| industry overvieW | ANAlYSIS according to current isaps data, 17.3 million
surgical and non-surgical procedures were carried out by board-certified plastic surgeons in 2009. these are numbered to be over 30,800 worldwide in the survey, which has a 4.24% margin of error and an overall 95% level of confidence (see ‘The leading 25 countries’ table left). the survey also debunks a popular myth: it
transpires that breast augmentation is not the most popular surgery procedure, which has been the consensus for the last decade, but liposuction – interestingly one of a small handful of procedures to become less popular in the uK. But it is a fairly close call: lipo- suction accounts for 18.8% of all procedures, and breast augmentation 17%. Blepharoplasty is a major procedure worldwide (13.5%), and rhinoplasty 9.4%.
Non-surgery on the rise the global trend shows that non-surgical procedures performed by surgeons are actually marginally more popular than surgery – 8.76 million vs 8.54 million procedures, and again, this contrasts with the trend being observed in the uK’s Baaps survey. the lower costs and the advances made in the non-surgery area have prompted this global trend, which isaps says is a significant occurrence. in the us, non surgery procedures increased by 233% between 1997 and 2008, while surgery procedures rose by 104%, says asaps, the american society for aesthetic plastic surgery. (see ‘The leading non-surgical procedures globally’ table far left). in the non-surgical facial rejuvenation
market, chemical peel is the second most important procedure worldwide, after ip laser treatment. as in the case of surgical face lifts, Brazil is also the largest market worldwide in chemical peel, with some 82,000 procedures (vs the us’ 30,000) carried out annually. Brazil also leads the world in liposuction (over a quarter of a million procedures), and in buttock and upper arm lifts. it also tops the rankings for injectable procedures (all types). the us remains the leading country for both
surgery and non-surgery, but is pushed closely by china in the former, and Brazil in the latter. Germany is the leading european country in the overall list, and is followed in the regional european ranking by spain, italy, france, the uK, Greece, the netherlands and portugal. the current isaps president dr jan poëll
told PRIME that the industry has invested much effort in ensuring patient safety. this is part of the reason why the industry has become established and a growth engine, even during difficult economic times.
presumed to be a factor behind the change. With that exception, the leading surgery
types in the us mirrored global developments. all in all, the mood is positive in the us, given
the size of the market, the relatively small dip expected in 2009, and the fact that the country is pulling out of recession. the most frequently performed nonsurgical
procedure in the us in 2009 was injections of Botulinum toxin type a (including Botox and dysport), and the most popular surgical procedure was breast augmentation, in contrast to the worldwide picture.
US view isaps quotes some 3 million procedures (all types) conducted in the us by board certified plastic surgeons. in Brazil, this number is approaching 2.5 million and in china 2.2 million. these three markets alone represent close to 45% of the world market. in the us, local surveys
done by the asaps include board-certified dermatologists and board- certified otolaryngologists, which inflates the total to some 10 million cosmetic and non- surgical procedures. last year, society president renato saltz said that just like many other sectors of the marketplace, plastic surgery in the us has been feeling the effects of the recession. overall demand for procedures dipped
Innovation expands the market innovation is playing a growing role in the development of aesthetic and anti-ageing products, against the demographic change. for example, us company cynosure is responding to demand in the $750m worldwide market for hair removal, pigmented lesion removal and vascular lesion removal with the roll-out of a programme of light-based aesthetic treatment systems, including, recently, its elite MpX workstation, which combines 755nm alexandrite and 1064nm nd:yaG wavelengths along with Xpl2 Xenon pulsed light for vascular treatment, hair removal and skin rejuvenation. its innovative offerings, also including the
Non surgery
procedures increased by 233% between 1997 and 2008.
world’s first subcutaneous temperature sensing technology and thermal imaging system for laser body contouring, are helping to create new demand in a market segment that has grown by $100m in the last three years.
prestige cosmetic brands, such as clinique,
also benefit from this market creation, and products such as age prevention moisturisers and skin repair products and solutions to counter premature ageing. the market has come a long way in 25 years: in the mid 1970s, men’s skin care products were a novelty, to say the least.
slightly, by 2%, (some 200,000 procedures); however, there was some small growth in non- surgical cosmetic procedures due to repeat patients and those putting off surgery. the reverse was true in the uK, where surgery volumes held up better. But growth in demand is expected to return in the us as the recession eases and baby boomers’ offspring begin to explore surgical options. Breast augmentation was the most frequently
performed surgery, ahead of liposuction for the second year running; until 2008, liposuction had been the most performed surgical procedure since asaps began its surveys in 1997. the trend for décolletage-baring styles is
prime-journal.com | March 2011
Anti-ageing medicine anti-ageing and regenerative medicine are among the fastest-growing medical specialties, and are set to become ever-stronger as the demographic pattern unfolds. this is what international data of improving quality are expected to prove, and when isaps publishes its second set of global figures in late summer, reliable trend tracking can begin.
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