| KN85004 |
| KEY NOTE Market Report : COSMETIC SURGERY UK : October 2004 |
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This report covers: cosmetic surgery,non-surgical procedures, botox injections, laser treatments, laser surgery, laser hair removal, epilation, collagen, and, fat, therappy, fat transfer, redistribution, hyaliform, dermabrasion, microdermabrasion, chemical peeling, fat reuction, body sculpture, liposuction, liposculpture, abdominoplasty,apronectomy stomach lift, tummy tuck, lower body lift, upper arm lift, brachioplasty, buttock augmentation, breast enhancement, breast augmentation, augmentation mammoplasty, breast uplift, mastopexy, pectoral, male chest, augmentaion, male breast reduction,gynaecomastia, face lifts, and, associated operations, rhytidectomy, brow lift, eyelid rejuvination blepharoplasty, nose job, rhinoplasty, rhino tip, ear correction, otoplasty, facial implants, cellulite, treatment, endermologie, hair transplants, scalp reduction, cosmetic orthaognathic surgery, jaw alterations, sclerotherapy, tatooing, micropigmentation, male cosmetic surgery, non-invasive injectable cosmetic treatments, key trade associations,
Companies and associations covered include: American Society for Aesthetic Plastic Surgery, British Association of Plastic Surgeons, British Medical Association, European Association of Plastic Surgeons, International Confederation for Plastic, Reconstructive and Aesthetic Surgery, Royal College of Surgeons, of England, Royal COllege of Physicians, BUPA Hospitals, The Cosmetic Surgery Clinic, Cromwell Clinic, The London Laser Clinic, Nuffield Hospitals, Pountney Clinic, Transform Medical Group,
EXECUTIVE SUMMARY
| The UK's cosmetic surgery market is a fast-growing subdivision of the private healthcare industry. Key Note estimates the value of the UK's cosmetic surgery industry at £224.6m in 2003. This industry has been experiencing strong growth over the past 5 years and between 2002 and 2003, the value increased by an estimated 9.4%. |
| The cosmetic surgery industry can be analysed in terms of four distinct sectors: non-surgical cosmetic procedures, fat reduction and body sculpting, breast enhancement, and face lifts and associated operations. Over the past 5 years the best performing sectors of cosmetic surgery in terms of year-on-year growth have been the fat reduction and body-sculpting sector and the breast enhancement sector. |
| Socio-economic factors are driving demand for cosmetic surgery in the UK. Low unemployment, increasing disposable incomes and ease of access to credit are bringing cosmetic surgery into the reach of more and more people. As a society, the UK has been following the US regarding the adulation of youth and beauty. Many people now feel under pressure both at home and in the workplace to maintain a youthful, toned appearance. |
| Women are the main customer base of the cosmetic surgery industry and the various types of cosmetic breast surgery are very popular in the UK. Media images of busty celebrities combined with a desire to look more feminine, youthful or 'normal' are increasing demand for cosmetic breast surgery. Face lifts and associated operations have been declining slightly in popularity over the last 5 years. This is largely due to increasing use of Botox® and other injectables such as collagen, which are less invasive than surgery. Demand for fat reduction and body-sculpting surgery has increased strongly during the early 21st century. Increasing levels of obesity, alongside celebrity use and endorsement of liposuction and other body-sculpting surgery are behind the rising demand. However, non-surgical cosmetic treatments are becoming increasingly popular because they are less invasive and are perceived as being less risky compared with conventional surgery. |
| Cultural emphases on youth and beauty are set to prevail in the UK over the next 5 years, so the outlook for the cosmetic surgery market is very favourable especially as the current economic stability is likely to continue until at least 2008. Demand for fat-reducing surgery and body sculpting is likely to continue due to an ever-increasing number of obese and overweight people. Non-surgical cosmetic procedures have proved popular since the late 1990s and advances in technology are likely to sustain demand within this sector over the coming 5 years. |
TABLE OF CONTENTS
| Executive Summary 1 |
| 1. Market Definition 8 |
| REPORT COVERAGE 8 |
| MARKET SECTORS 8 |
| Non-Surgical Cosmetic Procedures 8 |
| Botox® Injections 8 |
| Laser Treatments 8 |
| Laser Surgery 8 |
| Laser Hair Removal (epilation) 9 |
| Collagen and Fat Therapy 9 |
| Fat Transfer and Redistribution 9 |
| Collagen Replacement Therapy 9 |
| Hyaliform 10 |
| Restylane® 10 |
| Dermabrasion 10 |
| Microdermabrasion 10 |
| Chemical Peeling 10 |
| Fat Reduction and Body Sculpture 11 |
| Liposuction 11 |
| Liposculpture 11 |
| Abdominoplasty and Apronectomy (stomach lift or 'tummy tuck') 11 |
| Lower Body Lift 12 |
| Thigh Lift 12 |
| Upper Arm Lift (Brachioplasty) 12 |
| Buttock Augmentation 12 |
| Breast Enhancement 12 |
| Breast Augmentation (augmentation mammoplasty) 12 |
| Breast Reduction (mammoplasty) 13 |
| Breast Uplift (mastopexy) 13 |
| Pectoral (male chest) Augmentation 14 |
| Male Breast Reduction (gynaecomastia) 14 |
| Face Lifts and Associated Operations 14 |
| Face Lift (rhytidectomy) 14 |
| Brow Lifting 14 |
| Eyelid Rejuvenation (blepharoplasty) 15 |
| Nose Job (rhinoplasty and rhino tip) 15 |
| Ear Correction (otoplasty) 15 |
| Facial Implants 15 |
| Other Miscellaneous Procedures 16 |
| Endermologie/Cellulite Treatment 16 |
| Hair Transplants and Scalp Reduction 16 |
| Cosmetic Orthaognathic Surgery (jaw alterations) 16 |
| Sclerotherapy 16 |
| Micropigmentation (cosmetic tattooing) 17 |
| Male Cosmetic Surgery 17 |
| Market trends 17 |
| Non-Invasive and Injectable Cosmetic Treatments Drive Growth 17 |
| Blurring of the Distinction Between Medical and Non-Medical Procedures 17 |
| Growing Demand for Surgery Abroad 17 |
| Cult of Celebrity Influences Demand for Cosmetic Surgery and Treatments 18 |
| 'His and Hers' Cosmetic Surgery 18 |
| ECONOMIC TRENDS 18 |
| Gross Domestic Product 18 |
| Table 1: UK Gross Domestic Product at Current and Annual Prices (£m), 1999-2003 18 |
| Inflation 19 |
| Table 2: UK Rate of Inflation (%), 1999-2003 19 |
| Unemployment 19 |
| Table 3: Actual Number of Unemployed Persons (million), 1999-2003 20 |
| Population 20 |
| Table 4: UK Resident Population Estimates by Sex (000), Mid-Years 1999-2003 21 |
| Household Disposable Income 21 |
| Table 5: Household Disposable Income (£ and %), 1998-2002 21 |
| Market Position 22 |
| The UK 22 |
| Overseas 22 |
| 2. Market Size 23 |
| THE TOTAL MARKET 23 |
| Table 6: The Total UK Market for Cosmetic Surgery and Cosmetic Procedures by Value at Current Prices (£m at rsp), 1999-2003 24 |
| By Market Sector 24 |
| Non-Surgical Procedures 24 |
| Table 7: The Non-Surgical Cosmetic Procedures Sector by Value at Current Prices (£m at rsp and %), 1999-2003 25 |
| Fat Reduction and Body Sculpture 25 |
| Table 8: The Fat Reduction and Body-Sculpting Sector by Value at Current Prices (£m at rsp and %), 1999-2003 26 |
| Breast Enhancement 26 |
| Table 9: The Breast Enhancement Sector by Value at Current Prices (£m at rsp and %), 1999-2003 27 |
| Face Lifts and Associated Operations 27 |
| Table 10: The Face Lifts and Associated Operations Sector by Value at Current Prices (£m at rsp and %), 1999-2003 28 |
| OVERSEAS TRADE 28 |
| 3. Industry Background 29 |
| RECENT HISTORY 29 |
| NUMBER OF COMPANIES 29 |
| Table 11: Number of Private Hospitals and Clinics Offering Cosmetic Surgery and Procedures, 2003/2004 29 |
| Employment 30 |
| REGIONAL VARIATIONS IN THE MARKETPLACE 30 |
| Table 12: Number of Private Hospitals and Clinics Offering Cosmetic Surgery and Procedures by Region, 2003/2004 31 |
| DISTRIBUTION 31 |
| HOW ROBUST IS THE MARKET? 31 |
| LEGISLATION 32 |
| KEY TRADE ASSOCIATIONS 32 |
| American Society for Aesthetic Plastic Surgery 32 |
| British Association of Aesthetic Plastic Surgeons (BAAPS) 32 |
| British Association of Plastic Surgeons (BAPS) 33 |
| British Medical Association 33 |
| European Association of Plastic Surgeons (EURAPS) 33 |
| International Confederation for Plastic, Reconstructive and Aesthetic Surgery (IPRAS) 33 |
| Royal College of Surgeons of England 34 |
| Royal College of Physicians 34 |
| Other Trade Associations 34 |
| 4. Competitor Analysis 35 |
| THE MARKETPLACE 35 |
| MARKET LEADERS 35 |
| BUPA Hospitals Ltd 35 |
| Company Structure 35 |
| Current and Future Developments 35 |
| Financial Results 36 |
| The Cosmetic Surgery Clinic Ltd 36 |
| Company Structure 36 |
| Current and Future Developments 36 |
| Financial Results 36 |
| Cromwell Clinic Ltd 36 |
| Company Structure 36 |
| Current and Future Developments 36 |
| Financial Results 37 |
| The London Laser Clinic Ltd 37 |
| Company Structure 37 |
| Current and Future Developments 37 |
| Financial Results 37 |
| Nuffield Hospitals Ltd 37 |
| Company Structure 37 |
| Current and Future Developments 37 |
| Financial Results 37 |
| Pountney Clinic Ltd 38 |
| Company Structure 38 |
| Current and Future Developments 38 |
| Financial Results 38 |
| Transform Medical Group (CS) Ltd 38 |
| Company Structure 38 |
| Current and Future Developments 38 |
| Financial Results 38 |
| OUTSIDE SUPPLIERS 39 |
| Collagen 39 |
| Other Injectables 39 |
| Botox® 39 |
| Restylane® 39 |
| Skin 39 |
| Breast Implants 40 |
| Lasers 40 |
| Marketing Activity 40 |
| Table 13: Main Media Advertising Expenditure for Cosmetic Surgery and Cosmetic Procedures (£000), Year Ending December 2003 41 |
| Exhibitions and Tradeshows 42 |
| 5. Strengths, Weaknesses, Opportunities and Threats 44 |
| STRENGTHS 44 |
| WEAKNESSES 44 |
| OPPORTUNITIES 45 |
| THREATS 45 |
| 6. Buying Behaviour 46 |
| CONSUMER PENETRATION 46 |
| Breast Enhancement 46 |
| Table 14: Customer Penetration of Breast Enhancement by Sex, Age, Social Grade and Region (% of all adults), 2004 47 |
| Face Lifts and Associated Operations 48 |
| Table 15: Customer Penetration of Face Lifts and Associated Operations by Sex, Age, Social Grade and Region, (% of all adults), 2004 49 |
| Fat Reduction and Body Sculpture 50 |
| Table 16: Customer Penetration of Fat Reduction and Body Sculpture by Sex, Age, Social Grade and Region, (% of all adults,) 2004 51 |
| Non-Surgical Cosmetic Procedures 52 |
| Table 17: Customer Penetration of Non-Surgical Cosmetic Procedures by Sex, Age, Social Grade and Region, (% of adults), 2004 53 |
| Cost of Cosmetic Surgery 55 |
| Table 18: Guide Prices for Cosmetic Surgery at BUPA Hospitals (£), 2004 55 |
| 7. Current Issues 56 |
| THE ROLE OF THE INTERNET 56 |
| HEALTH ISSUES 56 |
| PRODUCT DEVELOPMENT 57 |
| SOCIAL CHANGES and CONSUMER DEMAND 58 |
| LEGISLATIVE CHANGES 58 |
| 8. The Global Market 59 |
| TOTAL MARKET SIZE 59 |
| Table 19: Global Overview of Cosmetic Surgery Market by Country (% and rank), 2002 59 |
| MAJOR TRENDS 60 |
| Table 20: Percentage of People Worldwide Who Have Surgery by Type of Operation (%), 2002 61 |
| CONSUMER BEHAVIOUR 62 |
| THE FUTURE 62 |
| 9. Forecasts 63 |
| INTRODUCTION 63 |
| FORECASTS 2004 to 2008 63 |
| Table 21: The Forecast UK Cosmetic Surgery and Cosmetic Procedures Market by Value at Current Prices (£m at rsp and %), 2004-2008 64 |
| FUTURE TRENDS 64 |
| Demographics 64 |
| Market Segmentation 64 |
| Product Development 64 |
| Technological Changes 65 |
| Competition 65 |
| 10. Company Profiles 66 |
| INTRODUCTION 66 |
| DEFINITIONS 66 |
| Turnover (Sales) 66 |
| Pre-tax Profits 66 |
| Profit Margin 66 |
| Average remuneration 66 |
| Bupa Hospitals Ltd 67 |
| Nuffield Hospitals 69 |
| 11. Further Sources 71 |
| Associations 71 |
| Publications 72 |
| General Sources 72 |
| Government Publications 73 |
| Bonnier Information Sources 74 |
Text © 2004 Key Note
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Last updated by Amanda Porteous November 2004