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Cosmetic Surgery Market Report 2007

Description:    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 this report 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.



Contents:       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



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