ISAPS 2020 Global Survey Finds Significant Changes in Cosmetic Procedures During Pandemic



COVID-19 closures lead to 10.9% decrease in surgeries

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

Strong points

Cosmetic plastic surgeries declined 10.9% overall in 2020, with 77.8% of surgeons worldwide experiencing temporary office closures during the COVID-19 pandemic. Non-surgical interventions (mainly fillers and hair removal treatments) continued to increase, but in lower proportions than those observed in previous years (5.7% in 2020, compared to 7.6% in 2019) . This resulted in an overall decrease of 1.8% for all procedures.

Dr Arturo Ramirez-Montañana, Chairman of the ISAPS Global Survey Committee, said: “This downward trend is in line with the results of our survey of declining patient demand due to safety and financial concerns during the COVID-19 pandemic. At the same time, many of us have also experienced an increase in demand due to increased patient flexibility, the possibility of more private recovery and, especially for facial procedures, what l ‘this is called the “zoom effect”. This has limited the impact of COVID-19 on all procedures. “

Aesthetic procedures

The most common surgeries around the world remained the same in 2020, with breast augmentation accounting for 16% of all procedures, liposuction 15.1%, eyelid surgery 12.1%, rhinoplasty 8.4% and tummy tuck 7.6%.

The top five non-surgical procedures also remained consistent: botulinum toxin (43.2% of all non-surgical procedures), hyaluronic acid (28.1%), hair removal (12.8%), reduction non-surgical fat (3.9%) and photorejuvenation (3.6%). About 85% of non-surgical procedures were performed on women.

Despite the overall reduction in surgeries, rhinoplasty and eyebrow lift surgeries continued to increase, and non-surgical facial rejuvenation showed an increase of 13.9% compared to a decrease in 2019 and 2018.

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

The most common surgical procedures for men remain eyelid surgery, liposuction, gynecomastia, rhinoplasty, and ear surgery.

Looking at the age distribution for the different procedures, 19-34 year olds accounted for the highest proportion of those undergoing rhinoplasty (67.9%) while 35-50 year olds accounted for the majority of botulinum toxin procedures (50 , 2%).

At the time of this survey, only 45% of surgeons had observed a return to the volume of pre-pandemic patients. Dr Ramirez-Montañana said: “Despite the terrible pandemic we are experiencing, it seems that most cosmetic plastic surgeons are returning to near-normal practice and I am optimistic for 2021, both for the plastic surgery industry. and for surgery and non-surgery. procedures. “

Country statistics

the United States saw an increase in both surgical and non-surgical procedures, consolidating its position as the leading country for surgical procedures performed worldwide (14.7% of total surgical procedures) and taking the lead in Brazil with most non-surgical procedures performed globally (22.1% of total non-surgical procedures).

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

Mexico, Turkey, and Colombia saw the highest proportion of foreign patients: 28.2%, 25.8% and 21.8%, respectively in 2020. Thailand, which held first place last year, was fourth at 20.9%.

Hospitals remain the main establishment where surgical procedures are performed (43.8% worldwide), with the exception of United States where offices (45% of procedures) and free-standing surgical centers (34.3%) are more commonly used.

Survey methodology

Survey participants completed a questionnaire that focused primarily on the number of specific surgical and non-surgical procedures performed in 2020, as well as a few ancillary questions related to 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. Data from a total of 1,081 plastic surgeons were compiled for this survey. The results were compiled, compiled and analyzed by Industry Insights, an independent research company based in Columbus, Ohio. ISAPS is the only organization to collect this type of cosmetic data annually on a global scale. For a copy of the full results, please visit

About ISAPS – The International Society of Aesthetic Plastic Surgery (ISAPS) is the world’s leading professional body for certified cosmetic plastic surgeons. Founded in 1970, ISAPS provides an open forum for the exchange of knowledge in cosmetic plastic surgery around the world. ISAPS sponsors and supports scientific meetings around the world and provides its members with up-to-date training and continuing education. Today, ISAPS members include more than 5,100 of the world’s most respected cosmetic and reconstructive surgeons in 110 countries. Patients looking for a cosmetic plastic surgeon can use our Find A Surgeon feature to find a qualified and experienced surgeon with a demonstrated commitment to ethical practice and patient safety.

SOURCE International Society for Aesthetic Plastic Surgery (ISAPS)



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