The 2026 Aesthetic Results Index

Most “trend” reports lean on surveys or industry estimates. We had something more concrete to work with, the before-and-after results practices publish on Afters. Here’s what 62,356 published results, from 940 practices across 287 cities in 40 states and D.C., say about what practices document in 2026, and what it might mean for your own research.

California practices publish the most

Practices in California account for 22% of every result in the index, 13,568 of 62,356. Utah is next with 13%. The index counts what practices publish, so a state where more practices publish their work on Afters ranks higher.

The most-documented procedures

Breast augmentation leads with 15.9% of all results. Together, breast augmentation and facelift make up 26%. Here’s the full top ten, by share of the 62,356.

Tap any procedure to see its practice-published before-and-after gallery.

What each market is known for

The national numbers hide the interesting part. Going state by state shows which procedure each one documents most above the national rate. We call that the over-index, a state’s share of a procedure divided by the procedure’s national share. We compare only the ten most-documented procedures, and a state needs at least 25 results of one before it counts.

The most prolific practices

These ten practices have published the most before-and-after results in the index, led by Orem’s The Rose Clinic with 1,095. Together they account for 10% of all results.

How we counted

This index counts every active before-and-after result published by practices on Afters as of October 22, 2026, 62,356 results from 940 practices across 287 cities in 40 states and D.C. Each result is tagged to a procedure using the practice’s own labels, and to a city and state from the practice’s listed location. A state’s over-index is its share of a procedure divided by that procedure’s national share, so 2.0× means it documents that procedure twice as often as the country overall.

Two things to keep in mind. This measures what gets documented, not every surgery performed, so a market full of prolific, marketing-forward practices will rank higher than its raw surgical volume alone. And our coverage is deepest in California, Utah, Texas, and Florida right now, so those states are the most complete. The counts refresh daily.

Writing about this? You’re welcome to use the figures. Please credit the Afters 2026 Aesthetic Results Index and link to realafters.com. Want a custom cut of the data? Reach us through the site.