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Cosmetic Surgery Market Report 2009

Description:    The UK cosmetic surgery market experienced modest growth in 2008, a change from its previous
                remarkable year-on-year increases between 2004 and 2007. At the end of 2008, the estimated
                value of the total market (which includes figures for the non-surgical sector) reached £536m — a
                rise of 8.7%. Between 2004 and 2008, all sectors performed strongly, and in 2008, non-surgery
                increased by 19.8%.

                There is an increasing level of diversity in the market, with traditional providers of surgical
                procedures becoming the minority as operators compete to offer other non-surgical treatments,
                hair-loss treatment, weight-loss surgery, cosmetic dentistry and even cosmeceuticals. There is also
                a continued blurring between the traditional beauty salon and the medical environment traditionally
                associated with cosmetic surgery.

                To a large degree, this diversity has resulted from the tremendous technological developments in
                non-surgery and the popularity of these with consumers who want to see effective results with
                much shorter recovery times. In 2008, there was rapid product development in injectable fillers and
                laser technology, both of which are now becoming more widely used and understood by consumers.

                The demographics of the consumer base are altering as well. With tempting finance offers of 0% for
                6 months, many less affluent consumers are using loans to finance their cosmetic surgery. Media
                interest in the market is still as keen and active as ever, as many consumers have an interest in
                stories about celebrity bodies. In addition, more men are opting for cosmetic procedures — in the
                US, the male market is moving faster than the female one, and this trend may also be emerging in
                the UK.

                These factors all present challenges for the cosmetic surgery industry. While practitioners want
                much tighter restriction on how non-surgical treatment can be obtained and administered, the
                market is taking a bolder, more high-profile stance in terms of promoting itself. There is now much
                more competition, and the need to advertise and actively encourage consumers towards treatment
                is a trend that looks set to continue. The industry is required to maintain close ties with the
                Government and ensure that tighter legislation comes into place that prevents illegal trading or
                irresponsible marketing, but, at the same time, it must recognise market conditions. If it can do
                this successfully, the market for cosmetic surgery and non-surgery looks to have a healthy and
                durable future.



Contents:       Executive Summary

                1. Market Definition
                REPORT COVERAGE
                MARKET SECTORS
                Surgical Cosmetic Procedures
                Facial Surgery
                Breast Surgery
                Abdominal Surgery
                Other Surgical Cosmetic Procedures
                Non-Surgical Cosmetic Procedures
                Laser Treatments
                Botox
                Collagen and Other Injectable Treatments
                Other Skin Resurfacing Techniques
                MARKET TRENDS
                Aesthetic Industry Proves a Durable One
                A Need to Look Good in Times of Crisis
                Celebrities Promote the Industry
                The Changing Shape and Face of the Aesthetic Industry
Marketing Takes a Bolder Stance
Technological Change is Still Driving Trends
Legislative Controversy
Male Interest Increasing
ECONOMIC TRENDS
Population
Table 1: UK Resident Population Estimates by Sex (000), Mid-Years 2004-2008
Gross Domestic Product
Table 2: UK Gross Domestic Product at Current and Annual Chain-Linked Prices (£m),
2004-2008
Inflation
Table 3: UK Rate of Inflation (%), 2004-2008
Unemployment
Table 4: Actual Number of Unemployed Persons in the UK (million), 2004-2008
Household Disposable Income
Table 5: UK Household Disposable Income Per Capita (£), 2003-2007
MARKET POSITION
The UK
Overseas

2. Market Size
THE TOTAL MARKET
By Volume
Table 6: The Estimated Total UK Cosmetic Surgery Market by Number of Procedures
Carried Out, 2004-2008
Figure 1: The Estimated Total UK Cosmetic Surgery Market by Number of Procedures
Carried Out, 2004-2008
Table 7: Selected Leading Surgical Procedures by Number of Procedures Carried Out
(number and %), 2004-2008
Figure 2: Selected Leading Surgical Procedures by Number of Procedures Carried
Out (%), 2008
By Value
Table 8: The Estimated Total UK Cosmetic Surgery Market by Sector by Value at
Current Prices (£m at rsp), 2004-2008
Figure 3: The Estimated Total UK Cosmetic Surgery Market by Sector by Value at
Current Prices (£m at rsp), 2004-2008
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 %), 2004-2008
Breast Area.
Table 10: The Estimated UK Breast Area Cosmetic Procedures Sector by Value at
Current Prices (£m at rsp and %), 2004-2008
Abdominal Area
Table 11: The Estimated UK Abdominal Area Cosmetic Procedures Sector by Value
at Current Prices (£m at rsp and %), 2004-2008
Non-Surgical
Table 12: The Estimated UK Non-Surgical Cosmetic Procedures Sector by Value at
Current Prices (£m at rsp and %), 2004-2008
OVERSEAS TRADE

3. Industry Background
RECENT HISTORY
NUMBER OF COMPANIES
EMPLOYMENT
REGIONAL VARIATIONS IN THE MARKETPLACE
Table 13: Number of Private Hospitals and Clinics Offering Cosmetic Surgery and
Non-Surgical Cosmetic Procedures by Region, 2007/2008
DISTRIBUTION
HOW ROBUST IS THE MARKET?
LEGISLATION
Laser De-Regulation
Self-Regulation of Injectables
Regulatory Changes for Laser Lipolysis
KEY TRADE ASSOCIATIONS
The American Society for Aesthetic Plastic Surgery
The Association of Advanced Laser Body Sculpture
The British Association of Aesthetic Plastic Surgeons
British Association of Cosmetic Doctors
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
BMI Healthcare Ltd.
The Harley Medical Centre Ltd
The Hospital Group Ltd
The Hurlingham Clinic & Spa Ltd
Nuffield Health (formerly Nuffield Hospitals)
Spire Healthcare Ltd (formerly BUPA Hospitals Ltd)
Transform Medical Group (CS) Ltd
OTHER COMPANIES
NEW ENTRANTS
OUTSIDE SUPPLIERS
Collagen
Other Injectables
Breast Implants
Lasers
MARKETING ACTIVITY
Advertising Approaches
Main Media Advertising Expenditure
Table 14: Main Media Advertising Expenditure on Cosmetic Surgery and Cosmetic
Procedures (£000), Year Ending December 2008
Exhibitions and Trade Shows

5. Strengths, Weaknesses, Opportunities and Threats
STRENGTHS
WEAKNESSES
OPPORTUNITIES
THREATS

6. Buying Behaviour
INTRODUCTION
SUMMARY OF RESULTS
Demographic Analysis
Attitudes to Facial Surgery
Table 15: Penetration of Adults Who   Would Consider Facial Surgery (% of
respondents), 2009
Attitudes to Breast Surgery
Table 16: Penetration of Adults Who   Would Consider Breast Surgery (% of
respondents), 2009
Attitudes to Abdominal Surgery
Table 17: Penetration of Adults Who   Would Consider Abdominal Surgery (% of
respondents), 2009
Attitudes to Non-Surgery
Table 18: Penetration of Adults Who   Would Consider Non-Surgical Procedures (%
of respondents), 2009
Table 19: Penetration of Adults Who   Would Consider Non-Surgical Procedures (%
of respondents), 2009
Attitudes to the Industry
Table 20: Demographic Analysis of Consumer Attitudes to Cosmetic Surgery (% of
respondents), 2009
Table 21: Demographic Analysis of Consumer Attitudes to Cosmetic Surgery (% of
respondents), 2009

7. Current Issues
INTRODUCTION
CUT-PRICE COSMETIC SURGERY
PATIENT SAFETY VERSUS MARKET FORCES
COSMETIC SURGERY FOR ALL?
FINDING THE RIGHT BALANCE

8. The Global Market
TOTAL MARKET SIZE
THE US
Table 22: The Top 5 Surgical and Non-Surgical Procedures in the US Cosmetic
Surgery Market by Number of Procedures Carried Out (000), 2007
Table 23: The Top 5 Surgical Cosmetic Procedures in the US Cosmetic
Surgery Market by Number of Procedures
Carried Out (000 and %), 1997 and 2007
US Trends

9. Forecasts
INTRODUCTION
General Economic Forecasts
Population
Table 24: Forecast UK Resident Population by Sex (000), Mid-Years 2009-2013
Gross Domestic Product
Table 25: Forecast UK Growth in Gross Domestic Product in Real Terms (%),
2009-2013
Inflation
Table 26: Forecast UK Rate of Inflation (%), 2009-2013
Unemployment
Table 27: Forecast Actual Number of Unemployed Persons in the UK (million),
2009-2013
FORECASTS 2009 TO 2013
Table 28: The Forecast Total UK Cosmetic Surgery Market by Sector by Value at
Current Prices (£m at rsp), 2009-2013
Figure 4: The Forecast Total UK Cosmetic Surgery Market by Sector by Value at
Current Prices (£m at rsp), 2009-2013
MARKET GROWTH
Figure 5: Growth in the Total UK Cosmetic Surgery Market by Sector by Value at
Current Prices (£m at rsp), 2004-2013
FUTURE TRENDS
A Rosy Future for Non-Surgery
Weight Loss Surgery Will Increase
Better Informed Consumers Will Benefit the Market
Surgical Market Under Pressure

10. Company Profiles
BMI HEALTHCARE LTD
THE HARLEY MEDICAL CENTRE LTD
SPIRE HEALTHCARE LTD
TRANSFORM MEDICAL GROUP (CS) LTD

11. Further Sources
Associations
Publications
General Sources
Government Publications
Other Sources
Key Note Sources
            Research
            Range of Reports
            Cosmetic Surgery Contents



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