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    AAFPRS trend report

    Demand for rhinoplasty, hair transplantation and Botox has increased, but there have been decreases in the numbers of blepharoplasty, facelift, forehead lift and facial implant procedures since 2012, according to the American Academy of Facial Plastic and Reconstructive Surgery’s (AAFPRS’s) membership study 2017, released January 29, 2018.

    Women continue to be most likely to have facial plastic surgery, representing 84% of the specialty’s surgical and nonsurgical patients. The gender’s top picks for cosmetic surgery were rhinoplasty, followed by blepharoplasty and the facelift — that’s even though facelift and blepharoplasty are among options on the decline since 2012.

    Botox (a category representing all neuromodulators), followed by fillers and skin treatments are women’s top choices for nonsurgical cosmetic procedures. Member surgeons responding reported performing an average 378 Botox procedures in 2017.

    Man, Age Trends

    The nonsurgical and surgical procedures most likely to be performed on men were Botox, fillers, skin treatments and rhinoplasty. Interestingly, when respondents ranked the top procedures among women, they ranked Botox, followed by rhinoplasty. The same two were top among men, but in reverse with rhinoplasty leading the way.

    Age matters, according to the study. Adults older than 55 were most likely to have facelifts, browlifts and blepharoplasty, while Botox was the top pick for 35 to 55 year olds. Filler or fat injections, lasers and peels were popular among both age sets.

    Among potential trends: In 2017, more than half of respondents indicated they saw an increase in cosmetic surgery or injectables in patients younger than 30. Patients were likely to want eyelid procedures, including blepharoplasty, fillers and laser procedures, to look less tired in 2017. And in the same year, 55% of respondents indicated having cosmetic procedures to look better in selfies is trending — up from 40% in the last two years of the survey.

    Facial plastic surgeons predict increased emphasis on early maintenance, with patients in their 20s and 30s wanting to put off the need for more invasive cosmetic procedures. However, fewer facial plastic surgeons saw an increase in patients younger than 30 requesting cosmetic surgery or injectable treatments than in 2015, according to the findings.

    Trending Down

    Finally, while demand for hair transplantation has increased in recent years, it was among the least performed surgical procedures by member AAFPRS surgeons, joining facial implants and chin augmentation as the three least performed surgical procedures in 2017.

    The least performed minimally invasive procedure that same year: fat dissolving injections, according to the survey.

    Data for the membership study was collected between December 2017 and January 5, 2018, and represents responses from 99 AAFPRS members. 

    Lisette Hilton
    Lisette Hilton, president of Words Come Alive, has written about health care, the science and business of medicine, fitness and wellness ...


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