There is a ritual to this. My specialty publishes its annual numbers, two hundred outlets publish the top five list, and everyone moves on by Thursday.
Liposuction won. It has won five years running. It actually declined 1 percent and still won by a mile.
Now turn to page 26, where the country gets split into regions. On five procedures, my eight-state region went the opposite way from the national number. The one I want to talk about is the nose.
Rhinoplasty fell 5 percent nationally. Here it rose 16.
“This does match what I see. I’ve seen an increase in surgical rhinoplasty procedures in both men and women. In many places, people are turning to injectable fillers for a liquid rhinoplasty, or non-surgical nose job. But many patients have noticed that when this is done, the nose actually becomes bigger, because filler is volume.”
“We’re adding volume to hide the dorsal hump and maybe push the tip up. But with time, the filler flattens out and migrates to the sides, making the nose look wider and the tip more bulbous.”
You are solving a shape complaint with volume, and volume does not stay where you put it.
“For a real reduction, surgical rhinoplasty reshapes the structure of the nose and reduces its size, removing the dorsal hump, refining the tip, and even narrowing the nose, and it can also remove old filler. A surgical rhinoplasty is a permanent procedure.”
Why the top five is a boring list
Four of the five barely moved. The only real mover is eyelid surgery, up 19 percent.
“These are the usual procedures that made the top five, and they really didn’t move much during 2025. I could see that during 2025 there was a bit of a slowdown in plastic surgery procedures, and I think that was due to changes in the economy. But we’re seeing an increase in 2026.”
“Eyelid surgery did blow up a lot, and it’s also a procedure we’ve performed increasingly over the last two years. It seems to be the first part of the face that patients notice as they age, especially the upper eyelid skin, which can hang and even rest on the eyelashes, giving the patient the impression of being tired and even making makeup hard to put on.”
An economic read, not an aesthetic one. That is not in the report either.
What I am actually seeing
“In my practice, I’ve really seen a huge increase in face procedures, specifically the deep plane face lift and deep plane neck lift, as well as the total endoscopic deep plane face lift, otherwise known as the ponytail lift. These face lifts are often combined with facial fat grafting, upper and lower eyelid surgery, microneedling with radiofrequency or laser resurfacing, sometimes an upper lip lift, fat transfer to the lips, and earlobe reduction.”
“The reason we’re seeing this increase exponentially is that patients are noticing signs of facial aging earlier, or they’ve been on GLP-1s and have had accelerated aging from fat loss in the face and skin sagging.”
“The most interesting thing about a face lift procedure is that it can make you look ten to fifteen years younger. Of course, that depends on the age at which you get the procedure. If you get it at forty, you’re probably going to look like you’re in your early thirties, or even late twenties. But time keeps moving forward, so if we repeat the procedure ten years later, we take you back to that earlier stage of yourself. Now you’re in your fifties, looking like you’re in your thirties.”
The honest caveats
Region 4 is eight states, so I cannot tell you what El Paso did. Nobody publishes that.
These count only board-certified plastic surgeons. For the procedures growing fastest, the uncounted volume is the part worth worrying about.
I have written the full regional breakdown, including the one figure in the report I refuse to quote until ASPS explains it.
Ready to talk?
Call (915) 590-7900, text 1-866-814-0038, or book at drworldwide.com.
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#StayBeautiful
Source: ASPS 2025 Procedural Statistics Report. Commentary from Dr. Agullo’s 2026-09-07 dictation.