Botox® procedures on the rise nationally

With the economy on the upswing and consistent advances in medical technology, the nation saw a significant increase in cosmetic procedures—Botox® in particular—in 2014. More than 6 million Botox® procedures were performed in the United States in 2014, including at Dr. Stanley Jacobs’ San Francisco and Healdsburg facilities.

According to the American Society of Plastic Surgeons’ annual plastic surgery procedural statistics, there were 15.5 million cosmetic procedures performed in 2014—a 3 percent increase from 2013. Nearly half of these were Botox® procedures, which saw a 6 percent rise from 2013 to 2014.

While Botox® has long been a popular minimally invasive option for patients looking to minimize crow’s feet and other fine lines around the face, an increasing number of nonmedical facilities, including salons and spas, are offering the procedure as well, which may account to some degree for the overall increase in the number of Botox® procedures being performed.

Minimally invasive procedures saw the largest increase, with 2.3 million soft tissue filler procedures marking a 3 percent increase, 1.2 million chemical peels marking a 7 percent increase, 1.1 million laser hair removal procedures marking a 3 percent increase, and 881,905 microdermabrasion procedures marking a whopping 9 percent increase. Of course, none of these comes close to the 6.7 million Botox® procedures performed in 2014.

Surgical procedures had an overall 1 percent increase, with liposuction seeing the steepest increase at 5 percent.

Among the positive developments revealed by the statistics, an increasing number of men are turning to cosmetic procedures to help boost confidence and feel more comfortable in their own skin. A doctor quoted in the release said, “Male plastic surgery rates have significantly increased since 2000 and the notion that cosmetic procedures are just for women no longer exists. Men are seeking to regain a more youthful look, improve their self-image and feel better about their appearance. It is great that plastic surgeons have procedures to meet and often exceed their expectations.”

The study primarily cites pectoral implants (which increased 208 percent from 2013 to 2014) and male breast reductions (which have increased 29 percent since 2000). But for patients across the United States, including at Dr. Jacobs’ San Francisco and Healdsburg facilities, men are turning out for Botox® in much higher numbers, lured by curiosity, a fear of encountering ageism in the workplace, and the ease and speed of the procedure. A CNN Money article that ran in November 2014 cited Botox® as a good way for men to gain a competitive edge in the job market. But the article also cites women as a major contributing factor to men seeking Botox® across the United States, including in San Francisco and Healdsburg. Doctors cited wives who had invested in cosmetic procedures offering a strong incentive for husbands who are impressed by the results and also want to look their best.

While the increase in procedures might suggest a positive increase in patient access to procedures that make them look and feel better, the Mayo Clinic advises that “Botox® must be used only under a doctor’s care” because “it can be dangerous if it’s administered incorrectly.” Different states have different laws about who is allowed to administer Botox®,, and in California, including San Francisco and Healdsburg, it’s not uncommon to encounter salons and medical spas offering cosmetic procedures including Botox®, often administered by people with only a weekend of training.

But medical practitioners and respected institutions recognize the importance of ensuring that any procedure takes place in a safe and sterile environment under the guidance of a trained professional like Dr. Stanley Jacobs.

Dr. Stanley Jacobs is triple board certified by the American Board of Facial Plastic and Reconstructive Surgery, the American Board of Otolaryngology Head and Neck Surgery, and the Royal College of Surgeons of Canada. He is an elected house delegate for the California Medical Association, a member of the European Academy of Facial Plastic Surgery, and has written numerous articles on the subject of cosmetic surgery. To schedule a consultation to learn more about the Botox® in San Francisco and Healdsburg, as well as the other procedures Dr. Jacobs offers at his San Francisco facility, visit or call the San Francisco facility at 415-433-0303.


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