That Was the Year that Was.

The International Society for Aesthetic Plastic Surgery reports that more than 20 Million cosmetic procedures were performed in 2014. Probably double that if you include all the hair-dressers, nurses, dentists and self-trained general practitioners performing ‘Botox’ fillers and laser hair removal. The United States performed the most at 4,064,571 (2.1%)

Brazil was second in the cosmetic surgery league with 10.2 % of the total. Columbia did 357,115 (1.8%) and oh sorry, England, well, not even on the list. That about sums it up. Not hard to figure out why the United States has the best reputation for Cosmetic Surgery worldwide and why I chose to train in the US in Plastic Surgery and Aesthetic Surgery.

The leading cosmetic surgery procedures are eyelid surgery followed by liposuction, breast augmentation, fat grafting and rhinoplasty. I would see this changing rapidly as CoolSculpting and other non-surgical techniques take over from traditional removal of fat. Of course dieting still works but not for diet and exercise resistant fat. Incidentally, after a brief trip to France, this summer, I have come to the conclusion that Kate Moss’ only memorable quote that ‘nothing tastes as good as skinny feels’ is only true if you are English. So for foreigners, at least, who have food as an option for mucosal gratification, skinny may not sound so addicting.

The leading non-surgical procedure was Botuilinum Toxin – can’t they just add it the drinking water and fortify our margarine with it? Other were Fillers, Hair removal, Chemical Peel and Laser Skin Resurfacing. Dermatology is now one of the hardest residencies to get into in the USA. The entire non-surgical aesthetic arena has overtaken surgery, number and dollar-wise. Just ask Dr Lancer, Kim Kardashian’s Dermatolgist. Women still have the major share of surgery. Eight-six percent. The main items were Breast augmentation, liposuction, eyelid surgery, fat grafting and tummy-tuck. Of course the frequency depends on age. So there you are, that was the year that was or something like that.


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