What’s the most expensive plastic surgery? Where does breast augmentation stand? How much do Americans spend annually on plastic surgery? Are these questions we can even answer?

Yes. The American Society of Plastic Surgeons releases an annual report that crunches all the numbers. Americans spent $10.4 billion on plastic surgery last year, roughly the same amount the United States spent on foreign humanitarian aid in the same period. This cosmetic spending came in the form of roughly 13.8 million procedures (1.6 million of which were surgeries).

Below is a list of the thirteen most expensive plastic surgeries (not including minimally-invasive procedures like Botox) as measured by the average surgeon’s fee (priced without anesthesia or other associated fees). Also included is the total amount Americans spent on each procedure in 2011.

13. Breast Augmentation (Augmentation mammaplasty)

Surgeon’s Fee: $3,388

National Expenditure: $1,040,725,840

That’s right; breast augmentation comes in pretty low on the list. Last year, over 307,000 Americans underwent breast augmentation, making it by far the most common plastic surgery. This competition has actually driven down the price, as more and more plastic surgeons have begun offering the procedure.

12. Upper Arm Lift

Surgeon’s Fee: $3,809

National Expenditure: $57,127,382

This procedure reduces flabby skin, most common in massive weight loss patients.

11. Calf Augmentation

Surgeon’s Fee: $3,856

National Expenditure: $1,561,680

405 people opted for calf implants in 2011 alone.

10. Pectoral Implants

Surgeon’s Fee: $4,024

National Expenditure: $1,275,608

Despite the high figures, only 317 people got pectoral implants in the same year. (Perhaps because they were all men). Low demand means there are fewer specialists trained to perform these surgeries, keeping the price high.

9. Buttock Implants

Surgeon’s Fee: $4,283

National Expenditure: $4,921,167

While this is still a relatively uncommon procedure, it’s growing quickly, up 43 percent in 2011 alone. Still, with only 1,100 procedures in 2011, it’s far newer and less common than its cousin, the butt lift.

8. Breast lift (Mastopexy)

Surgeon’s Fee: $4,286

National Expenditure: $388,650,194

Only the seventh most common procedure among women, (probably because many women opt instead for implants), the breast lift increases breast size while also correcting shape or flab.

7. Nose Reshaping (Rhinoplasty)

Surgeon’s Fee: $4,422

National Expenditure: $1,077,959,784

Nose reshaping is the second most common plastic surgery, popular with women and men alike. Even though women account for 75 percent of these procedures, it is the most common plastic surgery for men.

6. Thigh Lift

Surgeon’s Fee: $4,657

National Expenditure: $45,456,977

The thigh lift, 84 percent more common now than in 2000, is another procedure that has contributed to the expanse of plastic surgery in recent years.

5. Buttock Lift

Surgeon’s Fee: $4,694

National Expenditure: $21,338,924

Like buttock implants, the butt lift is gaining rapid popularity: it’s up 235% since 2000, and 4,500 people got the implants last year alone.

4. Hair Transplantation

Surgeon’s Fee: $4,934

National Expenditure: $77,730,236

The number of hair transplants per year has dropped 65 percent since 2000 as alternative hair-regrowth procedures have improved. 

3. Tummy Tuck (Abdominoplasty)

Surgeon’s Fee: $5,279

National Expenditure: $611,846,658

Tummy tucks are the sixth most common cosmetic procedure, but not as popular as their more-affordable cousin, liposuction (the third most common procedure, costing an average of $2,800).

2. Facelift (Rhytidectomy)

Surgeon’s Fee: $6,426

National Expenditure: $764,861,076

Facelifts are the fifth most common cosmetic procedure, about one third as common as breast augmentation.

1. Lower Body Lift

Surgeon’s Fee: $7,928

National Expenditure: $60,371,720

This comprehensive procedure “tightens loose, sagging skin in the buttocks, posterior thighs, hips, outer thighs and anterior thighs.” Like the buttock lift and upper arm lift, it has taken off in the last decade: 7,600 people underwent this procedure last year compared with 200 people in 2000. Price-wise, people are realizing it can be a good value to lift the whole package, rather than just the buttocks or thighs.