US Aesthetic Cosmetic Procedures Market
Anything Market – June 2014
What’s one of the big gifts that graduates want these days? A growing number ask for plastic surgery and undergo procedures before or after completing high school, college, or law / med school degrees. In a recent Chron.com article (May19, 2014), Dr. Alexander Vitenas of Vitenas Cosmetic Surgery observed that:
Surgery as a graduation gift is definitely a pronounced theme that we see every year.
By case volume, the most popular procedure at Vitenas Cosmetic Surgery is breast augmentation. According to the American Society for Aesthetic Plastic Surgery (ASAPS; New York), the biggest regional plastic surgery procedure markets are in Las Vegas, Houston, southern California, and southern Florida. 
Since 1997, the American Society of Aesthetic Plastic Surgeons has published press releases, procedure summaries, and statistical reports that track U.S. aesthetic cosmetic procedures. In 2013, survey forms were provided to nearly 24,000 board-certified physicians, including 9,600 dermatologists; 8,500 otolaryngologists, and 5,500 plastic surgeons. A total of714 working physicians completed the survey (3.0% of the pool), the majority of whom were plastic surgeons (45.7%), followed by dermatologists (36.0%), and otolaryngologists (18.3%). 
The total procedure volume exceeded 11.4 million in 2013, with nonsurgical accounting for 83.5%. The number of nonsurgical procedures was led by Botulinum toxin, followed by hyaluronic acid, hair removal, microdermabrasion, and photorejuventation. Nonsurgical procedures increased 13.1% over 2012 levels.
Expenditures for aesthetic cosmetic procedures in 2013 were nearly 12.4 billion, a figure that was last achieved in 2008. Nonsurgical services accounted for approximately $5.1 billion, while surgical procedures slightly exceeded $7.2 billion. There was a 12.0% gain over 2012 expenditure levels as illustrated below.
U.S. Physician/Surgeon Nonsurgical & Surgical Procedure Expenditures, 2012 & 2013
Source: ASAPS Statistics. (see also Footnote 2 below)
Dermatology & Plastic Surgery Practice Trends
How does the number of dermatologists and plastic surgeons surveyed by the ASAPS compare to national statistics? According to physician specialty statistics gathered by the American Medical Association, the total number of dermatologists in the United States, Puerto Rico, and Island Areas was 11,200 in 2009. Of that number, 9,200 were office-based. There were 7,200 plastic surgeons (6,100 office-based).  The total number of physicians in both specialties rose each year since 2006 (approximately 10.0%), while office-based portions remained stable.
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 “Breast Augmentation Becoming a More Common High School Graduation Gift,” Chron.com, May 19, 2014.
 “Cosmetic Surgery National Data Bank Statistics, 2013,” The American Society for Aesthetic Plastic Surgery.
 “Physicians by Sex and Specialty: 1980 to 2009: Characteristics and Distribution in the U.S.,” American Medical Association, Chicago IL, Sept. 30, 2011.