ISAPS

1. www.isaps.org
ISAPS INTERNATIONAL SURVEY ON
AESTHETIC/COSMETIC
PROCEDURES
performed in
2021

2. CONTENTS
About ISAPS .....................................................................................................page 3
About the International Survey on
Aesthetic/Cosmetic Procedures................................................................page 4
HIGHLIGHTS OF THE 2021 STATISTICS
2021 Statistics at a Glance............................................................................pages6-7
NUMBER OF WORLDWIDE PROCEDURES
Number of Worldwide Surgical Procedures...........................................page 9
Number of Worldwide Non-Surgical Procedures .................................page 10
Surgical Procedures by Region of the Body............................................page 11
Non-Surgical Procedures by Type of Procedure...................................page 12
Overview of Procedures...............................................................................page 13
PROCEDURES BY COUNTRY
USA..............................................................................................................................page 15
Brazil............................................................................................................................page 16
Japan...........................................................................................................................page 17
Mexico........................................................................................................................page 18
Germany....................................................................................................................page 19
Argentina...................................................................................................................page 20
Turkey..........................................................................................................................page 21
India.............................................................................................................................page 22
Italy...............................................................................................................................page 23
Colombia...................................................................................................................page 24
Spain............................................................................................................................page 25
Greece........................................................................................................................page 26
Romania......................................................................................................................page 27
Thailand......................................................................................................................page 28
Surgical Procedures by Country.....................................................................page 29
Non-Surgical Procedures by Country...........................................................page 30
Countries Performing the Most
Popular Surgical Procedures .......................................................................page 31
Countries Performing the Most
Popular Non-Surgical Procedures..............................................................page 32
Surgical Totals Ranked by Category..............................................................page 33
Non-Surgical Totals Ranked by Category....................................................page 34
Countries Ranked by Total Number of Procedures................................page 35
Countries Ranked by Estimated
Number of Plastic Surgeons .............................................................................page 36
Surgical Procedure Group Ranking by Country.......................................page 37
Non-Surgical Procedure Group Ranking by Country.............................page 38
PROCEDURES PERFORMED BY PLASTIC SURGEONS
Number of Worldwide Surgical Procedures
Performed by Plastic Surgeons........................................................................page 40
Number of Worldwide Non-Surgical Procedures
Performed by Plastic Surgeons........................................................................page 41
Percent of Plastic Surgeons Performing
Each Surgical Procedure.....................................................................................page 42
Percent of Plastic Surgeons Performing
Each Non-Surgical Procedure .........................................................................page 44
DEMOGRAPHICS
Gender Distribution for Cosmetic Procedures – Surgical....................page 46
Gender Distribution for Cosmetic Procedures – Non-Surgical..........page 47
Patient Age Related to Cosmetic Procedure.............................................page 48
Cosmetic Procedures by Location.................................................................page 49
Medical Tourism.....................................................................................................page 50
IMPACT OF COVID-19
COVID-19 Impact.........................................................................................pages 52–53
ADDITIONAL AND RESIDENT STATISTICS
Additional Statistics..............................................................................................page 55
Resident Statistics.................................................................................................page 56

3. INTERNATIONAL
SURVEY
2021
Please credit the International Society of Aesthetic Plastic Surgery when citing statistical data. Contact ISAPS: +44 20 7038 7812 | media@isaps.org | www.isaps.org 3
ABOUT ISAPS
Founded in 1970, the International Society of Aesthetic Plastic Surgery (ISAPS)
is the world’s leading professional body for board-certified aesthetic plastic
surgeons.
Regarded as the leading global authority on aesthetic and cosmetic surgery, ISAPS’
threefold mission is to offer Aesthetic Education Worldwide®, to provide accurate
information to the public, and to promote patient safety.
ISAPS membership includes the world’s best and most respected reconstructive and
aesthetic plastic surgeons in over 117 countries. Through its rigorous membership
requirements, ISAPS plastic surgeons are considered to be among the most qualified
surgeons in their respective countries. Furthermore, ISAPS has become the gold
standard for providing continuing aesthetic education to its members, providing
training, and sponsoring scientific meetings around the world.
A full list of ISAPS plastic surgeons can be found online at www.isaps.org.

4. INTERNATIONAL
SURVEY
2021
Please credit the International Society of Aesthetic Plastic Surgery when citing statistical data. Contact ISAPS: +44 20 7038 7812 | media@isaps.org | www.isaps.org 4
2022 ISAPS INTERNATIONAL SURVEY ON AESTHETIC/COSMETIC
PROCEDURES PERFORMED IN 2021
METHODOLOGY
Survey participants completed a questionnaire that primarily focused on the
number of specific surgical and non-surgical procedures performed in 2021,
along with some ancillary questions related to the impact of COVID-19, surgeon
demographics, and the prevalence of medical tourism.
The International Society of Aesthetic Plastic Surgery (ISAPS) issued an invitation
to participate in the study to approximately 25,000 plastic surgeons whose contact
information is housed in its proprietary database. In addition, a request was made
that all National Societies encourage their members/constituents to take part in the
survey. Data from a total of 1,003 plastic surgeons were compiled for this survey.
Final figures have been projected to reflect international statistics and are
exclusively based on the estimated number of plastic surgeons actively practicing
in each country and the respondent sample. This International Survey is focused on
physicians who are board certified (or national equivalent) plastic surgeons.1
To aid in tallying the worldwide estimate of plastic surgeons, representatives from
National Societies provided counts in 2021 for 96% of the 50,000 total estimated
plastic surgeons. For those cases in which the National Society did not provide
its country’s total, a regression model was used to estimate the number of plastic
surgeons in the country based on its population size and Gross Domestic Product.
The Aesthetic Society provided special assistance to this year’s study by permitting the
use of its national statistics, which were compiled from its Aesthetic Neural Network
(ANN) database. The ANN database includes detailed statistics on 294 U.S.-based
practices. We appreciate their continued support of this international research effort.
Studies such as this must often address outlying responses. Though the outlying
values may be legitimate, their presence can distort the averages, which provide the
basis of the estimated projections. Significant outliers in this survey were adjusted in
order to protect the reasonableness of the extrapolated values. Additional standard
data editing procedures were followed to ensure responses met survey guidelines. All
reported data values have been analyzed for statistical reasonableness.
Country-specific data are only shown for those countries that provided a sufficient
survey response for the figures to be considered valid. No adjustments other than
standard data editing procedures were applied to country-specific results. The
International Survey on Aesthetic/Cosmetic Procedures Performed in 2021 was compiled,
tabulated, and analyzed by Industry Insights, Inc. (www.industryinsights.com), an
independent research firm based in Columbus, OH. The survey leader was Scott
Hackworth, a CPA and data scientist who along with his firm has conducted various
forms of research on trends in Aesthetic Plastic Surgery for more than 30 years.
1
It is important to note that Japan’s figures were independently fielded and provided by Kotaro Yoshimura, M.D., Professor and Chair of the Department of Plastic Surgery, Jichi Medical University. Dr. Yoshimura expanded his sample beyond
plastic surgeons, which could impact comparability among Japan and other listed countries.

5. HIGHLIGHTS
OF THE INTERNATIONAL SURVEY ON
AESTHETIC/COSMETIC
PROCEDURES
PERFORMED IN 2021

6. INTERNATIONAL
SURVEY
2021
Please credit the International Society of Aesthetic Plastic Surgery when citing statistical data. Contact ISAPS: +44 20 7038 7812 | media@isaps.org | www.isaps.org 6
2021 STATISTICS AT A GLANCE
Top 5
surgical procedures
worldwide
absolute numbers and changes compared to 2020
1. Liposuction 1,903,063 procedures +24.8%
2. Breast Augmentation 1,685,471 procedures +3.8%
3. Eyelid Surgery 1,446,890 procedures +18.1%
4. Rhinoplasty 995,149 procedures +16.7%
5. Abdominoplasty 991,361 procedures +29.5%
Top 5
non-surgical procedures
worldwide
absolute numbers and changes compared to 2020
1. Botulinum Toxin 7,312,616 procedures +17.7%
2. Hyaluronic Acid 5,279,344 procedures +30.3%
3. Hair Removal 1,836,111 procedures -0.1%
4.Non-Surgical Skin Tightening 1,003,731 procedures N/A
5. Non-Surgical Fat Reduction730,980 procedures +30.4%
Top 5
surgical procedures
for women
1. Breast Augmentation 1,658,673 procedures
2. Liposuction 1,625,283 procedures
3. Eyelid Surgery 1,142,957 procedures
4. Abdominoplasty 904,846 procedures
5. Breast Lift 781,404 procedures
Top 5
non-surgical procedures
for women
1. Botulinum Toxin 6,252,548 procedures
2. Hyaluronic Acid 4,694,030 procedures
3. Hair Removal 1,585,732 procedures
4.Non-Surgical Skin Tightening 875,595 procedures
5. Non-Surgical Fat Reduction605,669 procedures
Top 5
surgical procedures
for men
1. Eyelid Surgery 303,932 procedures
2. Gynecomastia 282,997 procedures
3. Liposuction 277,779 procedures
4. Rhinoplasty 256,406 procedures
5. Fat Grafting – Face 110,319 procedures
Top 5
non-surgical procedures
for men
1. Botulinum Toxin 1,060,068 procedures
2. Hyaluronic Acid 585,315 procedures
3. Hair Removal 250,379 procedures
4. Non-Surgical Skin Tightening 128,136 procedures
5. Non-Surgical Fat Reduction 125,311 procedures

7. INTERNATIONAL
SURVEY
2021
Please credit the International Society of Aesthetic Plastic Surgery when citing statistical data. Contact ISAPS: +44 20 7038 7812 | media@isaps.org | www.isaps.org 7
2021 STATISTICS AT A GLANCE
most common COSMETIC
procedures per
AGE GROUP
18 years or younger Botulinum Toxin 106,033 procedures
19–34 years old Botulinum Toxin 1,767,459 procedures
35–50 years old Botulinum Toxin 3,450,092 procedures
51–64 years old Botulinum Toxin 1,690,677 procedures
65 years or older Botulinum Toxin 298,355 procedures
United States is the country with the
most surgeons:
7,500 plastic surgeons
United States is the country with the
most Non-Surgical procedures:
5,355,604 procedures
United States is the country with the
most surgical procedures:
1,992,296 procedures
17,598,888
Non-Surgical procedures
total procedures performed
WORLDWIDE
12,840,688
surgical procedures

8. NUMBER OF
WORLDWIDE
PROCEDURES
PERFORMED BY PLASTIC SURGEONS IN 2021

9. INTERNATIONAL
SURVEY
2021
Please credit the International Society of Aesthetic Plastic Surgery when citing statistical data. Contact ISAPS: +44 20 7038 7812 | media@isaps.org | www.isaps.org 9
NUMBER OF WORLDWIDE SURGICAL PROCEDURES
PERFORMED BY PLASTIC SURGEONS
Rank SURGICAL PROCEDURES Total
Percent of
Total Surgical
Procedures
Total Procedures
in 2020
Total Procedures
in 2017
Percent Change
2021 vs. 2020
Percent Change
2021 vs. 2017
1 Liposuction 1,903,063 14.8% 1,525,197 1,573,680 24.8% 20.9%
2 Breast Augmentation 1,685,471 13.1% 1.624,281 1,677,320 3.8% 0.5%
3 Eyelid Surgery 1,446,890 11.3% 1.225,540 1,346,886 18.1% 7.4%
4 Rhinoplasty 995,149 7.7% 852,554 877,254 16.7% 13.4%
5 Abdominoplasty 991,361 7.7% 765,248 802,234 29.5% 23.6%
6 Breast Lift 781,404 6.1% 594,691 657,832 31.4% 18.8%
7 Lip Enhancement/Perioral Procedure 717,596 5.6% N/A N/A N/A N/A
8 Fat Grafting – Face 589,494 4.6% 515,819 602,760 14.3% -2.2%
9 Buttock Augmentation 523,331 4.1% 396,105 372,497 32.1% 40.5%
10 Breast Reduction 507,363 4.0% 426,363 489,146 19.0% 3.7%
11 Facelift 477,705 3.7% 419,046 465,296 14.0% 2.7%
12 Neck Lift 290,844 2.3% 251,308 263,219 15.7% 10.5%
13 Brow Lift 290,107 2.3% 288,306 249,343 0.6% 16.3%
14 Gynecomastia 282,997 2.2% 210,737 243,272 34.3% 16.3%
15 Ear Surgery 272,493 2.1% 254,931 287,070 6.9% -5.1%
16 Breast Implant Removal 253,594 2.0% 206,826 169,553 22.6% 49.6%
17 Labiaplasty 171,088 1.3% 142,119 138,765 20.4% 23.3%
18 Upper Arm Lift 140,158 1.1% 126,030 137,030 11.2% 2.3%
19 Facial Bone Contouring 131,656 1.0% 106,173 98,003 24.0% 34.3%
20 Thigh Lift 113,206 0.9% 73,948 86,728 53.1% 30.5%
21 Lower Body Lift 96,312 0.8% 71,007 88,029 35.6% 9.4%
22 Vaginal Rejuvenation 71,018 0.6% N/A N/A N/A N/A
23 Buttock Lift 63,190 0.5% 53,299 43,364 18.6% 45.7%
24 Upper Body Lift 45,200 0.4% N/A N/A N/A N/A
TOTAL SURGICAL PROCEDURES 12,840,688 10,129,528 10,669,279 18.5% 12.5%

10. INTERNATIONAL
SURVEY
2021
Please credit the International Society of Aesthetic Plastic Surgery when citing statistical data. Contact ISAPS: +44 20 7038 7812 | media@isaps.org | www.isaps.org 10
NUMBER OF WORLDWIDE NON-SURGICAL PROCEDURES
PERFORMED BY PLASTIC SURGEONS
Rank NON-SURGICAL PROCEDURES Total
Percent of Total
Non-Surgical
Procedures
Total Procedures
in 2020
Total Procedures
in 2017
Percent Change
2021 vs. 2020
Percent Change
2021 vs. 2017
1 Botulinum Toxin 7,312,616 41.6% 6,213,859 5,033,693 17.7% 45.3%
2 Hyaluronic Acid 5,279,344 30.0% 4,053,016 3,298,266 30.3% 60.1%
3 Hair Removal 1,836,111 10.4% 1,837,052 997,372 -0.1% 84.1%
4 Non-Surgical Skin Tightening 1,003,731 5.7% N/A N/A N/A N/A
5 Non-Surgical Fat Reduction 730,980 4.2% 560,464 478,739 30.4% 52.7%
6 Chemical Peel 534,831 3.0% 409,054 357,753 30.7% 49.5%
7 Cellulite Treatment 379,224 2.2% N/A N/A N/A N/A
8 Calcium Hydroxylapatite 290,095 1.6% 222,785 167,385 30.2% 73.3%
9 Full Field Ablative 231,955 1.3% 225,141 170,854 3.0% 35.8%
TOTAL NON-SURGICAL PROCEDURES 17,598,888 13,521,371 10,504,062 19.9% 54.4%

11. INTERNATIONAL
SURVEY
2021
Please credit the International Society of Aesthetic Plastic Surgery when citing statistical data. Contact ISAPS: +44 20 7038 7812 | media@isaps.org | www.isaps.org 11
NUMBER OF WORLDWIDE SURGICAL PROCEDURES BY
REGION OF THE BODY
TOTAL SURGICAL PROCEDURES 2021 2020 2017
Percent Change
2021 vs. 2020
Percent Change
2021 vs. 2017
Eyelid Surgery 1,446,890 1,225,540 1,346,886 18.1% 7.4%
Rhinoplasty 995,149 852,554 877,254 16.7% 13.4%
Lip Enhancement/Perioral Procedure 717,596 N/A N/A N/A N/A
Fat Grafting – Face 589,494 515,819 602,760 14.3% -2.2%
Facelift 477,705 419,046 465,296 14.0% 2.7%
Neck Lift 290,844 251,308 263,219 15.7% 10.5%
Brow Lift 290,107 288,306 249,343 0.6% 16.3%
Ear Surgery 272,493 254,931 287,070 6.9% -5.1%
Facial Bone Contouring 131,656 106,173 98,003 24.0% 34.3%
TOTAL FACE HEAD PROCEDURES 5,211,933 3,913,679 4,189,830 14.8% 7.3%
Breast Augmentation 1,685,471 1,624,281 1,677,320 3.8% 0.5%
Breast Implant Removal 253,594 206,826 169,553 22.6% 49.6%
Breast Lift 781,404 594,691 657,832 31.4% 18.8%
Breast Reduction 507,363 426,363 489,146 19.0% 3.7%
Gynecomastia 282,997 210,737 243,272 34.3% 16.3%
TOTAL BREAST PROCEDURES 3,510,830 3,062,897 3,237,123 14.6% 8.5%
Abdominoplasty 991,361 765,248 802,234 29.5% 23.6%
Buttock Augmentation – Implants and Fat Transfer 523,331 396,105 372,497 32.1% 40.5%
Buttock Lift 63,190 53.299 43,364 18.6% 45.7%
Liposuction 1,903,063 1,525,197 1,573,680 24.8% 20.9%
Lower Body Lift 96,312 71,007 88,029 35.6% 9.4%
Thigh Lift 113,206 73,948 86,728 53.1% 30.5%
Upper Arm Lift 140,158 126,030 137,030 11.2% 2.3%
Upper Body Lift 45,200 N/A N/A N/A N/A
Labiaplasty 171,088 142,119 138,765 20.4% 23.3%
Vaginal Rejuvenation 71,018 N/A N/A N/A N/A
TOTAL BODY EXTREMITIES PROCEDURES 4,117,926 3,152,952 3,242,326 26.9% 23.4%
TOTAL SURGICAL PROCEDURES 12,840,688 10,129,528 10,669,279 18.5% 12.5%
FACE
HEAD
BREAST
BODY
EXTREMITIES

12. INTERNATIONAL
SURVEY
2021
Please credit the International Society of Aesthetic Plastic Surgery when citing statistical data. Contact ISAPS: +44 20 7038 7812 | media@isaps.org | www.isaps.org 12
TOTAL NON-SURGICAL PROCEDURES 2021 2020 2017
Percent Change
2021 vs. 2020
Percent Change
2021 vs. 2017
Botulinum Toxin 7,312,616 6,213,859 5,033,693 17.7% 45.3%
Calcium Hydroxylapatite 290,095 222,785 167,385 30.2% 73.3%
Hyaluronic Acid 5,279,344 4,053,016 3,298,266 30.3% 60.1%
TOTAL INJECTABLES PROCEDURES 12,882.055 10,489,661 8,499,344 22.8% 51.6%
Chemical Peel 534,831 409,054 357,753 30.7% 49.5%
Full Field Ablative 231,955 225,141 170,854 3.0% 35.8%
Non-Surgical Skin Tightening 1,003,731 N/A N/A N/A N/A
TOTAL FACIAL REJUVENATION PROCEDURES 1,770,517 634,195 528,607 20.9% 45.1%
Cellulite Treatment 379,224 N/A N/A N/A N/A
Hair Removal 1,836,111 1,837,052 997,372 -0.1% 84.1%
Non-Surgical Fat Reduction 730,980 560,464 478,739 30.4% 52.7%
TOTAL OTHER PROCEDURES 2,946,316 2,397,516 1,476,111 7.1% 73.9%
TOTAL NON-SURGICAL PROCEDURES 17,598,888 13,521,371 10,504,062 19.9% 54.4%
INJECTABLES
FACIAL
REJUVENATION
OTHER
NUMBER OF WORLDWIDE NON-SURGICAL PROCEDURES BY
TYPE OF PROCEDURE
TOTAL PROCEDURES 30,439,576 23,650,900 21,173,340 19.3% 33.3%

13. INTERNATIONAL
SURVEY
2021
Please credit the International Society of Aesthetic Plastic Surgery when citing statistical data. Contact ISAPS: +44 20 7038 7812 | media@isaps.org | www.isaps.org 13
OVERVIEW OF ALL PROCEDURES
TOTAL PROCEDURES IN 2021
INCREASED BY
19.3%
TOTAL SURGICAL
PROCEDURES
INCREASED BY 18.5%
TOTAL NON-SURGICAL
PROCEDURES
INCREASED BY 19.9%
18.5% 19.9%
TOTAL
FACE HEAD
procedures
14.8%
TOTAL
BREAST
procedures
14.6%
TOTAL
BODY EXTREMITIES
procedures
26.9%
TOTAL
INJECTABLES
procedures
22.8%
TOTAL FACIAL
REJUVENATION
procedures
20.9%
TOTAL
OTHER
procedures
7.1%
Compared to 2020 statistics

14. PROCEDURES
BY COUNTRY

15. INTERNATIONAL
SURVEY
2021
Please credit the International Society of Aesthetic Plastic Surgery when citing statistical data. Contact ISAPS: +44 20 7038 7812 | media@isaps.org | www.isaps.org 15
USA
USA
TOTAL NUMBER OF
PROCEDURES IN THE USA
7,347,900
FACE HEAD
Brow Lift 41,008
Ear Surgery 40,048
Eyelid Surgery 149,668
Facelift 87,007
Facial Bone Contouring 10,482
Fat Grafting – Face 39,129
Lip Enhancement/
Perioral Procedure
33,750
Neck Lift 39,943
Rhinoplasty 76,128
TOTAL FACE HEAD 517,163
BREAST
Breast Augmentation 378,700
Breast Implant Removal 71,284
Breast Lift 167,395
Breast Reduction 82,643
Gynecomastia 28,689
TOTAL BREAST 728,711
BODY EXTREMITIES
Abdominoplasty 228,000
Buttock Augmentation 62,252
Buttock Lift 750
Liposuction 381,000
Lower Body Lift 975
Thigh Lift 11,250
Upper Arm Lift 21,000
Upper Body Lift 3,750
Labiaplasty 18,911
Vaginal Rejuvenation 18,533
TOTAL BODY EXTREMITIES 746,422
TOTAL SURGICAL PROCEDURES 1,992,296
INJECTABLES
Botulinum Toxin 2,520,000
Calcium Hydroxylapatite 92,867
Hyaluronic Acid 1,671,605
TOTAL INJECTABLES 4,284,472
TOTAL NON-SURGICAL PROCEDURES 5,355,604
FACIAL REJUVENATION
Chemical Peel 105,000
Full Field Ablative 45,750
Non-Surgical Skin Tightening 391,855
TOTAL FACIAL REJUVENATION 542,605
OTHER
Cellulite Treatment 6,000
Hair Removal 305,250
Non-Surgical Fat Reduction 217,277
TOTAL OTHER 528,527
MOST COMMON PROCEDURES
TOTAL % OF
TOTAL
Liposuction 381,000 19.1%
Breast Augmentation 378,700 19.0%
Abdominoplasty 228,000 11.4%
Breast Lift 167,395 8.4%
Eyelid Surgery 149,668 7.5%
MOST COMMON PROCEDURES
TOTAL % OF
TOTAL
Botulinum Toxin 2,520,000 47.1%
Hyaluronic Acid 1,671,605 31.2%
Non-Surgical Skin
Tightening
391,855 7.3%
Hair Removal 305,250 5.7%
Non-Surgical Fat
Reduction
217,277 4.1%

16. INTERNATIONAL
SURVEY
2021
Please credit the International Society of Aesthetic Plastic Surgery when citing statistical data. Contact ISAPS: +44 20 7038 7812 | media@isaps.org | www.isaps.org 16
BRAZIL
BRAZIL
TOTAL NUMBER OF
PROCEDURES IN BRAZIL
2,723,640
FACE HEAD
Brow Lift 40,140
Ear Surgery 25,620
Eyelid Surgery 177,240
Facelift 78,480
Facial Bone Contouring 19,860
Fat Grafting – Face 73,860
Lip Enhancement/
Perioral Procedure
82,140
Neck Lift 36,900
Rhinoplasty 78,720
TOTAL FACE HEAD 612,960
BREAST
Breast Augmentation 177,960
Breast Implant Removal 23,520
Breast Lift 105,000
Breast Reduction 67,140
Gynecomastia 24,480
TOTAL BREAST 398,100
BODY EXTREMITIES
Abdominoplasty 128,280
Buttock Augmentation 102,900
Buttock Lift 17,100
Liposuction 258,720
Lower Body Lift 18,720
Thigh Lift 18,720
Upper Arm Lift 27,000
Upper Body Lift 8,100
Labiaplasty 30,480
Vaginal Rejuvenation 13,140
TOTAL BODY EXTREMITIES 623,160
TOTAL SURGICAL PROCEDURES 1,634,220
INJECTABLES
Botulinum Toxin 542,520
Calcium Hydroxylapatite 34,140
Hyaluronic Acid 348,000
TOTAL INJECTABLES 924,660
TOTAL NON-SURGICAL PROCEDURES 1,089,420
FACIAL REJUVENATION
Chemical Peel 18,480
Full Field Ablative 25,860
Non-Surgical Skin Tightening 44,520
TOTAL FACIAL REJUVENATION 88,860
OTHER
Cellulite Treatment 38,280
Hair Removal 3,900
Non-Surgical Fat Reduction 33,720
TOTAL OTHER 75,900
MOST COMMON PROCEDURES
TOTAL % OF
TOTAL
Botulinum Toxin 542,520 49.8%
Hyaluronic Acid 348,000 31.9%
Non-Surgical Skin
Tightening
44,520 4.1%
Cellulite Treatment 38,280 3.5%
Calcium
Hydroxylapatite
34,140 3.1%
MOST COMMON PROCEDURES
TOTAL % OF
TOTAL
Liposuction 258,720 15.8%
Breast Augmentation 177,960 10.9%
Eyelid Surgery 177,240 10.8%
Abdominoplasty 128,280 7.8%
Breast Lift 105,000 6.4%

17. INTERNATIONAL
SURVEY
2021
Please credit the International Society of Aesthetic Plastic Surgery when citing statistical data. Contact ISAPS: +44 20 7038 7812 | media@isaps.org | www.isaps.org 17
JAPAN
JAPAN
TOTAL NUMBER OF
PROCEDURES IN JAPAN
1,745,621
FACE HEAD
Brow Lift 175
Ear Surgery 166
Eyelid Surgery 152,852
Facelift 45,982
Facial Bone Contouring 744
Fat Grafting – Face 23,125
Lip Enhancement/
Perioral Procedure
N/A
Neck Lift 250
Rhinoplasty 20,128
TOTAL FACE HEAD 243,422
BREAST
Breast Augmentation 4,095
Breast Implant Removal 517
Breast Lift 65
Breast Reduction 1,395
Gynecomastia 22
TOTAL BREAST 6,094
BODY EXTREMITIES
Abdominoplasty 342
Buttock Augmentation 1,102
Buttock Lift 85
Liposuction 10,703
Lower Body Lift 253
Thigh Lift 20
Upper Arm Lift 13
Upper Body Lift 9
Labiaplasty 3,330
Vaginal Rejuvenation 360
TOTAL BODY EXTREMITIES 16,217
TOTAL SURGICAL PROCEDURES 265,733
INJECTABLES
Botulinum Toxin 458,749
Calcium Hydroxylapatite 79
Hyaluronic Acid 106,613
TOTAL INJECTABLES 565,441
TOTAL NON-SURGICAL PROCEDURES 1,479,888
FACIAL REJUVENATION
Chemical Peel 158,990
Full Field Ablative 851
Non-Surgical Skin Tightening 146,215
TOTAL FACIAL REJUVENATION 306,056
OTHER
Cellulite Treatment 1,166
Hair Removal 484,529
Non-Surgical Fat Reduction 122,696
TOTAL OTHER 608,391
MOST COMMON PROCEDURES
TOTAL % OF
TOTAL
Hair Removal 484,529 32.7%
Botulinum Toxin 458,749 31.0%
Chemical Peel 158,990 10.7%
Non-Surgical Skin
Tightening
146,215 9.9%
Non-Surgical Fat
Reduction
122,696 8.3%
MOST COMMON PROCEDURES
TOTAL % OF
TOTAL
Eyelid Surgery 152,852 57.5%
Facelift 45,982 17.3%
Fat Grafting – Face 23,125 8.7%
Rhinoplasty 20,128 7.6%
Liposuction 10,703 4.0%

18. INTERNATIONAL
SURVEY
2021
Please credit the International Society of Aesthetic Plastic Surgery when citing statistical data. Contact ISAPS: +44 20 7038 7812 | media@isaps.org | www.isaps.org 18
MEXICO
MEXICO
TOTAL NUMBER OF
PROCEDURES IN MEXICO
1,270,605
FACE HEAD
Brow Lift 15,785
Ear Surgery 11,533
Eyelid Surgery 53,253
Facelift 18,690
Facial Bone Contouring 13,703
Fat Grafting – Face 36,295
Lip Enhancement/
Perioral Procedure
39,305
Neck Lift 19,915
Rhinoplasty 51,835
TOTAL FACE HEAD 260,313
BREAST
Breast Augmentation 77,700
Breast Implant Removal 11,165
Breast Lift 33,355
Breast Reduction 17,728
Gynecomastia 11,690
TOTAL BREAST 151,638
BODY EXTREMITIES
Abdominoplasty 52,465
Buttock Augmentation 63,963
Buttock Lift 9,083
Liposuction 102,760
Lower Body Lift 7,543
Thigh Lift 4,673
Upper Arm Lift 8,698
Upper Body Lift 3,168
Labiaplasty 5,198
Vaginal Rejuvenation 3,185
TOTAL BODY EXTREMITIES 260,733
TOTAL SURGICAL PROCEDURES 672,683
INJECTABLES
Botulinum Toxin 266,928
Calcium Hydroxylapatite 11,095
Hyaluronic Acid 167,598
TOTAL INJECTABLES 445,620
TOTAL NON-SURGICAL PROCEDURES 597,923
FACIAL REJUVENATION
Chemical Peel 9,240
Full Field Ablative 9,573
Non-Surgical Skin Tightening 25,655
TOTAL FACIAL REJUVENATION 44,468
OTHER
Cellulite Treatment 31,115
Hair Removal 48,825
Non-Surgical Fat Reduction 27,895
TOTAL OTHER 107,835
MOST COMMON PROCEDURES
TOTAL % OF
TOTAL
Botulinum Toxin 266,928 44.6%
Hyaluronic Acid 167,598 28.0%
Hair Removal 48,825 8.2%
Cellulite Treatment 31,115 5.2%
Non-Surgical Fat
Reduction
27,895 4.7%
MOST COMMON PROCEDURES
TOTAL % OF
TOTAL
Liposuction 102,760 15.3%
Breast Augmentation 77,700 11.6%
Buttock
Augmentation
63,963 9.5%
Eyelid Surgery 53,253 7.9%
Abdominoplasty 52,465 7.8%

19. INTERNATIONAL
SURVEY
2021
Please credit the International Society of Aesthetic Plastic Surgery when citing statistical data. Contact ISAPS: +44 20 7038 7812 | media@isaps.org | www.isaps.org 19
GERMANY
GERMANY
TOTAL NUMBER OF
PROCEDURES IN GERMANY
1,082,892
FACE HEAD
Brow Lift 12,493
Ear Surgery 11,300
Eyelid Surgery 69,843
Facelift 17,097
Facial Bone Contouring 2,000
Fat Grafting – Face 14,198
Lip Enhancement/
Perioral Procedure
37,975
Neck Lift 11,594
Rhinoplasty 13,454
TOTAL FACE HEAD 189,953
BREAST
Breast Augmentation 66,945
Breast Implant Removal 10,246
Breast Lift 30,256
Breast Reduction 23,545
Gynecomastia 10,153
TOTAL BREAST 141,143
BODY EXTREMITIES
Abdominoplasty 31,047
Buttock Augmentation 2,651
Buttock Lift 2,449
Liposuction 80,244
Lower Body Lift 3,255
Thigh Lift 7,208
Upper Arm Lift 5,348
Upper Body Lift 1,643
Labiaplasty 10,556
Vaginal Rejuvenation 1,457
TOTAL BODY EXTREMITIES 145,855
TOTAL SURGICAL PROCEDURES 476,951
INJECTABLES
Botulinum Toxin 306,296
Calcium Hydroxylapatite 9,548
Hyaluronic Acid 254,743
TOTAL INJECTABLES 570,586
TOTAL NON-SURGICAL PROCEDURES 605,942
FACIAL REJUVENATION
Chemical Peel 806
Full Field Ablative 4,604
Non-Surgical Skin Tightening 17,748
TOTAL FACIAL REJUVENATION 23,157
OTHER
Cellulite Treatment 744
Hair Removal 0
Non-Surgical Fat Reduction 11,455
TOTAL OTHER 12,199
MOST COMMON PROCEDURES
TOTAL % OF
TOTAL
Botulinum Toxin 306,296 50.5%
Hyaluronic Acid 254,743 42.0%
Non-Surgical Skin
Tightening
17,748 2.9%
Non-Surgical Fat
Reduction
11,455 1.9%
Calcium
Hydroxylapatite
9,548 1.6%
MOST COMMON PROCEDURES
TOTAL % OF
TOTAL
Liposuction 80,244 16.8%
Eyelid Surgery 69,843 14.6%
Breast Augmentation 66,945 14.0%
Lip Enhancement/
Perioral Procedure
37,975 8.0%
Abdominoplasty 31,047 6.5%

20. INTERNATIONAL
SURVEY
2021
Please credit the International Society of Aesthetic Plastic Surgery when citing statistical data. Contact ISAPS: +44 20 7038 7812 | media@isaps.org | www.isaps.org 20
ARGENTINA
ARGENTINA
TOTAL NUMBER OF
PROCEDURES IN ARGENTINIA
1,068,260
FACE HEAD
Brow Lift 6,780
Ear Surgery 9,800
Eyelid Surgery 41,880
Facelift 19,420
Facial Bone Contouring 5,940
Fat Grafting – Face 19,480
Lip Enhancement/
Perioral Procedure
33,220
Neck Lift 13,220
Rhinoplasty 44,460
TOTAL FACE HEAD 194,200
BREAST
Breast Augmentation 67,480
Breast Implant Removal 9,880
Breast Lift 16,840
Breast Reduction 12,580
Gynecomastia 5,740
TOTAL BREAST 112,520
BODY EXTREMITIES
Abdominoplasty 28,780
Buttock Augmentation 12,840
Buttock Lift 1,360
Liposuction 38,580
Lower Body Lift 1,480
Thigh Lift 1,800
Upper Arm Lift 2,460
Upper Body Lift 840
Labiaplasty 3,220
Vaginal Rejuvenation 900
TOTAL BODY EXTREMITIES 92,260
TOTAL SURGICAL PROCEDURES 398,980
INJECTABLES
Botulinum Toxin 158,900
Calcium Hydroxylapatite 15,880
Hyaluronic Acid 175,540
TOTAL INJECTABLES 350,320
TOTAL NON-SURGICAL PROCEDURES 669,280
FACIAL REJUVENATION
Chemical Peel 11,800
Full Field Ablative 13,160
Non-Surgical Skin Tightening 48,780
TOTAL FACIAL REJUVENATION 73,740
OTHER
Cellulite Treatment 56,700
Hair Removal 133,160
Non-Surgical Fat Reduction 55,360
TOTAL OTHER 245,220
MOST COMMON PROCEDURES
TOTAL % OF
TOTAL
Hyaluronic Acid 175,540 26.2%
Botulinum Toxin 158,900 23.7%
Hair Removal 133,160 19.9%
Cellulite Treatment 56,700 8.5%
Non-Surgical Fat
Reduction
55,360 8.3%
MOST COMMON PROCEDURES
TOTAL % OF
TOTAL
Breast Augmentation 67,480 16.9%
Rhinoplasty 44,460 11.1%
Eyelid Surgery 41,880 10.5%
Liposuction 38,580 9.7%
Lip Enhancement/
Perioral Procedure
33,220 8.3%

21. INTERNATIONAL
SURVEY
2021
Please credit the International Society of Aesthetic Plastic Surgery when citing statistical data. Contact ISAPS: +44 20 7038 7812 | media@isaps.org | www.isaps.org 21
TURKEY
TURKEY
TOTAL NUMBER OF
PROCEDURES IN TURKEY
950,365
FACE HEAD
Brow Lift 12,896
Ear Surgery 10,075
Eyelid Surgery 32,877
Facelift 11,700
Facial Bone Contouring 8,073
Fat Grafting – Face 26,104
Lip Enhancement/
Perioral Procedure
28,002
Neck Lift 10,829
Rhinoplasty 68,029
TOTAL FACE HEAD 208,585
BREAST
Breast Augmentation 49,023
Breast Implant Removal 7,046
Breast Lift 31,629
Breast Reduction 25,402
Gynecomastia 16,419
TOTAL BREAST 129,519
BODY EXTREMITIES
Abdominoplasty 27,794
Buttock Augmentation 15,652
Buttock Lift 1,196
Liposuction 59,696
Lower Body Lift 2,769
Thigh Lift 5,525
Upper Arm Lift 5,902
Upper Body Lift 1,950
Labiaplasty 4,004
Vaginal Rejuvenation 1,898
TOTAL BODY EXTREMITIES 126,386
TOTAL SURGICAL PROCEDURES 464,490
INJECTABLES
Botulinum Toxin 229,346
Calcium Hydroxylapatite 9,100
Hyaluronic Acid 192,023
TOTAL INJECTABLES 430,469
TOTAL NON-SURGICAL PROCEDURES 485,875
FACIAL REJUVENATION
Chemical Peel 975
Full Field Ablative 6,500
Non-Surgical Skin Tightening 15,548
TOTAL FACIAL REJUVENATION 23,023
OTHER
Cellulite Treatment 1,573
Hair Removal 28,171
Non-Surgical Fat Reduction 2,639
TOTAL OTHER 32,383
MOST COMMON PROCEDURES
TOTAL % OF
TOTAL
Botulinum Toxin 229,346 47.2%
Hyaluronic Acid 192,023 39.5%
Hair Removal 28,171 5.8%
Non-Surgical Skin
Tightening
15,548 3.2%
Calcium
Hydroxylapatite
9,100 1.9%
MOST COMMON PROCEDURES
TOTAL % OF
TOTAL
Rhinoplasty 68,029 14.6%
Liposuction 59,696 12.9%
Breast Augmentation 49,023 10.6%
Eyelid Surgery 32,877 7.1%
Breast Lift 31,629 6.8%

22. INTERNATIONAL
SURVEY
2021
Please credit the International Society of Aesthetic Plastic Surgery when citing statistical data. Contact ISAPS: +44 20 7038 7812 | media@isaps.org | www.isaps.org 22
INDIA
INDIA
TOTAL NUMBER OF
PROCEDURES IN INDIA
774,672
FACE HEAD
Brow Lift 4,176
Ear Surgery 15,024
Eyelid Surgery 24,480
Facelift 5,280
Facial Bone Contouring 5,688
Fat Grafting – Face 23,640
Lip Enhancement/
Perioral Procedure
17,952
Neck Lift 6,216
Rhinoplasty 40,632
TOTAL FACE HEAD 143,088
BREAST
Breast Augmentation 31,608
Breast Implant Removal 3,288
Breast Lift 11,520
Breast Reduction 15,240
Gynecomastia 31,104
TOTAL BREAST 92,760
BODY EXTREMITIES
Abdominoplasty 24,096
Buttock Augmentation 5,952
Buttock Lift 1,248
Liposuction 82,488
Lower Body Lift 3,696
Thigh Lift 2,976
Upper Arm Lift 2,136
Upper Body Lift 1,512
Labiaplasty 5,688
Vaginal Rejuvenation 5,016
TOTAL BODY EXTREMITIES 134,808
TOTAL SURGICAL PROCEDURES 370,656
INJECTABLES
Botulinum Toxin 99,384
Calcium Hydroxylapatite 168
Hyaluronic Acid 66,792
TOTAL INJECTABLES 166,344
TOTAL NON-SURGICAL PROCEDURES 404,016
FACIAL REJUVENATION
Chemical Peel 53,280
Full Field Ablative 10,008
Non-Surgical Skin Tightening 28,704
TOTAL FACIAL REJUVENATION 91,992
OTHER
Cellulite Treatment 8,352
Hair Removal 127,728
Non-Surgical Fat Reduction 9,600
TOTAL OTHER 145,680
MOST COMMON PROCEDURES
TOTAL % OF
TOTAL
Hair Removal 127,728 31.6%
Botulinum Toxin 99,384 24.6%
Hyaluronic Acid 66,792 16.5%
Chemical Peel 53,280 13.2%
Non-Surgical Skin
Tightening
28,704 7.1%
MOST COMMON PROCEDURES
TOTAL % OF
TOTAL
Liposuction 82,488 22.3%
Rhinoplasty 40,632 11.0%
Breast Augmentation 31,608 8.5%
Gynecomastia 31,104 8.4%
Eyelid Surgery 24,480 6.6%

23. INTERNATIONAL
SURVEY
2021
Please credit the International Society of Aesthetic Plastic Surgery when citing statistical data. Contact ISAPS: +44 20 7038 7812 | media@isaps.org | www.isaps.org 23
ITALY
ITALY
TOTAL NUMBER OF
PROCEDURES IN ITALY
668,784
FACE HEAD
Brow Lift 6,528
Ear Surgery 8,988
Eyelid Surgery 33,420
Facelift 8,064
Facial Bone Contouring 1,872
Fat Grafting – Face 13,656
Lip Enhancement/
Perioral Procedure
32,124
Neck Lift 4,032
Rhinoplasty 25,632
TOTAL FACE HEAD 134,316
BREAST
Breast Augmentation 41,412
Breast Implant Removal 5,904
Breast Lift 17,136
Breast Reduction 13,020
Gynecomastia 8,460
TOTAL BREAST 85,932
BODY EXTREMITIES
Abdominoplasty 18,036
Buttock Augmentation 3,624
Buttock Lift 372
Liposuction 27,324
Lower Body Lift 1,812
Thigh Lift 2,520
Upper Arm Lift 3,600
Upper Body Lift 252
Labiaplasty 5,112
Vaginal Rejuvenation 768
TOTAL BODY EXTREMITIES 63,420
TOTAL SURGICAL PROCEDURES 283,668
INJECTABLES
Botulinum Toxin 129,720
Calcium Hydroxylapatite 8,496
Hyaluronic Acid 179,664
TOTAL INJECTABLES 317,880
TOTAL NON-SURGICAL PROCEDURES 385,116
FACIAL REJUVENATION
Chemical Peel 16,128
Full Field Ablative 6,036
Non-Surgical Skin Tightening 12,984
TOTAL FACIAL REJUVENATION 35,148
OTHER
Cellulite Treatment 10,368
Hair Removal 11,904
Non-Surgical Fat Reduction 9,816
TOTAL OTHER 32,088
MOST COMMON PROCEDURES
TOTAL % OF
TOTAL
Hyaluronic Acid 179,664 46.7%
Botulinum Toxin 129,720 33.7%
Chemical Peel 16,128 4.2%
Non-Surgical Skin
Tightening
12,984 3.4%
Hair Removal 11,904 3.1%
MOST COMMON PROCEDURES
TOTAL % OF
TOTAL
Breast Augmentation 41,412 14.6%
Eyelid Surgery 33,420 11.8%
Lip Enhancement/
Perioral Procedure
32,124 11.3%
Liposuction 27,324 9.6%
Rhinoplasty 25,632 9.0%

24. INTERNATIONAL
SURVEY
2021
Please credit the International Society of Aesthetic Plastic Surgery when citing statistical data. Contact ISAPS: +44 20 7038 7812 | media@isaps.org | www.isaps.org 24
COLOMBIA
COLOMBIA
TOTAL NUMBER OF
PROCEDURES IN COLOMBIA
555,276
FACE HEAD
Brow Lift 7,200
Ear Surgery 6,516
Eyelid Surgery 32,676
Facelift 7,716
Facial Bone Contouring 5,040
Fat Grafting – Face 13,680
Lip Enhancement/
Perioral Procedure
7,476
Neck Lift 7,764
Rhinoplasty 29,244
TOTAL FACE HEAD 117,312
BREAST
Breast Augmentation 43,716
Breast Implant Removal 10,764
Breast Lift 30,036
Breast Reduction 18,600
Gynecomastia 8,400
TOTAL BREAST 111,516
BODY EXTREMITIES
Abdominoplasty 36,756
Buttock Augmentation 33,924
Buttock Lift 4,284
Liposuction 50,484
Lower Body Lift 3,120
Thigh Lift 4,644
Upper Arm Lift 2,640
Upper Body Lift 2,316
Labiaplasty 5,244
Vaginal Rejuvenation 1,836
TOTAL BODY EXTREMITIES 145,248
TOTAL SURGICAL PROCEDURES 374,076
INJECTABLES
Botulinum Toxin 66,804
Calcium Hydroxylapatite 4,044
Hyaluronic Acid 49,116
TOTAL INJECTABLES 119,964
TOTAL NON-SURGICAL PROCEDURES 181,200
FACIAL REJUVENATION
Chemical Peel 5,520
Full Field Ablative 1,644
Non-Surgical Skin Tightening 8,040
TOTAL FACIAL REJUVENATION 15,204
OTHER
Cellulite Treatment 3,840
Hair Removal 30,996
Non-Surgical Fat Reduction 11,196
TOTAL OTHER 46,032
MOST COMMON PROCEDURES
TOTAL % OF
TOTAL
Botulinum Toxin 66,804 36.9%
Hyaluronic Acid 49,116 27.1%
Hair Removal 30,996 17.1%
Non-Surgical Fat
Reduction
11,196 6.2%
Non-Surgical Skin
Tightening
8,040 4.4%
MOST COMMON PROCEDURES
TOTAL % OF
TOTAL
Liposuction 50,484 13.5%
Breast Augmentation 43,716 11.7%
Abdominoplasty 36,756 9.8%
Buttock
Augmentation
33,924 9.1%
Eyelid Surgery 32,676 8.7%

25. INTERNATIONAL
SURVEY
2021
Please credit the International Society of Aesthetic Plastic Surgery when citing statistical data. Contact ISAPS: +44 20 7038 7812 | media@isaps.org | www.isaps.org 25
SPAIN
SPAIN
TOTAL NUMBER OF
PROCEDURES IN SPAIN
428,364
FACE HEAD
Brow Lift 3,852
Ear Surgery 7,668
Eyelid Surgery 26,640
Facelift 3,168
Facial Bone Contouring 4,320
Fat Grafting – Face 9,828
Lip Enhancement/
Perioral Procedure
21,312
Neck Lift 2,916
Rhinoplasty 16,776
TOTAL FACE HEAD 96,480
BREAST
Breast Augmentation 37,944
Breast Implant Removal 4,608
Breast Lift 18,900
Breast Reduction 12,348
Gynecomastia 4,536
TOTAL BREAST 78,336
BODY EXTREMITIES
Abdominoplasty 11,520
Buttock Augmentation 4,176
Buttock Lift 216
Liposuction 17,028
Lower Body Lift 1,908
Thigh Lift 2,664
Upper Arm Lift 1,008
Upper Body Lift 540
Labiaplasty 4,212
Vaginal Rejuvenation 1,512
TOTAL BODY EXTREMITIES 44,784
TOTAL SURGICAL PROCEDURES 219,600
INJECTABLES
Botulinum Toxin 75,348
Calcium Hydroxylapatite 3,996
Hyaluronic Acid 88,884
TOTAL INJECTABLES 168,228
TOTAL NON-SURGICAL PROCEDURES 208,764
FACIAL REJUVENATION
Chemical Peel 9,648
Full Field Ablative 2,952
Non-Surgical Skin Tightening 4,500
TOTAL FACIAL REJUVENATION 17,100
OTHER
Cellulite Treatment 6,264
Hair Removal 10,116
Non-Surgical Fat Reduction 7,056
TOTAL OTHER 23,436
MOST COMMON PROCEDURES
TOTAL % OF
TOTAL
Hyaluronic Acid 88,884 42.6%
Botulinum Toxin 75,348 36.1%
Hair Removal 10,116 4.8%
Chemical Peel 9,648 4.6%
Non-Surgical Fat
Reduction
7,056 3.4%
MOST COMMON PROCEDURES
TOTAL % OF
TOTAL
Breast Augmentation 37,944 17.3%
Eyelid Surgery 26,640 12.1%
Lip Enhancement/
Perioral Procedure
21,312 9.7%
Breast Lift 18,900 8.6%
Liposuction 17,028 7.8%

26. INTERNATIONAL
SURVEY
2021
Please credit the International Society of Aesthetic Plastic Surgery when citing statistical data. Contact ISAPS: +44 20 7038 7812 | media@isaps.org | www.isaps.org 26
GREECE
GREECE
TOTAL NUMBER OF
PROCEDURES IN GREECE
309,089
FACE HEAD
Brow Lift 844
Ear Surgery 2,373
Eyelid Surgery 10,164
Facelift 2,139
Facial Bone Contouring 427
Fat Grafting – Face 4,564
Lip Enhancement/
Perioral Procedure
5,394
Neck Lift 1,918
Rhinoplasty 5,667
TOTAL FACE HEAD 33,488
BREAST
Breast Augmentation 7,389
Breast Implant Removal 623
Breast Lift 2,996
Breast Reduction 2,296
Gynecomastia 1,866
TOTAL BREAST 15,169
BODY EXTREMITIES
Abdominoplasty 3,917
Buttock Augmentation 973
Buttock Lift 154
Liposuction 9,345
Lower Body Lift 53
Thigh Lift 648
Upper Arm Lift 1,334
Upper Body Lift 280
Labiaplasty 767
Vaginal Rejuvenation 39
TOTAL BODY EXTREMITIES 17,507
TOTAL SURGICAL PROCEDURES 66,164
INJECTABLES
Botulinum Toxin 76,626
Calcium Hydroxylapatite 844
Hyaluronic Acid 75,044
TOTAL INJECTABLES 152,513
TOTAL NON-SURGICAL PROCEDURES 242,925
FACIAL REJUVENATION
Chemical Peel 6,934
Full Field Ablative 6,573
Non-Surgical Skin Tightening 7,077
TOTAL FACIAL REJUVENATION 20,584
OTHER
Cellulite Treatment 8,554
Hair Removal 49,077
Non-Surgical Fat Reduction 12,198
TOTAL OTHER 69,829
MOST COMMON PROCEDURES
TOTAL % OF
TOTAL
Botulinum Toxin 76,626 31.5%
Hyaluronic Acid 75,044 30.9%
Hair Removal 49,077 20.2%
Non-Surgical Fat
Reduction
12,198 5.0%
Cellulite Treatment 8,554 3.5%
MOST COMMON PROCEDURES
TOTAL % OF
TOTAL
Eyelid Surgery 10,164 15.4%
Liposuction 9,345 14.1%
Breast Augmentation 7,389 11.2%
Rhinoplasty 5,667 8.6%
Lip Enhancement/
Perioral Procedure
5,394 8.2%

27. INTERNATIONAL
SURVEY
2021
Please credit the International Society of Aesthetic Plastic Surgery when citing statistical data. Contact ISAPS: +44 20 7038 7812 | media@isaps.org | www.isaps.org 27
ROMANIA
ROMANIA
TOTAL NUMBER OF
PROCEDURES IN ROMANIA
170,650
FACE HEAD
Brow Lift 1,022
Ear Surgery 1,607
Eyelid Surgery 7,109
Facelift 770
Facial Bone Contouring 1,166
Fat Grafting – Face 3,115
Lip Enhancement/
Perioral Procedure
9,996
Neck Lift 567
Rhinoplasty 5,835
TOTAL FACE HEAD 31,185
BREAST
Breast Augmentation 11,431
Breast Implant Removal 564
Breast Lift 3,000
Breast Reduction 1,859
Gynecomastia 868
TOTAL BREAST 17,721
BODY EXTREMITIES
Abdominoplasty 2,566
Buttock Augmentation 711
Buttock Lift 105
Liposuction 4,718
Lower Body Lift 326
Thigh Lift 259
Upper Arm Lift 294
Upper Body Lift 70
Labiaplasty 1,267
Vaginal Rejuvenation 25
TOTAL BODY EXTREMITIES 10,339
TOTAL SURGICAL PROCEDURES 59,245
INJECTABLES
Botulinum Toxin 42,924
Calcium Hydroxylapatite 2,205
Hyaluronic Acid 45,357
TOTAL INJECTABLES 90,486
TOTAL NON-SURGICAL PROCEDURES 111,405
FACIAL REJUVENATION
Chemical Peel 2,863
Full Field Ablative 270
Non-Surgical Skin Tightening 4,155
TOTAL FACIAL REJUVENATION 7,287
OTHER
Cellulite Treatment 3,724
Hair Removal 6,195
Non-Surgical Fat Reduction 3,714
TOTAL OTHER 13,633
MOST COMMON PROCEDURES
TOTAL % OF
TOTAL
Hyaluronic Acid 45,357 40.7%
Botulinum Toxin 42,924 38.5%
Hair Removal 6,195 5.6%
Non-Surgical Skin
Tightening
4,155 3.7%
Cellulite Treatment 3,724 3.3%
MOST COMMON PROCEDURES
TOTAL % OF
TOTAL
Breast Augmentation 11,431 19.3%
Lip Enhancement/
Perioral Procedure
9,996 16.9%
Eyelid Surgery 7,109 12.0%
Rhinoplasty 5,835 9.8%
Liposuction 4,718 8.0%

28. INTERNATIONAL
SURVEY
2021
Please credit the International Society of Aesthetic Plastic Surgery when citing statistical data. Contact ISAPS: +44 20 7038 7812 | media@isaps.org | www.isaps.org 28
THAILAND
THAILAND
TOTAL NUMBER OF
PROCEDURES IN THAILAND
136,211
FACE HEAD
Brow Lift 4,807
Ear Surgery 1,705
Eyelid Surgery 19,879
Facelift 5,225
Facial Bone Contouring 3,829
Fat Grafting – Face 5,824
Lip Enhancement/
Perioral Procedure
2,066
Neck Lift 3,591
Rhinoplasty 23,570
TOTAL FACE HEAD 70,495
BREAST
Breast Augmentation 9,666
Breast Implant Removal 1,202
Breast Lift 3,800
Breast Reduction 2,332
Gynecomastia 1,202
TOTAL BREAST 18,202
BODY EXTREMITIES
Abdominoplasty 3,995
Buttock Augmentation 770
Buttock Lift 532
Liposuction 8,607
Lower Body Lift 879
Thigh Lift 979
Upper Arm Lift 713
Upper Body Lift 152
Labiaplasty 936
Vaginal Rejuvenation 114
TOTAL BODY EXTREMITIES 17,675
TOTAL SURGICAL PROCEDURES 106,372
INJECTABLES
Botulinum Toxin 22,952
Calcium Hydroxylapatite 0
Hyaluronic Acid 4,137
TOTAL INJECTABLES 27,089
TOTAL NON-SURGICAL PROCEDURES 29,840
FACIAL REJUVENATION
Chemical Peel 138
Full Field Ablative 138
Non-Surgical Skin Tightening 936
TOTAL FACIAL REJUVENATION 1,211
OTHER
Cellulite Treatment 0
Hair Removal 352
Non-Surgical Fat Reduction 1,188
TOTAL OTHER 1,539
MOST COMMON PROCEDURES
TOTAL % OF
TOTAL
Botulinum Toxin 22,952 76.9%
Hyaluronic Acid 4,137 13.9%
Non-Surgical Fat
Reduction
1,188 4.0%
Non-Surgical Skin
Tightening
936 3.1%
Hair Removal 352 1.2%
MOST COMMON PROCEDURES
TOTAL % OF
TOTAL
Rhinoplasty 23,570 22.2%
Eyelid Surgery 19,879 18.7%
Breast Augmentation 9,666 9.1%
Liposuction 8,607 8.1%
Fat Grafting – Face 5,824 5.5%

29. INTERNATIONAL
SURVEY
2021
Please credit the International Society of Aesthetic Plastic Surgery when citing statistical data. Contact ISAPS: +44 20 7038 7812 | media@isaps.org | www.isaps.org 29
SURGICAL PROCEDURES BY COUNTRY
SURGICAL PROCEDURES WORLDWIDE USA** BRAZIL JAPAN* MEXICO GERMANY ARGENTINA TURKEY INDIA ITALY COLOMBIA SPAIN GREECE ROMANIA THAILAND
FACE HEAD
Brow Lift 290,107 41,008 40,140 175 15,785 12,493 6,780 12,896 4,176 6,528 7,200 3,852 844 1,022 4,807
Ear Surgery 272,493 40,048 25,620 166 11,533 11,300 9,800 10,075 15,024 8,988 6,516 7,668 2,373 1,607 1,705
Eyelid Surgery 1,446,890 149,668 177,240 152,852 53,253 69,843 41,880 32,877 24,480 33,420 32,676 26,640 10,164 7,109 19,879
Facelift 477,705 87,007 78,480 45,982 18,690 17,097 19,420 11,700 5,280 8,064 7,716 3,168 2,139 770 5,225
Facial Bone Contouring 131,656 10,482 19,860 744 13,703 2,000 5,940 8,073 5,688 1,872 5,040 4,320 427 1,166 3,829
Fat Grafting – Face 589,494 39,129 73,860 23,125 36,295 14,198 19,480 26,104 23,640 13,656 13,680 9,828 4,564 3,115 5,824
Lip Enhancement
Perioral Procedure
717,596 33,750 82,140 * 39,305 37,975 33,220 28,002 17,952 32,124 7,476 21,312 5,394 9,996 2,066
Neck Lift 290,844 39,943 36,900 250 19,915 11,594 13,220 10,829 6,216 4,032 7,764 2,916 1,918 567 3,591
Rhinoplasty 995,149 76,128 78,720 20,128 51,835 13,454 44,460 68,029 40,632 25,632 29,244 16,776 5,667 5,835 23,570
Total Face Head Procedures 5,211,933 517,163 612,960 243,422 260,313 189,953 194,200 208,585 143,088 134,316 117,312 96,480 33,488 31,185 70,495
BREAST
Breast Augmentation 1,685,471 378,700 177,960 4,095 77,700 66,945 67,480 49,023 31,608 41,412 43,716 37,944 7,389 11,431 9,666
Breast Implant Removal 253,594 71,284 23,520 517 11,165 10,246 9,880 7,046 3,288 5,904 10,764 4,608 623 564 1,202
Breast Lift 781,404 167,395 105,000 65 33,355 30,256 16,840 31,629 11,520 17,136 30,036 18,900 2,996 3,000 3,800
Breast Reduction 507,363 82,643 67,140 1,395 17,728 23,545 12,580 25,402 15,240 13,020 18,600 12,348 2,296 1,859 2,332
Gynecomastia 282,997 28,689 24,480 22 11,690 10,153 5,740 16,419 31,104 8,460 8,400 4,536 1,866 868 1,202
Total Breast Procedures 3,510,830 728,711 398,100 6,094 151,638 141,143 112,520 129,519 92,760 85,932 111,516 78,336 15,169 17,721 18,202
BODY EXTREMITIES
Abdominoplasty 991,361 228,000 128,280 342 52,465 31,047 28,780 27,794 24,096 18,036 36,756 11,520 3,917 2,566 3,995
Buttock Augmentation –
Implants and Fat Transfer
523,331 62,252 102,900 1,102 63,963 2,651 12,840 15,652 5,952 3,624 33,924 4,176 973 711 770
Buttock Lift 63,190 750 17,100 85 9,083 2,449 1,360 1,196 1,248 372 4,284 216 154 105 532
Liposuction 1,903,063 381,000 258,720 10,703 102,760 80,244 38,580 59,696 82,488 27,324 50,484 17,028 9,345 4,718 8,607
Lower Body Lift 96,312 975 18,720 253 7,543 3,255 1,480 2,769 3,696 1,812 3,120 1,908 53 326 879
Thigh Lift 113,206 11,250 18,720 20 4,673 7,208 1,800 5,525 2,976 2,520 4,644 2,664 648 259 979
Upper Arm Lift 140,158 21,000 27,000 13 8,698 5,348 2,460 5,902 2,136 3,600 2,640 1,008 1,334 294 713
Upper Body Lift 45,200 3,750 8,100 9 3,168 1,643 840 1,950 1,512 252 2,316 540 280 70 152
Labiaplasty 171,088 18,911 30,480 3,330 5,198 10,556 3,220 4,004 5,688 5,112 5,244 4,212 767 1,267 936
Vaginal Rejuvenation 71,018 18,533 13,140 360 3,185 1,457 900 1,898 5,016 768 1,836 1,512 39 25 114
Total Body Extremities Procedures 4,117,926 746,422 623,160 16,217 260,733 145,855 92,260 126,386 134,808 63,420 145,248 44,784 17,507 10,339 17,675
Total Surgical Procedures 12,840,688 1,992,296 1,634,220 265,733 672,683 476,951 398,980 464,490 370,656 283,668 374,076 219,600 66,164 59,245 106,372
* Japan fielded the survey independently and provided the listed results. | ** U.S. data are largely based on data provided reported by ASAPS‘ National Databank. | NOTE: Results for individual countries are limited to those that received
a sufficient sample of participants.

30. INTERNATIONAL
SURVEY
2021
Please credit the International Society of Aesthetic Plastic Surgery when citing statistical data. Contact ISAPS: +44 20 7038 7812 | media@isaps.org | www.isaps.org 30
NON-SURGICAL PROCEDURES BY COUNTRY
NON-SURGICAL PROCEDURES WORLDWIDE USA** BRAZIL JAPAN* MEXICO GERMANY ARGENTINA TURKEY INDIA ITALY COLOMBIA SPAIN GREECE ROMANIA THAILAND
INJECTABLES
Botulinum Toxin 7,312,616 2,520,000 542,520 458,749 266,928 306,296 158,900 229,346 99,384 129,720 66,804 75,348 76,626 42,924 22,952
Calcium Hydroxylapatite 290,095 92,867 34,140 79 11,095 9,548 15,880 9,100 168 8,496 4,044 3,996 844 2,205 0
Hyaluronic Acid 5,279,344 1,671,605 348,000 106,613 167,598 254,743 175,540 192,023 66,792 179,664 49,116 88,884 75,044 45,357 4,137
Total Injectables Procedures 12,882,055 4,284,472 924,660 565,441 445,620 570,586 350,320 430,469 166,344 317,880 119,964 168,228 152,513 90,486 27,089
FACIAL REJUVENATION
Chemical Peel 534,831 105,000 18,480 158,990 9,240 806 11,800 975 53,280 16,128 5,520 9,648 6,934 2,863 138
Full Field Ablative 231,955 45,750 25,860 851 9,573 4,604 13,160 6,500 10,008 6,036 1,644 2,952 6,573 270 138
Non-Surgical Skin Tightening 1,003,731 391,855 44,520 146,215 25,655 17,748 48,780 15,548 28,704 12,984 8,040 4,500 7,077 4,155 936
Total Facial Rejuvenation
Procedures 1,770,517 542,605 88,860 306,056 44,468 23,157 73,740 23,023 91,992 35,148 15,204 17,100 20,584 7,287 1,211
OTHER
Cellulite Treatment 379,224 6,000 38,280 1,166 31,115 744 56,700 1,573 8,352 10,368 3,840 6,264 8,554 3,724 0
Hair Removal 1,836,111 305,250 3,900 484,529 48,825 0 133,160 28,171 127,728 11,904 30,996 10,116 49,077 6,195 352
Non-Surgical Fat Reduction 730,980 217,277 33,720 122,696 27,895 11,455 55,360 2,639 9,600 9,816 11,196 7,056 12,198 3,714 1,188
Total Other Procedures 2,946,316 528,527 75,900 608,391 107,835 12,199 245,220 32,383 145,680 32,088 46,032 23,436 69,829 13,633 1,539
Total Non-Surgical Procedures 17,598,888 5,355,604 1,089,420 1,479,888 597,923 605,942 669,280 485,875 404,016 385,116 181,200 208,764 242,925 111,405 29,840
Total Procedures 30,439,576 7,347,900 2,723,640 1,745,621 1,270,605 1,082,892 1,068,260 950,365 774,672 668,784 555,276 428,364 309,089 170,650 136,211
* Japan fielded the survey independently and provided the listed results.
** U.S. data are largely based on data provided reported by ASAPS‘ National Databank.
NOTE: Results for individual countries are limited to those that received a sufficient sample of participants.

31. INTERNATIONAL
SURVEY
2021
Please credit the International Society of Aesthetic Plastic Surgery when citing statistical data. Contact ISAPS: +44 20 7038 7812 | media@isaps.org | www.isaps.org 31
RANK * COUNTRY
NUMBER OF
PROCEDURES
PERCENTAGE
OF TOTAL
1 USA 378,700 22.5%
2 Brazil 177,960 10.6%
3 Mexico 77,700 4.6%
4 Argentina 67,480 4.0%
5 Germany 66,945 4.0%
6 Turkey 49,023 2.9%
7 Colombia 43,716 2.6%
8 Italy 41,412 2.5%
9 Spain 37,944 2.3%
10 India 31,608 1.9%
BREAST AUGMENTATION
*
Rankings are based solely on those countries from which a sufficient survey
response was received and data were considered to be representative.
RANK * COUNTRY
NUMBER OF
PROCEDURES
PERCENTAGE
OF TOTAL
1 USA 381,000 20.0%
2 Brazil 258,720 13.6%
3 Mexico 102,760 5.4%
4 India 82,488 4.3%
5 Germany 80,244 4.2%
6 Turkey 59,696 3.1%
7 Colombia 50,484 2.7%
8 Argentina 38,580 2.0%
9 Italy 27,324 1.4%
10 Spain 17,028 0.9%
LIPOSUCTION
RANK * COUNTRY
NUMBER OF
PROCEDURES
PERCENTAGE
OF TOTAL
1 Brazil 177,240 12.2%
2 Japan 152,852 10.6%
3 USA 149,668 10.3%
4 Germany 69,843 4.8%
5 Mexico 53,253 3.7%
6 Argentina 41,880 2.9%
7 Italy 33,420 2.3%
8 Turkey 32,877 2.3%
9 Colombia 32,676 2.3%
10 Spain 26,640 1.8%
EYELID SURGERY
RANK * COUNTRY
NUMBER OF
PROCEDURES
PERCENTAGE
OF TOTAL
1 USA 228,000 23.0%
2 Brazil 128,280 12.9%
3 Mexico 52,465 5.3%
4 Colombia 36,756 3.7%
5 Germany 31,047 3.1%
6 Argentina 28,780 2.9%
7 Turkey 27,794 2.8%
8 India 24,096 2.4%
9 Italy 18,036 1.8%
10 Spain 11,520 1.2%
ABDOMINOPLASTY
RANK * COUNTRY
NUMBER OF
PROCEDURES
PERCENTAGE
OF TOTAL
1 Brazil 78,720 7.9%
2 USA 76,128 7.6%
3 Turkey 68,029 6.8%
4 Mexico 51,835 5.2%
5 Argentina 44,460 4.5%
6 India 40,632 4.1%
7 Colombia 29,244 2.9%
8 Italy 25,632 2.6%
9 Thailand 23,570 2.4%
10 Japan 20,128 2.0%
RHINOPLASTY
COUNTRIES PERFORMING THE MOST POPULAR SURGICAL
PROCEDURES

32. INTERNATIONAL
SURVEY
2021
Please credit the International Society of Aesthetic Plastic Surgery when citing statistical data. Contact ISAPS: +44 20 7038 7812 | media@isaps.org | www.isaps.org 32
RANK * COUNTRY
NUMBER OF
PROCEDURES
PERCENTAGE
OF TOTAL
1 USA 2,520,000 34.5%
2 Brazil 542,520 7.4%
3 Japan 458,749 6.3%
4 Germany 306,296 4.2%
5 Mexico 266,928 3.7%
6 Turkey 229,346 3.1%
7 Argentina 158,900 2.2%
8 Italy 129,720 1.8%
9 India 99,384 1.4%
10 Greece 76,626 1.0%
BOTULINUM TOXIN
*
Rankings are based solely on those countries from which a sufficient survey
response was received and data were considered to be representative.
RANK * COUNTRY
NUMBER OF
PROCEDURES
PERCENTAGE
OF TOTAL
1 USA 1,671,605 31.7%
2 Brazil 348,000 6.6%
3 Germany 254,743 4.8%
4 Turkey 192,023 3.6%
5 Italy 179,664 3.4%
6 Argentina 175,540 3.3%
7 Mexico 167,598 3.2%
8 Japan 106,613 2.0%
9 Spain 88,884 1.7%
10 Greece 75,044 1.4%
HYALURONIC ACID
RANK * COUNTRY
NUMBER OF
PROCEDURES
PERCENTAGE
OF TOTAL
1 Japan 484,529 26.4%
2 USA 305,250 16.6%
3 Argentina 133,160 7.3%
4 India 127,728 7.0%
5 Greece 49,077 2.7%
6 Mexico 48,825 2.7%
7 Colombia 30,996 1.7%
8 Turkey 28,171 1.5%
9 Italy 11,904 0.6%
10 Spain 10,116 0.6%
HAIR REMOVAL
RANK * COUNTRY
NUMBER OF
PROCEDURES
PERCENTAGE
OF TOTAL
1 USA 391,855 39.0%
2 Japan 146,215 14.6%
3 Argentina 48,780 4.9%
4 Brazil 44,520 4.4%
5 India 28,704 2.9%
6 Mexico 25,655 2.6%
7 Germany 17,748 1.8%
8 Turkey 15,548 1.5%
9 Italy 12,984 1.3%
10 Colombia 8,040 0.8%
NON-SURGICAL SKIN TIGHTENING
RANK * COUNTRY
NUMBER OF
PROCEDURES
PERCENTAGE
OF TOTAL
1 USA 217,277 29.7%
2 Japan 122,696 16.8%
3 Argentina 55,360 7.6%
4 Brazil 33,720 4.6%
5 Mexico 27,895 3.8%
6 Greece 12,198 1.7%
7 Germany 11,455 1.6%
8 Colombia 11,196 1.5%
9 Italy 9,816 1.3%
10 India 9,600 1.3%
NON-SURGICAL FAT REDUCTION
COUNTRIES PERFORMING THE MOST POPULAR NON-SURGICAL
PROCEDURES

33. INTERNATIONAL
SURVEY
2021
Please credit the International Society of Aesthetic Plastic Surgery when citing statistical data. Contact ISAPS: +44 20 7038 7812 | media@isaps.org | www.isaps.org 33
SURGICAL TOTALS RANKED BY CATEGORY
RANK * COUNTRY
NUMBER OF
PROCEDURES
PERCENTAGE
OF TOTAL
1 Brazil 612,960 11.8%
2 USA 517,163 9.9%
3 Mexico 260,313 5.0%
4 Japan 243,422 4.7%
5 Turkey 208,585 4.0%
6 Argentina 194,200 3.7%
7 Germany 189,953 3.6%
8 India 143,088 2.7%
9 Italy 134,316 2.6%
10 Colombia 117,312 2.3%
FACE
HEAD
RANK * COUNTRY
NUMBER OF
PROCEDURES
PERCENTAGE
OF TOTAL
1 USA 728,711 20.8%
2 Brazil 398,100 11.3%
3 Mexico 151,638 4.3%
4 Germany 141,143 4.0%
5 Turkey 129,519 3.7%
6 Argentina 112,520 3.2%
7 Colombia 111,516 3.2%
8 India 92,760 2.6%
9 Italy 85,932 2.4%
10 Spain 78,336 2.2%
RANK * COUNTRY
NUMBER OF
PROCEDURES
PERCENTAGE
OF TOTAL
1 USA 746,422 18.1%
2 Brazil 623,160 15.1%
3 Mexico 260,733 6.3%
4 Germany 145,855 3.5%
5 Colombia 145,248 3.5%
6 India 134,808 3.3%
7 Turkey 126,386 3.1%
8 Argentina 92,260 2.2%
9 Italy 63,420 1.5%
10 Spain 44,784 1.1%
BREAST
BODY
EXTREMITIES
*
Rankings are based solely on those countries from which a sufficient survey response was
received and data were considered to be representative.

34. INTERNATIONAL
SURVEY
2021
Please credit the International Society of Aesthetic Plastic Surgery when citing statistical data. Contact ISAPS: +44 20 7038 7812 | media@isaps.org | www.isaps.org 34
NON-SURGICAL TOTALS RANKED BY CATEGORY
RANK * COUNTRY
NUMBER OF
PROCEDURES
PERCENTAGE
OF TOTAL
1 USA 4,284,472 33.3%
2 Brazil 924,660 7.2%
3 Germany 570,586 4.4%
4 Japan 565,441 4.4%
5 Mexico 445,620 3.5%
6 Turkey 430,469 3.3%
7 Argentina 350,320 2.7%
8 Italy 317,880 2.5%
9 Spain 168,228 1.3%
10 India 166,344 1.3%
INJECTABLES
RANK * COUNTRY
NUMBER OF
PROCEDURES
PERCENTAGE
OF TOTAL
1 USA 542,605 30.6%
2 Japan 306,056 17.3%
3 India 91,992 5.2%
4 Brazil 88,860 5.0%
5 Argentina 73,740 4.2%
6 Mexico 44,468 2.5%
7 Italy 35,148 2.0%
8 Germany 23,157 1.3%
9 Turkey 23,023 1.3%
10 Greece 20,584 1.2%
RANK * COUNTRY
NUMBER OF
PROCEDURES
PERCENTAGE
OF TOTAL
1 Japan 608,391 20.6%
2 USA 528,527 17.9%
3 Argentina 245,220 8.3%
4 India 145,680 4.9%
5 Mexico 107,835 3.7%
6 Brazil 75,900 2.6%
7 Greece 69,829 2.4%
8 Colombia 46,032 1.6%
9 Turkey 32,383 1.1%
10 Italy 32,088 1.1%
FACIAL
REJUVENATION
OTHER
*
Rankings are based solely on those countries from which a sufficient survey response was
received and data were considered to be representative.

35. INTERNATIONAL
SURVEY
2021
Please credit the International Society of Aesthetic Plastic Surgery when citing statistical data. Contact ISAPS: +44 20 7038 7812 | media@isaps.org | www.isaps.org 35
COUNTRIES RANKED BY TOTAL NUMBER OF PROCEDURES
RANK * COUNTRY
TOTAL SURGICAL
PROCEDURES
PERCENTAGE OF
TOTAL SURGICAL
PROCEDURES
TOTAL NON-SURGICAL
PROCEDURES
PERCENTAGE
OF TOTAL
NON-SURGICAL
PROCEDURES
NUMBER OF
PROCEDURES
PERCENTAGE
OF TOTAL
1 USA 1,992,296 15.5% 5,355,604 30.4% 7,347,900 24.1%
2 Brazil 1,634,220 12.7% 1,089,420 6.2% 2,723,640 8.9%
3 Japan 265,733 2.1% 1,479,888 8.4% 1,745,621 5.7%
4 Mexico 672,683 5.2% 597,923 3.4% 1,270,605 4.2%
5 Germany 476,951 3.7% 605,942 3.4% 1,082,892 3.6%
6 Argentina 398,980 3.1% 669,280 3.8% 1,068,260 3.5%
7 Turkey 464,490 3.6% 485,875 2.8% 950,365 3.1%
8 India 370,656 2.9% 404,016 2.3% 774,672 2.5%
9 Italy 283,668 2.2% 385,116 2.2% 668,784 2.2%
10 Colombia 374,076 2.9% 181,200 1.0% 555,276 1.8%
*Rankings are based solely on those countries from which a sufficient survey response was received and data were considered to be representative.
COUNTRIES RANKED BY TOTAL NUMBER OF PROCEDURES
TOP 10

36. INTERNATIONAL
SURVEY
2021
Please credit the International Society of Aesthetic Plastic Surgery when citing statistical data. Contact ISAPS: +44 20 7038 7812 | media@isaps.org | www.isaps.org 36
RANK COUNTRY
NUMBER OF
SURGEONS
% OF
TOTAL
1 USA 7,500 17.0%
2 Brazil 6,000 13.6%
3 China 3,000 6.8%
4 Japan 2,750 6.2%
5 South Korea 2,600 5.9%
6 India 2,400 5.4%
7 Russia 2,000 4.5%
8 Argentina 2,000 4.5%
9 Mexico 1,750 4.0%
10 Germany 1,550 3.5%
11 Turkey 1,300 2.9%
12 Italy 1,200 2.7%
13 Colombia 1,200 2.7%
14 France 1,000 2.3%
15 Spain 900 2.0%
COUNTRIES RANKED BY ESTIMATED
NUMBER OF PLASTIC SURGEONS
RANK COUNTRY
NUMBER OF
SURGEONS
% OF
TOTAL
16 Taiwan 750 1.7%
17 Venezuela 700 1.6%
18 United Kingdom 600 1.4%
19 Netherlands 600 1.4%
20 Egypt 600 1.4%
21 Peru 575 1.3%
22 Thailand 475 1.1%
23 Canada 450 1.0%
24 Australia 425 1.0%
25 Greece 350 0.8%
26 Ukraine 350 0.8%
27 Romania 350 0.8%
28 Iran 300 0.7%
29 Belgium 275 0.6%
30 Austria 250 0.6%
TOP 30
COUNTRIES RANKED BY ESTIMATED NUMBER
OF PLASTIC SURGEONS

37. INTERNATIONAL
SURVEY
2021
Please credit the International Society of Aesthetic Plastic Surgery when citing statistical data. Contact ISAPS: +44 20 7038 7812 | media@isaps.org | www.isaps.org 37
SURGICAL PROCEDURE GROUP RANKING BY COUNTRY
RANK TOTAL
% OF
TOTAL
USA
1 Total Body Extremities Procedures 746,422 37.5%
2 Total Breast Procedures 728,711 36.6%
3 Total Face Head Procedures 517,163 26.0%
BRAZIL
1 Total Body Extremities Procedures 623,160 38.1%
2 Total Face Head Procedures 612,960 37.5%
3 Total Breast Procedures 398,100 24.4%
MEXICO
1 Total Body Extremities Procedures 260,733 38.8%
2 Total Face Head Procedures 260,313 38.7%
3 Total Breast Procedures 151,638 22.5%
GERMANY
1 Total Face Head Procedures 189,953 39.8%
2 Total Body Extremities Procedures 145,855 30.6%
3 Total Breast Procedures 141,143 29.6%
TURKEY
1 Total Face Head Procedures 208,585 44.9%
2 Total Breast Procedures 129,519 27.9%
3 Total Body Extremities Procedures 126,386 27.2%
RANK TOTAL
% OF
TOTAL
ARGENTINA
1 Total Face Head Procedures 194,200 48.7%
2 Total Breast Procedures 112,520 28.2%
3 Total Body Extremities Procedures 92,260 23.1%
COLOMBIA
1 Total Body Extremities Procedures 145,248 38.8%
2 Total Face Head Procedures 117,312 31.4%
3 Total Breast Procedures 111,516 29.8%
INDIA
1 Total Face Head Procedures 143,088 38.6%
2 Total Body Extremities Procedures 134,808 36.4%
3 Total Breast Procedures 92,760 25.0%
ITALY
1 Total Face Head Procedures 134,316 47.3%
2 Total Breast Procedures 85,932 30.3%
3 Total Body Extremities Procedures 63,420 22.4%
JAPAN
1 Total Face Head Procedures 243,422 91.6%
2 Total Body Extremities Procedures 16,217 6.1%
3 Total Breast Procedures 6,094 2.3%

38. INTERNATIONAL
SURVEY
2021
Please credit the International Society of Aesthetic Plastic Surgery when citing statistical data. Contact ISAPS: +44 20 7038 7812 | media@isaps.org | www.isaps.org 38
NON-SURGICAL PROCEDURE GROUP RANKING BY COUNTRY
RANK TOTAL
% OF
TOTAL
USA
1 Total Injectables Procedures 4,284,472 80.0%
2 Total Facial Rejuvenation Procedures 542,605 10.1%
3 Total Other Procedures 528,527 9.9%
JAPAN
1 Total Other Procedures 608,391 41.1%
2 Total Injectables Procedures 565,441 38.2%
3 Total Facial Rejuvenation Procedures 306,056 20.7%
BRAZIL
1 Total Injectables Procedures 924,660 84.9%
2 Total Facial Rejuvenation Procedures 88,860 8.2%
3 Total Other Procedures 75,900 7.0%
ARGENTINA
1 Total Injectables Procedures 350,320 52.3%
2 Total Other Procedures 245,220 36.6%
3 Total Facial Rejuvenation Procedures 73,740 11.0%
GERMANY
1 Total Injectables Procedures 570,586 94.2%
2 Total Facial Rejuvenation Procedures 23,157 3.8%
3 Total Other Procedures 12,199 2.0%
RANK TOTAL
% OF
TOTAL
MEXICO
1 Total Injectables Procedures 445,620 74.5%
2 Total Other Procedures 107,835 18.0%
3 Total Facial Rejuvenation Procedures 44,468 7.4%
TURKEY
1 Total Injectables Procedures 430,469 88.6%
2 Total Other Procedures 32,383 6.7%
3 Total Facial Rejuvenation Procedures 23,023 4.7%
INDIA
1 Total Injectables Procedures 166,344 41.2%
2 Total Other Procedures 145,680 36.1%
3 Total Facial Rejuvenation Procedures 91,992 22.8%
ITALY
1 Total Injectables Procedures 317,880 82.5%
2 Total Facial Rejuvenation Procedures 35,148 9.1%
3 Total Other Procedures 32,088 8.3%
GREECE
1 Total Injectables Procedures 152,513 62.8%
2 Total Other Procedures 69,829 28.7%
3 Total Facial Rejuvenation Procedures 20,584 8.5%

39. PROCEDURES PERFORMED BY
PLASTIC SURGEONS
IN 2021

40. INTERNATIONAL
SURVEY
2021
Please credit the International Society of Aesthetic Plastic Surgery when citing statistical data. Contact ISAPS: +44 20 7038 7812 | media@isaps.org | www.isaps.org 40
NUMBER OF WORLDWIDE SURGICAL PROCEDURES
PERFORMED BY PLASTIC SURGEONS
RANK SURGICAL PROCEDURES TOTAL
PERCENTAGE OF TOTAL
SURGICAL PROCEDURES
1 Liposuction 1,903,063 14.8%
2 Breast Augmentation 1,685,471 13.1%
3 Eyelid Surgery 1,446,890 11.3%
4 Rhinoplasty 995,149 7.7%
5 Abdominoplasty 991,361 7.7%
6 Breast Lift 781,404 6.1%
7 Lip Enhancement/Perioral Procedure 717,596 5.6%
8 Fat Grafting – Face 589,494 4.6%
9 Buttock Augmentation – Implants and Fat Transfer 523,331 4.1%
10 Breast Reduction 507,363 4.0%
11 Facelift 477,705 3.7%
12 Neck Lift 290,844 2.3%
13 Brow Lift 290,107 2.3%
14 Gynecomastia 282,997 2.2%
15 Ear Surgery 272,493 2.1%
16 Breast Implant Removal 253,594 2.0%
17 Labiaplasty 171,088 1.3%
18 Upper Arm Lift 140,158 1.1%
19 Facial Bone Contouring 131,656 1.0%
20 Thigh Lift 113,206 0.9%
21 Lower Body Lift 96,312 0.8%
22 Vaginal Rejuvenation 71,018 0.6%
23 Buttock Lift 63,190 0.5%
24 Upper Body Lift 45,200 0.4%
Total Surgical Procedures 12,840,688

41. INTERNATIONAL
SURVEY
2021
Please credit the International Society of Aesthetic Plastic Surgery when citing statistical data. Contact ISAPS: +44 20 7038 7812 | media@isaps.org | www.isaps.org 41
NUMBER OF WORLDWIDE NON-SURGICAL PROCEDURES
PERFORMED BY PLASTIC SURGEONS
RANK NON-SURGICAL PROCEDURES TOTAL
PERCENTAGE OF TOTAL NON-
SURGICAL PROCEDURES
1 Botulinum Toxin 7,312,616 41.6%
2 Hyaluronic Acid 5,279,344 30.0%
3 Hair Removal 1,836,111 10.4%
4 Non-Surgical Skin Tightening 1,003,731 5.7%
5 Non-Surgical Fat Reduction 730,980 4.2%
6 Chemical Peel 534,831 3.0%
7 Cellulite Treatment 379,224 2.2%
8 Calcium Hydroxylapatite 290,095 1.6%
9 Full Field Ablative 231,955 1.3%
Total Non-Surgical Procedures 17,598,888

42. INTERNATIONAL
SURVEY
2021
Please credit the International Society of Aesthetic Plastic Surgery when citing statistical data. Contact ISAPS: +44 20 7038 7812 | media@isaps.org | www.isaps.org 42
PERCENT OF PLASTIC SURGEONS PERFORMING
EACH SURGICAL PROCEDURE
SURGICAL PROCEDURES WORLD-
WIDE ARGENTINA BRAZIL COLOMBIA GERMANY GREECE INDIA ITALY MEXICO ROMANIA SPAIN THAILAND TURKEY USA
FACE HEAD
Brow Lift 62.3% 58.1% 53.9% 76.7% 64.5% 37.0% 43.5% 51.3% 81.9% 45.9% 76.0% 67.7% 58.3% 62.8%
Ear Surgery 76.0% 87.1% 53.9% 80.0% 61.3% 77.8% 80.4% 82.1% 84.6% 65.6% 96.0% 61.8% 83.3% 49.8%
Eyelid Surgery 90.4% 93.6% 80.8% 93.3% 83.9% 85.2% 87.0% 92.3% 98.7% 83.6% 96.0% 91.2% 100.0% 78.7%
Facelift 67.8% 74.2% 76.9% 76.7% 67.7% 59.3% 45.7% 69.2% 87.3% 39.3% 60.0% 64.7% 70.8% 76.4%
Facial Bone Contouring 41.5% 45.2% 15.4% 53.3% 19.4% 25.9% 43.5% 23.1% 75.2% 27.9% 32.0% 61.8% 45.8% 34.7%
Fat Grafting – Face 69.5% 64.5% 76.9% 66.7% 61.3% 70.4% 93.5% 61.5% 84.6% 31.2% 92.0% 47.1% 79.2% 57.9%
Lip Enhancement/
Perioral Procedure
66.7% 67.7% 42.3% 73.3% 64.5% 51.9% 63.0% 66.7% 83.9% 75.4% 72.0% 44.1% 87.5% 62.5%
Neck Lift 57.6% 64.5% 57.7% 73.3% 58.1% 55.6% 37.0% 46.2% 83.2% 21.3% 60.0% 55.9% 66.7% 69.8%
Hair Transplantation 13.5% 16.1% 15.4% 13.3% 9.7% 11.1% 63.0% 5.1% 11.4% 4.9% 4.0% 2.9% 20.8% 14.1%
Rhinoplasty 75.9% 90.3% 65.4% 86.7% 41.9% 81.5% 84.8% 74.4% 92.6% 45.9% 88.0% 91.2% 83.3% 66.4%
BREAST
Breast Augmentation – Saline 2.1% 3.2% 3.8% 3.3% 0.0% 0.0% 4.3% 0.0% 0.0% 1.6% 8.0% 0.0% 0.0% 8.5%
Breast Augmentation – Silicone 88.3% 93.6% 88.5% 93.3% 87.1% 85.2% 87.0% 94.9% 98.0% 77.1% 88.0% 70.6% 95.8% 76.7%
Breast Augmentation – Fat Transfer 53.3% 58.1% 42.3% 60.0% 71.0% 37.0% 67.4% 61.5% 60.4% 29.5% 56.0% 14.7% 62.5% 45.1%
Breast Implant Removal 74.6% 87.1% 65.4% 90.0% 83.9% 59.3% 52.2% 71.8% 94.0% 50.8% 84.0% 61.8% 79.2% 76.9%
Breast Lift 83.1% 90.3% 76.9% 86.7% 83.9% 81.5% 60.9% 84.6% 98.7% 68.9% 88.0% 67.7% 87.5% 77.6%
Breast Reduction 82.9% 80.7% 73.1% 93.3% 87.1% 74.1% 82.6% 84.6% 94.6% 68.9% 88.0% 58.8% 91.7% 71.7%
Gynecomastia 78.6% 83.9% 73.1% 80.0% 80.7% 81.5% 100.0% 84.6% 89.9% 55.7% 80.0% 47.1% 91.7% 62.3%
PERCENT OF PLASTIC SURGEONS PERFORMING EACH SURGICAL PROCEDURE

43. INTERNATIONAL
SURVEY
2021
Please credit the International Society of Aesthetic Plastic Surgery when citing statistical data. Contact ISAPS: +44 20 7038 7812 | media@isaps.org | www.isaps.org 43
PERCENT OF PLASTIC SURGEONS PERFORMING
EACH SURGICAL PROCEDURE
PERCENTAGE OF ALL PLASTIC SURGEONS PERFORMING EACH SURGICAL PROCEDURE
SURGICAL PROCEDURES WORLD-
WIDE ARGENTINA BRAZIL COLOMBIA GERMANY GREECE INDIA ITALY MEXICO ROMANIA SPAIN THAILAND TURKEY USA
BODY EXTREMITIES
Abdominoplasty 87.5% 96.8% 92.3% 93.3% 83.9% 88.9% 91.3% 92.3% 98.7% 68.9% 92.0% 64.7% 95.8% 79.3%
Buttock Augmentation –
Implants only
21.0% 19.4% 19.2% 53.3% 6.5% 3.7% 13.0% 10.3% 46.3% 3.3% 16.0% 17.7% 8.3% 4.0%
Buttock Augmentation –
Fat Transfer
54.7% 58.1% 57.7% 83.3% 35.5% 37.0% 52.2% 25.6% 92.0% 24.6% 60.0% 20.6% 45.8% 46.2%
Buttock Lift 26.4% 9.7% 30.8% 43.3% 32.3% 29.6% 17.4% 12.8% 46.3% 8.2% 12.0% 14.7% 16.7% 17.6%
Liposuction 85.5% 90.3% 80.8% 93.3% 87.1% 85.2% 97.8% 92.3% 96.0% 60.7% 92.0% 58.8% 91.7% 80.1%
Lower Body Lift 30.0% 16.1% 30.8% 36.7% 29.0% 11.1% 34.8% 23.1% 46.3% 11.5% 40.0% 17.7% 29.2% 31.5%
Penile Enlargement 8.0% 0.0% 0.0% 6.7% 9.7% 14.8% 8.7% 12.8% 10.7% 13.1% 4.0% 2.9% 12.5% 1.0%
Thigh Lift 42.5% 29.0% 38.5% 70.0% 54.8% 37.0% 34.8% 38.5% 48.3% 26.2% 60.0% 26.5% 50.0% 39.7%
Upper Arm Lift 34.7% 19.4% 34.6% 43.3% 35.5% 40.7% 23.9% 33.3% 54.4% 14.8% 40.0% 17.7% 37.5% 59.3%
Upper Body Lift 20.5% 6.5% 23.1% 30.0% 16.1% 3.7% 26.1% 7.7% 34.2% 8.2% 20.0% 8.8% 25.0% 16.8%
Labiaplasty (excluding vaginal
rejuvenation)
53.7% 38.7% 61.5% 63.3% 64.5% 59.3% 45.7% 61.5% 59.1% 52.5% 80.0% 26.5% 45.8% 33.6%
Vaginal Rejuvenation 21.6% 16.1% 34.6% 36.7% 9.7% 7.4% 50.0% 12.8% 30.9% 3.3% 28.0% 5.9% 29.2% 8.5%

44. INTERNATIONAL
SURVEY
2021
Please credit the International Society of Aesthetic Plastic Surgery when citing statistical data. Contact ISAPS: +44 20 7038 7812 | media@isaps.org | www.isaps.org 44
PERCENT OF PLASTIC SURGEONS PERFORMING
EACH NON-SURGICAL PROCEDURE
PERCENTAGE OF ALL PLASTIC SURGEONS PERFORMING EACH NON-SURGICAL PROCEDURE
NON-SURGICAL PROCEDURES WORLD-
WIDE ARGENTINA BRAZIL COLOMBIA GERMANY GREECE INDIA ITALY MEXICO ROMANIA SPAIN THAILAND TURKEY USA
INJECTABLES
Botulinum Toxin 85.5% 100.0% 76.9% 90.0% 90.3% 88.9% 67.4% 84.6% 98.7% 90.2% 84.0% 61.8% 91.7% 87.1%
Calcium Hydroxylapatite 17.6% 25.8% 26.9% 16.7% 19.4% 14.8% 2.2% 25.6% 25.5% 18.0% 28.0% 0.0% 20.8% 26.6%
Hyaluronic Acid 76.7% 83.9% 65.4% 80.0% 80.7% 81.5% 63.0% 84.6% 93.3% 90.2% 76.0% 32.4% 87.5% 71.7%
Poly-L-Lactic Acid 9.5% 9.7% 23.1% 0.0% 9.7% 29.6% 4.3% 7.7% 13.4% 8.2% 4.0% 0.0% 8.3% 24.4%
FACIAL REJUVENATION
Chemical Peel 24.4% 25.8% 19.2% 16.7% 16.1% 37.0% 43.5% 46.2% 25.5% 26.2% 52.0% 2.9% 8.3% 45.1%
Full Field Ablative 16.4% 25.8% 11.5% 6.7% 9.7% 40.7% 21.7% 35.9% 14.8% 11.5% 20.0% 2.9% 4.2% 35.2%
Micro-Ablative Resurfacing 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 21.9%
Dermabrasion 13.5% 22.6% 3.8% 10.0% 0.0% 11.1% 23.9% 12.8% 18.1% 6.6% 16.0% 8.8% 8.3% 10.6%
Microdermabrasion 13.0% 22.6% 3.8% 13.3% 3.2% 25.9% 19.6% 5.1% 25.5% 9.8% 4.0% 2.9% 0.0% 16.7%
Non-Surgical Skin Tightening 26.5% 29.0% 15.4% 26.7% 35.5% 33.3% 34.8% 23.1% 33.6% 21.3% 32.0% 8.8% 12.5% 23.4%
Photo Rejuvenation 11.1% 25.8% 7.7% 6.7% 9.7% 7.4% 6.5% 10.3% 15.4% 4.9% 20.0% 14.7% 4.2% 33.3%
Polymethylmethacrylate 1.0% 3.2% 0.0% 0.0% 0.0% 0.0% 2.2% 0.0% 2.0% 0.0% 0.0% 0.0% 0.0% 6.2%
OTHER
Cellulite Treatment 18.6% 29.0% 19.2% 16.7% 3.2% 51.9% 6.5% 25.6% 29.5% 16.4% 36.0% 0.0% 0.0% 10.1%
Hair Removal 17.4% 32.3% 3.8% 13.3% 0.0% 51.9% 37.0% 15.4% 16.1% 13.1% 16.0% 5.9% 4.2% 33.3%
Non-Surgical Fat Reduction 22.3% 25.8% 7.7% 33.3% 35.5% 51.9% 15.2% 20.5% 32.9% 18.0% 28.0% 11.8% 0.0% 29.1%
Tattoo Removal 14.8% 19.4% 0.0% 10.0% 3.2% 29.6% 50.0% 18.0% 18.8% 6.6% 12.0% 2.9% 0.0% 18.7%
Treatment of Leg Veins 6.5% 12.9% 3.8% 3.3% 3.2% 11.1% 8.7% 12.8% 5.4% 9.8% 12.0% 0.0% 0.0% 10.6%
Sclerotherapy 9.7% 6.5% 3.8% 3.3% 6.5% 18.5% 10.9% 10.3% 14.1% 21.3% 20.0% 5.9% 4.2% 15.3%

45. DEMOGRAPHICS

46. INTERNATIONAL
SURVEY
2021
Please credit the International Society of Aesthetic Plastic Surgery when citing statistical data. Contact ISAPS: +44 20 7038 7812 | media@isaps.org | www.isaps.org 46
GENDER DISTRIBUTION FOR COSMETIC PROCEDURES – SURGICAL
RANK FEMALE
NUMBER OF
PROCEDURES
PERCENTAGE
OF TOTAL
1 Breast Augmentation 1,658,673 98.4%
2 Liposuction 1,625,283 85.4%
3 Eyelid Surgery 1,142,957 79.0%
4 Abdominoplasty 904,846 91.3%
5 Breast Lift 781,404 100.0%
6 Rhinoplasty 738,743 74.2%
7
Lip Enhancement/
Perioral Procedure
669,361 93.3%
8 Breast Reduction 507,363 100.0%
9
Buttock Augmentation –
Implants and Fat Transfer
497,320 95.0%
10 Fat Grafting – Face 479,174 81.3%
11 Facelift 398,473 83.4%
12 Breast Implant Removal 249,735 98.5%
13 Brow Lift 238,729 82.3%
14 Neck Lift 236,619 81.4%
15 Ear Surgery 171,111 62.8%
16 Labiaplasty 171,088 100.0%
17 Upper Arm Lift 127,949 91.3%
18 Thigh Lift 104,391 92.2%
19 Facial Bone Contouring 100,058 76.0%
20 Lower Body Lift 84,518 87.8%
21 Vaginal Rejuvenation 71,018 100.0%
22 Buttock Lift 58,633 92.8%
23 Upper Body Lift 39,882 88.2%
Total Surgical Procedures 11,057,328 86.1%
GENDER DISTRIBUTION FOR SURGICAL COSMETIC PROCEDURES
RANK MALE NUMBER OF
PROCEDURES
PERCENTAGE
OF TOTAL
1 Eyelid Surgery 303,932 21.0%
2 Gynecomastia 282,997 100.0%
3 Liposuction 277,779 14.6%
4 Rhinoplasty 256,406 25.8%
5 Fat Grafting – Face 110,319 18.7%
6 Ear Surgery 101,382 37.2%
7 Abdominoplasty 86,515 8.7%
8 Facelift 79,232 16.6%
9 Neck Lift 54,225 18.6%
10 Brow Lift 51,378 17.7%
11
Lip Enhancement/
Perioral Procedure
48,235 6.7%
12 Facial Bone Contouring 31,597 24.0%
13 Breast Augmentation 26,799 1.6%
14
Buttock Augmentation –
Implants and Fat Transfer
26,011 5.0%
15 Upper Arm Lift 12,209 8.7%
16 Lower Body Lift 11,793 12.2%
17 Thigh Lift 8,815 7.8%
18 Upper Body Lift 5,318 11.8%
19 Buttock Lift 4,557 7.2%
20 Breast Implant Removal 3,859 1.5%
Total Surgical Procedures 1,783,360 13.9%

47. INTERNATIONAL
SURVEY
2021
Please credit the International Society of Aesthetic Plastic Surgery when citing statistical data. Contact ISAPS: +44 20 7038 7812 | media@isaps.org | www.isaps.org 47
GENDER DISTRIBUTION FOR COSMETIC PROCEDURES –
NON-SURGICAL
RANK FEMALE
NUMBER OF
PROCEDURES
PERCENTAGE
OF TOTAL
1 Botulinum Toxin 6,252,548 85.5%
2 Hyaluronic Acid 4,694,030 88.9%
3 Hair Removal 1,585,732 86.4%
4 Non-Surgical Skin Tightening 875,595 87.2%
5 Non-Surgical Fat Reduction 605,669 82.9%
6 Chemical Peel 463,573 86.7%
7 Cellulite Treatment 361,436 95.3%
8 Calcium Hydroxylapatite 242,647 83.6%
9 Full Field Ablative 199,912 86.2%
Total Non-Surgical Procedures 15,281,143 86.8%
Total Procedures 26,338,471 86.5%
GENDER DISTRIBUTION FOR NON-SURGICAL COSMETIC PROCEDURES
RANK MALE
NUMBER OF
PROCEDURES
PERCENTAGE
OF TOTAL
1 Botulinum Toxin 1,060,068 14.5%
2 Hyaluronic Acid 585,315 11.1%
3 Hair Removal 250,379 13.6%
4
Non-Surgical Skin
Tightening
128,136 12.8%
5 Non-Surgical Fat Reduction 125,311 17.1%
6 Chemical Peel 71,257 13.3%
7 Calcium Hydroxylapatite 47,448 16.4%
8 Full Field Ablative 32,043 13.8%
9 Cellulite Treatment 17,788 4.7%
Total Non-Surgical Procedures 2,317,745 13.2%
Total Procedures 4,101,105 13.5%

48. INTERNATIONAL
SURVEY
2021
Please credit the International Society of Aesthetic Plastic Surgery when citing statistical data. Contact ISAPS: +44 20 7038 7812 | media@isaps.org | www.isaps.org 48
PATIENT AGE RELATED TO COSMETIC PROCEDURE
18 YEARS
OR YOUNGER
19–34 YEARS
OLD
35–50 YEARS
OLD
51–64 YEARS
OLD
65 YEARS
OR OLDER
Breast Augmentations 33,204 2.0% 894,648 53.1% 623,962 37.0% 116,298 6.9% 17,360 1.0%
Liposuction 38,822 2.0% 784,633 41.2% 846,482 44.5% 210,669 11.1% 22,456 1.2%
Rhinoplasty 72,845 7.3% 633,811 63.7% 241,324 24.3% 42,493 4.3% 4,677 0.5%
Botulinum Toxin 106,033 1.5% 1,767,459 24.2% 3,450,092 47.2% 1,690,677 23.1% 298,355 4.1%
Non-Surgical Fat Reduction 24,488 3.4% 284,790 39.0% 323,166 44.2% 87,937 12.0% 10,599 1.5%
AGE DISTRIBUTION OF PATIENTS UNDERTAKING CERTAIN COSMETIC PROCEDURES
COUNTRY PERCENTAGE OF SURGEONS PERFORMING
BREAST AUGMENTATION IN MINORS
Worldwide 7.3%
Argentina 0.0%
Brazil 27.3%
Colombia 10.7%
Germany 3.7%
Greece 0.0%
India 2.3%
Italy 10.8%
Mexico 10.8%
Romania 6.8%
Spain 4.2%
Thailand 3.1%
Turkey 13.6%
USA 4.7%
PERCENTAGE OF SURGEONS PERFORMING BREAST AUGMENTATION
IN WOMEN OF 17 YEARS OLD OR YOUNGER
REASONS FOR PROCEDURE
Tubular breast 26.4%
Severe asymmetry 25.8%
Congenital absent breast (i.e., Poland’s syndrome) 14.9%
Congenital micromastia 12.6%
Purely cosmetic bilateral augmentation 11.1%
Other 9.1%

49. INTERNATIONAL
SURVEY
2021
Please credit the International Society of Aesthetic Plastic Surgery when citing statistical data. Contact ISAPS: +44 20 7038 7812 | media@isaps.org | www.isaps.org 49
COSMETIC PROCEDURES BY LOCATION
AN OFFICE
FACILITY
A HOSPITAL
A FREE-STANDING
SURGICENTER
OTHER
Worldwide 35.6% 43.5% 20.0% 0.8%
Argentina 47.3% 19.1% 33.6% 0.0%
Brazil 23.0% 70.0% 7.1% 0.0%
Colombia 23.5% 25.7% 50.8% 0.0%
Germany 39.4% 41.4% 15.7% 3.6%
Greece 53.4% 38.0% 8.7% 0.0%
India 26.3% 65.1% 8.6% 0.0%
Italy 35.4% 45.3% 19.1% 0.3%
Mexico 33.9% 40.1% 25.4% 0.6%
Romania 47.5% 37.3% 14.9% 0.3%
Spain 41.0% 52.6% 6.5% 0.0%
Thailand 40.2% 50.2% 9.6% 0.0%
Turkey 22.5% 69.3% 8.2% 0.0%
USA 37.1% 25.3% 37.1% 0.5%
COSMETIC PROCEDURES BY LOCATION

50. INTERNATIONAL
SURVEY
2021
Please credit the International Society of Aesthetic Plastic Surgery when citing statistical data. Contact ISAPS: +44 20 7038 7812 | media@isaps.org | www.isaps.org 50
MEDICAL TOURISM
MEDIAN AVERAGE
Worldwide 10.0% 17.6%
Argentina 5.0% 7.0%
Brazil 3.0% 6.6%
Colombia 15.0% 29.6%
Germany 5.0% 9.9%
Greece 4.0% 6.6%
India 10.0% 9.8%
Italy 5.0% 10.1%
Mexico 20.0% 29.4%
Romania 5.0% 11.9%
Spain 10.0% 13.8%
Thailand 10.0% 23.2%
Turkey 27.5% 32.1%
USA 13.8% 11.0%
MEDICAL TOURISM
PERCENTAGE OF PATIENTS ATTENDING FROM OTHER COUNTRIES
Paraguay USA Chile
USA Portugal Spain
USA Spain Chile
Switzerland Austria Turkey
United Kingdom Germany Albania
USA United Arab Emirates United Kingdom
United Kingdom France Switzerland
USA Canada Colombia
Italy Germany United Kingdom
United Kingdom Colombia France
Australia China USA
Germany United Kingdom Spain
Mexico Canada United Kingdom
MOST FREQUENTLY-CITED
COUNTRIES OF FOREIGN PATIENTS
TOP 3
1 2 3

51. IMPACT OF
COVID-19

52. INTERNATIONAL
SURVEY
2021
Please credit the International Society of Aesthetic Plastic Surgery when citing statistical data. Contact ISAPS: +44 20 7038 7812 | media@isaps.org | www.isaps.org 52
WHICH OF THE FOLLOWING, IF ANY, OCCURRED AT YOUR PRACTICE BECAUSE OF COVID-19?
WORLDWIDE ARGENTINA BRAZIL COLOMBIA GERMANY GREECE INDIA ITALY MEXICO ROMANIA SPAIN THAILAND TURKEY USA
WHICH OF THE FOLLOWING, IF ANY, OCCURRED AT YOUR PRACTICE BECAUSE OF COVID-19 IN THE YEAR 2021?
Closed practice temporarily 54.4% 77.4% 73.9% 75.9% 3.2% 60.0% 56.8% 63.9% 57.8% 51.7% 47.8% 61.8% 45.0% 65.4%
Modified office hours 47.2% 77.4% 34.8% 69.0% 32.3% 48.0% 45.5% 33.3% 59.9% 40.0% 47.8% 23.5% 15.0% 50.0%
Patient demand decreased due to safety/
virus concerns
40.1% 54.8% 30.4% 55.2% 16.1% 40.0% 50.0% 44.4% 40.9% 30.0% 21.7% 52.9% 55.0% 37.7%
Patient demand decreased due to patients’
lost wages and income concerns
27.5% 41.9% 26.1% 27.6% 6.5% 24.0% 50.0% 27.8% 24.7% 25.0% 8.7% 32.4% 30.0% 19.6%
Patient demand increased due to patients'
work flexibility
22.7% 25.8% 17.4% 20.7% 32.3% 24.0% 15.9% 19.4% 35.9% 11.7% 30.4% 8.8% 15.0% 37.8%
Implemented salary reductions 10.7% 9.7% 4.4% 24.1% 3.2% 8.0% 13.6% 5.6% 7.0% 10.0% 4.4% 23.5% 5.0% 8.3%
Reduced fees for procedures 13.1% 16.1% 0.0% 10.3% 3.2% 12.0% 20.5% 13.9% 17.6% 15.0% 13.0% 23.5% 5.0% 9.5%
Increased staff because of added
protocols and protections
8.0% 6.5% 4.4% 13.8% 3.2% 4.0% 6.8% 8.3% 12.7% 8.3% 4.4% 2.9% 5.0% 9.9%
Laid off/furloughed staff 6.9% 19.4% 13.0% 20.7% 0.0% 4.0% 0.0% 2.8% 7.8% 1.7% 8.7% 8.8% 5.0% 18.2%
Moved to a new employment situation or
practice
9.8% 22.6% 13.0% 20.7% 0.0% 12.0% 4.6% 0.0% 12.7% 13.3% 4.4% 8.8% 10.0% 7.8%
Staff shortages 11.4% 6.5% 0.0% 6.9% 12.9% 12.0% 22.7% 11.1% 10.6% 8.3% 17.4% 11.8% 5.0% 14.5%
Reduced number of surgeons 4.7% 3.2% 0.0% 0.0% 6.5% 8.0% 6.8% 13.9% 3.5% 1.7% 4.4% 0.0% 5.0% 2.3%
Closed practice permanently 3.8% 3.2% 0.0% 13.8% 0.0% 4.0% 4.6% 2.8% 3.5% 3.3% 0.0% 0.0% 0.0% 1.9%
Other 2.1% 0.0% 4.4% 3.5% 3.2% 0.0% 2.3% 0.0% 1.4% 0.0% 0.0% 5.9% 5.0% 4.0%
None 6.9% 0.0% 8.7% 0.0% 29.0% 0.0% 2.3% 8.3% 3.5% 11.7% 8.7% 2.9% 10.0% 9.3%
COVID-19 IMPACT
COVID-19 IMPACT

53. INTERNATIONAL
SURVEY
2021
Please credit the International Society of Aesthetic Plastic Surgery when citing statistical data. Contact ISAPS: +44 20 7038 7812 | media@isaps.org | www.isaps.org 53
WHICH OF THE FOLLOWING, IF ANY, OCCURRED AT YOUR PRACTICE BECAUSE OF COVID-19?
WORLDWIDE ARGENTINA BRAZIL COLOMBIA GERMANY GREECE INDIA ITALY MEXICO ROMANIA SPAIN THAILAND TURKEY USA
WHEN DO YOU EXPECT YOUR PRACTICE WILL RETURN TO A “PRE-PANDEMIC” PATIENT VOLUME?
We have already returned to
pre-Pandemic levels
61.6% 67.7% 60.9% 79.3% 75.9% 61.5% 57.8% 50.0% 67.4% 49.2% 83.3% 35.3% 76.2% 85.7%
Less than 1 month from now 1.0% 0.0% 4.4% 0.0% 0.0% 0.0% 0.0% 2.6% 1.4% 0.0% 0.0% 2.9% 4.8% 0.3%
1 to 2 months from now 3.0% 6.5% 4.4% 0.0% 3.5% 0.0% 4.4% 2.6% 4.2% 0.0% 0.0% 5.9% 0.0% 0.7%
3 to 6 months from now 8.0% 6.5% 8.7% 10.3% 0.0% 7.7% 15.6% 10.5% 4.2% 8.2% 0.0% 17.7% 0.0% 2.0%
7 to 12 months from now 7.6% 3.2% 0.0% 0.0% 6.9% 3.9% 13.3% 13.2% 8.3% 9.8% 8.3% 17.7% 9.5% 3.5%
1 to 2 years from now 11.6% 12.9% 17.4% 10.3% 10.3% 15.4% 4.4% 7.9% 8.3% 18.0% 4.2% 14.7% 4.8% 2.9%
More than 2 years from now 2.8% 0.0% 0.0% 0.0% 0.0% 11.5% 4.4% 2.6% 0.0% 11.5% 4.2% 0.0% 0.0% 2.3%
Never - our practice's daily operations will
never return to pre-Pandemic levels
4.3% 3.2% 4.4% 0.0% 3.5% 0.0% 0.0% 10.5% 6.3% 3.3% 0.0% 5.9% 4.8% 2.6%
COVID-19 IMPACT
COVID-19 IMPACT

54. ADDITIONAL
RESIDENT
STATISTICS

55. INTERNATIONAL
SURVEY
2021
Please credit the International Society of Aesthetic Plastic Surgery when citing statistical data. Contact ISAPS: +44 20 7038 7812 | media@isaps.org | www.isaps.org 55
ADDITIONAL STATISTICS
WHICH OF THE FOLLOWING, IF ANY, OCCURRED AT YOUR PRACTICE BECAUSE OF COVID-19?
WORLDWIDE ARGENTINA BRAZIL COLOMBIA GERMANY GREECE INDIA ITALY MEXICO ROMANIA SPAIN THAILAND TURKEY USA
HOW MANY YEARS HAVE YOU BEEN IN PRACTICE?
Median 17 22 26 16 22 10 7 25 20 8 25 15 12 20
Average 18 22 24 17 20 13 11 23 21 11 23 18 13 22
WHAT IS YOUR GENDER?
Male 79.5% 80.7% 87.0% 82.1% 80.7% 81.5% 80.0% 73.7% 83.6% 55.7% 76.0% 82.4% 91.3% 83.3%
Female 20.6% 19.4% 13.0% 17.9% 19.4% 18.5% 20.0% 26.3% 16.4% 44.3% 24.0% 17.7% 8.7% 16.7%
ARE YOU CURRENTLY A MEMBER OF ISAPS?
Yes 69.8% 90.0% 95.7% 51.7% 100.0% 37.0% 80.0% 50.0% 59.7% 23.3% 92.0% 54.6% 87.0% 97.1%
No 30.3% 10.0% 4.4% 48.3% 0.0% 63.0% 20.0% 50.0% 40.3% 76.7% 8.0% 45.5% 13.0% 2.9%
PERCENT OF PHYSICIANS PERFORMING THE FOLLOWING PROCEDURES IN 2021:
Bichectomy 47.1% 47.8% 36.8% 77.8% 18.5% 5.9% 38.7% 16.1% 89.6% 23.5% 41.7% 19.4% 69.6% 40.0%
Brachioplasty 63.0% 41.7% 63.2% 76.9% 75.9% 61.9% 55.6% 59.4% 83.3% 27.5% 75.0% 35.5% 75.0% 83.3%
Mommy Makeover 61.6% 45.8% 58.8% 67.9% 71.4% 52.6% 72.5% 32.3% 74.3% 37.7% 58.3% 35.5% 87.0% 85.7%
Sex Reassignment Surgery
(Sex Change)
10.8% 33.3% 5.3% 7.7% 11.5% 15.8% 32.4% 12.9% 5.8% 0.0% 16.7% 28.1% 5.9% 0.0%
Vaginal Rejuvenation using
Radio Frequency
6.7% 4.6% 15.8% 4.2% 0.0% 5.9% 14.7% 6.9% 7.4% 4.1% 4.2% 6.9% 0.0% 16.7%
ADDITIONAL STATISTICS

56. INTERNATIONAL
SURVEY
2021
Please credit the International Society of Aesthetic Plastic Surgery when citing statistical data. Contact ISAPS: +44 20 7038 7812 | media@isaps.org | www.isaps.org 56
RESIDENT STATISTICS
RESIDENT STATISTICS
WORLDWIDE ARGENTINA BRAZIL COLOMBIA GERMANY GREECE INDIA ITALY MEXICO ROMANIA SPAIN THAILAND TURKEY USA
DO YOU HAVE ADDITIONAL SURGEONS OR RESIDENTS IN YOUR PRACTICE?
Yes 37.3% 45.2% 56.5% 41.4% 60.0% 51.9% 45.5% 39.5% 27.0% 33.9% 24.0% 42.4% 22.7% 41.6%
No 62.7% 54.8% 43.5% 58.6% 40.0% 48.2% 54.6% 60.5% 73.1% 66.1% 76.0% 57.6% 77.3% 58.4%
IF YES, PLEASE PROVIDE COUNTS (AVERAGES):
Surgeons – Male 183 157 N/A N/A 182 N/A 180 133 131 235 N/A N/A N/A N/A
Surgeons – Female 96 36 N/A N/A 112 N/A 30 47 64 290 N/A N/A N/A N/A
Surgeons – Total 279 193 N/A N/A 294 N/A 210 180 195 525 N/A N/A N/A N/A
Residents – Male 184 193 N/A N/A 94 N/A 70 47 306 115 N/A N/A N/A N/A
Residents – Female 124 143 N/A N/A 82 N/A 45 20 106 100 N/A N/A N/A N/A
Residents – Total 308 336 N/A N/A 176 N/A 115 67 412 215 N/A N/A N/A N/A
ARE THE RESIDENTS IN YOUR PRACTICE PART OF A TRAINING PROGRAM TO BECOME A PLASTIC SURGEON?
Yes 74.0% 85.7% N/A N/A 73.3% N/A 35.3% 66.7% 72.7% 94.7% N/A N/A N/A N/A
No 26.1% 14.3% N/A N/A 26.7% N/A 64.7% 33.3% 27.3% 5.3% N/A N/A N/A N/A
IS THERE A REQUIREMENT FOR YOUR RESIDENTS TO COMPLETE A LOGBOOK OF PROCEDURES AS PART OF THEIR TRAINING?
Yes 67.0% 84.6% N/A N/A N/A N/A 69.2% 50.0% 71.0% 55.6% N/A N/A N/A N/A
No 33.0% 15.4% N/A N/A N/A N/A 30.8% 50.0% 29.0% 44.4% N/A N/A N/A N/A

57. INTERNATIONAL
SURVEY
2021
ISAPS BOARD OF DIRECTORS
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ISAPS EXECUTIVE OFFICE
19 Mantua Road
Mount Royal, NJ 08061
United States
Phone: +44 20 7038 7812
Email: ISAPS@isaps.org
www.ISAPS.org
MARKETING OFFICE
boeld communication
Reitmorstraße 25, 80538 Munich, Germany
marketing@isaps.org
www.bb-mc.com
GLOBAL SURVEY EDITOR
Gianluca CAMPIGLIO – Italy
FOR PRESS INQUIRIES, PLEASE CONTACT:
media@isaps.org
PRESIDENT Lina TRIANA, MD – Colombia
PRESIDENT-ELECT Arturo RAMÍREZ-MONTAÑANA, MD – Mexico
SECRETARY Paraskevas KONTOES, MD, PhD – Greece
TREASURER Kai SCHLAUDRAFF, MD, FEBOPRAS – Switzerland
PAST PRESIDENT Nazim CERKES, MD, PhD – Turkey
MEMBERSHIP CHAIR Andre CERVANTES, MD – Brazil
MEMBER-AT-LARGE Fabian CORTIÑAS, MD – Argentina
MEMBER-AT-LARGE Montserrat FONTBONA, MD – Chile
MEMBER-AT-LARGE Tim PAPADOPOULOS, MD – Australia
MEMBER-AT-LARGE Ivar VAN HEIJNINGEN, MD – Belgium
NATIONAL SECRETARIES CHAIR Bertha TORRES GOMEZ, MD – Mexico
EDUCATION COUNCIL CHAIR Ozan SOZER, MD – United States
TRUSTEE ETHICS COMMITTEE CHAIR Kai KAYE, MD, PHD – Spain
PARLIAMENTARIAN Sanguan KUNAPORN, MD – Thailand
EDUCATION COUNCIL VICE-CHAIR Francisco BRAVO, MD – Spain
EXECUTIVE DIRECTOR Sarah JOHNSON – United Kingdom