Heading into 2019, more than 80 percent of Americans are looking to make changes to their well-being, according to a new Harris Poll conducted on behalf of RealSelf. These changes include many of the usual New Year’s Resolutions: eating better, exercising more, losing weight, and investing in self care. But the poll also shows a rising interest in cosmetic treatments, especially among millennials and women.

Women (42 percent) are significantly more likely than men (30 percent) to be considering cosmetic treatments in the next 12 months. Millennials are nearly twice as likely as adults 35 and older to be considering a surgical or nonsurgical treatment in the next 12 months (57 percent vs. 28 percent).

One-third of U.S. adults (33 percent) are considering nonsurgical treatments in the next 12 months, which is significantly higher than those considering surgical treatments (22 percent). Cosmetic dentistry was the top choice among those considering nonsurgical options, while tummy tuck topped the list for surgical procedures.

Top 5 Nonsurgical Treatments Being Considered in Next 12 Months Top 5 Surgical Treatments Being Considered in Next 12 Months
1. Cosmetic Dentistry (32%)(e.g., Invisalign, Whitening, Veneers)
2. Laser Hair Removal (30%)
3. Facial Skin Treatments (25%)(e.g., Dermaplaning, Microneedling)
4. Facial / Lip Fillers (24%)
5. Botox / Toxins (21%)
1. Tummy Tuck (30%)
2. Chin or Neck Lift (25%)
3. Arm or Leg Lift (19%), Eyelid Surgery (19%)
4. Liposuction (17%), Breast Augmentation (17%)
5. Facelift (16%)

What’s driving the high interest? According to RealSelf Chief Medical Officer and board-certified plastic surgeon  Dr. Lara Devgan, minimally invasive treatments are more readily available and most require little to no downtime, making them a viable option for a growing number of Americans.

“People want to make positive changes in their lives and take steps to look as good as they feel,” said Dr. Lara Devgan, RealSelf Chief Medical Officer and board-certified plastic surgeon. “This survey reinforces the trends we’re observing on RealSelf and what I’m seeing in my own practice—adults in their 20s and 30s are prioritizing self-care and many view cosmetic treatments as one part of their holistic health and beauty routine. With new technologies and minimally invasive treatment options entering the market every year, procedures are becoming more accessible and a growing number of Americans are exploring their elective treatment options.”

According to the survey, improving confidence and looking as good as you feel were the top two motivations cited by those considering cosmetic treatments.  This mirrors the sentiments shared by many RealSelf users, including PippaH, who decided on treatments to get her body back and regain her confidence.

“I had my first child at the age of 21 and got Oreo stretch marks from my obvi area to my belly button all across my stomach. I had two more babies and just accepted that this was my lot in life – to always look scarred. And I know they are a badge of having carried my children. But they have always made me uncomfortable- not for only others to see – but even myself – it made me self conscious and sad. Two years ago I had my boobs done and I was amazed how evening and filling them out made me feel better – so I finally decided it’s my time.”

Main Motivations for Having/Considering Cosmetic Treatments:Overall %
To improve my self-esteem/confidence40%
To look as good as I feel36%
To look younger26%
Help with weight loss/fat removal22%
Combat aging22%
Convenience and to save time/effort15%
Get my body back after having children12%

See the full survey and visit the RealSelf press room for more on data and trends.