedures performed

by ASPS member surgeons certiﬁed by The American Board

of Plastic Surgery® as well as other physicians certiﬁed by

American Board of Medical Specialties-recognized boards.

PLASTIC SURGERY

STATISTICS REPORT

2020

Cosmetic Demographics

Cosmetic minimally-invasive

procedures by group

Caucasian

African-

American

Asian/Pacic

Islander

Hispanic Other

Botulinum toxin type A 82% 4% 4% 7% 3%

Soft tissue llers 78% 5% 5% 10% 1%

Chemical peel 72% 10% 3% 13% 2%

Laser hair removal 77% 8% 6% 8% 0%

Microdermabrasion 71% 5% 13% 9% 2%

Cosmetic surgical procedures by group Caucasian

African-

American

Asian/Pacic

Islander

Hispanic Other

Breast Augmentation 74% 6% 7% 12% 1%

Rhinoplasty 71% 5% 11% 10% 3%

Blepharoplasty 77% 3% 11% 8% 1%

Liposuction 61% 15% 5% 18% 1%

Abdominoplasty 74% 7% 5% 12% 1%

Ethnicity breakdown of cosmetic procedures 2020 % 2020 2019 % 2019

% CHANGE

2020 vs. 2019

Caucasian 10,330,749 66% 12,986,511 70% -20%

Hispanic 1,985,351 13% 2,066,836 11% -4%

African-American 1,781,485 11% 1,777,118 10% 0%

Asian-American 1,207,619 8% 1,277,806 7% -5%

Other 290,751 2% 320,394 2% -9%

Cosmetic Procedures Performed In* 2020 % 2020 2019 % 2019

% CHANGE

2020 vs. 2019

Ofce 5,846,488 37% 6,812,716 37% -14%

Hospital 2,803,625 18% 3,382,033 18% -17%

Free-standing Ambulatory Surgical Facility 6,945,842 45% 8,233,916 45% -16%

Patient behavior

Cosmetic surgery patients

who are repeat patients

44%

Cosmetic non-surgery patients

who are repeat patients

77%

Cosmetic surgery patients having

multiple cosmetic procedures at

the same time

57%

Cosmetic non-surgery patients

having multiple cosmetic

procedures at the same time

60%

All values are projected.

ASPS procedural statistics represent procedures

performed by ASPS Member Surgeons certiﬁed by

The American Board of Plastic Surgery

as well as

other physicians certiﬁed by American Board of

Medical Specialties-recognized boards.

ASPS, 2021

Projections have been updated to reﬂect a more

comprehensive set of Board-Certiﬁed physicians

performing these procedures.

PLASTIC SURGERY

STATISTICS REPORT

2020

Reconstructive Demographics

RECONSTRUCTIVE BREAST PROCEDURES

TOTAL

PROCEDURES

13-19 20-29 30-39 40-54 55-69 70 AND OVER

Breast reconstruction* 137,808 405 2,276 14,741 65,976

46,303 8,107

Saline implants 7,185 - - - -

- -

Silicone implants 96,300 - - - -

- -

Implant alone 19,998 - - - -

- -

Tissue expander and implant 83,487 - - - -

- -

Pedicle TRAM 1,375 - - - -

- -

Free TRAM 1,922 - - - -

- -

DIEP Flap 23,324 - - - -

- -

6,128 - - - -

- -

Other flap 1,574 - - - -

- -

Timing - Immediate 105,665 - - - -

- -

Timing - Delayed 32,143 - - - -

- -

Unilateral 47,215 - - - -

- -

Bilateral 90,593 - - - -

- -

Acellular dermal matrix 59,247 - - - -

- -

Breast reduction (reconstructive patients only) 63,746 - - - -

- -

Breast implant removals (Reconstructive patients only) 22,676 52 327 1,661 9,739

8,818 2,079

Reconstructive Breast Procedures

(with age distribution)

Reconstructive Procedures Performed In* 2020 % 2020 2019 % 2019

% CHANGE

2020 vs. 2019

Ofce

1,083,548 16% 1,024,705 15% 6%

Hospital

4,102,221 60% 4,042,817 61% 1%

Free-standing Ambulatory Surgical Facility

1,692,717 25% 1,585,069 24% 7%

Reconstructive surgical procedures by group Caucasian

African-

American

Asian/Pacic

Islander

Hispanic Other

Breast reconstruction

87% 2% 3% 7% 1%

Burn care

70% 16% 2% 9% 2%

Cleft Lip & Palate Repair

77% 3% 5% 14% 1%

Tumor removal

84% 3% 2% 6% 4%

Breast reduction (reconstructive)

48% 41% 1% 9% 1%

All values are projected.

*93% of total breast implants were silicone: 7% were

saline.

ASPS procedural statistics represent procedures

performed by ASPS Member Surgeons certiﬁed by The

Projections have been updated to reﬂect a more

comprehensive set of Board-Certiﬁed physicians

performing these procedures

PLASTIC SURGERY

STATISTICS REPORT

2020

All values are projected.

†New procedure added for 2020

Average length of time Board-Certiﬁed physicians reported they

stopped performing surgical procedures in 2020 due to Covid-19 is

8.1 weeks.

◊Projections have been updated to reﬂect a more comprehensive

set of Board-Certiﬁed physicians performing these procedures.

ASPS procedural statistics represent procedures performed by

ASPS Member Surgeons certiﬁed by The American Board of Plastic

2020 Gender Conﬁrmation Surgery

GENDER CONFIRMATION SURGERIES

2020 2019

◊

% CHANGE

2020 vs. 2019

Trans Female patients 6,368 5,616 13%

Trans Female patients: -Facial

†

1,102 964 14%

Trans Female patients: -Breast/chest

†

4,035 3,544 14%

Trans Female patients: -Genital

†

1,231 1,108 11%

Trans Male patients 9,985 8,986 11%

Trans Male patients: -Facial

†

337 342 -1%

Trans Male patients: -Breast/chest

†

8,548 7,462 15%

Trans Male patients: -Genital

†

1,100 1,182 -7%

TOTAL GENDER CONFIRMATION SURGERIES 16,353 14,602 12%

BODY CONTOURING AFTER MASSIVE WEIGHT LOSS PROCEDURES

2020 2019

◊

% CHANGE

2020 vs. 2019

◊

Breast lift (Mastopexy) after massive weight loss 10,972 13,050 -16%

Lower body lift after massive weight loss 5,043 5,552 -9%

Thigh lift after massive weight loss 4,592 3,713 24%

Tummy tuck (Abdominoplasty) after massive weight loss 19,347 19,871 -3%

Upper arm lift after massive weight loss 6,623 7,611 -13%

TOTAL BODY CONTOURING AFTER MASSIVE WEIGHT LOSS PROCEDURES 46,577 49,797 -6%

2020 Body Contouring After Massive Weight Loss