Statistiques

2003 ISAPS Statistics

En anglais pour le moment (traduction à venri rapidement)

For the fourth consecutive year, ISAPS have gathered statistical and technical information about aesthetic plastic surgery procedures in different countries.

In 2000 they received replies from 20 countries, in 2001 from 30, in 2002 from 35 countries and in 2003 from 46 countries. The numbers became more accurate as more members reply to their questionnaire. They do however use a correction factor, (multiply the number of answers by the number of ISAPS members in each country.)

These statistics represent the total number of aesthetic procedures performed by the 1002 members of International Society of Aesthetic Plastic Surgery – ISAPS. ISAPS is the first International Society of Aesthetic Plastic Surgery, which gathers plastic surgeons engaged in the active practice of Plastic and Reconstructive Surgery with a special interest in Aesthetic Plastic Surgery. Only surgeons who are specialists in aesthetic plastic surgery in their own countries and who belong to their national society of plastic surgery form it.

Members were asked to enter the number of aesthetic procedures (not areas of the body) performed from January to December 2003. Surgeons from 46 different countries have replied to the questionnaire. The country with more members is the US with 176 members. Some countries have only one representative.They received 134 replies, 13.4% of the members.

Some Highlights and Facts

Highlights

The first ten countries perform 68% of the total of procedures. The first five countries are in the American continent: USA, Mexico, Brazil, Canada and Argentina. They account for 47% of the procedures worldwide. Europe comes next with Spain, France and Germany totaling 14%. Japan and South Africa follow, with 7% of the procedures.

Sex – Although there are variations from country to country, the world percentage of patients who seek aesthetic surgery is 88% female and 12% male. It has been similar for the last three years.

Age – Also different in some countries, but, in general, around 12% of the patients are younger than 20 years old, 25% are older than 51-years-old and the majority, 63% are between 21 and 50-years-old. This also has not changed much in the last three years.

Procedures – Of the first ranked 10 procedures three are non-surgical (applications), number one, Botox®, number five Perlane® and number 6, Restylane®. The surgical procedures are, in decreasing order, Blepharoplasty, Breast Augmentation, Lipoplasty, Rhinoplasty, Breast Reduction, Facelift, and Abdominoplasty.

Non-surgical

Botox® applications have been in first place of surgical and non-surgical procedures for the last three years. It has grown in popularity from 9.1% in 2001, to 13.1% in 2002 to 14.3% in 2003. What is impressive is that in men, Botox® has more than doubled in two years, from 7.9% in2001 to 16.6% in 2003. Collagen application has drastically dropped from 13.1% in 2001 to 2.6% in 2003, maybe because surgeons can now use different options, such as Perlane® and Restylane®. These products were added to their questionnaire in 2002, and now hold fifth and sixth places of all procedures in 2003. Perlane® has grown from 2.4% to 6.2% in 2003. Restylane® augmented from 3.3% to 5.8% in 2003.

Procedures – Surgical

Lipoplasty, which includes liposuction and liposculpture, the most popular surgical procedure up until last year, has dropped to third place. Blepharoplasty (eyelids) and Breast augmentation are first and second.

Approved procedures.

One of the advantages of being an international society is having access to rules and legislations from different countries, through the members. They introduced a new section this year on controversial procedures, asking if they are approved in their country for medical use. According to our members:

Botox® is approved in most countries, but Denmark, Great Britain, Greece and Japan.

Silicone gel-filled implants are still not approved, for every purpose in Japan, South Korea, Taiwan and the USA.

Soy-oil filled implants have been banned almost everywhere, but in Brazil, Lebanon, Rumania, South Africa and Turkey.

Internal ultrasound liposuction is not approved only in Japan.

Preferred breast implants

This year they also asked the members to state their preference for the type of breast implant. Implants with a textured capsule, filled with cohesive gel silicone is the preference.

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Related Charts and Graphs

Corrected # of Procedures per Country
Country	Procedures	Percentage	Rank
USA	85635	16.35%	1
MEXICO	50490	9.64%	2
BRAZIL	47162	9.00%	3
CANADA	31460	6.01%	4
ARGENTINA	31232	5.96%	5
SPAIN	28757	5.49%	6
FRANCE	25265	4.82%	7
GERMANY	20114	3.84%	8
JAPAN	19837	3.79%	9
SOUTH AFRICA	18324	3.50%	10
GREAT BRITAIN	16473	3.15%	11
SOUTH KOREA	14619	2.79%	12
TAIWAN	13160	2.51%	13
ITALY	11747	2.24%	14
BELGIUM	10409	1.99%	15
AUSTRALIA	10293	1.97%	16
SWITZERLAND	9415	1.80%	17
TURKEY	9160	1.75%	18
GREECE	7787	1.49%	19
DENMARK	7120	1.36%	20
NETHERLANDS	7005	1.34%	21
SINGAPORE	5192	0.99%	22
SWEDEN	4661	0.89%	23
LEBANON	3770	0.72%	24
HONG KONG, CHINA	3634	0.69%	25
FINLAND	3501	0.67%	26
THAILAND	2460	0.47%	27
PERU	2236	0.43%	28
ECUADOR	2155	0.41%	29
SLOVENIA	2042	0.39%	30
CYPRUS	1869	0.36%	31
RUSSIA	1830	0.35%	32
INDIA	1778	0.34%	33
UNITED ARAB EMIRATES	1722	0.33%	34
JORDAN	1518	0.29%	35
VENEZUELA	1400	0.27%	36
DOMINICAN REPUBLIC	1252	0.24%	37
ISRAEL	1248	0.24%	38
COLOMBIA	1169	0.22%	39
PHILIPPINES	1060	0.20%	40
EGYPT	1008	0.19%	41
SAUDI ARABIA	908	0.17%	42
HUNGARY	594	0.11%	43
ROMANIA	578	0.11%	44
URUGUAY	378	0.07%	45
CZECH REP	347	0.07%	46
TOTAL	523774	100.00%

 

% of Male/Female Procedures per Country
Country	% Female	% Male
EGYPT	100.00%	-
JAPAN	97.96%	2.03%
HUNGARY	96.97%	3.03%
DOMINICAN REPUBLIC	96.65%	3.35%
COLOMBIA	96.41%	3.59%
TAIWAN	96.05%	3.95%
GREAT BRITAIN	96.02%	3.98%
FRANCE	95.04%	4.97%
FINLAND	94.86%	5.14%
RUSSIA	94.43%	5.57%
URUGUAY	94.18%	5.82%
SWITZERLAND	94.05%	5.96%
CANADA	93.22%	6.78%
SPAIN	92.93%	7.07%
SOUTH AFRICA	92.34%	7.66%
DENMARK	92.28%	7.72%
MEXICO	92.19%	7.81%
CYPRUS	90.85%	9.15%
AUSTRALIA	90.69%	9.31%
PHILIPPINES	89.62%	10.38%
ISRAEL	89.42%	10.58%
GERMANY	89.29%	10.71%
JORDAN	88.93%	11.07%
ITALY	88.21%	11.80%
BRAZIL	87.89%	12.11%
ECUADOR	87.70%	12.30%
LEBANON	87.40%	12.60%
ARGENTINA	86.89%	13.11%
SINGAPORE	86.33%	13.66%
ROMANIA	86.33%	13.67%
SWEDEN	85.90%	14.10%
PERU	84.79%	15.21%
SOUTH KOREA	84.33%	15.67%
BELGIUM	83.52%	16.48%
USA	83.29%	16.71%
NETHERLANDS	83.23%	16.77%
VENEZUELA	82.86%	17.14%
THAILAND	80.85%	19.15%
GREECE	79.97%	20.03%
TURKEY	79.91%	20.09%
UNITED ARAB EMIRATES	79.27%	20.73%
SAUDI ARABIA	77.97%	22.03%
CZECH REP	73.78%	26.22%
SLOVENIA	73.75%	26.25%
HONG KONG, CHINA	70.67%	29.33%
INDIA	60.91%	39.09%

 

% of Male/Female Procedures WorldWide
% Female	% Male
88.96%	11.04%

 

Age Percentage per Country
Country	<21 years	21-50 years	>50 years
ARGENTINA	17.66%	64.74%	17.60%
AUSTRALIA	4.25%	79.13%	16.62%
BELGIUM	10.91%	57.67%	31.42%
BRAZIL	11.36%	59.95%	28.69%
CANADA	17.92%	52.37%	29.72%
COLOMBIA	28.57%	45.71%	25.71%
CYPRUS	6.02%	74.61%	19.37%
DOMINICAN REPUBLIC	23.42%	56.54%	20.03%
ECUADOR	-	100.00%	-
EGYPT	-	82.85%	17.15%
FINLAND	7.27%	15.45%	77.27%
FRANCE	7.70%	66.39%	25.91%
GERMANY	8.51%	64.39%	27.09%
GREECE	23.94%	52.12%	23.94%
HONG KONG, CHINA	-	65.44%	34.56%
HUNGARY	-	94.30%	5.70%
INDIA	0.42%	59.32%	40.25%
ISRAEL	5.67%	51.02%	43.31%
ITALY	12.20%	59.35%	28.45%
JAPAN	5.10%	69.03%	25.86%
JORDAN	1.62%	48.87%	49.51%
LEBANON	3.70%	49.71%	46.59%
MEXICO	5.61%	88.67%	5.72%
NETHERLANDS	5.28%	64.29%	30.43%
PERU	28.92%	54.05%	17.03%
PHILIPPINES	16.44%	66.85%	16.71%
RUSSIA	8.81%	62.89%	28.30%
SAUDI ARABIA	8.14%	79.00%	12.86%
SINGAPORE	11.03%	55.02%	33.95%
SLOVENIA	5.21%	73.37%	21.42%
SOUTH AFRICA	45.71%	43.98%	10.31%
SOUTH KOREA	9.77%	70.15%	20.07%
SPAIN	10.90%	59.87%	29.24%
SWEDEN	19.49%	52.79%	27.72%
SWITZERLAND	7.89%	81.58%	10.53%
TAIWAN	6.45%	76.34%	17.20%
THAILAND	5.34%	48.06%	46.60%
TURKEY	5.08%	67.30%	27.62%
UNITED ARAB EMIRATES	2.74%	86.68%	10.58%
USA	6.98%	78.78%	14.24%
VENEZUELA	14.99%	60.03%	24.98%

 

% of Patients under 21 per Country
Country	<21 years
SOUTH AFRICA	45.71%
PERU	28.92%
COLOMBIA	28.57%
GREECE	23.94%
DOMINICAN REPUBLIC	23.42%
SWEDEN	19.49%
CANADA	17.92%
ARGENTINA	17.66%
PHILIPPINES	16.44%
VENEZUELA	14.99%
ITALY	12.20%
BRAZIL	11.36%
SINGAPORE	11.03%
BELGIUM	10.91%
SPAIN	10.90%
SOUTH KOREA	9.77%
RUSSIA	8.81%
GERMANY	8.51%
SAUDI ARABIA	8.14%
SWITZERLAND	7.89%
FRANCE	7.70%
FINLAND	7.27%
USA	6.98%
TAIWAN	6.45%
CYPRUS	6.02%
ISRAEL	5.67%
MEXICO	5.61%
THAILAND	5.34%
NETHERLANDS	5.28%
SLOVENIA	5.21%
JAPAN	5.10%
TURKEY	5.08%
AUSTRALIA	4.25%
LEBANON	3.70%
UNITED ARAB EMIRATES	2.74%
JORDAN	1.62%
INDIA	0.42%
ECUADOR	-
EGYPT	-
HONG KONG, CHINA	-
HUNGARY	-

 

% of Patients 21-50 per Country
Country	21-50 years
ECUADOR	100.00%
HUNGARY	94.30%
MEXICO	88.67%
UNITED ARAB EMIRATES	86.68%
EGYPT	82.85%
SWITZERLAND	81.58%
AUSTRALIA	79.13%
SAUDI ARABIA	79.00%
USA	78.78%
TAIWAN	76.34%
CYPRUS	74.61%
SLOVENIA	73.37%
SOUTH KOREA	70.15%
JAPAN	69.03%
TURKEY	67.30%
PHILIPPINES	66.85%
FRANCE	66.39%
HONG KONG, CHINA	65.44%
ARGENTINA	64.74%
GERMANY	64.39%
NETHERLANDS	64.29%
RUSSIA	62.89%
VENEZUELA	60.03%
BRAZIL	59.95%
SPAIN	59.87%
ITALY	59.35%
INDIA	59.32%
BELGIUM	57.67%
DOMINICAN REPUBLIC	56.54%
SINGAPORE	55.02%
PERU	54.05%
SWEDEN	52.79%
CANADA	52.37%
GREECE	52.12%
ISRAEL	51.02%
LEBANON	49.71%
JORDAN	48.87%
THAILAND	48.06%
COLOMBIA	45.71%
SOUTH AFRICA	43.98%
FINLAND	15.45%

 

% of Patients over 50 per Country
Country	over 50 years
FINLAND	77.27%
JORDAN	49.51%
THAILAND	46.60%
LEBANON	46.59%
ISRAEL	43.31%
INDIA	40.25%
HONG KONG, CHINA	34.56%
SINGAPORE	33.95%
BELGIUM	31.42%
NETHERLANDS	30.43%
CANADA	29.72%
SPAIN	29.24%
BRAZIL	28.69%
ITALY	28.45%
RUSSIA	28.30%
SWEDEN	27.72%
TURKEY	27.62%
GERMANY	27.09%
FRANCE	25.91%
JAPAN	25.86%
COLOMBIA	25.71%
VENEZUELA	24.98%
GREECE	23.94%
SLOVENIA	21.42%
SOUTH KOREA	20.07%
DOMINICAN REPUBLIC	20.03%
CYPRUS	19.37%
ARGENTINA	17.60%
TAIWAN	17.20%
EGYPT	17.15%
PERU	17.03%
PHILIPPINES	16.71%
AUSTRALIA	16.62%
USA	14.24%
SAUDI ARABIA	12.86%
UNITED ARAB EMIRATES	10.58%
SWITZERLAND	10.53%
SOUTH AFRICA	10.31%
MEXICO	5.72%
HUNGARY	5.70%
ECUADOR	-

 

Percentage per Procedure - Both Sexes
Procedure	Percentage
Botox Injection	14.73%
Blepharoplasty	10.89%
Breast Augmentation	9.51%
Lipoplasty	8.63%
Rhinoplasty	6.81%
Perlane Injection	5.86%
Restylane Injection	5.58%
Breast Reduction	5.08%
Facelift	4.30%
Abdominoplasty	3.47%
Breast Lift	3.45%
Fat Injection	2.87%
Lip Augmentation	2.51%
Collagen Injection	2.46%
Laser Skin Resurfacing	2.33%
Otoplasty	1.87%
Forehead Lift	1.65%
Chemical Peel	1.49%
Gynecomastia	1.16%
Hair Transplantation	0.90%
Chin Augmentation	0.88%
Dermabrasion	0.81%
Upper Arm Lift	0.62%
PMMA Injection	0.60%
Lower Body Lift	0.44%
Thigh lift	0.34%
Hydrogel Injection	0.31%
Cheek Implants	0.25%
Buttocks Lift	0.21%

 

Percentage per Procedure - Female
Procedure	Percentage
Botox Injection	14.48%
Breast Augmentation	10.77%
Blepharoplasty	10.63%
Lipoplasty	8.57%
Perlane Injection	6.18%
Rhinoplasty	6.14%
Restylane Injection	5.79%
Breast Reduction	5.69%
Facelift	4.43%
Breast Lift	3.92%
Abdominoplasty	3.64%
Fat Injection	2.94%
Lip Augmentation	2.70%
Collagen Injection	2.61%
Laser Skin Resurfacing	1.88%
Forehead Lift	1.71%
Otoplasty	1.50%
Chemical Peel	1.42%
Chin Augmentation	0.87%
Dermabrasion	0.84%
PMMA Injection	0.63%
Upper Arm Lift	0.57%
Lower Body Lift	0.48%
Thigh lift	0.38%
Hydrogel Injection	0.31%
Cheek Implants	0.26%
Buttocks Lift	0.23%
Gynecomastia	0.23%
Hair Transplantation	0.16%

 

Percentage per Procedure - Male
Procedure	Percentage
Botox Injection	16.55%
Blepharoplasty	12.80%
Rhinoplasty	11.76%
Lipoplasty	9.09%
Gynecomastia	8.01%
Hair Transplantation	6.39%
Laser Skin Resurfacing	5.66%
Otoplasty	4.53%
Restylane Injection	3.98%
Perlane Injection	3.51%
Facelift	3.30%
Fat Injection	2.30%
Abdominoplasty	2.15%
Chemical Peel	2.00%
Collagen Injection	1.36%
Forehead Lift	1.16%
Lip Augmentation	1.11%
Upper Arm Lift	1.02%
Chin Augmentation	0.88%
Dermabrasion	0.60%
Breast Reduction	0.55%
PMMA Injection	0.38%
Hydrogel Injection	0.29%
Breast Augmentation	0.24%
Cheek Implants	0.18%
Lower Body Lift	0.16%
Thigh lift	0.04%
Buttocks Lift	0.01%
Breast Lift	-

 

Codes for Procedures Approved per Country
Code	Description
Q39	Botox
Q40	Silicone Gel-Filled Implants
Q41	Hydrogel-Filled Implants
Q42	Soy Oil-Filled Implants
Q43	Internal Ultrasound Liposuction
Q44	External Ultrasound Liposuction
Q45	Internal Laser Liposuction
Q46	External Laser Liposuction

Procedures Approved per Country
Country	Q39	Q40	Q41	Q42	Q43	Q44	Q45	Q46
ARGENTINA
AUSTRALIA
BELGIUM
BRAZIL
CANADA
COLOMBIA
CYPRUS
CZECH REP
DENMARK
DOMINICAN REPUBLIC
ECUADOR
EGYPT
FINLAND
FRANCE
GERMANY
GREAT BRITAIN
GREECE
HONG KONG, CHINA
HUNGARY
INDIA
ISRAEL
ITALY
JAPAN
JORDAN
LEBANON
MEXICO
NETHERLANDS
PERU
PHILIPPINES
ROMANIA
RUSSIA
SAUDI ARABIA
SINGAPORE
SLOVENIA
SOUTH AFRICA
SOUTH KOREA
SPAIN
SWEDEN
SWITZERLAND
TAIWAN
THAILAND
TURKEY
UNITED ARAB EMIRATES
URUGUAY
USA
VENEZUELA

Type of Implants Preferred
Code	Procedure	Nb. of votes
Q49	textured capsule	88
Q52	choesive silicone gel-filled	72
Q51	silicone gel-filled	55
Q48	smooth capsule	34
Q55	saline filled	27
Q50	polyurethane covered	11
Q56	inflatable breast implants	11
Q53	hydrogel filled-implants	2
Q54	soy oil-filled implants	1

Type of Implants Preferred per Country
Country	Q48	Q49	Q50	Q51	Q52	Q53	Q54	Q55	Q56
ARGENTINA		2	3	4	1
AUSTRALIA	2	3	4	5	1			6
BELGIUM		2	3	4	1
BRAZIL	5	2	3	4	1				6
CANADA	1				2
COLOMBIA	1							2
CYPRUS		1		2	3
CZECH REP		1		2	3
DENMARK		1		2
DOMINICAN REPUBLIC		1
ECUADOR		1		2	3
EGYPT	1				2
FINLAND		1			2
FRANCE	3	1		4	2
GERMANY	4	1		3	2			5
GREAT BRITAIN		1		3	2
GREECE		1		2	3
HONG KONG, CHINA	2	1		3				4
HUNGARY		1			2			3
INDIA		1		3	4			2	5
ISRAEL
ITALY		1	4	3	2
JAPAN	1				2				3
JORDAN	1							2
LEBANON		1		2	3			4
MEXICO		1		3	2
NETHERLANDS		1		2
PERU	1			2
PHILIPPINES	1			2	3
ROMANIA		1	2			3
RUSSIA		1		2
SAUDI ARABIA	4	1		2				3
SINGAPORE		1		3	2			4
SLOVENIA		1		2	3
SOUTH AFRICA	2	3	5	1	4	6	7	8	9
SOUTH KOREA	3	4						1	2
SPAIN	4	1		2	3			5
SWEDEN		1		2	3
SWITZERLAND		1		3	2
TAIWAN	2	3						1
THAILAND		1		2
TURKEY	4	1		3	2
UNITED ARAB EMIRATES		1			3			2
URUGUAY	1				2
USA	1			2	4			3	5
VENEZUELA	1	2		3					4

Injectable Substances Preferences
Code	Procedure	Rank
Q58	Restylane (hyaluronic acid injectable)	162
Q59	Perlane (hyaluronic acid injectable)	172
Q57	Polyacrilamide hydrogel injectable (Amazing gel)	174
Q61	PMA injectable	181
Q60	Silicone injectable	214

Injectable Substances Preferences per Country
Country	Q57	Q58	Q59	Q60	Q61
ARGENTINA	2	3	4	1	5
AUSTRALIA	1	2	4	5	3
BELGIUM	3	1	2	5	4
BRAZIL	3	4	5	2	1
CANADA	4	2	1	5	3
COLOMBIA
CYPRUS		4	5
CZECH REP
DENMARK		4	5
DOMINICAN REPUBLIC		4	5
ECUADOR		4	5
EGYPT	2	1	3	5	4
FINLAND		5	4
FRANCE	1	2	3	4	5
GERMANY	3	1	4	5	2
GREAT BRITAIN		4	5
GREECE		4	5
HONG KONG, CHINA		4	3		5
HUNGARY		5	4
INDIA		5	4
ISRAEL
ITALY	3	2	1	5	4
JAPAN	5	1	2	4	3
JORDAN
LEBANON	4	5	3
MEXICO	1	2	3	4	5
NETHERLANDS
PERU	4	1	2	5	3
PHILIPPINES		4	5
ROMANIA	4	5
RUSSIA
SAUDI ARABIA	3	2	1	5	4
SINGAPORE	2	4	3	5	1
SLOVENIA	5	4		3
SOUTH AFRICA	3	1	2	5	4
SOUTH KOREA	3	1	4	5	2
SPAIN	3	2	1	5	4
SWEDEN	4	1	2	5	3
SWITZERLAND	1	5	4	2	3
TAIWAN		4	5
THAILAND
TURKEY	2	1	3	5	4
UNITED ARAB EMIRATES	4	5			3
URUGUAY		3	4		5
USA	3	1	2	5	4
VENEZUELA