The American Society of Plastic Surgeons published its 2025 procedure counts, and the top five reads almost exactly as it did the year before. Liposuction first for a fifth straight year, then breast augmentation, tummy tuck, breast lift.
Fifth place is where it gets interesting. Eyelid surgery rose 19 percent to 118,978 procedures, the fastest growth in the group and the most popular facial surgery of the year.
Why the eyes go first
“Eyelid surgery did blow up a lot, and it’s also a procedure we’ve performed increasingly over the last two years,” Dr. Frank Agullo says. “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.”
The lower lids bring their own complaint, and increasingly it arrives alongside weight loss.
“The lower eyelids are also quite popular, as more and more patients with fat loss can see the lower eye bags more easily, along with the tear trough deformity.”
Number one is not what patients ask for
Liposuction held first place and still fell 1 percent, which sounds contradictory until you look at how it is actually used.
“Liposuction is certainly the most common procedure in my practice, and the main reason is that it’s part of any body contouring procedure. When I perform a tummy tuck, liposuction is included in the abdomen and the lower back. When I perform an arm lift, I do liposuction first. When I do a thigh lift, I do liposuction first.”
“Therefore, liposuction really is a very common procedure in the practice, well over a thousand cases per year.”
Much of that volume is a component of a larger operation rather than a procedure someone booked by name.
The facial surge the list leaves out
Ranking by raw volume keeps the fastest-growing work off the page entirely. Facelift rose 13 percent nationally, neck lift 21 percent, forehead lift 29 percent, and facial fat grafting 39 percent, the biggest percentage jump of any cosmetic surgical procedure in the report. None of them made the top five.
“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,” Dr. Agullo says. “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.”
He names two drivers.
“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.”
Where The MedSpa fits
Several items on that combination list are treatments rather than operations. Microneedling with radiofrequency and laser resurfacing are offered at The MedSpa at Southwest Plastic Surgery, and they are routinely staged around surgery rather than instead of it. Patients who begin with skin quality often arrive at a surgical conversation better prepared, and patients who have had surgery use them to hold the result.
For anyone who has lost significant weight on a GLP-1 medication and is watching the change show up in the face first, that sequencing conversation is worth having early.
Dr. Agullo has published the full breakdown, including why he would rank the year by something other than volume.
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Source: ASPS 2025 Procedural Statistics Report, national table. Commentary from Dr. Agullo’s 2026-09-07 dictation.
