Post on 22-Jun-2020
Global Aesthetic Market XIV June 2016
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M.I.I Disclaimer
Information in this study has been obtained by Medical Insight, Inc., from sources believed to be reliable. While Medical Insight believes the data provided herein to be accurate, no expressed or implied guarantees regarding accuracy or adequacy are made. Product and corporate data can change very quickly and without notice and Medical Insight continually updates its research products. Because of this, certain figures in Medical Insight reports may differ from corresponding figures in earlier reports, even if those reports were issued relatively recently. Furthermore, current economic conditions are contributing to a highly volatile market, in which actual results often diverge significantly from estimates developed by manufacturers, analysts and others, resulting in a revision of projections. Therefore, while Medical Insight will provide an explanation of figures in any of its reports, only the most recent reports contain Medical Insight’s latest estimates.
This study is not intended as a substitute for proper due diligence. Although an attempt has been made to provide thorough coverage of the subject matter of this report, no guarantees regarding completeness or thoroughness are made. Medical Insight is not responsible for any errors, omissions, or results obtained from use of information provided herein.
Any use which a reader makes of this report or any reliance on or decisions to be made based on it are the sole responsibility of such reader. Medical Insight accepts no responsibility for damages, if any, suffered by any reader as a result of decisions or actions taken based on this study.
Medical Insight, Inc. reserves all rights to this copyrighted document. This study is protected by U.S. Copyright Law; Copyright 2016 Medical Insight, Inc. Unauthorized reproduction is strictly forbidden by law. This report may not be reproduced in part or in whole without written consent of a duly authorized officer of Medical Insight. Multiple copies of this report can be obtained at a nominal cost by contacting the publisher.
Medical Insight, Inc. 130 Vantis, Suite 240 Aliso Viejo, CA 92656 USA +1 (949) 830-5409 telephone +1 (949) 830-8944 facsimile Email: mmoretti@miinews.com
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M.I.I Professional Biography
Michael Moretti President Medical Insight, Inc.
Michael Moretti has served as a medical industry analyst and strategic advisor for more than 20 years. As an industry consultant, Mr. Moretti specializes in strategic business development projects and high-growth, emerging market segments. He provides custom reports and confidential market studies for a variety of clients, including global medical and pharmaceutical companies.
In 1993, Mr. Moretti founded Medical Insight, Inc., the leader in focused aesthetic market
research offering comprehensive data on procedure volume and growth, revenue forecasts and new product introductions. Under Mr. Moretti’s leadership, Medical Insight publishes global market studies and forecasts for major industry sectors such as facial injectables, cosmeceuticals, body shaping procedures, skin rejuvenation technologies and home-use aesthetic products. Medical Insight also sponsors executive business forums to address scientific developments and market trends for the investment community.
Mr. Moretti is the founder of Aesthetic TV, the first and only one-stop online resource for
current, reliable information about cosmetic and anti-aging treatments. Aesthetic TV offers expert advice for consumers via interviews with the top physicians in the field, and unprecedented access to the latest beauty-enhancing procedures and products created specifically to help people look and feel their absolute best.
Mr. Moretti is also founder and publisher of THE Aesthetic Guide® – a digital and print
publication from Medical Insight featuring in-depth reports on new products, procedures and trends, reaching over 75,000 physicians, industry executives and investment analyst subscribers globally. Special editions of THE Aesthetic Guide address the European and Asian markets.
In 2007, Mr. Moretti debuted THE Aesthetic Show™, the first multidisciplinary annual business
to business trade show that brings thousands of the highest profile physicians and medical professionals together in Las Vegas to learn about the newest aesthetic procedures, products and technologies in a dynamic, interactive, educational format. For more information please visit: www.miinews.com. Contact Information: Michael Moretti Medical Insight, Inc. 130 Vantis, Suite 240 Aliso Viejo, CA 92656 USA +1 (949) 830-5409 telephone +1 (949) 830-8944 facsimile Email: mmoretti@miinews.com Or visit the Medical Insight website at: www.miinews.com
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M.I.I Table of Contents
Disclaimer 2
Professional Biography 3
Table of Contents 4
Table of Exhibits 17
1.0 Executive Summary 28
2.0 Background 30
2.1 The Aging Process 30
2.1.1 Free Radical Theory 30
2.1.2 Inflammation 31
2.1.3 Immune System Response 31
3.0 Energy-Based Devices and Treatments 33
3.1 Overview of Energy Types and Treatments 33
3.1.1 Laser Devices 36
3.1.2 Intense Pulsed Light 37
3.1.3 Light-Emitting Diodes 37
3.1.4 Light Heat Energy 37
3.1.5 Energy-Based Epilation 37
3.1.6 Skin Rejuvenation 38
3.1.7 Tattoo & Pigmented Lesion Removal 40
3.1.8 Acne Reduction 42
3.1.9 Vascular Lesions 42
3.2 Competitive Advantage 43
3.2.1 Energy-Based Epilation 43
3.2.2 Skin Rejuvenation 46
3.2.3 Tattoo and Pigmented Lesion Removal 47
3.2.4 Acne Reduction 47
3.2.5 Treatment of Vascular Lesions 48
3.3 Device Descriptions and Results 49
3.3.1 Energy-Based Epilation 50
3.3.1.1 Alexandrite Lasers 53
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3.3.1.2 Diode Lasers 54
3.3.1.3 Nd:YAG Lasers 54
3.3.1.4 Pulsed Light Devices 55
3.3.1.5 Electro-Optical Synergy 55
3.3.2 Skin Rejuvenation 55
3.3.2.1 Ablative Skin Rejuvenation 59
3.3.2.2 Non-Ablative Skin Rejuvenation 59
3.3.2.3 Fractional Skin Rejuvenation 59
3.3.3 Tattoo and Pigmented Lesion Removal 63
3.3.4 Acne Reduction 64
3.3.4.1 Bactericidal Approach 66
3.3.4.2 Cessation of Oil Porduction Appraoch 67
3.3.4.3 Photopneumatic 67
3.3.5 Vaginal Rejuvenation 68
3.3.6 Vascular Lesions 69
3.4 Manufacturer Profiles 72
3.4.1 Alma Lasers 72
3.4.2 AMT Engineering 75
3.4.3 BTL Aesthetics 76
3.4.4 Cutera 77
3.4.5 Cynosure 78
3.4.6 EL.EN. Group 81
3.4.7 Ellipse 83
3.4.8 EndyMed 83
3.4.9 Energist 84
3.4.10 Focus Medical 85
3.4.11 Fotona 85
3.4.12 General Project 87
3.4.13 Hironic 87
3.4.14 ILOODA 88
3.4.15 InMode 88
3.4.16 Jeisys 89
3.4.17 LASERING 89
3.4.18 Lumenis 90
3.4.19 Lutronic 92
3.4.20 Medicol USA 93
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3.4.21 Meditime 93
3.4.22 MedixSysteme 94
3.4.23 Pantec Biosolutions 94
3.4.24 Perfaction 94
3.4.25 Pollogen 95
3.4.26 Protocadmus 96
3.4.27 Radiancy / PhotoMedex 96
3.4.28 Sciton 97
3.4.29 SharpLight 99
3.4.30 Solta / Valeant 100
3.4.31 SupraMedical 101
3.4.32 Syneron Candela 102
3.4.33 Thermi 104
3.4.34 Viora 105
3.4.35 Viveve Medical 106
3.5 Equipment Sales Estimates 2015 – 2020 107
3.5.1 Platforms 108
3.5.2 Disposables 122
3.6 Treatment Volume Estimates 2015 – 2020 130
3.7 Competitive Analysis and Market Share 143
4.0 Body Shaping & Skin Tightening 145
4.1 Overview of Condition and Treatment 145
4.2 Competitive Advantage 148
4.3 Device Descriptions and Results 149
4.4 Manufacturer Profiles 153
4.4.1 Alma Lasers 153
4.4.2 Andrew Technologies 154
4.4.3 BTL Industries 154
4.4.4 CAREstream America 155
4.4.5 Chromogenex 156
4.4.6 Classys 157
4.4.7 Cutera 157
4.4.8 Cynosure 158
4.4.9 EL.EN Group (Asclepion, DEKA, Quanta System) 160
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4.4.10 EndyMed 161
4.4.11 Energist 163
4.4.12 Erchonia 163
4.4.13 EunSung Global Corp. 164
4.4.14 Fotona 166
4.4.15 General Project 166
4.4.16 Grupo Body Esthetic Laboratories 167
4.4.17 Hironic 168
4.4.18 InMode 168
4.4.19 Jeisys 169
4.4.20 LoveLite Ltd. 170
4.4.21 Lutronic 170
4.4.22 Meditime 171
4.4.23 MedixSysteme 171
4.4.24 Merz (Ulthera) 173
4.4.25 Perigee Medical 174
4.4.26 Pollogen 174
4.4.27 Protocadmus Technologies 176
4.4.28 Sciton 176
4.4.29 SharpLight Technologies 177
4.4.30 Shenzhen GSD Tech 177
4.4.31 Silhouet-Tone 178
4.4.32 STORZ Medical 178
4.4.33 Strawberry Laser Lipo 179
4.4.34 Syneron 178
4.4.35 ThermaMedic 181
4.4.36 Thermi 182
4.4.37 Valeant (Solta Medical) 183
4.4.38 Venus Concept 186
4.4.39 Viora 186
4.4.40 ZELTIQ Aesthetics 187
4.4.41 Zimmer MedizinSysteme 190
4.5 Equipment Sales Estimates 2015 to 2020 191
4.5.1 Platforms 191
4.5.2 Disposable 203
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4.6 Treatment Volume Estimates 2015 to 2020 214
4.7 Competitive Analysis and Market Share 222
5.0 Neurotoxins 224
5.1 Overview of Condition and Treatment 224
5.2 Competitive Advantage 226
5.3 Product Descriptions and Results 227
5.3.1 BTX-A 228
5.3.2 BTX-B 229
5.4 Manufacturer Profiles 230
5.4.1 Allergan 230
5.4.2 ALPHAEON Corp. 234
5.4.3 Daewoong Pharma 234
5.4.4 Ipsen 235
5.4.5 Galderma 235
5.4.6 HuGel 237
5.4.7 Lanzhou Institute 237
5.4.8 MedyTox 238
5.4.9 Merz 239
5.4.10 Revance Therapeutics 240
5.5 Product Sales Estimates 2015 to 2020 242
5.6 Treatment Volume Estimates 2015 to 2020 253
5.7 Competitive Analysis and Market Share 259
6.0 Dermal Fillers 261
6.1 Overview of Conditions and Treatments 261
6.2 Competitive Advantage 263
6.3 Product Descriptions and Results 265
6.4 Manufacturer Profiles 268
6.4.1 Adoderm 268
6.4.2 Aesthetic Factors 269
6.4.3 Allergan 269
6.4.4 ALPHAEON Corp. 270
6.4.5 Biologica Tech 270
6.4.6 Bloomage 270
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6.4.7 CM Aesthetic 271
6.4.8 Contura / Specialty European Pharma 271
6.4.9 Cosmoscience 272
6.4.10 Croma-Pharma 273
6.4.11 Fibrocell 273
6.4.12 Laboratoires FILORGA 274
6.4.13 Galderma 274
6.4.14 Hangzhou Gallop Biological Products 276
6.4.15 Hangzhou Sinclean Medical Products 276
6.4.16 Harvest Technologies Corp. 277
6.4.17 IBSA Farmaceutici Italia 277
6.4.18 Kaylight 278
6.4.19 LG Life Sciences 279
6.4.20 Merz Aesthetics 279
6.4.21 NovoNexus 280
6.4.22 O’Meiye Group 280
6.4.23 Procytech / The Cell Bio-Tech (China) 280
6.4.24 Prollenium Medical Technologies 281
6.4.25 RegenLab 281
6.4.26 Regenyal 281
6.4.27 Revitacare 282
6.4.28 SBS-Med 283
6.4.29 Sinclair Pharma 283
6.4.30 Suiselle 285
6.4.31 Suneva Medical 285
6.4.32 Teoxane 287
6.4.33 Vivacy 288
6.4.34 Zimmer MedizinSysteme 289
6.5 Product Sales Estimates 2015 to 2020 290
6.6 Treatment Volume Estimates 2015 to 2020 301
6.7 Competitive Analysis and Market Share 307
7.0 Liposuction 309
7.1 Overview of Conditions and Treatments 309
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7.2 Competitive Advantage 310
7.3 Product Descriptions and Results 311
7.4 Manufacturer Profiles 312
7.4.1 Mentor 312
7.4.2 MicroAire 312
7.4.3 Valeant 312
7.4.4 Wells Johnson 313
7.5 Product Sales Estimates 2015 to 2020 314
7.6 Prcedure Volume 325
7.7 Competitive Analysis and Market Share 329
8.0 Breast Implants 331
8.1 Overview of Condition and Treatment 331
8.2 Competitive Advantage 332
8.3 Product Descriptions and Results 333
8.3.1 Saline Implants 334
8.3.2 Silicone Implants 335
8.4 Manufacturer Profiles 337
8.4.1 Allergan 337
8.4.2 GC Aesthetics 338
8.4.3 Mentor 339
8.4.4 PIP 340
8.4.5 Sientra 341
8.4.6 Silimed 342
8.4.7 Valeant 343
8.5 Product Sales Estimates 2015 to 2020 345
8.6 Procedure Volume 356
8.7 Competitive Analysis and Market Share 360
9.0 Physician-Dispensed Topicals, Peels and Eyelash Products 362
9.1 Overview of Conditions and Treatments 362
9.2 Competitive Advantage 367
9.3 Product Descriptions and Results 369
9.3.1 Ingredients 370
9.3.1.1 Vitamin A and Retinoids 371
9.3.1.2 Vitamin C 371
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9.3.1.3 Vitamin E 372
9.3.1.4 Alpha Lipoic Acid 372
9.3.1.5 Coenzyme Q10 373
9.3.1.6 Aminophylline 374
9.3.1.7 Argirelene 375
9.3.1.8 Beta Hydroxy Acids 375
9.3.1.9 Ceramides 375
9.3.1.10 Coconut Oil 376
9.3.1.11 Coenzyme Q10 376
9.3.1.12 Creatine 377
9.3.1.13 Cytokinin & Zeatin 377
9.1.3.14 DMAE 377
9.1.3.15 Epigallocatechin Gallate 378
9.1.3.16 Growth Factors 378
9.1.3.17 Hyaluronic Acid 379
9.1.3.18 Idebenone 379
9.1.3.19 Melanozyme 380
9.1.3.20 Peptides 380
9.1.3.21 Silica Silylate 381
9.3.1.22 Latest Developments in Formulations 381
9.3.2 Chemical Peels 387
9.3.3 Eyelash Products 391
9.3.4 Scar Products 393
9.3.5 Skin Lightening / Brightening 394
9.3.6 Sunscreens 395
9.4 Manufacturer Profiles 398
9.4.1 A Plus Medical 398
9.4.2 Alastin Skincare 398
9.4.3 Allergan 399
9.4.4 ALPHAEON Corp. 401
9.4.5 Athena Cosmetics 402
9.4.6 Biodermis 403
9.4.7 BiON Research 403
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9.4.8 Biopelle 403
9.4.9 Cellese 404
9.4.10 Celuvia 404
9.4.11 Clinicians Complex 404
9.4.12 Cosmederm Bioscience 405
9.4.13 Cosmedical Technologies 405
9.4.14 Cutagenesis 405
9.4.15 Derma e 405
9.4.16 Dermaesthetics 406
9.4.17 Dermamedics 406
9.4.18 Dermaquest 406
9.4.19 DermAware 406
9.4.20 Derme&Co. 407
9.4.21 DermWORX 407
9.4.22 Enaltus 407
9.4.23 Enhance Skin Products 408
9.4.24 Environ 408
9.4.25 Envy Medical 408
9.4.26 EltaMD 409
9.4.27 Epikinetics 410
9.4.28 Episciences 410
9.4.29 Eraclea 410
9.4.30 exCel Cosmeceuticals 411
9.4.31 Fallene 411
9.4.32 Laboratoires Filorga 412
9.4.33 Galderma 412
9.4.34 glo Professional 413
9.4.35 GMC Medical 413
9.4.36 Hale Cosmeceuticals 413
9.4.37 Hand MD 413
9.4.38 HydroPeptide 414
9.4.39 Illuminare Skincare 414
9.4.40 INNOCUTIS 414
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9.4.41 Innovative Skincare 415
9.4.42 Intrafusions 415
9.4.43 Jan Marini 415
9.4.44 LA Canada Ventures 416
9.4.45 La-Roche Posay 417
9.4.46 LEIO Corporation 418
9.4.47 LifeLine Skincare 418
9.4.48 LIFTLAB 418
9.4.49 Lira Cosmeceuticals 419
9.4.50 MD Formulations 419
9.4.51 Medicalia 420
9.4.52 Mesoestetic Pharma Group 420
9.4.53 Murad 420
9.4.54 Mybody 421
9.4.55 mySkin 422
9.4.56 Neocutis (Merz) 423
9.4.57 NeoStrata 423
9.4.58 NewMedical Technology 423
9.4.59 Niadyne Pharma 424
9.4.60 Novo Solutions 424
9.4.61 NuGene International 425
9.4.62 NuvesseMD 425
9.4.63 Obagi Medical (Valeant) 425
9.4.64 Osmosis Pur Medical Skincare 426
9.4.65 Oxygenetix Institute 427
9.4.66 PCA SKIN 427
9.4.67 Pevonia 427
9.4.68 PhotoMedex 427
9.4.69 PhytoCeuticals 428
9.4.70 Pierre Fabre 429
9.4.71 Revision Skincare 429
9.4.72 SAIAN 429
9.4.73 Scar Heal 430
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9.4.74 Scarguard Labs 430
9.4.75 Sente 430
9.4.76 Sesderma 431
9.4.77 SkinCeuticals (L’Oreal) 431
9.4.78 Skinprint 432
9.4.79 Suneva Medical 432
9.4.80 Syneron 432
9.4.81 Teoxane 433
9.4.82 Therapon 434
9.4.83 Topokine Therapeutics (Allergan) 434
9.4.84 Turo Skin 435
9.4.85 US CosmeceuTechs 435
9.4.86 Venus Skin 435
9.4.87 Young Pharmaceuticals 435
9.4.88 ZO Skin Health 436
9.5 Product Sales Estimates 2015 to 2020 437
9.6 Competitive Analysis and Market Share 449
10.0 Emerging Technologies 451
10.1 Overview of Condition and Treatment 451
10.2 Competitive Advantage 453
10..3 Manufacturer Profiles and Product Descriptions 455
10.3.1 Allergan 455
10.3.2 Alma Lasers 457
10.3.3 Croma-Pharma 457
10.3.4 Excaliard Pharmaceuticals / Pfizer 457
10.3.5 Halscion 458
10.3.6 Jeisys 458
10.3.7 Miramar Labs 459
10.3.8 Neothetics (formerly Lithera) 460
10.3.9 NovaThreads / CosmoFrance 460
10.3.10 Revance Therapeutics 461
10.3.11 Sinclair 462
10.3.12 V SoftLift AB 463
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10.3.13 Viviscal 463
10.4 Product Sales Estimates 2015 to 2020 464
11.0 Home-Use Devices 466
11.1 Overview of Condition and Treatment 466
11.2 Competitive Advantage 467
11.3 Product Descriptions and Results 469
11.4 Manufacturer Profiles 472
11.4.1 Apira 472
11.4.2 Beautyko 473
11.4.3 Biotechnique Avance 473
11.4.4 Carol Cole Company 474
11.4.5 DermaConcepts 474
11.4.6 Evis Beauty 475
11.4.7 evoDerma 475
11.4.8 Freedom Laser Therapy 476
11.4.9 Guangzhou Charming Electronic Company 476
11.4.10 Home Skinovations 476
11.4.11 Illuminage Beauty 477
11.4.12 JeNu Biosciences 478
11.4.13 LaserCap Company 479
11.4.14 Lexington International 479
11.4.15 Light4Beauty 481
11.4.16 L’Oreal 481
11.4.17 nanoTime 482
11.4.18 Philips 483
11.4.19 PhotoMedex 484
11.4.20 Pollogen 485
11.4.21 Quasar Biotech 486
11.4.22 Reckitt Benckiser 486
11.4.23 Rio (Dezac Group) 486
11.4.24 Spectrum Brands / Remington 487
11.4.25 Spencer Forrest 488
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11.4.26 Super Grow Lasers 488
11.4.27 Theradome 489
11.4.28 Tria Beauty 489
11.5 Market Forecasts 490
12.0 Total Market 498
12.1 Total Market 498
12.2 Procedure Volume and Fees 509
12.3 Market Share 511
13.0 Aesthetic Practice Trends 514
I Treatment Comparison 567
I.I Perceived Value 540
I.II Safety vs. Efficacy 544
I.III Treatment Compatibility 547
I.IV Non-Physician Performed Treatments 548
II Company Listings 574
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M.I.I. Table Of Exhibits
Table 3-1 Energy-Based Types 34
Table 3-2 Average Electolysis Treatment Times 43
Table 3-3 Laws Related to Operation of Laser Hair Removal Devices by State 45
Table 3-4 Top Energy-Based Hair Removal Devices 51
Table 3-5 Top Skin Rejuvenation Devices 56
Table 3-6 Fractional Skin Rejuvenation Devices 61
Table 3-7 Top Tattoo and Pigmented Lesion Removal Devices 63
Table 3-8 Top Energy-Based Acne Devices 65
Table 3-9 Top Energy-Based Vaginal Rejuvenation Devices 68
Table 3-10 Top Energy-Based Vascular Lesion Removal Devices 70
Table 3-11
Worldwide Projected Dollar Sales for Top Manufacturers of Energy-Based Device Platforms
108
Figure 3-1
Worldwide Dollar Growth for Leading Providers of Energy-Based Device Platforms
109
Table 3-12
North American Projected Dollar Sales for Top Manufacturers of Energy-Based Device Platforms
110
Figure 3-2
North American Dollar Growth for Leading Providers of Energy-Based Device Platforms
111
Table 3-13
European Projected Dollar Sales for Top Manufacturers of Energy-Based Device Platforms
112
Figure 3-3
European Dollar Growth for Leading Providers of Energy-Based Device Platforms
113
Table 3-14
Asian Projected Dollar Sales for Top Manufacturers of Energy-Based Device Platforms
115
Figure 3-4 Asian Dollar Growth for Leading Providers of Energy-Based Device Platforms 116
Table 3-15
Latin American Projected Dollar Sales for Top Manufacturers of Energy-Based Device Platforms
117
Figure 3-5
Latin American Dollar Growth for Leading Providers of Energy-Based Device Platforms
118
Figure 3-6 Dollar Sales of Energy-Based Device Platforms by Region 119
Table 3-16
Worldwide Projected Dollar Sales for Energy-Based Device Platforms, by Application
120
Figure 3-7 Dollar Sales of Energy-Based Device Platforms, by Application 121
Table 3-17
Worldwide Projected Dollar Sales for Top Manufacturers of Energy-Based Device Disposables
122
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Figure 3-8 Worldwide Dollar Sales of Energy-Based Device Disposables 123
Table 3-18
North American Projected Dollar Sales for Top Manufacturers of Energy-Based Device Disposables
123
Figure 3-9 North American Dollar Sales of Energy-Based Device Dispoables 124
Table 3-19
European Projected Dollar Sales for Top Manufacturers of Energy-Based Device Disposables
125
Figure 3-10 European Dollar Sales of Energy-Based Device Disposables 126
Table 3-20
Asian Projected Dollar Sales for Top Manufacturers of Energy-Based Device Disposables
126
Figure 3-11 Asian Dollar Sales of Energy-based Device Disposables 127
Table 3-21
Latin American Projected Dollar Sales for Top Manufacturers of Energy-Based Device Disposables
127
Figure 3-12 Latin American Dollar Sales of Energy-Based Device Disposables 128
Figure 3-13 Dollar Sales of Energy-Based Device Disposables, by Region 129
Table 3-22 Worldwide Procedure Volume for Energy-Based Aesthetic Treatments 130
Figure 3-14 Worldwide Procedure Fees for Energy-Based Aesthetic Treatments 131
Figure 3-15
Worldwide Procedure Volume for Energy-Based Aesthetic Treatments by Region
132
Figure 3-16 Worldwide Procedure Fees for Energy-Based Aesthetic Treatments by Region 133
Table 3-23
Worldwide Procedure Volume for Energy-Based Aesthetic Treatments by Application
134
Figure 3-17
Worldwide Procedure Volume for Energy-Based Aesthetic Treatments by Application
135
Table 3-24
Worldwide Procedure Fees for Energy-Based Aesthetic Treatments by Application
136
Figure 3-18
Worldwide Procedure Fees for Energy-Based Aesthetic Treatments by Application
136
Figure 3-19 Average Number of Weekly Energy-Based Hair Removal Treatments 137
Figure 3-20 Average Charge for Single Energy-Based Hair Remvoal Treatment 138
Figure 3-21 Average Number of Weekly Energy-Based Skin Rejuvenation Treatments 139
Figure 3-22 Average Charge for Single Energy-Based Skin Rejuvenation Treatment 140
Figure 3-23 Average Number of Weekly Energy-Based Feminine Rejuvenation Treatments 141
Figure 3-24 Average Charge for a Single Energy-Based Feminine Rejuvenation Treatment 142
Table 3-25
Market Shares of Leading Manufacturers of Energy-Based Aesthetic Platforms and Disposables
143
Figure 3-25
Market Shares for Leading Manufacturers of Energy-Based Aesthetic Equipment
144
Table 4-1 Leading Body Shaping and/or Cellulite Reduction Devices 149
Table 4-2 Leading Skin Tightening Devices 152
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Table 4-3
Worldwide Projected Dollar Sales for Top Manufacturers of Body Shaping & Skin Tightening Device Platforms
192
Figure 4-1 Worldwide Sales Growth of Body Shaping & Skin Tightening Platforms 193
Table 4-4
North American Projected Dollar Sales for Top Manufacturers of Body Shaping & Skin Tightening Device Platforms
194
Figure 4-2 North American Sales Growth of Body Shaping & Skin Tightening Platforms 195
Table 4-5
European Projected Dollar Sales for Top Manufacturers of Body Shaping & Skin Tightening Device Platforms
196
Figure 4-3 European Sales Growth of Body Shaping & Skin Tightening Platforms 197
Table 4-6
Asian Projected Dollar Sales for Top Manufacturers of Body Shaping & Skin Tightening device Platforms
198
Figure 4-4 Asian Sales Growth of Body Shaping & Skin Tightening Platforms 199
Table 4-7
Latin American Projected Dollar Sales for Top Manufacturers of Body Shaping & Skin Tightening Device Platforms
200
Figure 4-5 Latin American Sales Growth of Body Shaping & Skin Tightening Platforms 201
Figure 4-6 Dollar Sales of Body Shaping & Skin Tightening Device Platforms by Region 202
Table 4-8
Worldwide Projected Dollar Sales for Top Manufacturers of Body Shaping & Skin Tightening Device Disposables
203
Figure 4-7
Worldwide Dollar Sales of Body Shaping & Skin Tightening Device Disposables
204
Table 4-9
North American Projected Dollar Sales for Top Manufacturers of Body Shaping & Skin Tightening Device Disposables
205
Figure 4-8
North American Dollar Sales of Body Shaping & Skin Tightening Device Disposables
206
Table 4-10
European Projected Dollar Sales for Top Manufacturers of Body Shaping & Skin Tightening Device Disposables
207
Figure 4-9 European Dollar Sales of Body Shaping & Skin Tightening Device Disposables 208
Table 4-11
Asian Projected Dollar Sales for Top Manufacturers of Body Shaping & Skin Tightening Device Disposables
209
Figure 4-10 Asian Dollar Sales of Body Shaping & Skin Tightening Device Disposables 210
Table 4-12
Latin American Projected Dollar Sales for Top Manufacturers of Body Shaping & Skin Tightening Device Disposables
211
Figure 4-11
Latin American Dollar Sales of Body Shaping & Skin Tightening Device Disposables
212
Figure 4-12 Dollar Sales of Body Shaping & Skin Tightening Device Disposables by Region 213
Table 4-13 Worlwide Procedure Volume for Body Shaping & Skin Tightening 214
Figure 4-13 Worldwide Procedure Fees for Body Shaping & Skin Tightening 215
Figure 4-14 Worldwide Procedure Volume for Body Shaping & Skin Tightening by Region 216
Figure 4-15 Worldwide Procedure Fees for Body Shaping & Skin Tightening by Region 217
Figure 4-16 Average Number of Weekly Energy-Based Skin Tightening Treatments 218
Figure 4-17 Average Charge for Single Energy-Based Skin Tightening Treatment 219
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Figure 4-18 Average Number of Weekly Energy-Based Body Shaping Treatments 220
Figure 4-19 Average Charge for Single Energy-Based Body Shaping Treatment 221
Table 4-14
Worldwide Market Shares of Body Shaping & Skin Tightening Platforms and Disposables
222
Figure 4-20 Change in Market Shares of Body Shaping & Skin Tightening Platforms 223
Table 5-1 Leading Neurotoxins 227
Figure 5-1 BOTOX Injection Points 231
Figure 5-2 BOTOX Injection Points for Lateral Canthal Lines 232
Table 5-2 Worldwide Projected Dollar Sales for Leading Neurotoxins 242
Figure 5-3 Worldwide Sales Growth of Neurotoxins 243
Table 5-3 North American Projected Dollar Sales for Leading Neurotoxins 244
Figure 5-4 North American Sales Growth of Neurotoxins 245
Table 5-4 European Projected Dollar Sales for Leading Neurotoxins 246
Figure 5-5 European Sales Growth of Neurotoxins 247
Table 5-5 Asian Projected Dollar Sales for Leading Neurotoxins 248
Figure 5-6 Asian Sales Growth of Neurotoxins 249
Table 5-6 Latin American Projected Dollar Sales for Leading Neurotoxins 250
Figure 5-7 Latin American Sales Growth of Neurotoxins 251
Figure 5-8 Dollar Sales Growth of Neurotoxins by Region 252
Table 5-7 Worldwide Procedure Volume for Neurotoxins 253
Figure 5-9 Worldwide Procedure Fees for Neurotoxins 254
Figure 5-10 Worldwide Procedure Volume for Neurotoxins by Region 255
Figure 5-11 Worldwide Procedure Fees for Neurotoxins by Region 256
Figure 5-12 Average Number of Weekly Neurotoxin Patients 257
Figure 5-13 Average Charge for Single Neurotoxin Injection (Single Tx Session) 258
Table 5-8 Worldwide Market Shares of Top Neurotoxin Suppliers 259
Figure 5-14 Change in Market Shares of Top Neurotoxin Suppliers 260
Table 6-1 Leading Dermal Fillers 265
Table 6-2 Characteristics of Selected Dermal Fillers 267
Table 6-3 Projected Worldwide Dollar Sales of Dermal Fillers for Top Suppliers 290
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Figure 6-1 Worldwide Sales Growth of Dermal Fillers 291
Table 6-4 Projected North American Dollar Sales of Dermal Fillers for Top Suppliers 292
Figure 6-2 North American Sales Growth of Dermal Fillers 293
Table 6-5 Projected European Dollar Sales of Dermal Fillers for Top Suppliers 294
Figure 6-3 European Sales Growth of Dermal Fillers 295
Table 6-6 Projected Asian Dollar Sales of Dermal Fillers for Top Suppliers 296
Figure 6-4 Asian Sales Growth of Dermal Fillers 297
Table 6-7 Projected Latin American Dollar Sales of Dermal Fillers for Top Suppliers 298
Figure 6-5 Latin American Sales Growth of Dermal Fillers 299
Figure 6-6 Dollar Sales of Dermal Fillers by Region 300
Table 6-8 Worldwide Procedure Volume for Dermal Fillers 301
Figure 6-7 Worldwide Procedure Fees for Dermal Fillers 302
Figure 6-8 Worldwide Procedure Volume for Dermal Fillers by Region 303
Figure 6-9 Worldwide Procedure Fees for Dermal Fillers by Region 304
Figure 6-10 Average Number of Weekly Dermal Filler Patients 305
Figure 6-11 Average Charge for Single Dermal Filler Injection 306
Table 6-9 Market Shares of Top Dermal Filler Suppliers 307
Figure 6-12 Change in Market Shares of Top Dermal Filler Suppliers 308
Table 7-1 Leading Suppliers of Liposuction Equipment 311
Table 7-2
Projected Worldwide Dollar Sales for Leading Suppliers of Liposuction Equipment
314
Figure 7-1 Worldwide Sales Growth of Liposuction Equipment 315
Table 7-3
Projected North American Dollar Sales for Leading Suppliers of Liposuction Equipment
316
Figure 7-2 North American Sales Growth of Liposuction Equipment 317
Table 7-4
Projected European Dollar Sales for Leading Suppliers of Liposuction Equipment
318
Figure 7-3 European Sales Growth of Liposuction Equipment 319
Table 7-5 Projected Asian Dollar Sales for Leading Suppliers of Liposuction Equipment 320
Figure 7-4 Asian Sales Growth of Liposuction Equipment 321
Table 7-6
Projected Latin American Dollar Sales for Leading Suppliers of Liposuction Equipment
322
Figure 7-5 Latin American Sales Growth of Liposuction Equipment 323
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Figure 7-6 Dollar Sales Growth of Liposuction Equipment by Region 324
Table 7-7 Worldwide Procedure Volume for Liposuction 325
Figure 7-7 Worldwide Procedure Fees for Liposuction 326
Figure 7-8 Worldwide Procedure Volume for Liposuction by Region 327
Figure 7-9 Worldwide Procedure Fees for Liposuction by Region 328
Table 7-8
Worldwide Market Shares for Leading Manufacturers of Liposuction Equipment
329
Figure 7-10
Change in Market Shares of Leading Manufacturers of Liposuction Equipment
330
Table 8-1 Leading Breast Implant Products 334
Table 8-2
Worldwide Projected Dollar Sales for Leading Manufacturers of Breast Implants
345
Figure 8-1 Worldwide Sales Growth of Breast Implants 346
Table 8-3
North American Projected Dollar Sales for Leading Manufacturers of Breast Implants
347
Figure 8-2 North American Sales Growth of Breast Implants 348
Table 8-4
European Projected Dollar Sales for Leading Manufacturers of Breast Implants
349
Figure 8-3 European Sales Growth of Breast Implants 350
Table 8-5 Asian Projected Dollar Sales for Leading Manufacturers of Breast Implants 351
Figure 8-4 Asian Sales Growth of Breast Implants 352
Table 8-6
Latin American Projected Dollar Sales for Leading Manufacturers of Breast Implants
353
Figure 8-5 Latin American Sales Growth of Breast Implants 354
Figure 8-6 Dollar Sales of Breast Implants by Region 355
Table 8-7 Worldwide Procedure Volume for Breast Implants 356
Figure 8-7 Worldwide Procedure Fees for Breast Implants 357
Figure 8-8 Worldwide Procedure Volume for Breast Implants by Region 358
Figure 8-9 Worldwide Procedure Fees for Breast Implants by Region 359
Table 8-8 Worldwide Market Shares of Top Breast Implant Manufacturers 360
Figure 8-10 Change in Market Shares of Top Breast Implant Manufacturers 361
Table 9-1 Comparison of Benefits: Cosmeceuticals vs. In-Office Treatments 366
Table 9-2 Top Cosmeceutical Ingredients 370
Table 9-3 Top Chemical Peel Suppliers 387
Table 9-4 Eyelash Enhancement Products 392
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Table 9-5
Projected Worldwide Sales of Physician-Dispensed Topicals for Top Suppliers
437
Figure 9-1 Worldwide Sales Growth of Physician-Dispensed Topicals 438
Table 9-6
Projected North American Sales of Physician-Dispensed Topicals for Top Suppliers
438
Figure 9-2 North American Sales Growth of Physician-Dispensed Topicals 439
Table 9-7
Projected European Sales of Physician-Dispensed Topicals for Top Suppliers
440
Figure 9-3 European Sales Growth of Physician-Dispensed Topicals 441
Table 9-8 Projected Asian Sales of Physician-Dispensed Topicals for Top Suppliers 442
Figure 9-4 Asian Sales Growth of Physician-Dispensed Topicals 443
Table 9-9
Projected Latin American Sales of Physician-Dispensed Topicals for Top Suppliers
444
Figure 9-5 Latin American Sales Growth of Physician-Dispensed Topicals 445
Figure 9-6 Dollar Growth of Physician-Dispensed Topicals for Top Suppliers by Region 446
Figure 9-7 Do You Currently Sell Skincare Products from Your Practice? 447
Figure 9-8 If Yes, Approximately How Much Revenue Does this Generate Annually? 448
Table 9-10
Worldwide Market Shares of Leading Manufacturers of Physician-Dispensed Topicals
449
Figure 9-9
Change in Global Market Shares of Leading Manufacturers of Physician-Dispensed Topicals
450
Table 10-1 Worldwide Projected Dollar Sales for Emerging Products 464
Figure 10-1 Projected Worldwide Sales of Emerging Products for Top Suppliers 465
Table 11-1
Leading Technology-Based Home-Use Aesthetic Devices Available and Under Development
470
Figure 11-1 Market Shares of Top Home-Use Aesthetic Players by Retails Sales 491
Table 11-2 Projected Worldwide Retail Sales of Aesthetic Home-Use Devices 493
Figure 11-2 Worldwide Aesthetic Home-Use Device Retail Sales by Company 494
Table 11-3
Worldwide Projected Dollar Sales for Leading Aesthetic Home-Use Devices, by Region
495
Table 11-4
Worldwide Projected Retail Sales of Home-Use Aesthetic Devices, Disposables
496
Table 11-5
Worldwide Projected Retail Sales of Home-Use Aesthetic Devices and Disposables
497
Table 12-1 Total Worldwide Sales of Aesthetic Products 498
Figure 12-1 Worldwide Aesthetic Product Sales by Market Segment 499
Table 12-2 Total North American Sales of Aesthetic Products 500
Figure 12-2 North American Aesthetic Product Sales by Market Segment 501
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Table 12-3 Total European Sales of Aesthetic Products 502
Figure 12-3 European Aesthetic Product Sales by Market Segment 503
Table 12-4 Total Asian Sales of Aesthetic Products 504
Figure 12-4 Asian Aesthetic Product Sales by Market Segment 505
Table 12-5 Total Latin American Sales of Aesthetic Products 506
Figure 12-5 Latin American Aesthetic Product Sales by Market Segment 507
Figure 12-6 Worldwide Aesthetic Product Sales by Region 508
Table 12-6 Procedure Volume Growth by Segment in Millions 509
Table 12-7 Procedure Volume Growth by Region in Millions 509
Table 12-8 Procedure Fee Growth by Segment in $ Billions 510
Table 12-9 Procedure Fee Growth by Region in $ Billions 510
Table 12-10 Total Sales of Leading Manufacturers 511
Table 12-11 Market Shares of Leading Manufacturers 512
Figure 12-7 Change in Market Shares of Leading Aesthetic Manufacturers 513
Figure 13-1 Number of Employees in Practice in 2015 515
Figure 13-2 Annual Practice Revenue in 2015 516
Figure 13-3 Average Weekly Aesthetic Patient Volume in 2015 517
Figure 13-4 Do You Expect to Expand Your Staff in 2016? 519
Figure 13-5 Expected Practice Revenue Change in 2016 520
Figure 13-6 Expected Practice Profit Margin Change in 2016 521
Figure 13-7 Did You Implement any Cost Reduction Measures in 2015? 522
Figure 13-8 If Yes, What Cost Reduction Measures did You Implement? 523
Figure 13-9 Do You Plan to Implement any Cost Reduction Measures in 2016? 524
Figure 13-10 If Yes, What Cost Reduction Measures do You Plan to Implement? 525
Figure 13-11 Expected Average Weekly Aesthetic Patient Volume Change in 2016 526
Figure 13-12 Did You Add any New Aesthetic Services in 2015? 527
Figure 13-13 If Yes, Which New Services did You Add? 528
Figure 13-14 Aesthetic Services that Generate the Most Revenue 529
Figure 13-15 Most Profitable Aesthetic Services 530
Figure 13-16 Do You Plan to Add Any New Aesthetic Services in 2016? 531
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Figure 13-17 If Yes, What Services? 532
Figure 13-18 Do You Plan to Discount or Scale Back Any Aesthetic Services in 2016? 533
Figure 13-19 Did you Purcahse / Lease Any New Aesthetic Equipment in 2015? 534
Figure 13-20 If Yes, What Treatments Does This Equipment Perform? 535
Figure 13-21 Do You Plan to Purchase / Lease Any New Equipment in 2016? 536
Figure 13-22 If Yes, What Treatments Will This New Equipment Perform? 537
Figure 13-23 What Trends, If Any, Are You Noticing Among Your Patients? 538
Figure I-I Selected Facial Treatments Consumer Value Comparison 541
Figure I-II Selected Energy Devices Consumer Value Comparison 542
Figure I-III Cosmetic Surgical Consumer Value Comparison 543
Table I-I Facial Rejuvenation Treatment Comparison 545
Figure I-IV Results vs. Risk for Facial Treatments 546
Table I-II Physician vs. Non-Physician Usage of Aesthetic Procedures 549
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i. Methodology
The Global Aesthetic Market XIV (GAM XIV) represents the fourteenth edition in Medical
Insight, Inc.’s Global Aesthetic Market series. This report was compiled from a wide variety of
public and proprietary sources. Information was cross-checked against other data, using Medical
Insight’s proprietary forecasting models, and synthesized into both qualitative and quantitative
analyses and projections, specifically covering medical aesthetic products and equipment;
products and equipment designed for therapeutic usage, even when they are produced by leading
aesthetic companies, are not included. Therefore, new devices for instance, such as the treatment
of onychomycosis are excluded.
Public sources that were utilized for this report include:
- articles in trade publications and medical journals;
- articles in consumer magazines and newspapers;
- company news releases, website information, marketing materials and financial filings;
- information from trade associations
Proprietary sources that were utilized include:
- Medical Insight’s extensive database of industry and product information;
- recent Medical Insight survey data;
- industry analyst reports;
- exclusive interviews with company executives, researchers, sales representatives,
physicians, patients, consultants and other industry experts
Additionally, feedback from Medical Insight product information is continually built back
into research products so that reports are updated with the most recent industry and market
information on an ongoing basis.
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ii. New in June 2016
GAM XIV offers an in-depth analysis of the competitive positions of key players in all segments
with details obtained from recent interviews.
In addition to the latest industry news and updated market forecasts, which take into account
recent technology, product, company, regulatory and other developments, GAM XIII also contains:
- Extension of sales forecasts from 2015 to 2020;
- comparison of current forecasts to GAM XIII forecasts and discussion of changes;
- links to online videos for selected technologies and treatments;
- analysis of political, economic and other factors impacting the aesthetic market,
particularly in the U.S. and Europe
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Section
Executive Summary 1
In 2015, total sales of professional aesthetic products covered in this report, including
disposable components, exceeded $7.6 billion. Through 2020, they will expand by 11.0% per year to
$12.8 billion. This is lower than the compound annual growth of 11.8% predicted in GAM XIII, released
in early 2015 as forecasts were adjusted to reflect the ongoing global economic uncertainty. Growth
will be driven by significant increases in the body shaping / skin tightening segment along with
continued expansion of neurotoxins and dermal fillers. The energy-based devices and physician-
dispensed topicals markets will also experience reasonable annual gains of 6.5% and 7.5%,
respectively, as demand for these products results in increased sales.
In 2015, the leading companies profiled in this report accounted for total professional aesthetic
product sales of about $5.5 billion, representing approximately 73% of the total market. Their sales
will rise by 11.5% per year to reach more than $9.5 billion in 2020.
In 2015, total global procedure volume reached 59 million treatments with compound annual
growth of 6.3% anticipated through 2020. Procedure volume growth will be greatest in the body
shaping / skin tightening, neurotoxin and dermal filler sectors. On a global basis, procedure volume
will grow most strongly in Asia and Latin America. In 2015, total global procedure fees were about $26
billion, with compound annual growth predicted of 5.4% through 2020. As with procedure volume,
procedure fee growth will be greatest in the body shaping / skin tightening, neurotoxin and dermal filler
sectors. On a global basis, procedure fees will grow most strongly in Asia and Latin America.
The aesthetic market was notable in 2015 and 2016 for the continuing consolidation of
companies and changing regulatory environment with the U.S. Department of Treasury curbing U.S.
company inversions to domiciles with more favorable tax laws. Most notable was the successful
acquisition and inversion of Allergan by Actavis (the consolidated company is named Allergan), and
the subsequent potential merger with Pfizer that was called off after the U.S. Treasury intervened.
The aesthetic market continues to be of interest for both pharma and consumer companies
wanting to diversify into a sector that is showing strong growth, is highly profitable and has
characteristics of both a consumer packaged goods and traditional pharmaceutical model. This is
exemplified by Almirall, a Spanish based pharma company that has entered the aesthetic market by
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acquiring Thermi (energy-based body shaping and skin tightening) and also partnering with Suneva
(dermal filler). Also notable is the topical skincare market where companies such as Unilever, which
acquired various skincare brands in 2015, namely REN, Murad, Dermalogica and Kate Somerville
Skincare to add to their portfolio of other skincare brands. Unilever Ventures also has a joint venture
with Syneron, namely iLuminage Beauty, which is developing products for the home-use market.
The acquisition of technologies continues such as with the purchase of both Kythera and
Anterios by Allergan, and the forming of new beneficial collaborations such as Galderma and ZELTIQ.
The acquisition of Kythera gave Allergan, Kybella which is the first-of-its-kind body sculpting injectable
that treats submental fat, while Anterios gave Allergan a new platform to deliver botulinum toxins
topically for indications such as crow's feet lines and hyperhidrosis. Galderma and ZELTIQ are
collaborating to promote their respective injectable portfolio and CoolScupting brands and connecting
these through ASPIRE, a patient and physician loyalty program.
Energy-based device companies are also improving technologies and introducing new
treatment modalities that are expanding indications. These include new body sculpting devices such
as Sculpsure from Cynosure, which is the first FDA approved laser treatment for non-invasive lipolysis
of the flanks and abdomen and the introduction of a number of new devices for feminine rejuvenation
/ women’s health, which potentially could become a large market segment in itself with brands such
as Viveve from Viveve, Inc., MonaLisa Touch from DEKA / Cynosure and ThermiVa from Thermi.
The aesthetic market is also being enhanced with the introduction of new business models
such as service companies like RegimenMD that has introduced a new distribution channel for
professional skincare products designed to help physicians maintain a professional relationship with
their patients by supplying products directly to the physician’s patients. To date 20 major
manufacturers are partnering with RegimenMD including SkinMedica, NeoStrata, Jan Marini,
Skinceuticals, MDRejuvena and Nuvesse Skin Therapies.
Along with these various successes have been challenges as exhibited with the breast implant
market where Silimed (distributed by Sientra in the U.S.) withdrew its implants from the market to
resolve manufacturing issues. This was further compounded with a fire that will impact the supply of
Silimed implants globally for an unspecified time while production is restored.
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0.0
200.0
400.0
600.0
800.0
1,000.0
1,200.0
1,400.0
1,600.0
1,800.0
2,000.0
2015 2016 2017 2018 2019 2020
Rev
en
ue $
MM
s
Allergan Medical Alphaeon/ Daewoong Daewoong
Galderma Lanzhou Institute MedyTox
Merz Other
Figure 5-3 Worldwide Sales Growth of Neurotoxins,
2015 – 2020