March 9, 2010

WSJ: Plastic Surgery decreased in 2009

Nice summary of 2009 plastic surgery trends in the Wall Street Journal, showing the effect of hard economic times on elective plastic surgery volume.

I've reproduced it, below. I've added some editorial comments in parentheses.

In addition, you can see the latest ASAPS statistics on plastic surgery, by clicking the link here.

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By ANJALI ATHAVALEY, Wall Street Journal

The number of cosmetic-surgery procedures in the U.S. sagged for the second year in a row in 2009, according to an annual survey released Tuesday by a plastic surgeons' association.

There were 10 million surgical and nonsurgical procedures last year, down 2% from 2008, according to a survey of 928 board-certified physicians by the American Society for Aesthetic Plastic Surgery, a Garden Grove, Calif., group of plastic surgeons specializing in cosmetic surgery. (ASAPS is the largest, most important group of cosmetically-oriented plastic surgeons.)

Driving the decline was a 17% drop in surgical procedures, to 1.5 million surgeries. "People just couldn't go for the big items," said Renato Saltz, the association's president.

Tummy tucks, rhinosplasty and other surgical procedures can cost thousands of dollars more than nonsurgical measures, and they require a longer recovery. (But of course, the surgeries do much more than any non-surgical alternative.)

Indeed, fear of job loss is the main reason people are putting off their surgeries, says Phil Haeck, president-elect of the American Society of Plastic Surgeons, a separate group that has yet to release its annual survey. Dr. Haeck, a plastic surgeon in Seattle, said that marks a shift from last year when consumers cited cost as a primary hurdle. This year, "job priority is number one, cosmetic surgery is number two," he said.

Breast augmentation beat out liposuction as the most popular surgical procedure for the second year in a row. Dr. Saltz attributes renewed popularity of breast augmentation to the 2006 Food and Drug Administration decision to lift the ban on cosmetic use of silicone breast implants. Breast augmentations numbered 311,957 last year, down 12% from 2008; liposuctions numbered 283,735, down 17%.

Nonsurgical procedures, such as injections of Botox or hyaluronic acid to fill facial wrinkles, were flat, inching up 0.6% to 8.5 million.

Two surgeries are surging in popularity. Buttock lifts, which involve reshaping of the bottom, increased 25% to 3,024 procedures, and buttock augmentations increased 37%, to 4,996. Increasingly, people want to reshape their rears after losing weight, Dr. Saltz said.

The procedures, costing from $4,000 to $5,000, are fairly new, with both benefiting from recent technique improvements, he added. As the economy recovers, more baby boomers are expected to seek procedures, and more physicians will likely offer nonsurgical options. Surgical procedures have increased by 50% since 1997, while non-surgical procedures grew 231%. Places like health clubs and spas are already offering minimally invasive procedures. (Not recommended!) Cosmetic-surgery associations recommend that consumers seek out procedures that are conducted under the supervision of a board-certified physician.

They should also do research before going overseas for cheaper rates for surgical procedures, which physicians say is a growing trend. "Right now, there is not an association that verifies that the physician is appropriately trained to do what they are doing," said Dr. Haeck. "Very few of the countries where these are being offered have anything that approximates the rigorous boards in the United States." (Canada is one exception - their training standards are equivalent to the U.S.)

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January 22, 2010

Was it worth it? - the least satisfactory procedures

According to the readers poll over at RealSelf.com, here is the "rogue's gallery" as of today - the procedures at the bottom of the barrel on the "was it worth it" scale. The 20% satisfaction rating for lipodissolve, for example, means that 80% of people didn't think it was worth the cost.

You can see the full list here (link)

Procedure.........Percentage satisfied.........Average cost

Velashape...............32%............................$2785

Mesotherapy ............32%...........................$2282

Lifestyle lift..............28%..........................$5470

Cellulite treatment......25%..........................$2557

Lipodissolve...............20%..........................$1918

Astute readers of this blog will recognize many of these offenders from previous posts and discussions! Four out of five of these procedures have minimal science or proof of efficacy to back them up.

Interestingly, the Zerona non-invasive fat zapping laser was not on this list. But this device didn't rate well either: Realself voters only gave the Zerona a 20% rating, which ties with Lipodissolve for last place. Ouch!!

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March 16, 2009

2008 ASAPS Procedural Statistics

Every year, ASAPS - the pre-eminent organization for aesthetic plastic surgeons - compiles statistics on common plastic surgery operations and trends in surgery. The latest report, on last year's surgical activity, was released today, and includes figures from Board-certified Plastic Surgeons, Dermatologists and Otolaryngologists (Ear, Nose & Throat).

Here are some of the highlights:

- In 2008, over 10 million cosmetic procedures (both surgical and nonsurgical) were performed. This was divided into 1.7 million surgical procedures and 8.4 million non-surgical procedures (botox, fillers, etc.)

- Not unexpectedly given the economy, these numbers are down somewhat compared to the previous year - by about 12 percent overall.

- The top 5 surgical procedures in 2008 were: breast augmentation (355,000), liposuction (341,000), eyelid surgery (195,000), rhinoplasty (152,000) and abdominoplasty (147,000).

- The top 5 non-surgical procedures in 2008 were: Botox injection (2.4 million), laser hair removal (1.2 million), hyaluronic gel fillers like Juvederm and Restylane (1.2 million), chemical peel (591,000) and laser skin resurfacing (570,000).

- Women had 92% of the total, men 8%.

- The most popular operation for women overall was breast augmentation, while the most popular for men was liposuction.

- 62% of women and 51% of men approve of cosmetic surgery. Forty percent of women would consider surgery for themselves, either now or in the future.

The full report can be viewed at www.surgery.org.

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