The number of non-invasive cosmetic procedures rose 47 percent according to new survey results released by the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS). The results show a continuation of the trend from the previous year, where consumers are opting to have less invasive procedures to look and feel refreshed. The economy is playing a large role in the growing trend. Not only are consumers having less-costly procedures, but 80 percent of physicians surveyed say patients are making these choices in order to remain competitive in the workplace.

The increase in non-invasive procedures administered by facial plastic surgeons was seen across the spectrum of treatments with the greatest increase being Sculptra, poly-l-lactic acid, (up 71 percent). Other increases include chemical peels (up 52 percent), hyaluronic acid (up 48%) and BOTOX® (up 45 percent).

The survey also showed that 77 percent of physicians agree that patients are more educated about plastic surgery options. With more people wanting to look younger, feel better and take an active role in their health, patients are researching different physicians and treatments to find the best one suited to meet their personal needs. Awareness of various procedures, appropriate physicians, best results and recovery times play an important role in the decision-making process.

“We are excited to see patients making educated choices. They are now open to newer, novel treatments and are making smart decisions that are tailored to their needs,” said Daniel Rousso, MD, President of the AAFPRS. “The overall rise in these procedures also shows that more patients are trusting their face to facial plastic surgeons who are trained and focus solely on the face and neck. Because of this, patients are seeing better outcomes.”

In 2009, women continued to be the most likely candidates for facial plastic surgery making up 84 percent of all surgical and non-surgical procedures. However, men and women are equally split when it comes to reconstructive procedures.

Surgical Procedures

In 2000, facial plastic surgeons reported the facelift as the most common cosmetic surgical procedure, followed by blepharoplasty (eyelid surgery), rhinoplasty (nose surgeries) and ablative skin resurfacing. These procedures are most commonly performed on patients between the ages of 35 and 60 years of age. For female patients under age 35, the most common procedure performed was rhinoplasty.

The surgical procedures with the largest increases over the past year were ablative skin resurfacing (up 57 percent), revision surgery (up 18 percent) and facelifts (up 14 percent). Decreases were seen in lip augmentation (down 52 percent) and rhinoplasty (down 13 percent).

Medispa Findings

Physicians continue to express concern over procedures performed at medical spas (medispas). 76 percent of facial plastic surgeons surveyed say they are aware that medical directors of medispas are not actually on site for medical treatments. Most cosmetic procedures are performed in a private office (54 percent) setting. Procedures performed in a hospital came in at 23 percent and the number of procedures performed at medical spas or medispas remained unchanged (2 percent). Half of the physicians surveyed are aware of misleading advertising involving injectables, lasers and other cosmetic therapies. 35 percent of physicians believe medispas will become a more popular location for patients undergoing treatments.

Other Facial Plastic Surgery Trends

The facelift is the most common procedure performed on Caucasian patients, African Americans and Hispanics are most likely to have rhinoplasty while Asian Americans get blepharoplasty most often. Overall, 80 percent of AAFPRS members who participated in the survey feel that the future holds more cosmetic surgery for ethnic populations.

In addition, more facial plastic surgeons will offer wellness and lifestyle techniques to enhance the patient experience and to provide a more comprehensive approach.

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