<\/p>\n
Plastic surgery picked up pace in 2025, with cosmetic procedures growing 7 percent compared with just 1 percent in the\u00a0previous year\u2019s report. According to the American Society of Plastic Surgeons\u2019 (ASPS) 2025 Procedural Statistics Report, lifts are up across the face and body, breast augmentation is growing alongside a shift toward smaller implants and older adults saw the biggest percentage increase in procedures.<\/p>\n
\u201cPlastic surgery in 2025 reflects a broader shift in how people think about aging, wellness and quality of life,\u201d says Houston plastic surgeon and ASPS president C. Bob Basu, MD. \u201cMany are looking to reverse physical changes that no longer reflect how they feel on the inside.\u201d<\/p>\n<\/div>\n
Ahead, the biggest procedure trends, the GLP-1 connection surgeons are seeing and why older patients are leading the surge.<\/p>\n
The\u00a0\u201cOzempic makeover\u201d conversation\u00a0has carried into another year, with 82 percent of ASPS member surgeons reporting consultation requests related to GLP-1 use. Those requests don\u2019t necessarily translate into procedures, but they show how often weight-loss medications are coming up in plastic surgery offices.<\/p>\n
For Houston plastic surgeon Olga Bachilo, MD the change is especially apparent in patients seeking\u00a0skin removal after weight loss. \u201cI recommend many more circumferential body lifts rather than tummy tuck alone due to weight loss,\u201d she says. She\u2019s also performing more arm lifts and breast lifts on younger patients, whose concerns extend beyond the abdomen.<\/p>\n
New York plastic surgeon Elie Levine, MD, is also seeing a shift in how patients approach their consultations. \u201cMany are coming in after significant weight loss saying, \u2018I\u2019ve done the work, I\u2019ve lost the weight, and now I want to tighten and refine the result.\u2019 That shifts the conversation from choosing a procedure to looking at the patient as a whole and determining what combination of surgical and non-surgical treatments will best address their concerns.\u201d<\/p>\n
Browlifts increased 29 percent, while arm lifts and necklifts each rose 21 percent. Thigh lifts, facelifts and breast lifts also grew, while liposuction remained the most-performed cosmetic surgery despite a 1 percent dip. For patients who have already lost significant weight, loose skin and lost volume can become the next concerns to address. <\/p>\n
Pittsburgh plastic surgeon Leo R. McCafferty, MD estimates that roughly a quarter to a third of his patients take a GLP-1. \u201cThis has certainly increased consultations regarding facial aging and body contouring,\u201d he says. Facial fat grafting also increased 39 percent, the largest gain of any procedure tracked. Together, these findings show how much of the year\u2019s growth involved lifting skin and restoring volume. <\/p>\n
That work can also include nonsurgical treatments. \u201cWe\u2019re doing a lot of combination treatments with Sculptra and AVAVA, both for patients after GLP-1 weight loss and for those looking for what I call \u2018restoration, not transformation,\u2019\u201d says New York plastic surgeon\u00a0Andrew Peredo, MD.<\/p>\n
Breast augmentation grew 11 percent in 2025, but some patients are choosing smaller implants. Thirty-six percent of surgeons reported a trend toward smaller sizes, compared with 12 percent who reported larger sizes. Boston plastic surgeon Samuel Lin, MD, sees the appeal of a more measured change. \u201cI think it’s definitely an interesting trend. Not going bigger, basically, but still making a change or enhancement in terms of being more of a ‘moderation’ approach.\u201d<\/p>\n
More than half of surgeons said implant sizes remained consistent with previous years, and implant removal stayed essentially flat. Patients are still choosing augmentation, with some reconsidering how much added volume they want.<\/p>\n
Not every procedure shared in the year\u2019s growth. Brazilian butt lifts and rhinoplasty each declined 5 percent, while male breast reduction surgery fell 8 percent. McCafferty has seen a similar pattern in his practice. \u201cWe have not noticed an increase in number of rhinoplasty or gynecomastia procedures, but have seen a dramatic decrease in request for BBL procedures.\u201d <\/p>\n
Louisville, KY plastic surgeon\u00a0M. Bradley Calobrace, MD, reports fewer BBLs in his practice, too. \u201cI am not surprised BBLs are down,\u201d he says. \u201cWe do them for sure but much less than the past.\u201d The decline comes alongside growing interest in\u00a0reducing or reversing previous BBL results.<\/p>\n
Adults 66 and older saw a 24 percent increase in cosmetic procedures, the largest percentage gain of any age group, while procedures declined among adults under 36. Patients ages 36 to 55 still accounted for nearly half of all cosmetic surgery, but older adults are becoming a bigger part of the picture. \u201cAmericans are living longer, remaining active and redefining what healthy aging looks like,\u201d says Dr. Basu.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"
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