ISAPS Global Survey - 2020

ISAPS INTERNATIONAL SURVEY ON
AESTHETIC/COSMETIC
PROCEDURES
performed in
2020
www.isaps.org
CONTENTS
About ISAPS..........................................................................................................page 3 Surgical Totals Ranked by Category.............................................................. page 33

About the International Survey on Nonsurgical Totals Ranked by Category...................................................... page 34
Aesthetic/Cosmetic Procedures.................................................................. page 4 Countries Ranked by Total Number of Procedures.................................. page 35
Countries Ranked by Estimated
HIGHLIGHTS OF THE 2020 STATISTICS Number of Plastic Surgeons .............................................................................. page 36
2020 Statistics at a Glance............................................................................ pages 6-7 Surgical Procedure Group Ranking by Country........................................ page 37
Nonsurgical Procedure Group Ranking by Country................................ page 38
NUMBER OF WORLDWIDE PROCEDURES
Number of Worldwide Surgical Procedures............................................ page 9 PROCEDURES PERFORMED BY PLASTIC SURGEONS
Number of Worldwide Nonsurgical Procedures.................................... page 10 Number of Worldwide Surgical Procedures
Surgical Procedures by Region of the Body............................................ page 11 Performed by Plastic Surgeons......................................................................... page 40
Nonsurgical Procedures by Type of Procedure...................................... page 12 Number of Worldwide Nonsurgical Procedures
Overview of Procedures.................................................................................. page 13 Performed by Plastic Surgeons......................................................................... page 41
Percent of Plastic Surgeons Performing
PROCEDURES BY COUNTRY Each Surgical Procedure..................................................................................... page 42
USA...........................................................................................................................page 15 Percent of Plastic Surgeons Performing
Brazil.........................................................................................................................page 16 Each Nonsurgical Procedure ............................................................................ page 44
Germany................................................................................................................. page 17
Japan.......................................................................................................................page 18 DEMOGRAPHICS
Turkey.......................................................................................................................page 19 Gender Distribution for Cosmetic Procedures – Surgical..................... page 46
Mexico......................................................................................................................page 20 Gender Distribution for Cosmetic Procedures – Nonsurgical............. page 47
Argentina...............................................................................................................page 21 Age Distribution for Certain Cosmetic Procedures................................. page 48
Italy........................................................................................................................... page 22 Cosmetic Procedures by Location................................................................... page 49
Russia.......................................................................................................................page 23 Medical Tourism.......................................................................................................page 50
India..........................................................................................................................page 24
Spain.........................................................................................................................page 25 PROCEDURE INFO SHEET
Greece.....................................................................................................................page 26 Info Sheet: Surgical Procedures........................................................................ page 52
Colombia................................................................................................................page 27 Info Sheet: Nonsurgical Procedures...............................................................page 53
Thailand..................................................................................................................page 28
Surgical Procedures by Country................................................................... page 29 IMPACT OF COVID-19
Nonsurgical Procedures by Country.......................................................... page 30 Impact of COVID-19............................................................................................. page 55
Countries Performing the Most
Popular Surgical Procedures............................................................................. page 31 ADDITIONAL AND RESIDENT STATISTICS
Countries Performing the Most Additional Statistics............................................................................................... page 58
Popular Nonsurgical Procedures..................................................................... page 32 Resident Statistics.................................................................................................. page 59
ABOUT ISAPS
Founded in 1970, the International Society of Aesthetic Plastic Surgery (ISAPS)

is the world’s leading professional body for board-certified aesthetic plastic
surgeons.
Regarded as the leading global authority on aesthetic and cosmetic surgery, ISAPS’
threefold mission is to offer Aesthetic Education Worldwide®, to provide accurate
information to the public, and to promote patient safety.
ISAPS membership includes the world’s best and most respected reconstructive and
aesthetic plastic surgeons in over 100 countries. Through its rigorous membership
requirements, ISAPS plastic surgeons are considered to be among the most qualified
surgeons in their respective countries. Furthermore, ISAPS has become the gold
standard for providing continuing aesthetic education to its members, providing
training and sponsoring scientific meetings around the world.
A full list of ISAPS plastic surgeons can be found online at www.isaps.org.
2020
INTERNATIONAL
SURVEY Please credit the International Society of Aesthetic Plastic Surgery when citing statistical data. Contact ISAPS: +44 20 7038 7812 | media@isaps.org | www.isaps.org 3
2021 ISAPS INTERNATIONAL SURVEY ON AESTHETIC/COSMETIC
PROCEDURES PERFORMED IN 2020
METHODOLOGY
Survey participants completed a questionnaire that primarily focused on the number The Aesthetic Society provided special assistance to this year’s study by permitting
of specific surgical and nonsurgical procedures performed in 2020, along with some the use of its national statistics, which were compiled from its new, Aesthetic Neural
ancillary questions related to the impact of COVID-19, surgeon demographics, and the Network (ANN) database. The ANN database includes detailed statistics on 288
prevalence of medical tourism. U.S.-based practices. We appreciate their continued support of this international
research effort.
The International Society of Aesthetic Plastic Surgery (ISAPS) issued an invitation
to participate in the study to approximately 25,000 Plastic Surgeons whose contact Studies such as this must often address outlying responses. Though the outlying values
information is housed in its proprietary database. In addition, a request was made that may be legitimate, their presence can distort the averages, which provide the basis of
all National Societies encourage their members/constituents to take part in the survey. the estimated projections. Significant outliers in this survey were adjusted in order to
Data from a total of 1,081 plastic surgeons were compiled for this survey. protect the reasonableness of the extrapolated values. Additional standard data editing
procedures were followed to ensure responses met survey guidelines. All reported data
Final figures have been projected to reflect international statistics and are exclusively values have been analyzed for statistical reasonableness.
based on the estimated number of Plastic Surgeons actively practicing in each country
and the respondent sample. This International Survey is focused on physicians who are Country-specific data are only shown for those countries that provided a sufficient
board certified (or national equivalent) Plastic Surgeons.1 survey response for the figures to be considered valid. No adjustments other than
standard data editing procedures were applied to country-specific results. The
To aid in tallying the world-wide estimate of plastic surgeons, representatives from International Survey on Aesthetic/Cosmetic Procedures Performed in 2020 was
National Societies provided recent counts for 96% of the 49,756 total estimated plastic compiled, tabulated, and analyzed by Industry Insights, Inc., an independent research
surgeons. For those cases in which the National Society did not provide its country’s firm based in Columbus, OH. The survey leader was Scott Hackworth, a CPA and data
total, a regression model was used to estimate the number of plastic surgeons in the scientist who along with his firm has conducted various forms of research on trends in
country based on its population size and Gross Domestic Product. Aesthetic Plastic Surgery for more than 30 years.
1
It is important to note that Japan’s figures were independently fielded and provided by Kotaro Yoshimura, M.D., Professor and Chair of the Department of Plastic Surgery, Jichi Medical University. Dr. Yoshimura expanded his sample beyond
plastic surgeons, which could impact comparability among Japan and other listed countries.
2020
INTERNATIONAL
HIGHLIGHTS
OF THE INTERNATIONAL SURVEY ON
AESTHETIC/COSMETIC
PROCEDURES
PERFORMED IN 2020
2020 STATISTICS AT A GLANCE
Top 5 Top 5 Top 5

surgical procedures surgical procedures surgical procedures
worldwide for women for men
absolute numbers and changes compared to 2019
1. Breast Augmentation 1,624,281 procedures -9.5% 1. Breast Augmentation 1,601,713 procedures 1. Eyelid Surgery 257,159 procedures
2. Liposuction 1,525,197 procedures -10.5% 2. Liposuction 1,300,020 procedures 2. Liposuction 225,177 procedures
3. Eyelid Surgery 1,225,540 procedures -2.7% 3. Eyelid Surgery 968,381 procedures 3. Gynecomastia 210,737 procedures
4. Rhinoplasty 852,554 procedures +3.7% 4. Abdominoplasty 703,778 procedures 4. Rhinoplasty 209,087 procedures
5. Abdominoplasty 765,248 procedures -17.2% 5. Rhinoplasty 643,468 procedures 5. Ear Surgery 87,338 procedures
Top 5 Top 5 Top 5

nonsurgical procedures nonsurgical procedures nonsurgical procedures
worldwide for women for men
absolute numbers and changes compared to 2019
1. Botulinum Toxin 6,213,859 procedures -0.9% 1. Botulinum Toxin 5,307,901 procedures 1. Botulinum Toxin 905,958 procedures
2. Hyaluronic Acid 4,053,016 procedures -6.1% 2. Hyaluronic Acid 3,558,511 procedures 2. Hyaluronic Acid 494,506 procedures
3. Hair Removal 1,837,052 procedures +76.1% 3. Hair Removal 1,538,982 procedures 3. Hair Removal 298,070 procedures
4. Nonsurgical Fat Reduction 560,464 procedures +21.1% 4. Photo Rejuvenation 446,250 procedures 4. Nonsurgical Fat Reduction 120,707 procedures
5. Photo Rejuvenation 517,675 procedures +32.3% 5. Nonsurgical Fat Reduction 439,757 procedures 5. Photo Rejuvenation 71,425 procedures
2020
INTERNATIONAL
2020 STATISTICS AT A GLANCE
total procedures performed

WORLDWIDE
10,129,528 14,400,347
most common COSMETIC surgical procedures nonsurgical procedures
procedures per
AGE GROUP
United States is the country with the
Most surgeons:
18 years or younger Rhinoplasty 55,928 procedures 7,000 plastic surgeons
19-34 years old Botulinum Toxin 1,497,540 procedures
35-50 years old Botulinum Toxin 3,121,221 procedures United States is the country with the
51-64 years old Botulinum Toxin 1,343,436 procedures Most nonsurgical procedures:
65+ years old Botulinum Toxin 208,786 procedures
3,182,815 procedures
United States is the country with the
Most surgical procedures:
1,485,116 procedures
2020
INTERNATIONAL
NUMBER OF
WORLDWIDE
PROCEDURES
PERFORMED BY PLASTIC SURGEONS IN 2020
NUMBER OF WORLDWIDE SURGICAL PROCEDURES
PERFORMED BY PLASTIC SURGEONS
Percent of Total Procedures Total Procedures Percent Change Percent Change

Rank SURGICAL PROCEDURES Total Total Surgical
Procedures in 2019 in 2016 2020 vs. 2019 2020 vs. 2016
1 Breast Augmentation 1,624,281 16.0% 1,795,551 1,649,271 -9.5% -1.5%
2 Liposuction 1,525,197 15.1% 1,704,786 1,453,340 -10.5% 4.9%
3 Eyelid Surgery 1,225,540 12.1% 1,259,839 1,347,509 -2.7% -9.1%
4 Rhinoplasty 852,554 8.4% 821,890 786,852 3.7% 8.4%
5 Abdominoplasty 765,248 7.6% 924,031 769,067 -17.2% -0.5%
6 Breast Lift 594,691 5.9% 741,284 583,192 -19.8% 2.0%
7 Fat Grafting (face) 515,819 5.1% 598,823 596,836 -13.9% -13.6%
8 Breast Reduction 426,363 4.2% 600,219 465,665 -29.0% -8.4%
9 Facelift 419,046 4.1% 448,485 427,065 -6.6% -1.9%
10 Buttock Augmentation 396,105 3.9% 479,451 332,121 -17.4% 19.3%
11 Brow Lift 288,306 2.8% 270,917 261,663 6.4% 10.2%
12 Ear Surgery 254,931 2.5% 288,905 298,975 -11.8% -14.7%
13 Neck Lift 251,308 2.5% 260,747 264,050 -3.6% -4.8%
14 Gynecomastia 210,737 2.1% 273,344 236,371 -22.9% -10.8%
15 Breast Implant Removal 206,826 2.0% 229,680 155,453 -10.0% 33.0%
16 Labiaplasty 142,119 1.4% 164,667 138,033 -13.7% 3.0%
17 Upper Arm Lift 126,030 1.2% 168,289 125,557 -25.1% 0.4%
18 Facial Bone Contouring 106,173 1.0% 108,536 109,775 -2.2% -3.3%
19 Thigh Lift 73,948 0.7% 93,334 79,476 -20.8% -7.0%
20 Lower Body Lift 71,007 0.7% 75,895 72,253 -6.4% -1.7%
21 Buttock Lift 53,299 0.5% 54,894 37,157 -2.9% 43.4%
TOTAL SURGICAL PROCEDURES 10,129,528 11,363,569 10,189,682 -10.9% -0.6%
2020
INTERNATIONAL
NUMBER OF WORLDWIDE NONSURGICAL PROCEDURES
Percent of Total Total Procedures Total Procedures Percent Change Percent Change
Rank NONSURGICAL PROCEDURES Total Nonsurgical
Procedures in 2019 in 2016 2020 vs. 2019 2020 vs. 2016
1 Botulinum Toxin 6,213,859 43.2% 6,271,488 4,931,577 -0.9% 26.0%
2 Hyaluronic Acid 4,053,016 28.1% 4,315,859 3,372,445 -6.1% 20.2%
3 Hair Removal 1,837,052 12.8% 1,042,951 1,146,523 76.1% 60.2%
4 Nonsurgical Fat Reduction 560,464 3.9% 462,769 433,351 21.1% 29.3%
5 Photo Rejuvenation 517,675 3.6% 391,415 623,243 32.3% -16.9%
6 Chemical Peel 409,054 2.8% 369,497 585,614 10.7% -30.1%
7 Micro-Ablative Resurfacing 240,213 1.7% 270,759 183,432 -11.3% 31.0%
8 Full Field Ablative 225,141 1.6% 190,978 210,844 17.9% 6.8%
9 Calcium Hydroxylapatite 222,785 1.5% 212,762 164,911 4.7% 35.1%
10 Poly-L-Lactic Acid 121,087 0.8% 90,259 79,664 34.2% 52.0%
TOTAL NONSURGICAL PROCEDURES 14,400,347 13,618,735 11,731,603 5.7% 22.7%
2020
INTERNATIONAL
NUMBER OF WORLDWIDE SURGICAL PROCEDURES BY
REGION OF THE BODY
Percent Change Percent Change

TOTAL SURGICAL PROCEDURES 2020 2019 2016
2020 vs. 2019 2020 vs. 2016
Brow Lift 288,306 270,917 261,663 6.4% 10.2%
Ear Surgery 254,931 288,905 298,975 -11.8% -14.7%
Eyelid Surgery 1,225,540 1,259,839 1,347,509 -2.7% -9.1%
FACE & HEAD

Facelift 419,046 448,485 427,065 -6.6% -1.9%
Facial Bone Contouring 106,173 108,536 109,775 -2.2% -3.3%
Fat Grafting (face) 515,819 598,823 596,836 -13.9% -13.6%
Neck Lift 251,308 260,747 264,050 -3.6% -4.8%
Rhinoplasty 852,554 821,890 786,852 3.7% 8.4%
TOTAL FACE & HEAD 3,913,679 4,058,143 4,092,725 -3.6% -4.4%
Breast Augmentation 1,624,281 1,795,551 1,649,271 -9.5% -1.5%

Breast Implant Removal 206,826 229,680 155,453 -10.0% 33.0%
BREAST
Breast Lift 594,691 741,284 583,192 -19.8% 2.0%
Breast Reduction 426,363 600,219 465,665 -29.0% -8.4%
Gynecomastia 210,737 273,344 236,371 -22.9% -10.8%
TOTAL BREAST 3,062,897 3,640,079 3,089,952 -15.9% -0.9%
Abdominoplasty 765,248 924,031 769,067 -17.2% -0.5%
BODY & EXTREMITIES

Buttock Augmentation (implants and fat transfer) 396,105 479,451 332,121 -17.4% 19.3%
Buttock Lift 53,299 54,894 37,157 -2.9% 43.4%
Liposuction 1,525,197 1,704,786 1,453,340 -10.5% 4.9%
Lower Body Lift 71,007 75,895 72,253 -6.4% -1.7%
Thigh Lift 73,948 93,334 79,476 -20.8% -7.0%
Upper Arm Lift 126,030 168,289 125,557 -25.1% 0.4%
Labiaplasty (excluding vaginal rejuvenation) 142,119 164,667 138,033 -13.7% 3.0%
TOTAL BODY & EXTREMITIES 3,152,952 3,665,347 3,007,005 -14.0% 4.9%
TOTAL SURGICAL PROCEDURES 10,129,528 11,363,569 10,189,682 -10.9% -0.6%
2020
INTERNATIONAL
NUMBER OF WORLDWIDE NONSURGICAL PROCEDURES BY
TYPE OF PROCEDURE
Percent Change Percent Change

TOTAL NONSURGICAL PROCEDURES 2020 2019 2016
2020 vs. 2019 2020 vs. 2016
Botulinum Toxin 6,213,859 6,271,488 4,931,577 -0.9% 26.0%
INJECTABLES
Calcium Hydroxylapatite 222,785 212,762 164,911 4.7% 35.1%
Hyaluronic Acid 4,053,016 4,315,859 3,372,445 -6.1% 20.2%
Poly-L-Lactic Acid 121,087 90,259 79,664 34.2% 52.0%
TOTAL INJECTABLES PROCEDURES 10,610,748 10,890,368 8,548,597 -2.6% 24.1%
Chemical Peel 409,054 369,497 585,614 10.7% -30.1%
REJUVENATION
Full Field Ablative 225,141 190,978 210,844 17.9% 6.8%
FACIAL
Micro-Ablative Resurfacing 240,213 270,759 183,432 -11.3% 31.0%
Photo Rejuvenation 517,675 391,415 623,243 32.3% -16.9%
TOTAL FACIAL REJUVENATION PROCEDURES 1,392,083 1,222,648 1,603,132 13.9% -13.2%
Hair Removal 1,837,052 1,042,951 1,146,523 76.1% 60.2%

Nonsurgical Fat Reduction 560,464 462,769 433,351 21.1% 29.3%
OTHER
TOTAL OTHER PROCEDURES 2,397,516 1,505,719 1,579,874 59.2% 51.8%
TOTAL NONSURGICAL PROCEDURES 14,400,347 13,618,735 11,731,603 5.7% 22.7%
TOTAL PROCEDURES 24,529,875 24,982,304 21,921,285 -1.8% 11.9%
2020
INTERNATIONAL
OVERVIEW OF ALL PROCEDURES
TOTAL PROCEDURES IN 2020
DECREASED BY
1.8%
Compared to 2019 statistics
TOTAL SURGICAL TOTAL NONSURGICAL

-10.9% PROCEDURES
DECREASED BY -10.9%
PROCEDURES
INCREASED BY 5.7%
5.7%
TOTAL TOTAL TOTAL TOTAL TOTAL TOTAL

FACE & HEAD BREAST BODY & EXTREMITIES INJECTABLES FACIAL OTHER
procedures procedures procedures -2.6% REJUVENATION 59.2%
-3.6% -15.9% -14.0% 13.9%
2020
INTERNATIONAL
PROCEDURES
BY COUNTRY
USA
TOTAL NUMBER OF
PROCEDURES IN THE USA
USA 4,667,931
TOTAL SURGICAL PROCEDURES 1,485,116 TOTAL NONSURGICAL POCEDURES PROCEDURES 3,182,815
FACE & HEAD BODY & EXTREMITIES INJECTABLES FACIAL REJUVENATION

Brow Lift 31,404 Abdominoplasty 163,073 Botulinum Toxin 1,477,000 Chemical Peel 102,900
Ear Surgery 38,273 Buttock Augmentation 40,320 Calcium Hydroxylapatite 48,688 Full Field Ablative 42,700
Eyelid Surgery 85,712 Buttock Lift 7,700 Hyaluronic Acid 807,870 Micro-Ablative Resurfacing 70,000
Facelift 56,084 Liposuction 296,601 Poly-L-Lactic Acid 47,415 Photo Rejuvenation 174,300
Facial Bone Contouring 7,997 Lower Body Lift 8,400 TOTAL INJECTABLES 2,380,973 TOTAL FACIAL REJUVENATION 389,900
Fat Grafting (face) 28,376 Thigh Lift 10,500
Neck Lift 22,947 Upper Arm Lift 21,700 OTHER MOST COMMON PROCEDURES
Rhinoplasty 55,436 Labiaplasty 13,697 % OF
Hair Removal 271,628 TOTAL
TOTAL
TOTAL FACE & HEAD 326,229 TOTAL BODY & EXTREMITIES 561,991 Nonsurgical Fat Reduction 140,314
Botulinum Toxin 1,477,000 46.4%
TOTAL OTHER 411,942 Hyaluronic Acid 807,870 25.4%
BREAST MOST COMMON PROCEDURES
Hair Removal 271,628 8.5%
Breast Augmentation 371,997 TOTAL % OF
TOTAL Photo Rejuvenation 174,300 5.5%
Breast Implant Removal 49,631
Breast Augmentation 371,997 25.0% Nonsurgical Fat
Breast Lift 102,751 140,314 4.4%
Liposuction 296,601 20.0% Reduction
Breast Reduction 55,353
Abdominoplasty 163,073 11.0%
Gynecomastia 17,164
Breast Lift 102,751 6.9%
TOTAL BREAST 596,896 Eyelid Surgery 85,712 5.8%
2020
INTERNATIONAL
BRAZIL
TOTAL NUMBER OF
PROCEDURES IN BRAZIL
BRAZIL 1,929,359
TOTAL SURGICAL PROCEDURES 1,306,962 TOTAL NONSURGICAL POCEDURES PROCEDURES 622,396

Brow Lift 50,016 Abdominoplasty 112,186 Botulinum Toxin 334,220 Chemical Peel 23,372
Eyelid Surgery 143,037 Buttock Lift 8,648 Hyaluronic Acid 165,707 Micro-Ablative Resurfacing 0
Facial Bone Contouring 4,908 Lower Body Lift 14,257 TOTAL INJECTABLES 529,376 TOTAL FACIAL REJUVENATION 45,342
Rhinoplasty 87,879 Labiaplasty 20,334 Hair Removal 47,679 TOTAL % OF
TOTAL
TOTAL FACE & HEAD 483,800 TOTAL BODY & EXTREMITIES 421,631 Nonsurgical Fat Reduction 0
Botulinum Toxin 334,220 53.7%
Breast Augmentation 172,485 % OF
TOTAL TOTAL Chemical Peel 23,372 3.8%
Liposuction 173,420 13.3% Calcium
Breast Lift 105,641 15,426 2.5%
Breast Augmentation 172,485 13.2% Hydroxylapatite
Eyelid Surgery 143,037 10.9%
Gynecomastia 25,709
Abdominoplasty 112,186 8.6%
TOTAL BREAST 401,531 Breast Lift 105,641 8.1%
2020
INTERNATIONAL
GERMANY
TOTAL NUMBER OF
PROCEDURES IN GERMANY
GERMANY 1,157,738
TOTAL SURGICAL PROCEDURES 425,855 TOTAL NONSURGICAL PROCEDURES 731,883

Hair Removal 0 TOTAL TOTAL
Nonsurgical Fat
Breast Augmentation 67,634 % OF 22,298 3.0%
TOTAL TOTAL Reduction
Breast Implant Removal 8,029 Calcium
Liposuction 77,682 18.2% 7,428 1.0%
Breast Lift 26,521 Hydroxylapatite
Breast Augmentation 67,634 15.9%
Breast Reduction 23,346 Micro-Ablative
Eyelid Surgery 62,041 14.6% 5,255 0.7%
Resurfacing
Gynecomastia 11,188
TOTAL BREAST 136,718 Rhinoplasty 26,474 6.2%
2020
INTERNATIONAL
JAPAN
TOTAL NUMBER OF
PROCEDURES IN JAPAN
JAPAN 1,058,198

Brow Lift 332 Abdominoplasty 47 Botulinum Toxin 206,634 Chemical Peel 41,156
Ear Surgery 317 Buttock Augmentation 895 Calcium Hydroxylapatite 471 Full Field Ablative 7,994
Eyelid Surgery 143,921 Buttock Lift 81 Hyaluronic Acid 66,712 Micro-Ablative Resurfacing 12,679
Facelift 20,652 Liposuction 8,467 Poly-L-Lactic Acid 4 Photo Rejuvenation 47,773
Facial Bone Contouring 4,645 Lower Body Lift 108 TOTAL INJECTABLES 273,821 TOTAL FACIAL REJUVENATION 109,602
Fat Grafting (face) 18,121 Thigh Lift 37
Neck Lift 144 Upper Arm Lift 15 OTHER MOST COMMON PROCEDURES
Hair Removal 387,793 TOTAL TOTAL
TOTAL OTHER 452,133 Botulinum Toxin 206,634 24.7%
Hyaluronic Acid 66,712 8.0%
TOTAL TOTAL Nonsurgical Fat
Breast Implant Removal 885 64,340 7.7%
Eyelid Surgery 143,921 64.6% Reduction
Breast Lift 112 Photo Rejuvenation 47,773 5.7%
Facelift 20,652 9.3%
Breast Reduction 154
Fat Grafting (face) 18,121 8.1%
Gynecomastia 132
Rhinoplasty 15,329 6.9%
TOTAL BREAST 6,492 Liposuction 8,467 3.8%
2020
INTERNATIONAL
TURKEY
TOTAL NUMBER OF
PROCEDURES IN TURKEY
TURKEY 945,477

Brow Lift 9,919 Abdominoplasty 21,879 Botulinum Toxin 357,201 Chemical Peel 299
Breast Implant Removal 2,340 10,569 1.8%
Rhinoplasty 66,950 18.6% Reduction
Breast Lift 17,940 Photo Rejuvenation 9,529 1.6%
Liposuction 57,551 16.0%
Gynecomastia 9,191
TOTAL BREAST 87,854 Fat Grafting (face) 27,131 7.5%
2020
INTERNATIONAL
MEXICO
TOTAL NUMBER OF
PROCEDURES IN MEXICO
MEXICO 860,718

TOTAL
Nonsurgical Fat
Breast Augmentation 58,312 % OF 26,235 6.5%
TOTAL TOTAL Reduction
Breast Implant Removal 7,626 Hair Removal 25,815 6.4%
Breast Lift 21,075 Calcium
Breast Augmentation 58,312 12.8% 11,159 2.8%
Breast Reduction 12,295 Hydroxylapatite
Buttock Augmentation
Gynecomastia 7,871 49,689 10.9%
(implants and fat transfer)
TOTAL BREAST 107,179 Eyelid Surgery 41,941 9.2%
2020
INTERNATIONAL
ARGENTINA
TOTAL NUMBER OF
PROCEDURES IN ARGENTINIA
ARGENTINA 850,840

Breast Augmentation 56,640 19.9% Reduction
Gynecomastia 6,260
TOTAL BREAST 93,020 Abdominoplasty 20,900 7.4%
2020
INTERNATIONAL
ITALY
TOTAL NUMBER OF
PROCEDURES IN ITALY
ITALY 830,868

Chemical Peel 30,648 5.2%
TOTAL TOTAL Hair Removal 27,840 4.8%
Breast Augmentation 39,276 16.0% Photo Rejuvenation 22,044 3.8%
Breast Lift 15,840
Gynecomastia 5,004
2020
INTERNATIONAL
RUSSIA
TOTAL NUMBER OF
PROCEDURES IN RUSSIA
RUSSIA 621,600

Eyelid Surgery 92,080 Buttock Lift 460 Hyaluronic Acid 49,080 Micro-Ablative Resurfacing 920
Full Field Ablative 14,700 10.3%
TOTAL TOTAL Hair Removal 9,920 6.9%
Eyelid Surgery 92,080 19.3% Calcium
Breast Lift 25,460 7,840 5.5%
Gynecomastia 4,840
TOTAL BREAST 109,520 Facelift 34,460 7.2%
2020
INTERNATIONAL
INDIA
TOTAL NUMBER OF
PROCEDURES IN INDIA
INDIA 524,064

Ear Surgery 10,752 Buttock Augmentation 3,048 Calcium Hydroxylapatite 384 Full Field Ablative 8,832
TOTAL TOTAL Chemical Peel 44,784 16.7%
Liposuction 60,120 23.5% Photo Rejuvenation 11,016 4.1%
Breast Lift 6,000
Gynecomastia 22,464
Gynecomastia 22,464 8.8%
TOTAL BREAST 74,352 Fat Grafting-face 17,232 6.7%
2020
INTERNATIONAL
SPAIN
TOTAL NUMBER OF
PROCEDURES IN SPAIN
SPAIN 397,512

Ear Surgery 6,930 Buttock Augmentation 4,068 Calcium Hydroxylapatite 8,604 Full Field Ablative 963
Facial Bone Contouring 936 Lower Body Lift 234 TOTAL INJECTABLES 208,494 TOTAL FACIAL REJUVENATION 11,097
TOTAL TOTAL Calcium
Breast Lift 10,566 Chemical Peel 6,867 3.0%
Gynecomastia 3,735
TOTAL BREAST 70,740 Rhinoplasty 10,467 6.3%
2020
INTERNATIONAL
GREECE
TOTAL NUMBER OF
PROCEDURES IN GREECE
GREECE 397,033

TOTAL
TOTAL OTHER 105,501 Hair Removal 86,289 27.1%
Breast Augmentation 10,238 TOTAL % OF
TOTAL Nonsurgical Fat
Gynecomastia 2,174
2020
INTERNATIONAL
COLOMBIA
TOTAL NUMBER OF
PROCEDURES IN COLOMBIA
COLOMBIA 366,312

Rhinoplasty 14,472 Labiaplasty 2,592 Hair Removal 21,456 TOTAL % OF
TOTAL
Liposuction 34.656 16.6% Reduction
Breast Lift 15,336 Calcium
Breast Augmentation 32.724 15.7% 4,704 3.0%
Breast Reduction 11,244 Hydroxylapatite
Gynecomastia 3,840 20.868 10.0%
(implants and fat transfer)
TOTAL BREAST 69,780 Abdominoplasty 18.684 9.0%
Eyelid Surgery 15.924 7.6%
2020
INTERNATIONAL
THAILAND
TOTAL NUMBER OF
PROCEDURES IN THAILAND
THAILAND 154,547

Ear Surgery 1,818 Buttock Augmentation 1,609 Calcium Hydroxylapatite 0 Full Field Ablative 0
Eyelid Surgery 20,223 Buttock Lift 172 Hyaluronic Acid 11,574 Micro-Ablative Resurfacing 42
Neck Lift 3,018 Upper Arm Lift 693 OTHER MOST COMMON PROCEDURES
Rhinoplasty 21,083 Labiaplasty 851 % OF
Hair Removal 586 TOTAL TOTAL
TOTAL OTHER 786 Hyaluronic Acid 11,574 22.2%
Photo Rejuvenation 2,911 5.6%
TOTAL TOTAL Hair Removal 586 1.1%
Rhinoplasty 21,083 20.6% Nonsurgical Fat
Breast Lift 2,897 200 0.4%
Gynecomastia 1,009
2020
INTERNATIONAL
SURGICAL PROCEDURES BY COUNTRY
SURGICAL PROCEDURES WORLD-WIDE USA** BRAZIL GERMANY JAPAN* TURKEY MEXICO ARGENTINA ITALY RUSSIA INDIA SPAIN GREECE COLOMBIA THAILAND
FACE & HEAD

Brow Lift 288,306 31,404 50,016 9,523 332 9,919 13,992 6,940 9,516 24,800 3,936 3,897 1,187 3,228 3,864
Ear Surgery 254,931 38,273 25,242 11,742 317 7,410 7,871 10,360 6,960 14,760 10,752 6,930 2,989 4,452 1,818
Eyelid Surgery 1,225,540 85,712 143,037 62,041 143,921 35,009 41,941 32,100 37,956 92,080 13,584 20,268 11,288 15,924 20,223
Facelift 419,046 56,084 68,013 13,237 20,652 9,529 16,790 13,220 11,088 34,460 3,936 3,267 3,486 4,308 4,157
Facial Bone Contouring 106,173 7,997 4,908 2,265 4,645 3,861 8,972 3,780 2,808 12,160 4,032 936 1,113 1,032 2,776
Fat Grafting (face) 515,819 28,376 65,909 23,747 18,121 27,131 26,550 9,940 17,736 29,240 17,232 9,198 4,988 9,840 6,431
Neck Lift 251,308 22,947 38,798 9,107 144 5,941 15,356 8,640 8,784 22,000 3,000 2,700 2,814 3,768 3,018
Rhinoplasty 852,554 55,436 87,879 26,474 15,329 66,950 34,875 40,520 22,452 39,380 34,800 10,467 6,339 14,472 21,083
Total Face & Head Procedures 3,913,679 326,229 483,800 158,137 203,461 165,750 166,347 125,500 117,300 268,880 91,272 57,663 34,202 57,024 63,370
BREAST
Breast Augmentation 1,624,281 371,997 172,485 67,634 5,209 39,442 58,312 56,640 39,276 59,840 27,648 44,406 10,238 32,724 12,490
Breast Implant Removal 206,826 49,631 25,475 8,029 885 2,340 7,626 6,740 5,880 6,540 1,920 4,833 1,113 6,636 1,437
Breast Lift 594,691 102,751 105,641 26,521 112 17,940 21,075 13,640 15,840 25,460 6,000 10,566 3,801 15,336 2,897
Breast Reduction 426,363 55,353 72,219 23,346 154 18,941 12,295 9,740 9,108 12,840 16,320 7,200 2,912 11,244 2,590
Gynecomastia 210,737 17,164 25,709 11,188 132 9,191 7,871 6,260 5,004 4,840 22,464 3,735 2,174 3,840 1,009
Total Breast Procedures 3,062,897 596,896 401,531 136,718 6,492 87,854 107,179 93,020 75,108 109,520 74,352 70,740 20,237 69,780 20,423
BODY & EXTREMITIES
Abdominoplasty 765,248 163,073 112,186 21,389 47 21,879 34,420 20,900 11,712 26,160 16,968 8,334 4,676 18,684 4,743
Buttock Augmentation (implants and fat
396,105 40,320 68,480 2,943 895 12,298 49,689 8,480 2,988 8,940 3,048 4,068 3,199 20,868 1,609
transfer)
Buttock Lift 53,299 7,700 8,648 4,130 81 650 5,037 1,060 672 460 648 0 588 1,296 172
Liposuction 1,525,197 296,601 173,420 77,682 8,467 57,551 74,105 27,520 24,672 48,000 60,120 18,900 11,151 34,656 9,142
Lower Body Lift 71,007 8,400 14,257 2,758 108 2,470 3,953 1,060 1,728 620 2,352 234 802 1,296 981
Thigh Lift 73,948 10,500 10,517 3,483 37 3,211 3,708 1,260 2,640 3,000 1,416 1,035 613 780 423
Upper Arm Lift 126,030 21,700 13,789 7,428 15 4,680 7,258 2,780 4,860 2,380 2,568 1,629 1,327 1,440 693
Labiaplasty (excluding vaginal
142,119 13,697 20,334 11,188 3,039 4,199 4,792 2,740 3,720 10,240 2,784 3,303 1,337 2,592 851
rejuvenation)
Total Body & Extremities Procedures 3,152,952 561,991 421,631 131,000 12,689 106,938 182,963 65,800 52,992 99,800 89,904 37,503 23,692 81,612 18,614
Total Surgical Procedures 10,129,528 1,485,116 1,306,962 425,855 222,642 360,542 456,489 284,320 245,400 478,200 255,528 165,906 78,131 208,416 102,407
2020
INTERNATIONAL
NONSURGICAL PROCEDURES BY COUNTRY
NONSURGICAL PROCEDURES WORLD-WIDE USA** BRAZIL GERMANY JAPAN* TURKEY MEXICO ARGENTINA ITALY RUSSIA INDIA SPAIN GREECE COLOMBIA THAILAND
INJECTABLES
Botulinum Toxin 6,213,859 1,477,000 334,220 400,259 206,634 357,201 194,226 188,000 204,084 46,700 44,880 100,296 97,213 59,340 36,721
Calcium Hydroxylapatite 222,785 48,688 15,426 7,428 471 6,149 11,159 10,940 12,732 7,840 384 8,604 1,925 4,704 0
Hyaluronic Acid 4,053,016 807,870 165,707 284,407 66,712 162,240 123,707 173,360 240,264 49,080 45,120 98,829 80,462 46,752 11,574
Poly-L-Lactic Acid 121,087 47,415 14,023 3,221 4 2,639 2,256 60 3,480 5,700 0 765 1,239 1,128 0
Total Injectables Procedures 10,610,748 2,380,973 529,376 695,315 273,821 528,229 331,348 372,360 460,560 109,320 90,384 208,494 180,838 111,924 48,295
FACIAL REJUVENATION
Chemical Peel 409,054 102,900 23,372 1,356 41,156 299 3,778 5,420 30,648 80 44,784 6,867 9,163 1,788 107
Full Field Ablative 225,141 42,700 12,855 3,899 7,994 5,031 6,296 6,680 13,908 14,700 8,832 963 4,788 4,428 0
Micro-Ablative Resurfacing 240,213 70,000 0 5,255 12,679 5,499 3,061 8,060 13,668 920 5,784 1,863 8,901 4,584 42
Photo Rejuvenation 517,675 174,300 9,115 3,760 47,773 9,529 7,696 17,680 22,044 5,380 11,016 1,404 9,713 4,536 2,911
Total Facial Rejuvenation 1,392,083 389,900 45,342 14,270 109,602 20,358 20,831 37,840 80,268 21,080 70,416 11,097 32,564 15,336 3,060
Procedures
OTHER
Hair Removal 1,837,052 271,628 47,679 0 387,793 25,779 25,815 124,000 27,840 9,920 97,920 11,250 86,289 21,456 586
Nonsurgical Fat Reduction 560,464 140,314 0 22,298 64,340 10,569 26,235 32,320 16,800 3,080 9,816 765 19,212 9,180 200
Total Other Procedures 2,397,516 411,942 47,679 22,298 452,133 36,348 52,050 156,320 44,640 13,000 107,736 12,015 105,501 30,636 786
Total Nonsurgical Procedures 14,400,347 3,182,815 622,396 731,883 835,556 584,935 404,229 566,520 585,468 143,400 268,536 231,606 318,903 157,896 52,140
Total Procedures 24,529,875 4,667,931 1,929,359 1,157,738 1,058,198 945,477 860,718 850,840 830,868 621,600 524,064 397,512 397,033 366,312 154,547
* Japan fielded the survey independently and provided the listed results.
** U.S. data are largely based on data provided reported by ASAPS‘ National Databank.
NOTE: Results for individual countries are limited to those that received a sufficient sample of participants.
2020
INTERNATIONAL
COUNTRIES PERFORMING THE MOST POPULAR
SURGICAL PROCEDURES
BREAST AUGMENTATION EYELID SURGERY ABDOMINOPLASTY

NUMBER OF PERCENTAGE NUMBER OF PERCENTAGE NUMBER OF PERCENTAGE
RANK * COUNTRY RANK * COUNTRY RANK * COUNTRY
PROCEDURES OF TOTAL PROCEDURES OF TOTAL PROCEDURES OF TOTAL
1 USA 371,997 22.9% 1 Japan 143,921 11.7% 1 USA 163,073 21.3%
2 Brazil 172,485 10.6% 2 Brazil 143,037 11.7% 2 Brazil 112,186 14.7%
3 Germany 67,634 4.2% 3 Russia 92,080 7.5% 3 Mexico 34,420 4.5%
4 Russia 59,840 3.7% 4 USA 85,712 7.0% 4 Russia 26,160 3.4%
5 Mexico 58,312 3.6% 5 Germany 62,041 5.1% 5 Turkey 21,879 2.9%
6 Argentina 56,640 3.5% 6 Mexico 41,941 3.4% 6 Germany 21,389 2.8%
7 Spain 44,406 2.7% 7 Italy 37,956 3.1% 7 Argentina 20,900 2.7%
8 Turkey 39,442 2.4% 8 Turkey 35,009 2.9% 8 Colombia 18,684 2.4%
9 Italy 39,276 2.4% 9 Argentina 32,100 2.6% 9 India 16,968 2.2%
10 Colombia 32,724 2.0% 10 Spain 20,268 1.7% 10 Italy 11,712 1.5%
LIPOSUCTION RHINOPLASTY
NUMBER OF PERCENTAGE NUMBER OF PERCENTAGE
RANK * COUNTRY RANK * COUNTRY
PROCEDURES OF TOTAL PROCEDURES OF TOTAL
1 USA 296,601 19.4% 1 Brazil 87,879 10.3%
2 Brazil 173,420 11.4% 2 Turkey 66,950 7.9%
3 Germany 77,682 5.1% 3 USA 55,436 6.5%
4 Mexico 74,105 4.9% 4 Argentina 40,520 4.8%
5 India 60,120 3.9% 5 Russia 39,380 4.6%
6 Turkey 57,551 3.8% 6 Mexico 34,875 4.1%
7 Russia 48,000 3.1% 7 India 34,800 4.1%
8 Colombia 34,656 2.3% 8 Germany 26,474 3.1%
9 Argentina 27,520 1.8% 9 Italy 22,452 2.6%
10 Italy 24,672 1.6% 10 Thailand 21,083 2.5% *Rankings are based solely on those countries from which a sufficient survey
response was received and data were considered to be representative.
2020
INTERNATIONAL
COUNTRIES PERFORMING THE MOST POPULAR
NONSURGICAL PROCEDURES
BOTULINUM TOXIN HAIR REMOVAL PHOTO REJUVENATION

NUMBER OF PERCENTAGE NUMBER OF PERCENTAGE NUMBER OF PERCENTAGE
RANK * COUNTRY RANK * COUNTRY RANK * COUNTRY
PROCEDURES OF TOTAL PROCEDURES OF TOTAL PROCEDURES OF TOTAL
1 USA 1,477,000 23.8% 1 Japan 387,793 21.1% 1 USA 174,300 33.7%
2 Germany 400,259 6.4% 2 USA 271,628 14.8% 2 Japan 47,773 9.2%
3 Turkey 357,201 5.7% 3 Argentina 124,000 6.7% 3 Italy 22,044 4.3%
4 Brazil 334,220 5.4% 4 India 97,920 5.3% 4 Argentina 17,680 3.4%
5 Japan 206,634 3.3% 5 Greece 86,289 4.7% 5 India 11,016 2.1%
6 Italy 204,084 3.3% 6 Brazil 47,679 2.6% 6 Greece 9,713 1.9%
7 Mexico 194,226 3.1% 7 Italy 27,840 1.5% 7 Turkey 9,529 1.8%
8 Argentina 188,000 3.0% 8 Mexico 25,815 1.4% 8 Brazil 9,115 1.8%
9 Spain 100,296 1.6% 9 Turkey 25,779 1.4% 9 Mexico 7,696 1.5%
10 Greece 97,213 1.6% 10 Colombia 21,456 1.2% 10 Russia 5,380 1.0%
HYALURONIC ACID NONSURGICAL FAT REDUCTION

1 USA 807,870 19.9% 1 USA 140,314 25.0%
2 Germany 284,407 7.0% 2 Japan 64,340 11.5%
3 Italy 240,264 5.9% 3 Argentina 32,320 5.8%
4 Argentina 173,360 4.3% 4 Mexico 26,235 4.7%
5 Brazil 165,707 4.1% 5 Germany 22,298 4.0%
6 Turkey 162,240 4.0% 6 Greece 19,212 3.4%
7 Mexico 123,707 3.1% 7 Italy 16,800 3.0%
8 Spain 98,829 2.4% 8 Turkey 10,569 1.9%
9 Greece 80,462 2.0% 9 India 9,816 1.8%
10 Japan 66,712 1.6% 10 Colombia 9,180 1.6% *Rankings are based solely on those countries from which a sufficient survey
2020
INTERNATIONAL
SURGICAL TOTALS RANKED BY CATEGORY

1 Brazil 483,800 12.4% 1 USA 561,991 17.8%
BODY & EXTREMITIES

2 USA 326,229 8.3% 2 Brazil 421,631 13.4%
FACE & HEAD

3 Russia 268,880 6.9% 3 Mexico 182,963 5.8%
4 Japan 203,461 5.2% 4 Germany 131,000 4.2%
5 Mexico 166,347 4.3% 5 Turkey 106,938 3.4%
6 Turkey 165,750 4.2% 6 Russia 99,800 3.2%
7 Germany 158,137 4.0% 7 India 89,904 2.9%
8 Argentina 125,500 3.2% 8 Colombia 81,612 2.6%
9 Italy 117,300 3.0% 9 Argentina 65,800 2.1%
10 India 91,272 2.3% 10 Italy 52,992 1.7%
NUMBER OF PERCENTAGE
RANK * COUNTRY
PROCEDURES OF TOTAL
1 USA 596,896 19.5%
2 Brazil 401,531 13.1%
3 Germany 136,718 4.5%
BREAST
4 Russia 109,520 3.6%

5 Mexico 107,179 3.5%
6 Argentina 93,020 3.0%
7 Turkey 87,854 2.9%
8 Italy 75,108 2.5%
9 India 74,352 2.4%
10 Spain 70,740 2.3% *Rankings are based solely on those countries from which a sufficient survey
2020
INTERNATIONAL
NONSURGICAL TOTALS RANKED BY CATEGORY

1 USA 2,380,973 22.4% 1 Japan 452,133 18.9%
2 Germany 695,315 6.6% 2 USA 411,942 17.2%
IINJECTABLES
3 Brazil 529,376 5.0% 3 Argentina 156,320 6.5%
4 Turkey 528,229 5.0% 4 India 107,736 4.5%
OTHER
5 Italy 460,560 4.3% 5 Greece 105,501 4.4%
6 Argentina 372,360 3.5% 6 Mexico 52,050 2.2%
7 Mexico 331,348 3.1% 7 Brazil 47,679 2.0%
8 Japan 273,821 2.6% 8 Italy 44,640 1.9%
9 Spain 208,494 2.0% 9 Turkey 36,348 1.5%
10 Greece 180,838 1.7% 10 Colombia 30,636 1.3%
NUMBER OF PERCENTAGE
RANK * COUNTRY
PROCEDURES OF TOTAL
FACIAL REJUVENATION
1 USA 389,900 28.0%

2 Japan 109,602 7.9%
3 Italy 80,268 5.8%
4 India 70,416 5.1%
5 Brazil 45,342 3.3%
6 Argentina 37,840 2.7%
7 Greece 32,564 2.3%
8 Russia 21,080 1.5%
9 Mexico 20,831 1.5%
10 Turkey 20,358 1.5% *Rankings are based solely on those countries from which a sufficient survey response was
received and data were considered to be representative.
2020
INTERNATIONAL
COUNTRIES RANKED BY TOTAL NUMBER OF PROCEDURES
TOP 10
COUNTRIES RANKED BY TOTAL NUMBER OF PROCEDURES
PERCENTAGE
PERCENTAGE OF
TOTAL SURGICAL TOTAL NONSURGICAL OF TOTAL NUMBER OF PERCENTAGE
RANK * COUNTRY TOTAL SURGICAL
PROCEDURES PROCEDURES NONSURGICAL PROCEDURES OF TOTAL
PROCEDURES
PROCEDURES
1 USA 1,485,116 14.7% 3,182,815 22.1% 4,667,931 19.0%
2 Brazil 1,306,962 12.9% 622,396 4.3% 1,929,359 7.9%
3 Germany 425,855 4.2% 731,883 5.1% 1,157,738 4.7%
4 Japan 222,642 2.2% 835,556 5.8% 1,058,198 4.3%
5 Turkey 360,542 3.6% 584,935 4.1% 945,477 3.9%
6 Mexico 456,489 4.5% 404,229 2.8% 860,718 3.5%
7 Argentina 284,320 2.8% 566,520 3.9% 850,840 3.5%
8 Italy 245,400 2.4% 585,468 4.1% 830,868 3.4%
9 Russia 478,200 4.7% 143,400 1.0% 621,600 2.5%
10 India 255,528 2.5% 268,536 1.9% 524,064 2.1%
*Rankings are based solely on those countries from which a sufficient survey response was received and data were considered to be representative.
2020
INTERNATIONAL
COUNTRIES RANKED BY ESTIMATED NUMBER
OF PLASTIC SURGEONS
TOP 30
COUNTRIES RANKED BY ESTIMATED
NUMBER OF PLASTIC SURGEONS
NUMBER OF % OF NUMBER OF % OF
RANK COUNTRY RANK COUNTRY
SURGEONS TOTAL SURGEONS TOTAL
1 USA 7,000 16.1% 16 Taiwan 759 1.7%
2 Brazil 5,843 13.4% 17 Venezuela 700 1.6%
3 China 3,000 6.9% 18 United Kingdom 619 1.4%
4 Japan 2,707 6.2% 19 Netherlands 605 1.4%
5 South Korea 2,581 5.9% 20 Egypt 570 1.3%
6 India 2,400 5.5% 21 Peru 563 1.3%
7 Russia 2,000 4.6% 22 Thailand 465 1.1%
8 Argentina 2,000 4.6% 23 Canada 460 1.1%
9 Mexico 1,749 4.0% 24 Australia 424 1.0%
10 Germany 1,541 3.5% 25 Greece 350 0.8%
11 Turkey 1,300 3.0% 26 Ukraine 350 0.8%
12 Italy 1,200 2.8% 27 Romania 342 0.8%
13 Colombia 1,200 2.8% 28 Iran 310 0.7%
14 France 1,020 2.3% 29 Belgium 280 0.6%
15 Spain 900 2.1% 30 Austria 260 0.6%
2020
INTERNATIONAL
SURGICAL PROCEDURE GROUP RANKING BY COUNTRY
% OF % OF
RANK TOTAL RANK TOTAL
TOTAL TOTAL
USA TURKEY
1 Total Breast Procedures 596,896 40.2% 1 Total Face & Head Procedures 165,750 46.0%
2 Total Body & Extremities Procedures 561,991 37.8% 2 Total Body & Extremities Procedures 106,938 29.7%
3 Total Face & Head Procedures 326,229 22.0% 3 Total Breast Procedures 87,854 24.4%
BRAZIL ARGENTINA
1 Total Face & Head Procedures 483,800 37.0% 1 Total Face & Head Procedures 125,500 44.1%
2 Total Body & Extremities Procedures 421,631 32.3% 2 Total Breast Procedures 93,020 32.7%
3 Total Breast Procedures 401,531 30.7% 3 Total Body & Extremities Procedures 65,800 23.1%
RUSSIA INDIA
MEXICO ITALY
1 Total Body & Extremities Procedures 182,963 40.1% 1 Total Face & Head Procedures 117,300 47.8%
2 Total Face & Head Procedures 166,347 36.4% 2 Total Breast Procedures 75,108 30.6%
GERMANY JAPAN
2020
INTERNATIONAL
NONSURGICAL PROCEDURE GROUP RANKING BY COUNTRY
% OF % OF
RANK TOTAL RANK TOTAL
TOTAL TOTAL
USA TURKEY
1 Total Injectables Procedures 2,380,973 74.8% 1 Total Injectables Procedures 528,229 90.3%
2 Total Other Procedures 411,942 12.9% 2 Total Other Procedures 36,348 6.2%
3 Total Facial Rejuvenation Procedures 389,900 12.3% 3 Total Facial Rejuvenation Procedures 20,358 3.5%
JAPAN ARGENTINA
1 Total Other Procedures 452,133 54.1% 1 Total Injectables Procedures 372,360 65.7%
2 Total Injectables Procedures 273,821 32.8% 2 Total Other Procedures 156,320 27.6%
GERMANY MEXICO
1 Total Injectables Procedures 695,315 95.0% 1 Total Injectables Procedures 331,348 82.0%
BRAZIL GREECE
1 Total Injectables Procedures 529,376 85.1% 1 Total Injectables Procedures 180,838 56.7%
ITALY INDIA
1 Total Injectables Procedures 460,560 78.7% 1 Total Other Procedures 107,736 40.1%
2 Total Facial Rejuvenation Procedures 80,268 13.7% 2 Total Injectables Procedures 90,384 33.7%
3 Total Other Procedures 44,640 7.6% 3 Total Facial Rejuvenation Procedures 70,416 26.2%
2020
INTERNATIONAL
PROCEDURES PERFORMED BY
PLASTIC SURGEONS
IN 2020
NUMBER OF WORLDWIDE SURGICAL PROCEDURES
PERCENTAGE OF TOTAL
RANK SURGICAL PROCEDURES TOTAL
SURGICAL PROCEDURES
1 Breast Augmentation 1,624,281 16.0%
2 Liposuction 1,525,197 15.1%
3 Eyelid Surgery 1,225,540 12.1%
4 Rhinoplasty 852,554 8.4%
5 Abdominoplasty 765,248 7.6%
6 Breast Lift 594,691 5.9%
7 Fat Grafting (face) 515,819 5.1%
8 Breast Reduction 426,363 4.2%
9 Facelift 419,046 4.1%

10 Buttock Augmentation (implants and fat transfer) 396,105 3.9%
11 Brow Lift 288,306 2.8%
12 Ear Surgery 254,931 2.5%
13 Neck Lift 251,308 2.5%
14 Gynecomastia 210,737 2.1%
15 Breast Implant Removal 206,826 2.0%
16 Labiaplasty (excluding vaginal rejuvenation) 142,119 1.4%
17 Upper Arm Lift 126,030 1.2%
18 Facial Bone Contouring 106,173 1.0%
19 Thigh Lift 73,948 0.7%
20 Lower Body Lift 71,007 0.7%
21 Buttock Lift 53,299 0.5%
Total Surgical Procedures 10,129,528
2020
INTERNATIONAL
NUMBER OF WORLDWIDE NONSURGICAL PROCEDURES
PERCENTAGE OF TOTAL
RANK NONSURGICAL PROCEDURES TOTAL
NONSURGICAL PROCEDURES
1 Botulinum Toxin 6,213,859 43.2%
2 Hyaluronic Acid 4,053,016 28.1%
3 Hair Removal 1,837,052 12.8%
4 Nonsurgical Fat Reduction 560,464 3.9%
5 Photo Rejuvenation 517,675 3.6%
6 Chemical Peel 409,054 2.8%

7 Micro-Ablative Resurfacing 240,213 1.7%
8 Full Field Ablative 225,141 1.6%
9 Calcium Hydroxylapatite 222,785 1.5%
10 Poly-L-Lactic Acid 121,087 0.8%

Total Nonsurgical Procedures 14,400,347
2020
INTERNATIONAL
PERCENT OF PLASTIC SURGEONS
PERFORMING EACH SURGICAL PROCEDURE
PERCENT OF PLASTIC SURGEONS PERFORMING EACH SURGICAL PROCEDURE

SURGICAL PROCEDURES WORLD- ARGENTINA BRAZIL COLOMBIA GERMANY GREECE INDIA ITALY MEXICO RUSSIA SPAIN THAILAND TURKEY USA
WIDE
FACE & HEAD
Brow Lift 61.0% 63.2% 68.0% 46.9% 70.6% 50.0% 36.4% 73.2% 71.3% 88.5% 70.4% 68.6% 63.3% 70.6%
Ear Surgery 73.8% 76.3% 76.0% 81.6% 64.7% 89.3% 59.1% 80.5% 77.5% 84.6% 88.9% 62.9% 83.3% 58.8%
Eyelid Surgery 90.3% 94.7% 76.0% 95.9% 88.2% 100.0% 75.0% 97.6% 95.4% 88.5% 92.6% 91.4% 93.3% 88.2%
Facelift 71.6% 79.0% 76.0% 55.1% 70.6% 89.3% 40.9% 75.6% 82.2% 84.6% 66.7% 65.7% 80.0% 88.2%
Facial Bone Contouring 36.4% 44.7% 28.0% 24.5% 17.7% 32.1% 43.2% 31.7% 62.0% 46.2% 25.9% 54.3% 36.7% 35.3%
Fat Grafting (face) 70.7% 60.5% 64.0% 57.1% 73.5% 71.4% 77.3% 80.5% 76.0% 84.6% 74.1% 71.4% 90.0% 58.8%
Neck Lift 62.6% 65.8% 64.0% 55.1% 55.9% 82.1% 34.1% 63.4% 82.2% 69.2% 70.4% 54.3% 70.0% 88.2%
Hair Transplantation 13.2% 7.9% 16.0% 8.2% 5.9% 3.6% 61.4% 9.8% 14.0% 7.7% 7.4% 8.6% 23.3% 29.4%
Rhinoplasty 76.3% 84.2% 72.0% 83.7% 41.2% 89.3% 86.4% 85.4% 90.7% 50.0% 88.9% 82.9% 90.0% 76.5%
BREAST
Breast Augmentation (saline) 3.4% 2.6% 4.0% 4.1% 0.0% 0.0% 2.3% 0.0% 2.3% 0.0% 3.7% 0.0% 3.3% 29.4%
Breast Augmentation (silicone) 89.3% 89.5% 84.0% 95.9% 88.2% 92.9% 84.1% 97.6% 94.6% 80.8% 92.6% 91.4% 90.0% 82.4%
Breast Augmentation (fat transfer) 50.7% 44.7% 44.0% 44.9% 76.5% 60.7% 54.6% 70.7% 55.0% 57.7% 70.4% 20.0% 46.7% 41.2%
Breast Implant Removal 75.3% 73.7% 76.0% 81.6% 88.2% 82.1% 45.5% 85.4% 85.3% 65.4% 85.2% 80.0% 66.7% 82.4%
Breast Lift 84.7% 86.8% 84.0% 91.8% 88.2% 85.7% 61.4% 95.1% 91.5% 80.8% 81.5% 77.1% 83.3% 82.4%
Breast Reduction 82.9% 76.3% 84.0% 83.7% 88.2% 85.7% 81.8% 92.7% 86.8% 76.9% 85.2% 71.4% 86.7% 82.4%
Gynecomastia 75.5% 81.6% 80.0% 79.6% 76.5% 85.7% 95.5% 82.9% 81.4% 53.9% 81.5% 45.7% 86.7% 76.5%
2020
INTERNATIONAL
PERFORMING EACH SURGICAL PROCEDURE
PERCENT OF PLASTIC SURGEONS PERFORMING EACH SURGICAL PROCEDURE

SURGICAL PROCEDURES WORLD- ARGENTINA BRAZIL COLOMBIA GERMANY GREECE INDIA ITALY MEXICO RUSSIA SPAIN THAILAND TURKEY USA
WIDE
BODY & EXTREMITIES
Abdominoplasty 86.6% 81.6% 84.0% 93.9% 88.2% 92.9% 86.4% 95.1% 93.0% 88.5% 85.2% 71.4% 93.3% 88.2%
22.3% 21.1% 20.0% 44.9% 5.9% 10.7% 11.4% 17.1% 44.2% 19.2% 22.2% 25.7% 6.7% 5.9%
(implants only)
Buttock Augmentation (fat transfer) 56.4% 47.4% 60.0% 81.6% 44.1% 57.1% 34.1% 39.0% 87.6% 61.5% 66.7% 25.7% 66.7% 58.8%
Buttock Lift 22.3% 5.3% 20.0% 22.5% 20.6% 39.3% 18.2% 12.2% 39.5% 15.4% 0.0% 11.4% 20.0% 17.7%
Liposuction 88.3% 89.5% 96.0% 93.9% 88.2% 89.3% 86.4% 95.1% 94.6% 88.5% 88.9% 68.6% 90.0% 88.2%
Lower Body Lift 26.6% 10.5% 24.0% 22.5% 26.5% 32.1% 31.8% 12.2% 40.3% 19.2% 11.1% 20.0% 43.3% 52.9%
Penile Enlargement 6.9% 0.0% 0.0% 6.1% 2.9% 17.9% 2.3% 14.6% 5.4% 0.0% 11.1% 5.7% 10.0% 0.0%
Thigh Lift 40.6% 21.1% 60.0% 24.5% 47.1% 53.6% 29.6% 53.7% 41.9% 38.5% 55.6% 25.7% 53.3% 35.3%
Upper Arm Lift 57.1% 42.1% 56.0% 36.7% 79.4% 75.0% 34.1% 75.6% 66.7% 53.9% 77.8% 34.3% 70.0% 70.6%
Upper Body Lift 17.2% 7.9% 16.0% 14.3% 26.5% 17.9% 25.0% 4.9% 23.3% 0.0% 0.0% 11.4% 16.7% 23.5%
Labiaplasty 54.9% 50.0% 72.0% 40.8% 76.5% 71.4% 47.7% 68.3% 57.4% 53.9% 74.1% 31.4% 70.0% 41.2%
Vaginal Rejuvenation 21.3% 23.7% 28.0% 24.5% 8.8% 17.9% 50.0% 17.1% 22.5% 11.5% 11.1% 14.3% 20.0% 11.8%
2020
INTERNATIONAL
PERFORMING EACH NONSURGICAL PROCEDURE
PERCENT OF PLASTIC SURGEONS PERFORMING EACH NONSURGICAL PROCEDURE

NONSURGICAL PROCEDURES WORLD- ARGENTINA BRAZIL COLOMBIA GERMANY GREECE INDIA ITALY MEXICO RUSSIA SPAIN THAILAND TURKEY USA
WIDE
INJECTABLES
Botulinum Toxin 84.0% 94.7% 72.0% 89.8% 88.2% 100.0% 65.9% 95.1% 95.4% 46.2% 85.2% 68.6% 96.7% 88.2%
Calcium Hydroxylapatite 19.7% 34.2% 16.0% 16.3% 20.6% 21.4% 4.6% 36.6% 27.9% 11.5% 33.3% 0.0% 16.7% 29.4%
Hyaluronic Acid 78.6% 89.5% 72.0% 77.6% 88.2% 100.0% 47.7% 95.1% 92.3% 46.2% 81.5% 45.7% 96.7% 76.5%
Poly-L-Lactic Acid 9.1% 2.6% 16.0% 8.2% 17.7% 17.9% 0.0% 17.1% 10.9% 11.5% 18.5% 0.0% 6.7% 23.5%
FACIAL REJUVENATION
Chemical Peel 22.2% 18.4% 16.0% 16.3% 11.8% 35.7% 36.4% 51.2% 20.2% 3.8% 51.9% 5.7% 6.7% 47.1%
Full Field Ablative 17.9% 15.8% 20.0% 18.4% 11.8% 39.3% 18.2% 43.9% 16.3% 23.1% 11.1% 0.0% 20.0% 29.4%
Micro-Ablative Resurfacing 12.7% 15.8% 0.0% 10.2% 2.9% 39.3% 13.6% 24.4% 10.9% 3.8% 18.5% 2.9% 13.3% 47.1%
Dermabrasion 11.7% 13.2% 4.0% 12.2% 20.6% 7.1% 20.5% 7.3% 10.1% 7.7% 11.1% 2.9% 13.3% 5.9%
Microdermabrasion 14.6% 26.3% 4.0% 14.3% 5.9% 28.6% 31.8% 2.4% 22.5% 0.0% 11.1% 2.9% 6.7% 35.3%
Nonsurgical Skin Tightening 23.3% 21.1% 4.0% 24.5% 35.3% 46.4% 25.0% 26.8% 31.8% 15.4% 25.9% 11.4% 20.0% 41.2%
Photo Rejuvenation 12.0% 21.1% 8.0% 8.2% 8.8% 21.4% 9.1% 12.2% 10.9% 15.4% 11.1% 8.6% 20.0% 41.2%
Polymethylmethacrylate 1.8% 2.6% 0.0% 2.0% 2.9% 3.6% 2.3% 2.4% 0.8% 0.0% 0.0% 0.0% 0.0% 5.9%
OTHER
Cellulite Treatment 17.3% 18.4% 8.0% 18.4% 17.7% 53.6% 6.8% 31.7% 26.4% 3.8% 25.9% 2.9% 10.0% 17.7%
Hair Removal 18.4% 23.7% 8.0% 14.3% 0.0% 60.7% 38.6% 34.2% 17.8% 3.8% 11.1% 8.6% 16.7% 41.2%
Nonsurgical Fat Reduction 18.5% 10.5% 0.0% 24.5% 29.4% 64.3% 15.9% 24.4% 22.5% 3.8% 18.5% 5.7% 20.0% 35.3%
Tattoo Removal 14.9% 18.4% 12.0% 10.2% 2.9% 25.0% 52.3% 24.4% 11.6% 7.7% 0.0% 5.7% 13.3% 17.7%
Treatment of Leg Veins 8.7% 7.9% 4.0% 6.1% 0.0% 21.4% 15.9% 4.9% 7.8% 3.8% 7.4% 2.9% 13.3% 17.7%
Sclerotherapy 9.7% 0.0% 0.0% 6.1% 2.9% 21.4% 13.6% 9.8% 12.4% 3.8% 18.5% 8.6% 13.3% 5.9%
2020
INTERNATIONAL
DEMOGRAPHICS
GENDER DISTRIBUTION FOR COSMETIC PROCEDURES – SURGICAL
GENDER DISTRIBUTION FOR COSMETIC PROCEDURES: SURGICAL

RANK FEMALE RANK MALE
1 Breast Augmentation 1,601,713 98.6% 1 Eyelid Surgery 257,159 21.0%
2 Liposuction 1,300,020 85.2% 2 Liposuction 225,177 14.8%
3 Eyelid Surgery 968,381 79.0% 3 Gynecomastia 210,737 100.0%

4 Abdominoplasty 703,778 92.0% 4 Rhinoplasty 209,087 24.5%
5 Rhinoplasty 643,468 75.5% 5 Ear Surgery 87,338 34.3%
6 Breast Lift 594,691 100.0% 6 Fat Grafting (face) 86,037 16.7%
7 Fat Grafting (face) 429,782 83.3% 7 Abdominoplasty 61,470 8.0%
8 Breast Reduction 426.363 100.0% 8 Facelift 60.829 14.5%
9 Buttock Augmentation 377,262 95.2% 9 Brow Lift 49,112 17.0%
10 Facelift 358,217 85.5% 10 Neck Lift 41,885 16.7%
11 Brow Lift 239,194 83.0% 11 Facial Bone Contouring 26,447 24.9%
12 Neck Lift 209,424 83.3% 12 Breast Augmentation 22,568 1.4%
13 Breast Implant Removal 204,654 99.0% 13 Buttock Augmentation 18,843 4.8%
14 Ear Surgery 167,594 65.7% 14 Lower Body Lift 11,026 15.5%
15 Labiaplasty 142,119 100.0% 15 Upper Arm Lift 6,519 5.2%
16 Upper Arm Lift 119,511 94.8% 16 Thigh Lift 4,871 6.6%
17 Facial Bone Contouring 79,726 75.1% 17 Buttock Lift 3,607 6.8%
18 Thigh Lift 69,077 93.4% 18 Breast Implant Removal 2,171 1.0%
19 Lower Body Lift 59,981 84.5%
20 Buttock Lift 49,692 93.2%
Total Surgical Procedures 8,744,646 86.3% 1,384,883 13.7%
2020
INTERNATIONAL
GENDER DISTRIBUTION FOR COSMETIC
PROCEDURES – NONSURGICAL
GENDER DISTRIBUTION FOR COSMETIC PROCEDURES: NONSURGICAL

RANK FEMALE RANK MALE
1 Botulinum Toxin 5,307,901 85.4% 1 Botulinum Toxin 905,958 14.6%

2 Hyaluronic Acid 3,558,511 87.8% 2 Hyaluronic Acid 494,506 12.2%
3 Hair Removal 1,538,982 83.8% 3 Hair Removal 298,070 16.2%
4 Photo Rejuvenation 446,250 86.2% 4 Nonsurgical Fat Reduction 120,707 21.5%
5 Nonsurgical Fat Reduction 439,757 78.5% 5 Photo Rejuvenation 71,425 13.8%
6 Chemical Peel 356,970 87.3% 6 Chemical Peel 52,085 12.7%
7 Micro-Ablative Resurfacing 210,448 87.6% 7 Full Field Ablative 37,523 16.7%
8 Calcium Hydroxylapatite 187,683 84.2% 8 Calcium Hydroxylapatite 35,103 15.8%
9 Full Field Ablative 187,617 83.3% 9 Micro-Ablative Resurfacing 29,766 12.4%
10 Poly-L-Lactic Acid 105,293 87.0% 10 Poly-L-Lactic Acid 15,794 13.0%
Total NonSurgical Procedures 12,339,411 85.7% Total Nonsurgical Procedures 2,060,936 14.3%
Total Procedures 21,084,057 86.0% 3,445,818 14.0%
2020
INTERNATIONAL
AGE DISTRIBUTION FOR CERTAIN COSMETIC PROCEDURES
AGE DISTRIBUTION FOR CERTAIN COSMETIC PROCEDURES
18 YEARS 19-34 YEARS 35-50 YEARS 51-64 YEARS 65 YEARS

OR YOUNGER OLD OLD OLD OR OLDER
Breast augmentations 25,826 1.6% 930,226 57.3% 559,890 34.5% 98,594 6.1% 9,746 0.6%
Liposuction 26,233 1.7% 734,840 48.2% 621,823 40.8% 132,082 8.7% 10,219 0.7%
Rhinoplasty 55,928 6.6% 578,629 67.9% 188,074 22.1% 26,770 3.1% 3,154 0.4%
Botulinum Toxin 42,876 0.7% 1,497,540 24.1% 3,121,221 50.2% 1,343,436 21.6% 208,786 3.4%
Nonsurgical Fat Reduction 8,911 1.6% 227,100 40.5% 243,634 43.5% 68,433 12.2% 12,386 2.2%
BREAST AUGMENTATIONS FOR WOMEN
17 YEARS OLD OR YOUNGER

World-Wide 17.4% REASONS FOR PROCEDURE
Argentina 8.1% Congenital absent breast (i.e.. Poland’s syndrome) 6.1%
Brazil 21.7% Severe asymmetry 18.4%
Colombia 16.7% Congenital micromastia 11.5%
Germany 25.0% Tubular breast 16.6%
Greece 14.3% Purely cosmetic bilateral augmentation 43.3%
India 9.3% Other 4.1%
Italy 25.6%
Mexico 15.5%
Russia 22.7%
Spain 25.0%
Thailand 15.2%
Turkey 25.0%
USA 6.7%
2020
INTERNATIONAL
COSMETIC PROCEDURES BY LOCATION
COSMETIC PROCEDURES BY LOCATION
AN OFFICE A FREE-STANDING
A HOSPITAL OTHER
FACILITY SURGICENTER
World-Wide 32.4% 43.8% 23.2% 0.6%

Argentina 29.3% 21.6% 48.8% 0.3%
Brazil 31.1% 41.7% 27.1% 0.1%
Colombia 22.2% 34.5% 42.3% 1.1%
Germany 48.8% 31.5% 19.1% 0.7%
Greece 48.5% 46.5% 5.0% 0.0%
India 18.5% 71.6% 9.9% 0.0%
Italy 39.8% 26.7% 31.9% 1.7%
Mexico 39.9% 38.1% 21.9% 0.2%

Russia 2.8% 61.1% 35.4% 0.7%
Spain 33.2% 59.5% 7.0% 0.4%
Thailand 34.9% 56.8% 8.2% 0.0%
Turkey 31.0% 53.6% 13.5% 1.9%

USA 45.0% 19.7% 34.3% 1.1%
2020
INTERNATIONAL
MEDICAL TOURISM
MEDICAL TOURISM
TOP 3
MOST FREQUENTLY-CITED
PERCENTAGE OF PATIENTS ATTENDING FROM OTHER COUNTRIES COUNTRIES OF FOREIGN PATIENTS
MEDIAN AVERAGE 1 2 3
World-Wide 10.0% 15.9%

Argentina 3.0% 5.9% Spain USA Brazil
Brazil 10.0% 10.9% USA Portugal Spain
Colombia 15.0% 21.8% USA Spain Chile
Germany 5.0% 11.7% Switzerland Austria Russia
Greece 10.0% 11.5% United Kingdom Germany Switzerland
India 5.0% 5.2% United Arab Emirates USA Bangaladesh
Italy 5.0% 9.6% Switzerland Romania United Kingdom
Mexico 20.0% 28.2% USA Canada Colombia

Russia 2.5% 5.0% USA United Kingdom Finland
Spain 7.5% 14.8% United Kingdom Germany Italy
Thailand 10.0% 20.9% Australia USA China
Turkey 17.0% 25.8% Germany United Kingdom France
USA 10.0% 9.2% Mexico Canada United Kingdom
2020
INTERNATIONAL
PROCEDURE
INFO SHEET
PROCEDURE INFO SHEET - SURGICAL
SURGICAL PROCEDURES Best for Cost* Length of Procedure Number of Treatments Out of Office?
Breast Augmentation Small breasts or breast asymmetry $$$ 1-2 hours 1 1-2 weeks
Breast Lift Sagging, poorly shaped breasts $$$ 1.5-3.5 hours 1 1-2 weeks
Breast Reduction Large, heavy, loose, or disproportionate breasts $$$ 2-4 hours 1 1-2 weeks
Brow Lift Sagging eyebrows, forehead creases, frown lines $$$ 1-2 hours 1 Up to 10 days
Buttock Augmentation Weight loss or minimal volume buttock $$$ 1-2 hours Varies 1 week
Buttock Lift Sagging skin or excess fat, weakened muscles in thigh/buttocks $$$ 2 hours 1 2-4 weeks
Chin Augmentation / Genioplasty Receding chin $$ 1 hour 1 1-2 weeks
Ear Surgery Protruding or disproportionate ears $$$ 2-3 hours 1 1-2 weeks
Excess fat, wrinkled or drooping skin, upper eyelids, bags, puffiness

Eyelid Surgery $$$ 1-3 hours 1 Up to 10 days
under eyes
Facelift Loos skin, deep lines, wrinkles, jowls $$$ 2-3 hours 1 Up to 2 weeks
Fat Transfer (breast) Lack of volume $$$ 2-4 hours 2+ 2-3 days
Fat Transfer (face) Lack of volume $$ 1-2 hours 1+ 2 weeks
Labiaplasty Enlarged, asymmetric, or protruding labia minora $$ 1 hour 1 1 week
Liposuction Isolated fatty areas $$$ 1-2 hours 1 1-2 weeks
Lower Body Lift Loose thighs, buttock, and abdomen $$$ Up to 8 hours 1 Up to 4 weeks
Male Breast Reduction Gynecomastia $$$ 2 hours 1 1 week
Neck Lift Loose, sagging, excess skin $$$ 2-3 hours 1 Up to 2 weeks
Rhinoplasty Large or wide nose, deformity $$$ 1-2 hours 1 1-2 weeks
Thigh Lift Loose, excess skin $$$ 2 hours 1 2-4 weeks
Tummy Tuck Protruding abdomen, excess fat and skin $$$ 2-5 hours 1 2-4 weeks
Upper Arm Lift Excess skin and fat $$$ 2 hours 1 1-2 weeks
*Surgeon fees may vary.
2020
INTERNATIONAL
PROCEDURE INFO SHEET - NONSURGICAL
NONSURGICAL PROCEDURES Best for Cost* Length of Procedure Number of Treatments Out of Office?
Botulinum Toxin Repeat treatments

Frown lines, crow’s feet $ 30 minutes 0 days
every 4-6 months
Calcium Hydroxylapatite Frown lines, crow’s feet, Repeat treatments

$ < 1 hour 0 days
nasolabial folds, lips every 2+ years
Sun-damaged or unevenly Varies depending on Varies depending on Varies depending

Chemical Peel $
pigmented skin type of peel type of peel on type of peel
Full Field Ablative Fair and non-oily, sun-damaged facial skin, Varies depending on
$$ Varies Varies
mouth and eye wrinkles, acne scars laser and skin condition
Hyaluronic Acid Nasolabial folds, forehead wrinkles, smile Repeat treatments

$ < 1 hour 0 days
lines, and lips every 4-12 months
Laser Hair Removal Unwanted facial or body hair $ Varies depending on area Multiple sessions 0 days
Micro-Ablative Resurfacing Acitinic changes, acne scars, pigment,

$$ 30-60 minutes Varies Varies
superficial lines
Nonsurgical Fat Reduction

Resistant fat, mild lipodystrophy $$ 1-3 hours 1-6 0 days
Photo Rejuvenation
Pigment, superficial lines $ 10-30 minutes 3-5 0 days
Poly-L-Lactic Acid Cheeks, temple, jawline, volume loss, facial

$ < 1 hour 2-4 0 days
fat
Sclerotherapy Spider veins $ 30-60 minutes 3-4 0 days
*Surgeon fees may vary.
2020
INTERNATIONAL
IMPACT OF
COVID-19
COVID IMPACT
WHICH OF THE FOLLOWING, IF ANY, OCCURRED

COVID
AT YOUR
IMPACT
PRACTICE BECAUSE OF COVID-19?
WORLD-WIDE ARGENTINA BRAZIL COLOMBIA GERMANY GREECE INDIA ITALY MEXICO RUSSIA SPAIN THAILAND TURKEY USA
WHICH OF THE FOLLOWING. IF ANY. OCCURRED AT YOUR PRACTICE BECAUSE OF COVID-19?
Closed practice temporarily 77.8% 80.0% 87.5% 91.8% 57.6% 85.2% 70.5% 87.2% 83.6% 58.3% 96.0% 67.7% 86.7% 76.5%
Modified office hours 52.3% 71.4% 54.2% 59.2% 30.3% 55.6% 54.6% 28.2% 68.8% 25.0% 56.0% 35.3% 50.0% 52.9%
Patient demand decreased due to safety/
42.4% 65.7% 45.8% 65.3% 15.2% 37.0% 61.4% 33.3% 46.9% 8.3% 24.0% 55.9% 43.3% 35.3%
virus concerns
Patient demand decreased due to patients’
31.5% 51.4% 29.2% 46.9% 3.0% 29.6% 54.6% 25.6% 31.3% 20.8% 24.0% 52.9% 40.0% 11.8%
lost wages and income concerns
Patient demand increased due to patients'
26.1% 28.6% 20.8% 4.1% 57.6% 22.2% 11.4% 25.6% 33.6% 16.7% 44.0% 11.8% 16.7% 52.9%
work flexibility
Implemented salary reductions 16.4% 17.1% 12.5% 26.5% 6.1% 14.8% 22.7% 2.6% 13.3% 12.5% 24.0% 41.2% 6.7% 5.9%
Reduced fees for procedures 15.9% 17.1% 4.2% 26.5% 0.0% 18.5% 43.2% 12.8% 17.2% 4.2% 12.0% 35.3% 3.3% 5.9%
Increased staff because of added
10.2% 8.6% 4.2% 10.2% 9.1% 18.5% 6.8% 15.4% 14.1% 0.0% 4.0% 2.9% 13.3% 11.8%
protocols and protections
Laid off/furloughed staff 9.8% 5.7% 0.0% 20.4% 6.1% 14.8% 9.1% 0.0% 12.5% 0.0% 12.0% 8.8% 3.3% 29.4%
Moved to a new employment situation or
9.3% 5.7% 8.3% 10.2% 3.0% 3.7% 2.3% 7.7% 11.7% 12.5% 8.0% 5.9% 3.3% 5.9%
practice
Staff shortages 9.3% 0.0% 4.2% 6.1% 12.1% 7.4% 29.6% 0.0% 7.8% 8.3% 12.0% 5.9% 10.0% 17.7%
Reduced number of surgeons 5.4% 0.0% 12.5% 6.1% 3.0% 0.0% 4.6% 5.1% 6.3% 4.2% 12.0% 11.8% 3.3% 0.0%
Closed practice permanently 4.5% 2.9% 4.2% 16.3% 3.0% 0.0% 2.3% 0.0% 5.5% 4.2% 4.0% 0.0% 10.0% 0.0%
Other 2.1% 2.9% 4.2% 2.0% 0.0% 0.0% 0.0% 0.0% 0.8% 4.2% 0.0% 2.9% 0.0% 5.9%
None 3.4% 2.9% 0.0% 2.0% 3.0% 3.7% 2.3% 0.0% 1.6% 12.5% 0.0% 2.9% 10.0% 11.8%
2020
INTERNATIONAL
COVID IMPACT
WHICH OF THE FOLLOWING, IF ANY, OCCURRED

COVID
AT YOUR
IMPACT
PRACTICE BECAUSE OF COVID-19?
WHEN DO YOU EXPECT YOUR PRACTICE WILL RETURN TO A “PRE-PANDEMIC” PATIENT VOLUME?
We have already returned to pre-
45.0% 23.3% 30.4% 26.1% 73.3% 48.2% 18.4% 46.0% 46.5% 65.0% 62.5% 3.2% 50.0% 81.3%
Pandemic levels
Less than 1 month from now 1.7% 3.3% 0.0% 4.4% 0.0% 0.0% 0.0% 5.4% 1.8% 0.0% 4.2% 3.2% 0.0% 0.0%
1 to 2 months from now 5.1% 6.7% 4.4% 4.4% 10.0% 0.0% 10.5% 5.4% 5.3% 0.0% 0.0% 0.0% 3.6% 0.0%
1 to 2 years from now 16.8% 16.7% 17.4% 23.9% 6.7% 22.2% 26.3% 8.1% 13.2% 15.0% 16.7% 41.9% 32.1% 0.0%
More than 2 years from now 4.3% 6.7% 8.7% 2.2% 0.0% 3.7% 5.3% 0.0% 0.0% 5.0% 8.3% 16.1% 0.0% 6.3%
Never - our practice's daily operations will
2.4% 0.0% 4.4% 4.4% 3.3% 0.0% 0.0% 2.7% 4.4% 0.0% 4.2% 3.2% 0.0% 6.3%
never return to pre-Pandemic levels
2020
INTERNATIONAL
ADDITIONAL
& RESIDENT
STATISTICS
ADDITIONAL STATISTICS
WHICH OF THE FOLLOWING, IF ANY,

ADDITIONAL
OCCURREDSTATISTICS
AT YOUR PRACTICE BECAUSE OF COVID-19?
HOW MANY YEARS HAVE YOU BEEN IN PRACTICE?
Median 20 20 30 17 20 20 16 25 23 16 23 15 19 30
Average 20 24 27 19 19 19 16 24 21 17 24 17 17 27
WHAT IS YOUR GENDER?
Male 77.5% 81.6% 66.7% 76.6% 73.5% 88.9% 88.6% 85.4% 79.2% 53.9% 55.6% 82.4% 86.7% 82.4%
Female 22.5% 18.4% 33.3% 23.4% 26.5% 11.1% 11.4% 14.6% 20.8% 46.2% 44.4% 17.7% 13.3% 17.7%
ARE YOU CURRENTLY A MEMBER OF ISAPS?
Yes 80.2% 89.5% 100.0% 65.3% 94.1% 71.4% 81.8% 97.6% 69.0% 80.8% 92.6% 74.3% 56.7% 94.1%
No 19.8% 10.5% 0.0% 34.7% 5.9% 28.6% 18.2% 2.4% 31.0% 19.2% 7.4% 25.7% 43.3% 5.9%
PERCENT OF PHYSICIANS PERFORMING THE FOLLOWING PROCEDURES IN 2020:
Bichatectomy 41.9% 42.9% 22.7% 78.3% 25.0% 16.0% 16.2% 22.9% 89.7% 28.6% 52.2% 19.4% 79.3% 28.6%
Brachioplasty 59.4% 44.4% 63.6% 37.2% 75.0% 67.9% 30.8% 82.1% 68.3% 57.1% 87.5% 43.8% 63.3% 87.5%
Mommy Makeover 56.4% 33.3% 61.9% 54.4% 60.0% 59.3% 52.6% 54.1% 68.9% 45.5% 82.6% 45.2% 79.3% 80.0%
Sex Reassignment Surgery
9.2% 5.7% 0.0% 7.5% 13.3% 7.7% 31.6% 5.7% 4.2% 5.3% 17.4% 38.7% 4.0% 0.0%
(Sex Change)
Vaginal Rejuvenation using
4.9% 2.9% 0.0% 4.8% 7.1% 15.4% 5.4% 3.0% 5.0% 5.3% 0.0% 0.0% 7.4% 7.1%
Radio Frequency
2020
INTERNATIONAL
RESIDENT STATISTICS
RESIDENT STATISTICS
DO YOU HAVE ADDITIONAL SURGEONS OR RESIDENTS IN YOUR PRACTICE?
Yes 42.7% 46.0% 56.0% 21.3% 50.0% 32.1% 37.2% 60.0% 41.9% 66.7% 28.0% 42.9% 26.7% 58.8%
No 57.3% 54.1% 44.0% 78.7% 50.0% 67.9% 62.8% 40.0% 58.1% 33.3% 72.0% 57.1% 73.3% 41.2%
IF YES, PLEASE PROVIDE COUNTS (AVERAGES):
Surgeons - Male 174 241 * * 153 * 125 183 106 429 * * * *
Surgeons - Female 112 82 * * 82 * 31 88 62 241 * * * *
Surgeons - Total 286 323 * * 235 * 156 271 168 670 * * * *
Residents - Male 191 212 * * 65 * 94 67 209 271 * * * *
Residents - Female 122 71 * * 53 * 19 46 96 176 * * * *
Residents - Total 313 283 * * 118 * 113 113 305 447 * * * *
ARE THE RESIDENTS IN YOUR PRACTICE PART OF A TRAINING PROGRAM TO BECOME A PLASTIC SURGEON?
Yes 70.7% 82.4% * * 60.0% * * 57.9% 61.7% 87.5% * * * *
No 29.3% 17.7% * * 40.0% * * 42.1% 38.3% 12.5% * * * *
IS THERE A REQUIREMENT FOR YOUR RESIDENTS TO COMPLETE A LOGBOOK OF PROCEDURES AS PART OF THEIR TRAINING?
Yes 72.2% * * * * * * 46.7% 57.5% 73.3% * * * *
No 27.8% * * * * * * 53.3% 42.5% 26.7% * * * *
2020
INTERNATIONAL
2020
INTERNATIONAL
SURVEY
ISAPS BOARD OF DIRECTORS

PRESIDENT Nazim CERKES, MD, PHD - Turkey
ISAPS EXECUTIVE OFFICE PRESIDENT-ELECT Lina TRIANA, MD - Colombia

10 Benning Street, Suite 160 #264 SECRETARY Arturo RAMIREZ-MONTANANA, MD - Mexico
West Lebanon, NH 03784-3402
TREASURER Tim PAPADOPOULOS, MD - Australia
United States
Phone: +44 20 7038 7812 MEMBERSHIP CHAIR Vakis Kontoes, MD, PhD - Greece
Email: ISAPS@isaps.org
MEMBER-AT-LARGE Fabian CORTINAS, MD - Argentina
www.ISAPS.org
MEMBER-AT-LARGE Kai-Uwe SCHLAUDRAFF, MD, FEBOPRAS - Switzerland
MEMBER-AT-LARGE Ivar VAN HEIJNINGEN, MD - Belgium

MARKETING OFFICE
MEMBER-AT-LARGE Niveo STEFFEN, MD - Brazil
boeld communication
Reitmorstraße 25, 80538 Munich, Germany NATIONAL SECRETARIES CHAIR Michel ROUIF, MD - France
marketing@isaps.org
PARLIAMENTARIAN Sanguan KUNAPORN, MD - Thailand
www.bb-mc.com
EDUCATION COUNCIL CHAIR Ozan SOZER, MD - United States
EDUCATION COUNCIL VICE-CHAIR Francisco BRAVO, MD - Spain

FOR PRESS INQUIRIES, PAST PRESIDENT Dirk RICHTER, MD - Germany
PLEASE CONTACT:
media@isaps.org TRUSTEE Renato SALTZ MD, FACS - United States
+49 89 189 046135 EXECUTIVE DIRECTOR Sarah JOHNSON - United Kingdom
design by www.bb-mc.com
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ISAPS Global Survey - 2020

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ISAPS Global Survey - 2020

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ISAPS INTERNATIONAL SURVEY ON

About ISAPS..........................................................................................................page 3 Surgical Totals Ranked by Category.............................................................. page 33

Founded in 1970, the International Society of Aesthetic Plastic Surgery (ISAPS)

A full list of ISAPS plastic surgeons can be found online at www.isaps.org.

Top 5 Top 5 Top 5

Top 5 Top 5 Top 5

total procedures performed

Percent of Total Procedures Total Procedures Percent Change Percent Change

2 Liposuction 1,525,197 15.1% 1,704,786 1,453,340 -10.5% 4.9%

3 Eyelid Surgery 1,225,540 12.1% 1,259,839 1,347,509 -2.7% -9.1%

4 Rhinoplasty 852,554 8.4% 821,890 786,852 3.7% 8.4%

5 Abdominoplasty 765,248 7.6% 924,031 769,067 -17.2% -0.5%

6 Breast Lift 594,691 5.9% 741,284 583,192 -19.8% 2.0%

7 Fat Grafting (face) 515,819 5.1% 598,823 596,836 -13.9% -13.6%

8 Breast Reduction 426,363 4.2% 600,219 465,665 -29.0% -8.4%

9 Facelift 419,046 4.1% 448,485 427,065 -6.6% -1.9%

10 Buttock Augmentation 396,105 3.9% 479,451 332,121 -17.4% 19.3%

11 Brow Lift 288,306 2.8% 270,917 261,663 6.4% 10.2%

12 Ear Surgery 254,931 2.5% 288,905 298,975 -11.8% -14.7%

13 Neck Lift 251,308 2.5% 260,747 264,050 -3.6% -4.8%

14 Gynecomastia 210,737 2.1% 273,344 236,371 -22.9% -10.8%

15 Breast Implant Removal 206,826 2.0% 229,680 155,453 -10.0% 33.0%

16 Labiaplasty 142,119 1.4% 164,667 138,033 -13.7% 3.0%

17 Upper Arm Lift 126,030 1.2% 168,289 125,557 -25.1% 0.4%

18 Facial Bone Contouring 106,173 1.0% 108,536 109,775 -2.2% -3.3%

19 Thigh Lift 73,948 0.7% 93,334 79,476 -20.8% -7.0%

20 Lower Body Lift 71,007 0.7% 75,895 72,253 -6.4% -1.7%

21 Buttock Lift 53,299 0.5% 54,894 37,157 -2.9% 43.4%

TOTAL SURGICAL PROCEDURES 10,129,528 11,363,569 10,189,682 -10.9% -0.6%

2 Hyaluronic Acid 4,053,016 28.1% 4,315,859 3,372,445 -6.1% 20.2%

3 Hair Removal 1,837,052 12.8% 1,042,951 1,146,523 76.1% 60.2%

4 Nonsurgical Fat Reduction 560,464 3.9% 462,769 433,351 21.1% 29.3%

5 Photo Rejuvenation 517,675 3.6% 391,415 623,243 32.3% -16.9%

6 Chemical Peel 409,054 2.8% 369,497 585,614 10.7% -30.1%

7 Micro-Ablative Resurfacing 240,213 1.7% 270,759 183,432 -11.3% 31.0%

8 Full Field Ablative 225,141 1.6% 190,978 210,844 17.9% 6.8%

9 Calcium Hydroxylapatite 222,785 1.5% 212,762 164,911 4.7% 35.1%

10 Poly-L-Lactic Acid 121,087 0.8% 90,259 79,664 34.2% 52.0%

TOTAL NONSURGICAL PROCEDURES 14,400,347 13,618,735 11,731,603 5.7% 22.7%

Percent Change Percent Change

FACE & HEAD

Neck Lift 251,308 260,747 264,050 -3.6% -4.8%

Rhinoplasty 852,554 821,890 786,852 3.7% 8.4%

TOTAL FACE & HEAD 3,913,679 4,058,143 4,092,725 -3.6% -4.4%

Breast Augmentation 1,624,281 1,795,551 1,649,271 -9.5% -1.5%

Abdominoplasty 765,248 924,031 769,067 -17.2% -0.5%

BODY & EXTREMITIES

Percent Change Percent Change

Chemical Peel 409,054 369,497 585,614 10.7% -30.1%

Hair Removal 1,837,052 1,042,951 1,146,523 76.1% 60.2%

TOTAL PROCEDURES 24,529,875 24,982,304 21,921,285 -1.8% 11.9%

TOTAL PROCEDURES IN 2020

TOTAL SURGICAL TOTAL NONSURGICAL

TOTAL TOTAL TOTAL TOTAL TOTAL TOTAL

FACE & HEAD BODY & EXTREMITIES INJECTABLES FACIAL REJUVENATION

FACE & HEAD BODY & EXTREMITIES INJECTABLES FACIAL REJUVENATION

FACE & HEAD BODY & EXTREMITIES INJECTABLES FACIAL REJUVENATION

FACE & HEAD BODY & EXTREMITIES INJECTABLES FACIAL REJUVENATION

FACE & HEAD BODY & EXTREMITIES INJECTABLES FACIAL REJUVENATION

FACE & HEAD BODY & EXTREMITIES INJECTABLES FACIAL REJUVENATION

FACE & HEAD BODY & EXTREMITIES INJECTABLES FACIAL REJUVENATION

FACE & HEAD BODY & EXTREMITIES INJECTABLES FACIAL REJUVENATION

FACE & HEAD BODY & EXTREMITIES INJECTABLES FACIAL REJUVENATION