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This study analyzes the US market for cosmetic surgery procedures and products (i.e., equipment, implants, injectables, wound care disposables and other.) Cosmetic surgery procedures include nonsurgical (i.e., injections, laser treatments, skin resurfacing, and other) and surgical (i.e., reshaping, lifts and tucks, implants, liposuction and other.) The study details the number of procedures that are expected to be performed in each classification, illustrating the expected revenues that will be generated by practitioners over time. A procedure’s value includes not only the total value of product used in a given session, but also associated peripheral expenses and labor costs associated with the procedure. The value of cosmetic surgery products illustrate the market value of product demand from a manufacturing perspective. Dental cosmetic procedures and products, and gastric bypass surgery products are excluded from the scope of this study.

INTRODUCTION viii

I. EXECUTIVE SUMMARY 1

II. MARKET ENVIRONMENT 4
General 4
Demographic Trends 5
Macroeconomic Outlook 8
Consumer Spending Outlook 10
Medical Provider & Facility Trends 12
Spa Industry Outlook 15
Competitive Product Trends 17
Medical Product Market Outlook 20
Regulatory Issues 23

III. COSMETIC PROCEDURES 27
General 27
Surgical 30
Reshaping 33
Lifts & Tucks 35
Implants 38
Liposuction 42
Other 44
Nonsurgical 45
Injections 48
Botulinum Toxin 50
Soft Tissue Fillers 51
Hyaluronic Acid 54
Collagen 55
Fat 55
Other Soft Tissue Fillers 56
Other Injections 58
Laser Treatments 60
Laser Dermal Resurfacing 61
Hair Removal 62
Other Laser Treatments 63
Dermal Resurfacing 64
Other 67

IV. PRODUCTS 69
General 69
Equipment 73
Lasers 75
Hair Removal 79
Dermal Resurfacing 80
Other 81
Microdermabrators 83
Consumables 85
Liposuction Equipment 87
Other 88
Injectables 90
Botulinum Toxin 92
Tissue Fillers 95
Hyaluronic Acid 96
Collagen 99
Other 102
Calcium Hydroxylapatite 103
All Others 104
Other 105
Implants 108
Breast Implants 110
Types of Breast Implants 112
Producers 114
Other Implants 116
Lip 118
Chin & Cheek 119
All Other 121
Wound Care Disposables 122
Bandages & Dressings 123
Wound Closures 126
Other 129
Other Cosmetic Surgery Products 130

V. RAW MATERIALS 133
General 133
Biological Materials 134
Microbial Extracts 135
Collagen 138
Other 139
Polymers 140
Other
142

VI. INDUSTRY STRUCTURE 145
General 145
Market Share 146
Allergan 149
Mentor 151
Medicis 152
Other Market Leaders 152
Industry Restructuring 154
Competitive Strategies 156
Research & Development 158
Cooperative Agreements 159
Marketing 162
Company Profiles 164
Allergan Incorporated 165
Artes Medical Incorporated 170
BioForm Medical Incorporated 171
Byron Medical Incorporated, see Mentor Corporation
Candela Corporation 172
Closure Medical Corporation, see Johnson & Johnson
Cutera Incorporated 174
Cynosure Incorporated 175
DermaMed USA Incorporated 178
Diamond International Corporation Pty Limited 179
Elan Corporation plc 181
Ethicon Incorporated, see Johnson & Johnson
ExcellaDerm Corporation 182
Fascia Biosystems LLC 183
Gamma Biologicals Incorporated, see Immucor
Genesis Biosystems Incorporated 184
Genzyme Corporation 185
Hoya Corporation 187
Immucor Incorporated 188
Inamed Corporation, see Allergan Incorporated
IntegreMed LLC 189
Johnson & Johnson 190
Kendall Company, see Tyco International Limited
Laserscope 192
LifeCell Corporation 194
Lumenis Limited 195
Medicis Pharmaceutical Corporation 198
Mentor Corporation 200
Palomar Medical Technologies Incorporated 203
Q-Med AB 206
Smith & Nephew plc 208
Solstice Neurosciences Incorporated 209
3M Company 210
Tyco International Limited 211
Other Companies in the Cosmetic Surgery Industry 213

LIST OF TABLES
TABLE NUMBER PAGE
SECTION I -- EXECUTIVE SUMMARY
Summary Table 3

SECTION II -- MARKET ENVIRONMENT
1 Population & Households 7
2 Macroeconomic Indicators 10
3 Personal Consumption Expenditures 12
4 Medical Providers & Facilities 15
5 Spa Facilities by Type 17
6 Selected Medical Product Demand by Type 23

SECTION III -- COSMETIC PROCEDURES
1 Cosmetic Procedures Demand by Type 29
2 Surgical Cosmetic Procedures Demand by Type 32
3 Cosmetic Reshaping Procedures Demand by Type 35
4 Cosmetic Lift & Tuck Demand by Type 38
5 Cosmetic Implant Procedures Demand by Type 41
6 Liposuction Procedures Demand 43
7 Other Surgical Cosmetic Procedures Demand 45
8 Nonsurgical Cosmetic Procedures Demand by Type 47
9 Cosmetic Injection Demand by Type 50
10 Botulinum Toxin Injection Demand 51
11 Soft Tissue Injection Demand by Type 53
12 Other Injection Demand 59
13 Laser Treatment Demand by Type 61
14 Dermal Resurfacing Treatments Demand by Type 67
15 Other Nonsurgical Cosmetic Treatment Demand 68

SECTION IV -- PRODUCTS
1 Cosmetic Surgery Products Demand by Type 72
2 Cosmetic Surgery Equipment Demand by Type 74
3 Cosmetic Laser Demand by Type 78
4 Microdermabrator Demand 85
5 Cosmetic Surgery Consumables Demand 86
6 Liposuction Equipment Demand 88
7 Other Cosmetic Surgery Equipment Demand 90
8 Cosmetic Surgery Injectables Demand 92
9 Botulinum Toxin Demand in Cosmetic Surgery 94
10 Tissue Fillers Demand in Cosmetic Surgery 96
11 Hyaluronic Acid Fillers Demand in Cosmetic Surgery 99
12 Collagen Fillers Demand in Cosmetic Surgery 102
13 Other Tissue Fillers Demand in Cosmetic Surgery 103
14 Other Injectables Demand in Cosmetic Surgery 108
15 Cosmetic Surgery Implants Demand 110
16 Breast Implants Demand 112
17 Other Cosmetic Implants Demand by Type 118
18 Cosmetic Surgery Wound Care Disposables Demand 123
19 Bandages & Dressings Demand in Cosmetic Surgery 126
20 Wound Closures Demand in Cosmetic Surgery 128
21 Other Wound Care Disposables Demand in Cosmetic Surgery 130
22 Other Cosmetic Surgery Products Demand 132

SECTION V -- RAW MATERIALS
1 Cosmetic Surgery Raw Material Demand 134
2 Biological Materials Demand in Cosmetic Surgery Products 135
3 Polymers Demand in Cosmetic Surgery Products 142
4 Other Raw Material Demand in Cosmetic Surgery Products 144

SECTION VI -- INDUSTRY STRUCTURE
1 US Cosmetic Surgery Product Sales by Company, 2005 147
2 Selected Acquisitions & Divestitures 156
3 Selected Cooperative Agreements 161

LIST OF CHARTS
CHART NUMBER PAGE
SECTION III -- COSMETIC PROCEDURES
1 Cosmetic Procedures Demand by Type, 1995-2015 30
2 Surgical Cosmetic Procedures Demand by Type, 2005 33
3 Nonsurgical Cosmetic Procedures Demand by Type, 1995-2015 48
4 Soft Filler Injection Demand by Type, 1995-2015 54

SECTION IV -- PRODUCTS
1 Cosmetic Surgery Products Demand by Type, 1995-2015 72

SECTION VI -- INDUSTRY STRUCTURE
1 US Cosmetic Surgery Product Market Share by Company, 2005 149