Cosmetic Surgery has grown significantly over the last 10 years, even through the recession proving to be a solid and reliable business. It is projected to grow 10% annually over the next 5 years with revenue estimated to reach 17 billion by 2023. There were almost 18 million minimally invasive procedures performed in 2018. Main drivers of growth were Botox & Coolsculpting. This area of Aesthetics has driven a huge increase in MedSpa openings, which focus almost exclusively on non-invasive non-surgical procedures. On the surgical side breast augmentation and liposuction continued to be the main procedures performed.