They may not have taken home the World Cup, but Brazil is officially the plastic surgery capital of the world, edging out the US, according to 2013 statistics from the International Society of Aesthetic Plastic Surgery (ISAPS). The US continues to lead with the most surgical and nonsurgical procedures performed combined.

Overall, more than 23 million cosmetic surgical and nonsurgical procedures were performed worldwide in 2013, ISAPS reports. Botulinum toxin was the most popular procedure across the globe in 2013.

Read Plastic Surgery Practice‘s exclusive State of the World report featuring ISAPS President Carlos Oscar Uebel, MD, PhD, in the July 2014 issue.

The countries that performed the most cosmetic surgical and nonsurgical procedures in 2013 include:

· 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 leading 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)

· Noninvasive Facial Rejuvenation (1,307,300)

· Chemical Peel, CO2 Resurfacing, Dermabrasion (773,442)

Women had more than 20 million cosmetic procedures; 87.2% of the total. The surgical procedures performed most frequently on women in 2013 were:

· Breast Augmentation

· Liposuction

· Blepharoplasty

· Lipostructure

· Breast Lift

Men had more than 3 million cosmetic procedures; 12.8% of the total. The surgical procedures performed the most frequently on men in 2013 were:

· Rhinoplasty

· Gynecomastia

· Blepharoplasty

· Liposuction

· Otoplasty