Key Takeaways:

• Global surgery procedure volume dipped slightly in 2024, but demand remains strong—especially for nonsurgical and age-specific treatments.
• The US leads in injectables, Brazil in body surgeries; Asia performs the most total procedures globally.
• Skin-tightening and eyelid surgery surged, signaling a shift toward visible results with minimal downtime.

Every year, the International Society of Aesthetic Plastic Surgery (ISAPS)—the leading global organization for board-certified plastic surgeons—releases its definitive snapshot of the state of aesthetic medicine. The ISAPS Global Survey is widely recognized as an industry benchmark, compiling data from more than 2,900 plastic surgeons across 117 countries. The newly released 2025 report, based on procedures performed the year prior, reveals a shifting aesthetic landscape: while total procedure volume dipped slightly for the first time in years, consumer demand remains strong—especially for noninvasive solutions and age-specific enhancements.

At the same time, cultural attitudes toward surgery are becoming more open, with public figures like Kris Jenner normalizing transparency around cosmetic work. The celebrity’s latest facelift sparked a wave of social media curiosity, with fans asking outright for her surgeon’s name and praising her choice. From global procedure rankings to medical tourism hotspots, BeautyMatter breaks down the numbers shaping the future of the aesthetic industry.

Global Totals

• Total Aesthetic Procedures: 37,953,870
• Surgical: 17,415,324 (-6.7% year-over year (YoY) growth)
• Nonsurgical: 20,538,546 (-3.1% YoY growth)

Top Five Countries by Global Procedure

• United States: 6,170,212 (highest nonsurgical volume)
• Brazil: 3,121,206 (highest surgical volume)
• Japan: 1,627,356
• Mexico: 1,366,519
• Germany: 1,205,926

Total Plastic Surgeons (Globally) 58,504

• United States: 7,752
• Brazil: 7,136
• Mexico: 2,429
• Germany: 1,648
• Turkey: 1,540

The US and Brazil continued to dominate the global aesthetic landscape, but for different reasons. The US leads in nonsurgical procedures, while Brazil champions surgical interventions, particularly body-focused enhancements. Japan, Mexico, and Germany round out the top five. Together, these countries represent not only volume but also strategic diversity, balancing injectables, facial surgery, and body contouring.

With over 58,000 practicing surgeons worldwide, the industry remains robustly global, though US surgeons still perform the largest share; on average 649 procedures per doctor.

Top 10 Surgical Procedures (Global)

• Eyelid surgery: 2,115,360 total, +13.4% YoY growth
• Liposuction: 2,087,189 total, -12.6% YoY growth 
• Breast augmentation: 1,658,615 total, -17.5% YoY growth 
• Scar revision: 1,156,446 total, 0% YoY growth (new entry)
• Rhinoplasty: 1083,631 total, 9.8% YoY growth 
• Abdominoplasty: (tummy tuck), 1,023,227 total, -16.7% YoY growth 
• Facelift: 764,974 total, -9.5% YoY growth 
• Breast lift: 690,172 total, -9.4% YoY growth 
• Breast reduction: 657, 232 total, -16.8% YoY growth 
• Fat grafting: 628, 379 total, -20.5% YoY growth

Top 10 Nonsurgical Procedures (Global)

• Botulinum toxin: 7,887,955 total, -17.4% YoY growth 
• Hyaluronic acid fillers: 6,338,184 total, +5.2% YoY growth 
• Hair removal: 1,487,130 total, -12.9% YoY growth 
• Skin tightening: 1,239,306 total, +38.9% YoY growth 
• Chemical peels: 820,225 total, +33.3% YoY growth 
• Full field ablative resurfacing: 494,351 total, +17.9% YoY growth 
• Nonsurgical fat reduction: 454,042 total, +1.7% YoY growth 
• Photorejuvenation: 434,639 total, -10.8% YoY growth 
• Micro-ablative resurfacing: 352,092 total, -5.3% YoY growth
• Calcium hydroxyapatite: 293,096 total, -3.3% YoY growth 

Despite an overall decline in the industry, some procedures are experiencing unexpected growth. Eyelid surgery grew 13.3% YoY, becoming the most performed surgical procedure worldwide. In the nonsurgical space, skin-tightening and chemical peels posted double-digit gains, rising 38.9% and 33.3%, respectively, reflecting consumer demand for visible results with little downtime. Elsewhere, traditional procedures like Botox and liposuction have declined, possibly due to market saturation, shifting consumer expectations, or even less spending due to economic uncertainty.

Procedures per Gender

Women (85.5% of all procedures)

Top Surgical:

• Liposuction: 1,792,232 total
• Eyelid surgery: 1,625,597 total
• Breast augmentation: 1,611,758 total 
• Abdominoplasty: 945,636 total
• Scar revision: 836, 458 total 

Top Nonsurgical:

• Botulinum toxin: 6,622, 473 total
• Hyaluronic acid: 5,458,666 total
• Hair removal: 1,224,695 total
• Skin tightening: 1,046,361 total
• Chemical peel: 662,200 total

Men (14.5% of all procedures)

Top Surgical:

• Eyelid surgery: 489,763 total 
• Gynecomastia: 383,656 total
• Scar revision: 319,987 total
• Liposuction: 294,866 total
• Rhinoplasty: 287,398 total

Top Nonsurgical:

• Botulinum toxin: 1,265,482 total
• Hyaluronic acid: 879,517 total
• Hair removal: 262,435 total
• Skin tightening: 192,946 total
• Full field ablative resurfacing: 159,474 total 

There is a stark gender gap in the aesthetics market, with women leading the charge, accounting for 85.6% of all procedures. Among them, liposuction, eyelid surgery, and breast augmentation lead the charge, while Botox and filler dominate the nonsurgical landscape.

Men represent only 14.5% of patients but continue to embrace eyelid surgery, gynecomastia correction, and injectables. Notably, men’s demand for full field ablative resurfacing also ranks in the top five, hinting at a growing male interest in visible skin improvements.

Top Procedures By Age

• 18-25: Rhinoplasty
• 26-35: Liposuction
• 36-45: Liposuction
• 46-60: Eyelid surgery
• 60+: Eyelid surgery

When it comes to aesthetics, age is more than a number. For younger patients under 25, rhinoplasty tops the chart, likely reflecting cosmetic and cultural trends around facial refinement. Liposuction dominates the 26-45 age bracket, aligning with body-contouring ideals during peak professional and family-building years. As patients age, eyelid surgery becomes a clear favorite, surpassing other procedures in the 46-60 and 60+ age categories, as consumers seek subtler rejuvenation tactics.

Medical Tourism

Top Countries Receiving Foreign Patients:

• Turkey: 1,290,000 
• Mexico: 870,000
• Colombia:  648,000
• Switzerland: 603,000
• Thailand: 564,000

Percent of Procedures on Foreign Patients:

• Turkey: 49.2%
• Switzerland: 52.2%
• Thailand: 33.2%

Aesthetic medicine is no longer bound by borders. Turkey, Mexico, and Colombia top the list for international patients, with Turkey alone seeing 1.29 million foreign treatments per year. In some cases, more than half of the procedures performed in these destinations are for international clients. Medical tourism isn’t just about cost; it's about perceived expertise, hospitality infrastructure, and social media-fueled word of mouth.

Procedures by Region

• North America: 7,434,535 total, 19.6% global total
• South America: 4,845,757 total, 12.8% global total
• Europe: 7,021,339 total, 18.5% global total
• Asia: 13,761,731 total, 36.3% global total 
• Africa: 598,104 total, 1.6% global total
• Oceania: 290,925 total, 0.8% global total 
• Middle East: 2,001,479 total, 5.3% global total 

Surgical Procedures by Region

• North America: 2,636,113 total, 15.1% global total
• South America: 2,661,161 total, 15.3% global total
• Europe: 2,697,211 total, 15.5% global total
• Asia: 6,541,074 total, 37.6% global total
• Africa: 265,567 total, 1.5% global total 
• Oceania: 113,087 total,  0.6% global total
• Middle East: 501,111 total, 2.9% global total 

Nonsurgical Procedures by Region

• North America: 4,798,422 total, 23.4% global total
• South America: 2,184,596 total, 10.6% global total
• Europe: 4,324,128 total,  21.1% global total
• Asia: 7,220,657 total, 35.2% global total
• Africa: 332,537 total, 1.6% global total
• Oceania: 177,838 total, 0.9% global total 
• Middle East: 1,500,368 total, 7.3% global total 

Regional Highlights

North America

• Most performed surgical: Liposuction
• Most performed nonsurgical: Botulinum toxin
• US alone accounted for 6.17 million procedures

South America

• Brazil dominates surgical procedures
• High volumes of breast-related surgeries 

Europe

• Strong nonsurgical growth (especially fillers and skin tightening)
• Germany leads with 1.2 million total procedures

Asia

• The highest number of total procedures globally
• Significant demand for eyelid surgery and facial contouring

Middle East

• Rapid growth in nonsurgical treatments
• Over 2 million total procedures

Africa

• Still emerging market
• Nonsurgical aesthetics gaining popularity

Oceania

• Modest total volume but highest procedures per capita in Australia
• Focus on injectables and noninvasive rejuvenation

While the global total paints a broader picture, regional disparities reveal much more nuanced insights. Asia leads overall, with 13.7 million procedures, fueled by demand for eyelid surgery, facial contouring, and noninvasive rejuvenation. North America, driven heavily by the US, remains a powerhouse in both injectables and body contouring. Europe shows strong nonsurgical adoption, particularly in Germany, while South America continues to prioritize surgical enhancements, especially in Brazil. The Middle East is quickly emerging, driven by younger, beauty-conscious consumers and a growing cultural openness to aesthetic work. Meanwhile, Africa and Oceania remain smaller markets, but they offer high growth potential, particularly in Australia, where procedures per capita are among the highest globally.