By I-Chun Chen

Americans last year spent the largest amount on plastic surgery since the the Great Recession of 2008, according to one report.

More than 11 million cosmetic surgical and nonsurgical procedures were performed by board-certified plastic surgeons, dermatologists and otolaryngologists in the United States, totaling more than $12 billion for the first time since the recession. Of that total, more than $7 billion was spent on surgical procedures and $5 billion was spent on nonsurgical procedures.

Liposuction replaced breast augmentation as the most frequently performed surgical procedure with a 16 percent increase and more than $1 billion was spent on the procedure nationwide.

The top five surgical procedures were: liposuction (363,912 procedures, up 16.3 percent); breast augmentation (313,327 procedures, down 5.2 percent); eyelid surgery (161,389 procedures, up 5.4 percent); tummy tuck (160,077 procedures, up 2.3 percent) and nose surgery (147,966 procedures, up 2.9 percent)

"The numbers do not come as a surprise," Dr. Jack Fisher, said in a statement. "Technological advances, less-invasive procedures, greater accessibility are making aesthetic procedures, surgical and nonsurgical, far more attractive to the public at-large. Further, the rebounding economy is encouraging people to start investing in themselves once again."

Previously uncommon procedures such as buttock augmentation and labiaplasty significantly increased over the one-year period, with buttock augmentation having the highest jump with a 58 percent increase and labiaplasty coming in second with a 44 percent increase from 2012.

Women had more than 10.3 million cosmetic procedures, making up 90.6 percent of the total, and a 471 percent jump from 1997. The top five surgical procedures for women were breast augmentation, liposuction, tummy tuck, breast lift and eyelid surgery.

Men had more than 1 million cosmetic procedures, or 9.4 percent of the total, and an increase of 273 percent from 1997. The top five surgical procedures for men were liposuction, eyelid surgery, nose surgery, male breast reduction and ear surgery.

Nonsurgical procedures increased 13.1 percent to 9.5 million procedures, with Botox and Botox-type injections up 15.6 percent. Other popular nonsurgical procedures were hyaluronic acid treatments, hair removal, microdermabrasion and photo rejuvenation.

In 2013, more than $2.5 billion was spent on injectables, while nearly $1.9 billion was spent on skin rejuvenation, a fast-growing sector of the aesthetic nonsurgical industry.

"A significant increase in the number of both cosmetic surgical and non-surgical procedures suggests that people are once again investing in their appearance and perhaps have more disposable income to do so,” noted Dr. Michael Edwards. “Given the state of the economy and the competitiveness of the job market, we expect to see the numbers for anti-aging procedures continue to increase.”