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New Data From The Aesthetic Society Indicates Decrease in Breast Augmentation Surgery

New tech and ongoing research launch to improve patient safety, informed consent

NEW YORK, NY (May 19, 2020) – The Aesthetic Society recently released its annual statistics for 2019 reflecting data collected only from plastic surgeons certified by the American Board of Plastic Surgery, the only survey in the United States to focus exclusively on the specialty. The latest data illustrates a 14.9% decrease in breast augmentation surgery, the number one aesthetic surgical procedure since 2017. Additionally, breast implant removal (explantation) increased 34.4%.

The decrease in breast augmentation surgery and increase in explantations highlights the critical need for research surrounding breast implant devices and tools to empower patients. The Aesthetic Society has launched new efforts to educate patients who have had or are exploring breast implant surgery; developing information technology and conducting research to serve the needs of all stakeholders including breast implant patients, surgeons and the Food & Drug Administration (FDA):

  • “Aesthetic One - The Patient App”: Developed through support from Allergan® the mobile platform is tailored to empower patients— facilitating two-way doctor-patient communication and acquiring essential data related to breast implant patients. The app is under development and will be available to patients in fall 2020.
  • The Aesthetic Surgery Education and Research Foundation (ASERF) is the research arm of The Aesthetic Society. ASERF identifies and pursues issues relevant to the advancement and safety in aesthetic medicine. Recently, ASERF awarded a significant research grant towards a pilot study to identify a genetic predisposition to BIA-ALCL.
  • Patient Decision Aid (PDA): The Aesthetic Society’s Informed Consent Task Force in collaboration with Chelsea Hagopian, DNP, APRN, AGACNP-BC developed an evidence-based PDA to improve the quality of the informed consent process. This PDA will support prospective breast implant patients with the critical education needed to provide informed consent. The Aesthetic Society’s PDA is designed for use throughout the consultation and informed consent process to assist in shared decision-making. It is structured to help prepare patients for each decision point before breast augmentation surgery and during the lifespan of the breast implant.

“The decrease in breast augmentation surgery last year does not come as a surprise to our membership as breast implant devices remain fiercely discussed,” explains Herluf G. Lund, MD and President of The Aesthetic Society. “Our members are committed to patient safety, advancing the quality of care, and practicing medicine based upon the best available scientific evidence. The research we perform and tools we create are all to empower the patient and ultimately provide the safest possible outcome.”

Additionally, The Aesthetic Society released the top 5 non-surgical procedures performed in 2019 by board-certified U.S. plastic surgeons:

  • Botulinum Toxin (including Botox, Dysport, Xeomin) 1,712,994 procedures
  • Hyaluronic Acid (including Juvederm Ultra, Ultra Plus, Voluma, Perlane, Restylane, Belotero) 749,409 procedures
  • Hair Removal (laser or pulsed light) 180,332 procedures
  • Nonsurgical fat reduction (including CoolSculpting, Vaser Shape, Liposonix) 129,686 procedures
  • Photo Rejuvenation (IPL) 99,740 procedures

A full copy of The Aesthetic Society’s statistics, including a PDF book containing press-ready infographics, is available here.


About The Aesthetic Plastic Surgery National Databank

The Aesthetic Society, working with an independent research firm, compiled the national data for procedures performed by plastic surgeons in 2019. A paper-based questionnaire was mailed to 7,000 ABPS board-certified plastic surgeons. An online version of the questionnaire was also available.

 A total of 331 board-certified plastic surgeons returned questionnaires. While surveys were distributed to all domestic, board-certified plastic surgeons, the results may reflect activities of surgeons who primarily conduct aesthetic surgical procedures. Final figures have been projected to reflect nationwide statistics. Confidence intervals change by procedure, depending on the grouping’s sample size and the response variance, though the overall survey portion of this research has a standard error of +/- 5.26% at a 95% level of confidence. The 2019 Aesthetic Plastic Surgery National Databank was compiled, tabulated, and analyzed by Industry Insights Inc. (, an independent research firm based in Columbus, OH.

Media Contacts

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About The Aesthetic Society

The American Society for Aesthetic Plastic Surgery, is recognized as the world's leading organization devoted entirely to aesthetic plastic surgery and cosmetic medicine of the face and body. The Aesthetic Society is comprised of over 3,000 Plastic Surgeons; Active Members are certified by the American Board of Plastic Surgery (USA) or by the Royal College of Physicians and Surgeons of Canada and have extensive training in the complete spectrum of surgical and nonsurgical aesthetic procedures. International Active Members are certified by equivalent boards of their respective countries. All members worldwide adhere to a strict Code of Ethics and must meet stringent membership requirements.

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