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ISAPS Global Survey for 2020 Sees Significant Changes in Aesthetic Procedures During a Pandemic | Status

COVID-19 practice closings result in a 10.9% decrease in surgical interventions

WEST LEBANON, NH, December 28, 2021 / PRNewswire / – The International Society of Aesthetic Plastic Surgery (ISAPS) today released the results of its annual global aesthetic / cosmetic procedure survey, which assesses the impact of the COVID-19 pandemic on aesthetic plastic surgery procedures worldwide in 2020 indicates.

Plastic surgery for aesthetic purposes declined by a total of 10.9% in 2020, with 77.8% of surgeons worldwide experiencing temporary practice closings during the COVID-19 pandemic. Non-surgical procedures (mainly fillers and hair removal treatments) continued to increase, but to a lesser extent than in previous years (5.7% in 2020 versus 7.6% in 2019). This resulted in an overall decrease of 1.8% for all procedures.

Dr. Arturo Ramirez-Montañana, Chair of ISAPS’s Global Survey Committee, said, “This downward trend is in line with our survey results of lower patient demand due to safety and financial concerns we have during the COVID-19 pandemic, also due to increased patient flexibility , the possibility of a more private recovery and especially with facial treatments the so-called “zoom effect” experienced an increase in demand. This has limited the effects of COVID-19 on overall procedures. “

The most common surgeries worldwide stayed the same in 2020, with breast augmentation accounting for 16% of all procedures, liposuction 15.1%, eyelid lift 12.1%, nose job 8.4% and tummy tuck 7.6%.

The top 5 non-surgical procedures also remained constant: botulinum toxin (43.2% of all non-surgical procedures), hyaluronic acid (28.1%), hair removal (12.8%), non-surgical fat reduction (3.9%) ) and photo rejuvenation (3.6%). Approximately 85% of non-surgical procedures were performed on women.

Despite the overall decline in surgeries, rhinoplasty and brow lift surgeries continued to rise, and non-surgical facial rejuvenation showed a 13.9% increase from a decrease in 2019 and 2018.

Overall, non-surgical procedures increased, with the exception of botulinum toxin, hyaluronic acid and microablative surface resurfacing (decreases of 0.9%, 6.1% and 11.3%, respectively).

The most common surgical interventions for men are still eyelid operations, liposuction, gynecomastia, rhinoplasty and ear operations.

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Looking at the age distribution of the various procedures, the 19 to 34 year olds made up the highest proportion of those who underwent a nose job (67.9%), while the 35 to 50 year olds accounted for the majority of botulinum toxin interventions (50.2%).

At the time of this survey, only 45% of surgeons had seen a return to pre-pandemic patient volumes. Dr. Ramirez-Montañana said: “Despite the terrible pandemic we are going through, most aesthetic plastic surgeons appear to be returning to near-normal practice and I am optimistic for 2021 for both the plastic surgery industry and both surgical and non- surgical procedures. “

the United States of America saw growth in both surgical and nonsurgical procedures, cemented its position as the leader in surgical procedures performed worldwide (14.7% of total surgical procedures), and took the lead from Brazil with the most non-surgical procedures worldwide (22.1% of all non-surgical procedures).

The top 10 countries for proceedings in 2020 were the United States of America, Brazil, Germany, Japan, Turkey, Mexico, Argentina, Italy, Russia, and India, followed by Spain, Greece, Colombia and Thailand.

Mexico, Turkey, and Colombia the highest proportion of foreign patients: 28.2%, 25.8% and 21.8% in 2020. Thailand, which was number one last year, was fourth highest at 20.9%.

Hospitals continue to be the number one facility where surgical interventions are performed (43.8% globally), apart from the United States of America where office facilities (45% of procedures) and free-standing surgical centers (34.3%) are used more frequently.

Survey respondents completed a questionnaire that mainly focused on the number of specific surgical and nonsurgical procedures performed in 2020, along with some additional questions about the impact of COVID-19, surgeon demographics, and the Prevalence of Medical Tourism. This questionnaire was sent to approximately 25,000 plastic surgeons in the ISAPS database. For this survey, data were collected from a total of 1,081 plastic surgeons. The results were compiled, tabulated and analyzed by Industry Insights, an independent research company based in Columbus, OH. ISAPS is the only organization that collects this type of cosmetic data annually worldwide. A copy of the full results can be found at

About ISAPS – The International Society of Aesthetic Plastic Surgery (ISAPS) is the world’s leading professional association for certified aesthetic plastic surgeons. ISAPS was founded in 1970 and offers an open forum for the worldwide exchange of knowledge about aesthetic plastic surgery. ISAPS sponsors and supports scientific conferences around the world and offers its members up-to-date education and training. Today ISAPS membership includes over 5,100 of the world’s most respected aesthetic and reconstructive surgeons in 110 countries. Patients looking for an aesthetic plastic surgeon can use our “Find a Surgeon” function to find a qualified and experienced surgeon who is demonstrably committed to ethical behavior and patient safety.

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