More individuals had plastic surgery in the US in 2013 than anywhere else in the world, knocking the country up to a top-spot post that beat out its next closest contender by almost 100 percent. But for the first time, Brazil edged out the States for number of surgical procedures performed (the same country that hosted the most posterior enhancements in 2013). So says the International Society of Aesthetic Plastic Surgery (ISAPS) in its fascinating just-released figures.

The most popular overall cosmetic procedure performed last year? Botulinum toxin. That was also the most prevalent non-surgical cosmetic procedure in 2013. And the most popular surgical procedure? Breast augmentation.

All told, more than 23 million cosmetic surgical and nonsurgical procedures were performed across the globe last year. Women had 20 million-plus of them, or 87.2 percent of the total.

The top five plastic surgery countries in 2013 were as follows:

  • United States – 3,996,631 (17%)
  • Brazil- 2,141,257 (9.1%)
  • Mexico – 884,353 (3.8%)
  • Germany – 654,115 (2.8%)
  • Spain – 447,177 (1.9%)

The top cosmetic surgical procedures performed in 2013 were:

  • Breast augmentation (1,773,584)
  • Liposuction (1,614,031)
  • Blepharoplasty (1,379,263)
  • Lipostructure — including lipofilling and stem-enhanced lipofilling (1,053,890)
  • Rhinoplasty (954,423)

The leading nonsurgical procedures performed were:

  • Botulinum toxin (5,145,189)
  • Fillers and resorbables (3,089,686)
  • Laser hair removal (1,440,252)
  • Non-invasive facial rejuvenation (1,307,300)
  • Chemical peel, CO2 resurfacing, dermabrasion (773,442).

The list of the top five surgical procedures performed most frequently on women in 2013 — almost a duplication of the overall most popular list — were:

  • Breast augmentation
  • Liposuction
  • Blepharoplasty
  • Lipostructure
  • Breast lift

Of the three million-plus surgical procedures performed on men last year, the most popular were:

  • Rhinoplasty
  • Breast reduction for gynecomastia
  • Blepharoplasty
  • Liposuction
  • Otoplasty

Out of the 15,414 penis enlargements performed into the world in 2013, size mattered most in Germany, where a record 2,786 of these surgeries were performed.

The ISAPS is the world’s biggest international society for the profession. For this survey, it polled its more than 2,700 board-certified aesthetic plastic surgeon members in 95 countries with a view to be able to present an accurate and up-to-date picture of the worldwide industry.