ASAPS: Americans Spent More than $2B on Silicone Gel Breast Implants and Injectables in 2018

Wednesday, May 01, 2019 | Fillers & Injectables , Research and Publications , Allergan , ASAPS , Cosmetic surgery , Galderma , Millennials , Restylane , Surgery

Americans spent more than $2 billion on silicone gel breast implants and injectables in 2018 alone, according to new data from The American Society for Aesthetic Plastic Surgery (The Aesthetic Society).

Breast Implants: 

  • 329,914 breast augmentation procedures were performed in 2018 by plastic surgeons certified by the American Board of Plastic Surgery
  • Eighty eight percent of those breast augmentation procedures consisted of silicone gel implants
  • $1,146,936,553 spent on silicone gel implants in just one year
  • The number of breast augmentation procedures performed has increased by 15 percent in the past five years


  • 2,671,130 injectable procedures were performed in 2018
  • Sixty seven percent consisted of botulinum toxin injections and 30 percent of which consisted of hyaluronic acid injections
  • A total of $1,155,509,471 was spent on injectables last year
  • The number of injectable procedures performed has increased by 39 percent in the past five years

The figures demonstrate that breast augmentation continues to be one of the most popular surgical procedures nationwide, with a 15 percent increase in the number performed in the past five years, and that silicone gel implants are the preferred implant type in the United States.

The data also reflects that injectables are a perennially popular option for individuals seeking a more youthful appearance who aren't yet ready to commit to a more invasive surgical procedure or are seeking aesthetic procedures which will enable them to stave off more invasive procedures for a longer period of time. Botulinum toxin has been the number one aesthetic procedure in plastic surgery practices since 1999.

Additional procedures, such as buttock augmentation and labiaplasty, once thought to be passing trends are anything but, with five years of continuous growth. Buttock augmentation has increased by 61 percent in the last five years, with more than 100 million spent in 2018. Labiaplasty has increased by 53 percent in the last five years with more than 35 million spent in 2018, the data show.

"The trends are not surprising and reflect what I see in my practice on a regular basis," explains W. Grant Stevens, President of The Aesthetic Society, in a news release."With more women seeking options to aesthetically enhance every inch of their bodies, I'm not at all shocked to see that labiaplasty and buttock augmentation are becoming much more popular than ever before."    

About the Data

The Aesthetic Society, working with an independent research firm, compiled the national data for procedures performed in 2018. A paper-based questionnaire was mailed to 7,000 board-certified plastic surgeons. An online version of the questionnaire was also available. A total of 315 board-certified plastic surgeons returned questionnaires, of which 21 were retired or otherwise inactive during 2018. 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 +/- 5.59 percent at a 95 percent level of confidence.

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