Sofia Martinez
Plastic surgery in the US has been on the rise in recent years, with the country registering the highest number of cosmetic procedures worldwide in 2022, at over 7.4 million procedures. While the number of surgical cosmetic procedures decreased in 2022, there has been a surge in non-invasive or minimally invasive procedures. In 2021, surgical procedures increased by 54%, while non-surgical procedures increased by 44%. This trend is reflected in the increasing number of aesthetic procedures of the breast and body, as well as breast reconstruction, breast implant removal, and maxillofacial surgery procedures. With the continuous rise in cosmetic procedures, understanding the evolving landscape of plastic surgery in the US is essential for guiding future training programs and detecting changes in demand.
| Characteristics | Values |
|---|---|
| Increase in surgical procedures | 54% |
| Increase in non-surgical procedures | 44% |
| Increase in facelifts | 54% since 2020 |
| Increase in breast procedures | 48% since 2020 |
| Increase in body procedures | 63% since 2020 |
| Leading surgical procedures for women | liposuction, breast augmentation, tummy tuck |
| Leading surgical procedures for men | breast reduction for gynecomastia, liposuction, eyelid surgery |
| Most common plastic surgery procedure (2014-2018) | augmentation mammaplasty |
| Procedures that have increased in the past 20 years | augmentation mammaplasty, abdominoplasty, mastopexy |
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Breast augmentation
Plastic surgery in the US has indeed increased, with surgical procedures increasing by 54% in 2021. Within this, breast augmentation procedures rose by 48% in 2021, with 365,000 performed that year. In 2022, the US performed 255,200 breast augmentation surgeries, making it the leader in this category globally, with approximately 11.7% of the total number of breast augmentations performed worldwide.
The average cost of breast augmentation with implants in the US is $4,875, and the average cost of breast augmentation with fat grafting is $5,719. These averages do not include other costs such as anesthesia and operating room facilities. The cost of breast augmentation can vary depending on the surgeon's expertise, qualifications, location, and other factors.
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Breast implant removal
There are several reasons why individuals may choose to undergo breast implant removal. Some may feel that their breast implants no longer align with their personal aesthetic preferences, while others may aspire to embrace a more natural and authentic body image. Weight gain, ageing, pregnancy, and changes in style can also influence an individual's decision to remove their implants. Furthermore, the fear of developing breast implant-associated large cell lymphoma (BIA-ALCL) or breast implant-associated anaplastic large cell lymphoma (BIA-SCC) has been a driving factor for many patients. These diseases are associated with both smooth and textured implants, and the risk of developing them increases with the number of years of wearing implants.
It is important to note that BIRS in asymptomatic patients is not currently recommended by the FDA. However, many patients opt for elective BIRS to minimize their future risk of developing implant-related complications. Before considering breast implant removal, individuals should consult with qualified plastic surgeons to understand the potential risks and benefits of the procedure.
In terms of the procedure itself, there are three main options: definitive removal, removal and replacement, or definitive removal followed by a breast lift (mastopexy). The choice of procedure depends on the patient's specific circumstances and preferences.
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Facelifts
Plastic surgery procedures in the US have increased significantly, with a 54% increase in surgical procedures in 2021 compared to 2020. Facelift surgeries, in particular, have seen a notable rise, with a 54% increase since 2020.
A facelift, or rhytidectomy, is a surgical procedure that improves signs of aging in the face and neck. It involves lifting and tightening the skin, as well as tightening the underlying tissue and removing or repositioning fat. The goal is to restore a more youthful and vibrant appearance by reducing sagging skin and smoothing deep folds.
The Procedure:
The procedure typically lasts several hours and begins with an incision above the hairline at the temples, extending downward in front of the ear, continuing below the earlobe, and ending behind the ear within the hair-bearing skin. Sometimes, an additional small incision is made under the chin for neck tightening. The surgeon then lifts and tightens the skin and underlying tissue, while also removing or repositioning fat. The incisions are then sutured closed, and small drainage tubes are left under the skin for a day to drain any blood or fluid. The head is loosely wrapped in bandages to minimize bruising and swelling.
Recovery:
The discomfort following a facelift is usually modest and can be managed with oral pain medication. To minimize swelling, patients are advised to keep their head elevated for the first few days, and they should consume soft foods to avoid excessive chewing. Drain tubes are removed and bandages are changed the day after surgery, while sutures are typically removed about a week later. Bruising and puffiness usually resolve within two weeks, and mild numbness in the skin is common but disappears within a few months. Most patients require 10 to 14 days of recovery before returning to work and should avoid strenuous activity and sports for at least two and up to six weeks, respectively.
Risks and Considerations:
While facelifts have high satisfaction rates, it's important to consider the potential risks and complications. These include bleeding under the skin (hematoma), which may require reoperation, and temporary or permanent injury to the nerves controlling facial expressions. Patients should carefully review these risks with their surgeon and decide if the benefits align with their goals. It is recommended to consult a board-certified plastic surgeon and follow pre-operative instructions, such as stopping smoking and certain medications, to ensure a smooth surgery and proper healing.
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Liposuction
Plastic surgery trends have evolved over the years, with an increasing number of aesthetic procedures performed on the breast and body. Liposuction is one of the fastest-growing cosmetic trends, especially among men. In 2022, nearly 19,275 males underwent liposuction, making it one of the top procedures for men. Liposuction is a popular procedure because it offers an easy way to sculpt the body and improve one's physique by removing stubborn, unwanted fat from various areas. The waist, belly, hips, buttocks, and thighs are the most commonly treated areas with liposuction. Additionally, enlarged breast tissue in men (gynecomastia) can be treated with this procedure, and it is often used in combination with other procedures such as abdominoplasty, breast augmentation, or a "Mommy Makeover."
The cost of liposuction can vary widely, depending on the surgeon's expertise and qualifications, and geographic location. According to the American Society of Plastic Surgeons, the average cost of liposuction is $4,711. However, this average surgeon's fee does not include anesthesia, operating room facilities, or other related expenses. Most health insurance plans do not cover liposuction, but many plastic surgeons offer patient financing plans.
While liposuction is a popular and effective procedure, it is important to consult with a qualified plastic surgeon to determine if it is the right option for an individual. A thorough consultation should include an evaluation of medical history and desired outcomes. The best candidates for liposuction are typically healthy non-smokers with good skin elasticity and realistic expectations for the procedure. Additionally, maintaining a healthy lifestyle, including a balanced diet and exercise, is necessary to preserve the results of liposuction.
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Tummy tucks
Tummy tuck surgery, also known as abdominoplasty, is a procedure that removes excess fat and skin and, in most cases, restores weakened or separated abdominal muscles to create a smoother and firmer abdomen. It is a cosmetic procedure that is not covered by insurance.
A mini tummy tuck is an option for those with only a moderate amount of excess skin and fat. This procedure does not require surgeons to cut the navel and uses smaller incisions, resulting in shorter treatment and recovery times. A full tummy tuck, on the other hand, leaves a hip-to-hip scar that is hidden by most clothing.
The number of abdominoplasties has increased in recent years, partly due to the rise in patients undergoing body contouring surgery after massive weight loss. However, it is important to note that a tummy tuck is not a substitute for weight loss or an appropriate exercise program. Significant weight fluctuations after the procedure can diminish the positive outcome.
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Frequently asked questions
Yes, the number of plastic surgery procedures has increased in the US. In 2021, surgical procedures increased by 54% and non-surgical procedures by 44% compared to the previous year. In 2022, the US registered the highest number of cosmetic procedures worldwide, with over 7.4 million procedures.
Common plastic surgery procedures in the US include liposuction, breast augmentation, rhinoplasty, eyelid surgery, and facelifts. In 2022, liposuction overtook breast augmentation as the most popular surgical cosmetic procedure in the country.
There has been an increase in aesthetic procedures of the breast and body, as well as breast reconstruction and implant removal. Maxillofacial procedures, such as facial fracture repair and orthognathic surgery, have also increased, possibly due to a rise in recreational activity among older adults.
The average cost of a surgical procedure in the US increased by 6% in 2021, while the cost of non-surgical procedures went up by 1%. A tummy tuck, one of the most expensive cosmetic surgeries, can cost around $7,500 for the surgeon's fee alone.
