The UK cosmetic surgery industry is dynamic and growth levels are at a record high: the number of procedures, both surgical and non-surgical, soared by 42.4% in 2005 and the publisher estimates that, in 2006, this increased by a further 53%. In 2006, the total UK cosmetic surgery was worth an estimated £528.9m, a rise of 47.4% on 2005.

For the purposes of this Market Report, cosmetic surgery is divided into five sectors: procedures on the face/neck area; those on the breast area; procedures on the lower-abdomen area; other surgical procedures; and non-surgical procedures. In terms of value, face/neck area procedures accounted for the largest share of the market in 2006, although it is estimated that non-surgical procedures experienced the largest growth, closely followed by those on the breast area. In volume terms, non-surgical procedures were dominant.

Socio-economic factors are driving demand for cosmetic surgery. Low unemployment and increasing disposable incomes have led to a widening in the consumer base for procedures. In addition, easier access to borrowing has meant that consumers from social grades other than the AB group can see cosmetic surgery as a realisable investment. Demand is also coming from younger groups and breast augmentation, in particular, is increasingly an option for women in their 20s and 30s. In addition, more men are shifting their attitudes towards surgical and non-surgical cosmetic procedures: in 2005, 11% of all procedures were performed on men.

The cosmetic surgery market is also being driven by the astonishing speed of technological advancements, particularly in non-surgical procedures. Increased sophistication in laser technology is a strong trend and combined treatments involving the use of a number of different types of non-surgical treatment — injectables and peels, as well as the use of cosmeceuticals — is an increasing feature of the market. In terms of surgical procedures, demand in facial surgery, in particular, is being boosted by advancements in minimally invasive techniques, which are encouraging more women to opt for the so-called `lunch-time lifts'. Recovery times are shorter and consumers can often be back at work shortly after fairly major procedures.

The future looks strong for the cosmetic surgery industry. Major players have plans to expand, particularly in the area of non-surgical procedures, and, with the backing of strong regulation, the industry looks set to continue strong levels of growth. Although the market is not in the league of the US cosmetic surgery industry, attitudes towards self-improvement from across the Atlantic look set to pervade the culture in the UK for years to come.

Executive Summary
1. Market Definition
REPORT COVERAGE
MARKET SECTORS
Surgical Cosmetic Procedures
Facial Surgery
Face Lifts (Rhytidectomy)
Blepharoplasty
Breast Surgery
Breast Augmentation (Augmentation Mammoplasty)
Breast Reduction (Mammoplasty)
Breast Lift (Mastopexy)
Pectoral (Male Chest) Augmentation
Male Breast Reduction (Gynaecomastia)
Abdominal Surgery
Liposuction
Abdominoplasty (Tummy Tuck)
Muscle-Enhancing Surgery
Other Surgical Cosmetic Procedures
Nose Surgery (Rhinoplasty)
Upper Arm Lift (Brachioplasty)
Buttock Implants (Gluteal Augmentation)
Ear Correction (Otoplasty)
Female Genital Surgery
Non-Surgical Cosmetic Procedures
Laser Treatments
Laser Hair Removal
Botox®
Injectable Treatments
Collagen
Lip Enhancement
Fat Injection
Isologen
Other Skin Resurfacing Techniques
Microdermabrasion
Chemical Peels
MARKET TRENDS
An Appearance-Obsessed Media
US Self-Help Attitudes Towards Appearance Persuade UK Consumers
A Younger Consumer Base
Male Surgery — A Growing Niche
Psychological Barriers Broken Down
Strongest Growth In Non-Surgical Procedures
A Results-Driven Industry
ECONOMIC TRENDS
Household Disposable Income
Table 1: UK Household Disposable Income Per Capita (£), 2001-2005
Unemployment
Table 2: Actual Number of Unemployed Persons in the UK (million), 2001-2005
Table 3: Number of Female Employees in the UK (million), 2000-2004
Figure 1: Number of Female Employees in the UK (million), 2000-2004
Population
Table 4: UK Resident Population Estimates by Sex (000), Mid-Years 2001-2005
MARKET POSITION
The UK
Overseas

2. Market Size
THE TOTAL MARKET
By Volume
Table 5: The Estimated Total UK Cosmetic Surgery Market by Volume (000), 2002-2006
Figure 2: The Estimated Total UK Cosmetic Surgery Market by Volume (000), 2002-2006
Table 6: The Estimated Total UK Cosmetic Surgery Market by Sector by Volume (000), 2002-2006
Figure 3: The Estimated Total UK Cosmetic Surgery Market by Volume (%), 2006
By Value
Table 7: The Estimated Total UK Cosmetic Surgery Market by Value at Current Prices (£m at rsp), 2002-2006
Figure 4: The Estimated Total UK Cosmetic Surgery Market by Value at Current Prices (£m at rsp), 2002-2006
Table 8: The Estimated Total UK Cosmetic Surgery Market by Sector by Value at Current Prices (£m at rsp), 2002-2006
Figure 5: The Estimated Total UK Cosmetic Surgery Market by Value (%), 2006
BY MARKET SECTOR
Face/Neck Area
Table 9: The Estimated UK Face/Neck Area Cosmetic Procedures Sector by Value at Current Prices (£m at rsp and %), 2002-2006
Breast Area
Table 10: The Estimated UK Breast Area Cosmetic Procedures Sector by Value at Current Prices (£m at rsp and %), 2002-2006
Lower Abdomen Area
Table 11: The Estimated UK Lower Abdomen Area Cosmetic Procedures Sector by Value at Current Prices (£m at rsp and %), 2002-2006
Other Surgical Procedures
Table 12: The Estimated UK Other Surgical Procedures Sector by Value at Current Prices (£m at rsp and %), 2002-2006
Non-Surgical Procedures
Table 13: The Estimated UK Non-Surgical Procedures Sector by Value at Current Prices (£m at rsp and %), 2002-2006
OVERSEAS TRADE

3. Industry Background
RECENT HISTORY
NUMBER OF COMPANIES
Table 14: Number of Private Hospitals and Clinics Offering Cosmetic Surgery and Non-Surgical Procedures in the UK, 2005/2006
EMPLOYMENT
REGIONAL VARIATIONS IN THE MARKETPLACE
Table 15: Number of Private Hospitals and Clinics Offering Cosmetic Surgery and Non-Surgical Procedures in the UK by Region, 2005/2006
DISTRIBUTION
HOW ROBUST IS THE MARKET?
LEGISLATION
KEY TRADE ASSOCIATIONS
American Society for Aesthetic Plastic Surgery
The British Association of Aesthetic Plastic Surgery
British Association of Plastic, Reconstructive and Aesthetic Surgeons
British Medical Association
European Association of Plastic Surgeons
The International Confederation for Plastic, Reconstructive and Aesthetic Surgery
Royal College of Physicians
The Royal College of Surgeons of England
Other Trade Associations

4. Competitor Analysis
THE MARKETPLACE
MARKET LEADERS
Transform Medical Group (CS) Ltd
Company Structure
Current and Future Developments
Financial Results
The Harley Medical Centre Ltd
Company Structure
Current and Future Developments
Financial Results
BUPA Hospitals Ltd
Company Structure
Current and Future Developments
Financial Results
BMI Healthcare Ltd
Company Structure
Current and Future Developments
Financial Results
Nuffield Hospitals
Company Structure
Current and Future Developments
Financial Results
Hurlingham Clinic & Spa
Company Structure
Current and Future Developments
Financial Results
OUTSIDE SUPPLIERS
Collagen
Other Injectables
Botox®
Restylane®
Skin
Breast Implants
Hydrogel
McGhan 410
Lasers
MARKETING ACTIVITY
Main Media Advertising Expenditure
Table 16: Main Media Advertising Expenditure on Cosmetic Surgery (£000), Years Ending June 2005 and 2006
Other Activity
Exhibitions and Trade Shows

5. Strengths, Weaknesses, Opportunities and Threats
STRENGTHS
WEAKNESSES
OPPORTUNITIES
THREATS

6. Buying Behaviour
CONSUMER PENETRATION
Table 17: Summary of Responses (% of respondents), 2006
Breast Surgery
Table 18: Penetration of Breast Enhancement Procedures by Age, Social Grade and Region (% of female respondents), 2006
Face Lifts and Associated Procedures
Table 19: Penetration of Face Lifts and Associated Procedures by Sex, Age, Social Grade and Region (% of respondents), 2006
Abdominal Surgery and Liposuction
Table 20: Penetration of Abdominal Surgery and Liposuction by Sex, Age, Social Grade and Region (% of respondents), 2006
Non-Surgical Cosmetic Procedures
Table 21: Penetration of Selected Non-Surgical Cosmetic Procedures by Age, Social Grade and Region (% of respondents), 2006
ATTITUDES TOWARDS COSMETIC SURGERY
Table 22: Those Who Are Against Cosmetic Surgery and Those Who Would Consider Cosmetic Surgery But Find the Cost Prohibitive by Sex, Age, Social Grade and Region (% of respondents), 2006
Table 23: Those Who Are Put Off by Possible Pain and Scarring, and Those Who Are Frightened by the Lack of Regulation in the Cosmetic Surgery Industry by Sex, Age, Social Grade and Region (% of respondents), 2006
Table 24: Those Who Believe People Untertake Having Cosmetic Surgery Too Lightly and Those Who Think That Cosmetic Surgery Just Appeals to People's Vanity by Sex, Age, Social Grade and Region (% of respondents), 2006
COST OF COSMETIC SURGERY
Table 25: Guide Prices for Cosmetic Surgery at BUPA Hospitals (£), 2006

7. Current Issues
MORE CONSCIOUS CONSUMERS
HEALTH ISSUES
MARKETING ISSUES
Websites Offer Strong Promotion
US-Style Openness Welcomed
Honest Marketing Can Be Persuasive
Media Influence

8. The Global Market
TOTAL MARKET SIZE
Table 26: Leading Countries for Cosmetic Surgery (% and world ranking), 2002
MAJOR TRENDS
Table 27: Percentage of People Worldwide Who Had Surgery by Type of Procedure (%), 2002
Consumer Behaviour
THE FUTURE

9. Forecasts
INTRODUCTION
The Economy
Table 28: UK Economic Forecasts (000, % and million), 2006-2010
FORECASTS 2007 TO 2011
Table 29: The Forecast Total UK Cosmetic Surgery Market by Sector by Value at Current Prices (£m at rsp), 2007-2011
Figure 6: The Forecast Total UK Cosmetic Surgery Market by Sector by Value at Current Prices (£m at rsp), 2007-2011
MARKET GROWTH
Figure 7: The Forecast Total UK Cosmetic Surgery Market by Sector by Value at Current Prices (£m at rsp), 2002-2011
FUTURE TRENDS
Demographics
Market Segmentation
Product Development and Non-Surgical Procedures
Distribution
Marketing
Buying Behaviour

10. Company Profiles
Bmi Healthcare Ltd
Bupa Hospitals Ltd
The Harley Medical Centre Ltd
Nuffield Hospitals
TRansform Medical Group (cs) Ltd

11. Consumer Confidence
METHODOLOGY
KEY FINDINGS THIS QUARTER
THE WILLINGNESS TO BORROW
Confidence Slips Slightly
Table A: The Average Amount Consumers Are Willing to Borrow in Order to Purchase Expensive Items at Current and Constant November 2004 Prices (£ and £bn), November 2005-2006
Significantly More Adults Are Willing to Borrow
Table B: The Number of Adults Willing to Borrow in Order to Purchase Expensive Items (000 and %), November 2005-2006
SPENDING FROM SAVINGS
Little Change in Spending from Savings
Table C: The Average Amount Consumers Are Willing to Spend from Savings in Order to Purchase Expensive Items at Current and Constant November 2004 Prices (£ and £bn), November 2005-2006
Saving Grows in Relative Importance
Table D: The Average Amounts Adults Are Confident Spending to Purchase Expensive Items (£ and %), November 2005-2006

12. Further Sources
Associations
General Sources
Government Sources
Other Sources
Bisnode Sources