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American Society for Dermatologic Surgery Report of 2014 Procedures May 2015

American Society for Dermatologic Surgery Report of 2014 Procedures May 2015

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American Society for Dermatologic Surgery

Report of 2014 Procedures

May 2015

Survey Work Group Susan Weinkle, MD, Chair Thomas Rohrer, MD, Co-Chair Mathew Avram, MD, JD Whitney Hovenic, MD William Coleman III, MD Keith LeBlanc, MD Diane Berson, MD Jwala Karnik, Suneva

2014 Procedures Methodology Conducted by Perception Solutions Survey active Jan. 2 to Feb. 6, 2015 Survey link emailed to 3,980 practicing members;

faxed to members with no valid email; sent by mail to those without fax or emails on file

826 physicians reporting – 21% response rate Data were collected for the 2014 experience and

generalized to represent all ASDS members

Executive Summary

Members performed an estimated 3.08M Skin Cancer Treatments, 1.74M Neuromodulators, 2.06M Laser/Light/Energy-Based Procedures and 1.01M Soft-tissue Fillers

94% of members performed Skin Cancer Treatments; the majority – about 2.87M – were Non-melanoma; 207,000 were Melanoma

About 8 in 10 members performed Injectable Neuromodulator procedures using Botox, Dysport and Xeomin

About 75% of ASDS members performed Laser/Light/Energy-based Procedures estimated at more than 2.06M cases (down from 2013 but still substantially higher than 2012)

Copyright © 2015

Executive Summary

Body Sculpting procedures (19 percent) and Laser Hair Removal procedures (36 percent) saw substantial increases over 2013 totals

More men are seeking Injectable Neuromodulator treatments – increasing from 11 to 13 percent of the total patients

Members used Laser/Light/Energy-based Procedures to remove about 109,641 tattoos (higher compared to 2013)

About 7 in 10 members perform a total of about 1.01 million Soft-Tissue Filler Procedures – up from 995,000 in 2013

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Breakdown of Procedures Overall % Members Performing Procedures Overall 2011–2014

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Hair Transplants

Body Sculpting

Laser Hair Removal

Veins/Sclerotherapy

Chemical Peels

Laser/Light/Energy-based

Soft-tissue Fillers

Neuromodulators

Skin Cancer

7%

28%

64%

67%

72%

75%

77%

82%

94%

5%

27%

61%

64%

66%

76%

79%

82%

94%

6%

24%

54%

57%

63%

63%

67%

79%

87%

8%

35%

60%

59%

70%

60%

74%

83%

94%

2014

2013

2012

2011

Breakdown of Procedures Overall

ProcedureTotal

proceduresProduct, Method or Type used in greatest quantity

Skin Cancer Treatments 3,079,569 Non-melanoma (2,872,642)

Neuromodulators 1,747,650 Botox (1,191,813)

Laser/Light/Energy-based Procedures 2,060,809 Facial redness (427,805)

Soft-tissue Fillers 1,010,653 Juvederm (331,578)

Laser Hair Removal 632,738 N/A

Chemical Peels 563,848 N/A

Vein Treatments/Sclerotherapy 162,738 N/A

Body Sculpting 207,757 Cryolipolysis (79,016)

Hair Transplants 4,581 N/A

Total Estimated # of Procedures Performed by Members in 2014

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Skin Cancer Treatments

% Members Performing Skin Cancer Procedures

Members performed an estimated 3.08 Million Skin Cancer procedures in 2014 (compared to 3.04M in 2013

and 2.6M in 2012)

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94% Per-form

6%Don’t Per-form

Series1

93%

7%Melanoma207,000

Non-melanoma2.87 million

Injectable Neuromodulators

% Members Performing Neuromodulator Procedures

Members performed an estimated 1.75 Million Injectable Neuromodulator

procedures in 2014 (compared to 1.8M in 2013 and 1.5M in 2012)

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Average # of procedures per physician in 2014 (& total)83%Perform

17%Don’tPerform Xeomin(174,499)

Dysport(381,338)

Botox(1,191,813)

88

181

410

Injectable Neuromodulators

87%Female

13%Mal

e

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>55

51-55

46-50

41-45

36-40

31-35

<30

17%

18%

19%

18%

15%

9%

4%

Patient Age RangeGender Breakdown

Soft-tissue Fillers

% Members Performing Soft-tissue Filler Procedures

Members performed an estimated 1.01M Soft-tissue Filler procedures in 2014 (compared

to 994,508 in 2013 and 916,455 in 2012)

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Average # of procedures per physician in 2014 (& total)

74%Perform

26%Don’tPerform

Sculptra(76,117)

Radiesse(96,319)

Belotero(99,031)

Voluma(173,140)

Juvederm(331,578)

40

46

48

84

107

130

Restylane/Perlane

(234,467)

Soft-tissue Fillers

91%Female

9%Mal

e

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>55

51-55

46-50

41-45

36-40

31-35

<30

23%

20%

19%

18%

11%

6%

3%

Patient Age RangeGender Breakdown

Chemical Peels% Members Performing

Chemical Peel Procedures

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70%Perform

30%Don’tPerform

Members performed about 563,848 Chemical Peel procedures in 2014 (compared to 517,415

in 2013 and 413,922 in 2012)

Laser/Light/Energy-based Procedures

% Members PerformingLaser/Light/Energy-based

Procedures

Average # of procedures per physician in 2014 (& total)Members performed an

estimated 2.06 Million Laser/Light/Energy-based

procedures in 2014 (compared to 2.25M in 2013 and 1.7M in 2012)

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75%Perform

25%Don’tPerf

ormBirthmarks

Surgical Scars

Acne Scars

Tattoo Remov...

Laser Resurfa...

Lentigenes

Tissue Tighte...

Photodynamic...

Photo Rejuven...

53

63

63

69

82

112

115

166

169(329,930)

(311,051)

(192,147)

(224,315)

(152,713)

(109,641)

(117,457)

(115,658)

(80,092)

Laser Hair Removal

% Members Performing Laser Hair Removal Procedures

Copyright © 2014

60%Perform

40%Don’tPerform

Members performed 632,738 Laser Hair

Removal procedures in 2014 (compared to 464,164 in 2013 and

318,485 in 2012)

Body Sculpting

% Members Performing Body Sculpting

Procedures

Members performed an estimated 207,757 Body Sculpting procedures in 2014 (compared to 175,256 in 2013 and 143,553 in 2012)

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Average # of procedures per physician in 2014 (& total)

35%Per-

form

65%Don’tP

er-form

Laserlipolysis(14,521)

Tumescent liposuction(32,684)

Radiofrequency(49,568)

Other (31,969)

Cryolipolysis(79,016)

41

55

69

73

124

Vein Treatment/Sclerotherapy

% Members Performing Vein Treatments/Sclerotherapy

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Members performed about 162,738 Vein Treatment/ Sclerotherapy procedures

in 2014 (compared to 223,764 in 2013 and

145,495 in 2012)59%Perform

41%Don’tPer-form

Hair Transplantation% Members Performing

Hair Transplants

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8%Perform

92%Don’t Per-form

Members performed an estimated 4,581

Hair Transplantation procedures in 2014

(compared to 4,743 in 2013 and 3,772 in 2012)