The 2026 Aesthetic Results Index

Most “trend” reports lean on surveys or industry estimates. We had something more concrete to work with: the actual before-and-after results practices publish on Afters. So we counted all of them. Here’s what 11,003 real results, from 151 practices across 73 cities, say about where cosmetic surgery happens in 2026 — and what it might mean for your own research.

The headline: it almost all runs through Utah

Here’s the finding that surprised us most. Practices in Utah account for 56% of every result in the index — 6,204 of 11,003 — even though only about 1% of Americans live there. Eight of the ten most prolific practices are Utah-based. Part of that is how deep our coverage runs in the state. But part of it is real: Utah consistently ranks among the highest places in the country for cosmetic procedures per person.

The most-documented procedures

Two procedures tower over the rest. Breast augmentation and rhinoplasty together make up about a third of all results. Here’s the full top ten, by share of the 11,003:

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

What each market is known for

The national numbers hide the interesting part. Go market by market and each one has a clear specialty — a procedure it documents far more than everywhere else. We measured it as an “over-index”: how much more often a market documents a procedure than the country as a whole.

The most prolific practices

A handful of practices do most of the documenting. These ten have published the most before-and-after results in the index, led by Salt Lake City’s The Rose Clinic with more than a thousand on its own:

How we counted

This index counts every active before-and-after result published by practices on Afters as of June 2026: 11,003 results from 151 practices across 73 cities in 10 states. Each result is tagged to a procedure using the practice’s own labels, and to a city and state from its verified location. A market’s “over-index” is its share of a procedure divided by that procedure’s national share, so 3.5× means it documents that surgery three and a half times more often than 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 Utah, Nevada, California, and Florida right now, so those markets are the most complete. We’ll refresh the index as the map fills in.

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.