-- Total surgical and nonsurgical procedures increased by 7.4% in 2019

The International Society of Aesthetic Plastic Surgery (ISAPS) released the 
results of its annual Global Survey on Aesthetic/Cosmetic Procedures today, 
showing a 7.4% increase in cosmetic procedures completed in 2019.

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Highlights

The 7.4% increase is higher than in 2018 (5.6%). Both surgical and nonsurgical 
procedures increased in 2019 (7.1% and 7.6% respectively) compared to an 
increase only in nonsurgical procedures in 2018. 
  
Despite a 3.6% decrease in the numbers of procedures in the last year, breast 
augmentation remains the most common cosmetic surgical procedure, making up 
15.8% of all procedures. The top five most popular surgical procedures remain 
breast augmentation, liposuction, eyelid surgery, abdominoplasty, and 
rhinoplasty. The top five nonsurgical procedures also remained the same: 
botulinum toxin, hyaluronic acid, hair removal, nonsurgical fat reduction, and 
photo rejuvenation. 

The decrease in breast augmentation procedures is notable, especially 
considering the 20.6% increase over the past five years. This may relate to 
issues surrounding BIA-ALCL. Surgery to remove implants increased by 10.7% in 
2019. 

Face and head procedures increased by 13.5%, compared to a 14.7% decrease the 
previous year. Eyelid surgery has increased in popularity among men.

Buttock surgery showed the highest growth for all surgical procedures. Buttock 
augmentation increased by 38.4% in 2019 and by 65.9% since 2015, and buttock 
lifts by 25.5% in 2019 and by 77.6% since 2015. Additionally, labiaplasty 
increased by 24.1% in 2019 and by 73.3% since 2015.

The use of nonsurgical injectables is up by 8.6%. While botulinum toxin remains 
the most used, the highest percentage increase is seen for calcium 
hydroxyapatite, up 64.9% in 2019. The use of hyaluronic acid also continues to 
rise, up 15.7% since 2018. 

Poly-l-lactic acid and microablative procedures also increased significantly: 
24.1% and 34.2%, respectively.

The most common surgical procedures in women remain breast augmentation, 
liposuction, and eyelid surgery. Among men, the top three are gynecomastia, 
eyelid surgery, and liposuction.

The most popular nonsurgical procedures for both genders are botulinum toxin, 
hyaluronic acid, and hair removal.

Most surgical procedures took place in women aged 35-50. Most breast 
augmentations (53.9%) and rhinoplasties (64.5%) took place in 19-34-year-olds, 
whereas botulinum toxin injectables were most popular among those aged 35-50 
(46.1% of total). Rhinoplasty continues to be the most common cosmetic 
procedure in patients 18 years or younger.

Country Statistics

The USA saw an 8.7% decrease in surgical procedures, but again performed the 
most procedures worldwide (15.9% of total), as well as 19.3% of all nonsurgical 
procedures and 77.8% of injectables. Brazil performed the most surgical 
procedures (13.1% of total) and nonsurgical procedures there rose by 28%. 

The top 10 countries of 2019 were USA, Brazil, Japan, Mexico, Italy, Germany, 
Turkey, France, India, and Russia.

USA and Brazil are estimated to have the most plastic surgeons, with more than 
25% of the world total. Asian countries follow with China in third place, Japan 
in fourth, and South Korea in fifth.

Surgical procedures continue to be performed primarily in hospitals (47.9% 
worldwide), apart from the USA where 62.7% of procedures are performed in an 
office facility.

The countries seeing the highest proportion of foreign patients remain similar 
to last year: Thailand (33.2%), Mexico (22.5%) and Turkey (19.2%). 

Survey Methodology 

A questionnaire was sent to approximately 25,000 plastic surgeons in ISAPS' 
database. The questionnaire focused on the number of surgical and nonsurgical 
procedures performed in 2019, and some ancillary questions related to medical 
tourism. The results were compiled, tabulated, and analyzed by Industry 
Insights, an independent research firm based in Columbus, OH. ISAPS is the only 
organization to collect this type of cosmetic data annually on a global scale. 
For a copy of full results, please visit 
https://www.isaps.org/medical-professionals/isaps-global-statistics/.

About ISAPS – The International Society of Aesthetic Plastic Surgery (ISAPS) is 
the world's leading professional body for board-certified aesthetic plastic 
surgeons. Founded in 1970, ISAPS provides an open forum for the exchange of 
aesthetic plastic surgery knowledge worldwide. ISAPS offers its members 
up-to-date training and continuing education and sponsors and endorses 
scientific meetings throughout the world. Today, ISAPS membership includes the 
world's most respected aesthetic and reconstructive surgeons in 110 countries.

SOURCE International Society of Aesthetic Plastic Surgery (ISAPS)

CONTACT: Cheyenne Ziermann, media@isaps.org