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Plastic & Cosmetic Surgery Grows during 2005


The unparalled growth of rejuvenation surgery continued though 2005, according to the major professional groups in U.S. plastic surgery, the American Academy of Plastic Surgeons and the American Academy of Facial Plastic and Reconstructive Surgery.

Statistics for 2005 show more than 10.2 million cosmetic plastic surgery procedures done in the United States in '05, an increase of 11 percent over 2004, according to the American Academy of Plastic Surgeons (A.S.P.S.) The top five surgical cosmetic procedures in 2005 were: liposuction (324,000;) nose reshaping (298,000;) breast augmentation (291,000;) eyelid surgery (231,000;) and tummy tuck (135,000,) says the Society.

Minimally invasive cosmetic procedures increased by 13 percent to nearly 8.5 million in 2005. The top five were: Botox injections (3.8 million;) chemical peels (1 million;) microdermabrasion (838,000;) laser hair removal (738,000;) and sclerotherapy (590,000.) Reconstructive surgery remained relatively stable in 2005, at 5.4 million. The top five were: tumor removal (3.9 million;) laceration repair (344,000;) scar revision (181,000;) hand surgery (172,000;) and breast reduction (114,000.)

The other emerging trend in plastic surgery is many more men embracing self-improvement through facial plastic surgery. According to the American Academy of Facial Plastic and Reconstructive Surgery (A.A.F.P.R.S.,) '05 saw a whopping 60 percent increase in men and 30 percent increase in women selecting cosmetic procedures.

Americans - along with the rest of the world -- continue to welcome facial plastic surgery, with surgical and non-surgical methods, as a sure way to enhance appearance, build confidence and wipe-out the lines of time according to a recent survey gathered from board-certified A.A.F.P.R.S. members and reporting the latest trends in facial plastic surgery.

Growing Numbers of Men Combat Aging Faces

Today, more than ever before, American men are undergoing facial rejuvenation to fight aging. Many are looking for a quick turn around so that they can swiftly go back to work. It was once unthinkable for men to admit to having a little work done - but not anymore. Fortunately, there are many facial cosmetic procedure options - ranging from simple, non-surgical treatments such as chemical peels and Botox to surgical procedures like rhinoplasty and facelifts - that can help reduce the signs of aging and improve a man's appearance and self-image.

"It's no surprise that men are eager to look younger and more fit," said Ira D. Papel, M.D., president of the A.A.F.P.R.S. "It's promising to see that, like women, men are taking advantage of the many benefits that these procedures offer." The 2005 survey backed up the notion that American men have an ever-increasing interest in the benefits offered by cosmetic procedures and revealed a nine percent increase in the number of men who underwent non-surgical procedures. The most notable change since 2004 was a 417 percent boost in the volume of men who had ablative skin resurfacing. Other procedures on guys included fat injections with a 47 percent increase; hair transplants, commanding a 17 percent increase and microdermabrasion, yielding a 22 percent increase over the previous year.

Women: Looking As Good As They Feel

The survey detailed that women also want to maintain their good looks through facial cosmetic procedures. The report showed that 79 percent of all surgical procedures and 80 percent of all non-surgical procedures were done on women. The number one ranked procedure on women in 2005 was lip augmentation, followed by fat injections with microdermabrasion earning third place. Other trendy procedures among women in 2005 were hair transplants (increasing 43 percent over 2004) and laser resurfacing, a 12 percent increase from 2004.

Revitalizing Men and Women

The study demonstrated significant growth in the use of the ever-popular wrinkle reducer Botox, which increased 162 percent since 2001 for a total of 3.8 million in '05. Last year, fat injections were amplified by 56 percent - for a 47 percent increase in men and a 64 percent increase in women. Laser skin resurfacing, including deep peels, laser resurfacing and dermabrasion, were also very chic in 2005; the number of procedures performed grew by 51 percent in men and 64 percent in women. Microdermabrasion, another commonly sought after non-surgical procedure, had a 17 percent increase over the previous year.

The report also featured a notable increase in scar revisions, which grew nine percent in 2005. The survey revealed that non-surgical procedures continue to be a major attraction this year for many patients who were looking to rejuvenate their complexions or maintain youthful appearances. In 2005, A.A.F.P.R.S. members described the most popular cosmetic surgeries as blepharoplasty (eyelid surgery) with approximately 108,600 projected surgeries, and rhinoplasty or nose surgery with 97,000 estimated surgeries.

"Facial plastic surgeons are seeing more and more patients who want a line-free, restored youthful appearance," says Dr. Papel. "These statistics show that facial plastic surgery has become a norm for both genders. Today, patients have many choices to safely reach their personal goal due in large part to the continuous increase in availability of non-surgical treatments for an aging face."

2005 Trends March On

Several noticeable trends were confirmed by the Academy's annual survey. Two out of five of the surveyed surgeons have seen facial plastic surgery given as a gift in the past year. Forty-one percent of the surgeons reported teens undergoing cosmetic surgery while a couple undergoing cosmetic surgery together continues with 34 percent of surgeons spotting this trend. Nearly equal is the number of mothers and daughters refreshing their looks together and undergoing cosmetic surgery, according to 21 percent of surgeons. Not surprisingly, the majority of surgeons said that patients were not requesting specific celebrity features when they came in for cosmetic surgery, but rather viewed themselves as unique individuals. Only 13 percent of patients requested a celebrity facial feature. Also significant was the fact that this year's survey showed marked growth in patient education; four in five of the surgeons have seen a significant increase in patient knowledge regarding plastic surgery, including different procedures available and patient safety. Finally, nearly one-half of surgeons have seen patients traveling abroad to undergo cosmetic surgery and then come into their practices with complications or needing for a re-do.

"We continue to see about half (51 percent) of patients having multiple procedures performed by the same doctor in the same year," reported Dr. Papel. "That may reflect the continued strength of non-surgical procedures that typically require an ongoing regime such as Botox, chemical peels and fat injections." The average cost of many procedures still remains in the low thousands, or even the hundreds of dollars. Surgeons estimate that 51 percent of the procedures performed in 2005 took place at private offices, and nearly that many (46 percent) at a free-standing surgical center. One-third were performed at hospitals (33 percent) and much fewer at medical spas (20 percent).

Procedures by Ethnicity

This year's survey highlighted substantial growth - both long term and over the past year - within the African-American, Hispanic and Asian-American communities. When compared to the other facial cosmetic procedures, the 2005 survey revealed that African Americans were most likely to get rhinoplasty or nose reshaping (65 percent) as were Hispanics (52 percent.) Asian-Americans were most likely receiving blepharoplasty or eyelid surgery (50 percent,) while Caucasians opted almost equally between blepharoplasty and rhinoplasty (37 percent versus 32 percent.)

On the Horizon

What does the future hold for facial plastic surgery? Responding surgeons predict that patient safety will continue to be a focal point in cosmetic surgery, more fillers will be introduced to the market and there will be an increase in procedures among ethnic populations. Fifty-six percent of surgeons agree that the popularity of facial plastic surgery in reality television will subside. Seventy-two percent of the surgeons will offer wellness and lifestyle techniques for patients, and fifty-four percent report that medical spas will become more popular.

"Each year this study is conducted, we gain more and more insight not only about the most popular procedures, but also a better understanding of what patients are truly seeking and thinking when it comes to facial plastic surgery," said Dr. Papel.



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