American Society for Dermatologic Surgery

Survey on Dermatologic Procedures

Report of 2018 ProceduresAugust 2019

asds.net/procedures-survey

2018 Procedures Survey Methodology

Survey invitation sent to 3,853 practicing members New for 2018 survey Streamline questions to support response Broke out platelet-rich plasma (PRP) to rejuvenation and hair

596 physicians reporting – 15% response rate Data were collected for the 2018 experience and generalized to

represent all ASDS members

Executive Summary

5 year trend

ASDS members performed more than 12.5 million procedures in 2018 compared to 7.8 million in 2012.

Top procedures: Over 3.5 million skin cancers, 3.7 million injectable neuromodulators and soft-tissue fillers, and more than 3.4 million laser / light / energy-based procedures.

In the last 7 years, there has been a: 56% increase in melanoma 78% increase in soft-tissue filler treatments 74% increase in laser / light / energy procedures 4x increase in body contouring

Procedure Total Procedures

Method or type used in greatest quantity

Skin Cancer Treatments 3,580,910 Non-melanoma (3,352,905)Laser / Light / Energy-based Procedures 3,491,586 Wrinkles (809,166)

Injectable Neuromodulators 2,124,921 -

Injectable Soft-tissue Fillers 1,627,628 -

Body Sculpting 623,557 Cryolipolysis (287,435)

Chemical Peels 497,122 -

Other Rejuvenation 448,457 Microneedling (262,839)

Vein Treatments / Sclerotherapy 135,084 -

Total # of Procedures Performed by Members in 2018

Skin Cancer Treatments

2,544,0412,895,921 2,872,642 2,960,369

3,285,757 3,388,493 3,352,905

146,715

145,947 206,927 218,189

2012 2013 2014 2015 2016 2017 2018

2,690,756

3,079,569 227,262

Non-melanoma

191,1213,579,613

Non-melanoma

Melanoma

228,0053,580,910

Melanoma

Melanoma

Melanoma Melanoma

Non-melanomaNon-melanoma

Non-melanomaNon-melanoma

3,041,8683,178,558

Procedure Totals 2012 to 20183,513,019

Non-melanoma

Melanoma Melanoma In the last 7 years, melanoma has

increased 56% and non-melanoma has

increased 33%.

Laser / Light / Energy-based ProceduresProcedure Totals 2012 to 2018

2,003,165

2,716,871 2,693,5472,624,5542,789,694

3,274,8743,491,586

2012 2013 2014 2015 2016 2017 2018

Overall laser procedures have increased 74% in the last 7 years.

Laser / Light / Energy-based ProceduresTotal Procedures in 2018

0

100,000

200,000

300,000

400,000

500,000

600,000

700,000

800,000

900,000 809,166 786,856

612,367

385,466

296,007238,275

195,021

70,692 56,511

Wrinkles are back leading as a top concern; however, high

sun damage treatments reflect the continuing need for sun

protection messaging, especially for younger patients.

Neuromodulators

1,493,147

1,824,1501,747,650

1,792,7671,971,195

2,106,415 2,124,921

2012 2013 2014 2015 2016 2017 2018

Procedure Totals 2012 to 2018

Toxin procedures have increased 42% since 2012.

Soft-tissue Fillers

916,455994,508 1,010,653

1,366,848 1,352,769

1,640,554 1,627,628

2012 2013 2014 2015 2016 2017 2018

Procedure Totals 2012 to 2018

Fillers have increased 78%

since 2012.

Chemical PeelsProcedure Totals 2012 to 2018

413,922

517,415563,848

596,188

424,709485,371 497,122

2012 2013 2014 2015 2016 2017 2018

Peels are seeing a resurgence in the last couple years with an overall

increased of 20% in the last 7 years.

Body SculptingProcedure Totals 2012 to 2018

145,495175,256

207,757 230,745

387,618434,154

623,557

2012 2013 2014 2015 2016 2017 2018

Body sculpting is has grown over 4 times since 2012.

Body SculptingTotal Procedures in 2018

0 50,000 100,000 150,000 200,000 250,000 300,000

Tumesc Liposuction

Laser lipolysis

Other

MicrofocusedUltrasound

Deoxycholic Acid

Radiofrequency

Cryolipolysis

18,286

25,118

35,387

44,583

65,735

162,917

287,435

Cryo and radiofrequency have grown over 3 times since 2012.

Deoxycholic acid has increased 76% and mircofocused

ultrasound has grown 34% in just two years.

Vein Treatment / Sclerotherapy

145,495

223,764

162,738

127,710 124,089 122,893135,084

2012 2013 2014 2015 2016 2017 2018

Procedure Totals 2012 to 2018Vein treatments have

ebbed and flowed over the years but up

by close to 10% for this year.

Other Rejuvenation Total Procedures in 2018

0 50,000 100,000 150,000 200,000 250,000 300,000

Thread Lift

FemaleRejuvenation

HairRejuvenation

PRP

Microneedling

32,997

41,224

72,174

80,446

262,839

Microneedling grew by almost 45% this year. Thread lift

procedures increased by over 23,000 procedures performed.

Many of these procedures were developed, research and perfected by ASDS members.

This data reinforces the EXPERTISE and EXPERIENCE of visiting an ASDS board-certified dermatologist for all your

skin health and beauty needs.