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5 YEAR TREND IN U.S. PLASTIC SURGERY
Increased Demand for Minimally Invasive Procedures

New five year trending data included in the American Society of Plastic Surgeons 2004 statistics shows cosmetic procedures are up 24 percent from 2000.

There were 1.7 million surgical cosmetic procedures performed in 2004, representing a decrease of 2% from 2003. Minimally invasive procedures increased 7 percent in 2004 to nearly 7.5 million procedures.

The most popular surgical cosmetic procedures were: liposuction (325,000), nose reshaping (305,000), breast augmentation (264,000), eyelid surgery (233,000) and facelift (114,000).

The top five minimally invasive cosmetic procedures were: Botox (3 million), chemical peel (1.1 million), microdermabrasion (859,000), laser hair removal (574,000), and sclerotherapy (545,000). Chemical peels, which also include alpha hyroxy, beta hydorxy, and AFAs, have consistently remained in the top five most popular non-invasive procedures. The use of chemical peels as a stand alone procedure, and as an adjunct to IPL treatments, accounts for peels bypassing microdermabrasion and again assuming their former spot as the second most popular non-invasive procedure.

At the 2005 American Academy of Dermatology meeting, Dr. Joel Schlessinger stated that peels like the new AFA Clay Body Peel represent a viable alternative to lasers in treating bony areas, such as the chest and hands. According to Dr. Schlessinger, bony areas are not conducive to laser/IPL treatment due to the increased risk of burning and irritation that can result from such procedures. Specifically formulated peels are also gaining popularity as a combination treatment that enhances the results obtained by IPLs and microdermabrasion.

The growth of minimally invasive procedures can also be attributed to the new injectable dermal fillers that have entered the market. An increasing number of patients are considering injectable fillers to prolong or avoid facelifts, forehead lifts, and eyelid surgeries.

The American Society for Plastic Surgeons estimates that more than 1.8 million cosmetic injections were performed in U.S. The demand for hyaluronic acid injectable fillers (Restylane and Hylaform) increased 927 percent in 2004. Botox injections increased 4 percent in 2004 and 280 percent since 2000.

Physicians can now use a longer lasting filler, such as the non-animal Restylane (versus bovine derived Collagen), as an alternative to the third most popular surgical procedure, blepharoplasty. While this alternative is not permanent and is not appropriate for patients who have large メbagsモ with little depression, many doctors consider it viable for those patients who want to delay or avoid surgery.
Patients satisfied with the results obtained from the injectable hyaluronic acid fillers can then opt to have the physician inject a longer lasting filler such as Radiesse, a calcium hydroxylapatite.

All annual statistics released by various societies demonstrate a dramatic increase in minimally invasive procedures.

The American Society for Aesthetic Plastic Surgery 2004 Statistics

●Surgical procedures increased by 17 percent
●Non-surgical procedures increased by 51 percent

  Top five non-surgical cosmetic procedures in 2004 were:

    o Botox injection (2,837,3436, up 25 percent)
    o Laser hair removal (1,411,899, up 53 percent)
    o Chemical peel (1,110,401, up 54 percent)
    o Microdermabrasion (1,098,316, up 28 percent)
    o Hyaluronic Acid Fillers (882,469, up 659 percent)

The American Academy of Cosmetic Surgery 2004 Procedural Data

●Liposuction was the top cosmetic surgical procedure
●Botox injections tallied in the top non-surgical cosmetic procedure

  Top four most popular non-surgical cosmetic procedures included:

    o Botox injections
    o Restylane/Hylaform injections
    o Chemical peels
    o Collagen injections

The American Academy of Anti-Aging Medicine

●Demand for minimally invasive cosmetic procedures jumped by 41%
●Totals for minimally invasive procedures totaled 6.9 million

  Top minimally invasive procedures include:

    o Botox injections
    o Cellulite treatments
    o Chemical peels
    o Laser hair removal. Laser skin resurfacing. Laser treatment of leg veins
    o Microdermabrasion
    o Sclerotherapy
    o Soft tissue fillers


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