Data story · ASPS 2005–2024
America's Plastic Surgery Capitals
Not all of America gets plastic surgery at the same rate. ASPS regional data reveals which parts of the country are driving the mommy makeover boom -- and which are surprisingly behind.
37%
Pacific share
of augmentation
35%
S. Atlantic share
of liposuction '24
16%
Pacific region
population share
2.5×
CA procedures
vs. pop. share
Looking at the latest available data across all procedures, the Pacific wins augmentation by far (37%), the South Atlantic dominates liposuction (35%), and tummy tucks and breast lifts are the most evenly distributed.
| Region | Tummy Tuck | Breast Lift | Liposuction | Augmentation |
|---|
| Pacific (CA, OR, WA) | 24% | 27% | 24% | 37% |
| S. Atlantic (FL, GA, NC) | 17% | 22% | 35% | 20% |
| S. Central + Mtn (TX, AZ) | 15% | 17% | 19% | 17% |
| Midwest (IL, OH, MI) | 13% | 14% | 13% | 15% |
| Northeast (NY, NJ, PA) | 16% | 14% | 9% | 11% |
Population context: Pacific = 16% of US pop. South Atlantic = 20%. S. Central+Mtn = 27%. Midwest = 21%. Northeast = 17%. California's 37% augmentation share from 16% of population is a 2.3x over-index.
The Pacific region consistently commands 24–30% of all tummy tucks despite having only 16% of the population. The Midwest has declined from 21% to 13%. The South Atlantic, led by Florida, has been relatively stable at 15–19%.
Pacific S. Atlantic S. Central/Mtn Midwest Northeast
The Pacific region reached 41% of all liposuction in 2022 — 2.5x its population share. Then the South Atlantic surged to 35% in 2024, suggesting Florida-based practices are capturing an increasing share. The Northeast collapsed to 9%.
Liposuction regional share — 2005 vs. 2024
20242005
CA
12% of population
30%+ of procedures
most surgeons in US
FL
Fastest-growing
market. No income tax
medical tourism hub
NE
Declining share
across all procedures
15% → 9-11%
Medical Tourism Effect
An increasing number of patients travel for surgery. Miami has the highest concentration of mommy makeover specialists. Dallas/Houston draw from the Midwest. LA attracts from the Pacific Northwest and Asia.
The Suburban Shift
Top surgeons are moving from downtown to suburban locations closer to their patient base. Dallas suburbs (Plano, Frisco), Atlanta suburbs (Buckhead), Houston suburbs (The Woodlands) — reducing geographic barriers.
1
California punches way above its weight.
12% of population, 24-41% of procedures. The most plastic surgery residency programs, most board-certified surgeons, and most established cosmetic surgery culture.
2
Florida is the fastest-growing major market.
South Atlantic liposuction share surged from 21% (2005) to 35% (2024). No state income tax, year-round warm climate, and medical tourism infrastructure drive growth.
3
The Northeast is declining across the board.
From augmentation (15% to 11%) to liposuction (16% to 9%), the Northeast's share is shrinking. Population migration, higher costs, and cultural differences all contribute.
4
High-volume markets produce better outcomes.
If you live in CA, FL, or TX, you have the most surgeon options and competitive pricing. Patients in the Northeast or Midwest may benefit from traveling to high-volume markets.