Washington ranks first in the United States for search interest in cosmetic surgery. California and New York follow, according to a joint study by 5WPR and Haute MD. Florida ranks eighth nationally at 478 average monthly searches per 100,000 residents. The Brazilian butt lift is the most searched cosmetic procedure in every one of the top 10 states. The finding is based on DataForSEO API v3 search volume data, collected across all 50 states over a 12-month period.
Published September 28, 2026. Last updated November 5, 2026.
On this page
- What did the study find?
- How was the study conducted?
- Why does Florida rank eighth?
- Which states rank highest for cosmetic surgery search interest?
- What are the top searched procedures in each state?
- Are breast procedures rising in search interest?
- What do Haute MD and 5WPR say about the findings?
- How do all 50 states rank?
- What does this mean for cosmetic practices?
- What are the limits of search interest data?
- Where can readers find the Haute MD version of this study?
- Frequently asked questions
What did the study find?
The study's key findings are below. Washington ranks first nationally with 560 average monthly searches per 100,000 residents. California ranks second at 509, despite carrying the largest total search volume of any state. Florida ranks eighth at 478, on 108,166 total average monthly searches across a population of 22,610,726.
- The Brazilian butt lift is the No. 1 searched procedure in all 10 of the highest-interest states.
- Blepharoplasty (eyelid surgery) is the No. 2 searched procedure in nine of the top 10 states.
- Breast procedures (breast lift or breast augmentation) hold one of the top three spots in five of the top 10 states. Those states are Washington, Utah, Colorado, Florida and Georgia.
How was the study conducted?
5WPR and Haute MD compiled a set of 300 cosmetic surgery keywords for the analysis. The keywords came from the procedures profiled in the American Society of Plastic Surgeons' 2024 Plastic Surgery Statistics Report. Terms included "cost of tummy tuck," "blepharoplasty near me" and "rhinoplasty before and after."
Average monthly search volume for each keyword was collected over a 12-month period for all 50 states using the DataForSEO API v3 (Google Ads Search Volume data). Volumes were aggregated at the state level and adjusted by population for comparability. States are ranked by average monthly search volume per 100,000 residents, highest to lowest.
Why does Florida rank eighth?
Florida ranks eighth nationally with 478 average monthly searches per 100,000 residents, drawn from 108,166 total average monthly searches against a population of 22,610,726. The Brazilian butt lift leads the state at 19,533 searches per month, followed by blepharoplasty at 10,858 and breast augmentation at 6,517 average monthly searches.
Blepharoplasty sits well ahead of third-place breast augmentation in Florida, and nose reshaping does not appear in the state's top three, as it does in California, New York, Nevada, Texas and Virginia. That pattern points to a strong facial rejuvenation signal in the Southeast, an area 5WPR's Florida practice tracks closely for beauty and wellness clients in the state.
Which states rank highest for cosmetic surgery search interest?
Washington, California and New York hold the top three positions nationally. The table below ranks the 10 states with the highest cosmetic surgery search interest per capita.
| Rank | State | Population | Total avg. monthly searches | Avg. monthly searches per 100,000 |
|---|---|---|---|---|
| 1 | Washington | 7,812,880 | 43,728 | 560 |
| 2 | California | 38,965,193 | 198,320 | 509 |
| 3 | New York | 19,571,216 | 98,784 | 505 |
| 4 | Utah | 3,417,734 | 16,907 | 495 |
| 5 | Nevada | 3,194,176 | 15,739 | 493 |
| 6 | Colorado | 5,877,610 | 28,790 | 490 |
| 7 | Texas | 30,503,301 | 147,118 | 482 |
| 8 | Florida | 22,610,726 | 108,166 | 478 |
| 9 | Virginia | 8,715,698 | 41,491 | 476 |
| 10 | Georgia | 11,029,227 | 51,977 | 471 |
What are the top searched procedures in each state?
The Brazilian butt lift ranks first in every one of the top 10 states. Blepharoplasty and either breast augmentation or nose reshaping fill the second and third positions in most states, as the table below shows.
| State | #1 procedure | Volume | #2 procedure | Volume | #3 procedure | Volume |
|---|---|---|---|---|---|---|
| Washington | Brazilian butt lift | 7,775 | Breast lift | 5,953 | Blepharoplasty | 3,925 |
| California | Brazilian butt lift | 38,917 | Blepharoplasty | 19,875 | Nose reshaping | 13,450 |
| New York | Brazilian butt lift | 20,350 | Blepharoplasty | 10,708 | Nose reshaping | 6,525 |
| Utah | Brazilian butt lift | 2,967 | Blepharoplasty | 1,525 | Breast augmentation | 1,415 |
| Nevada | Brazilian butt lift | 3,008 | Blepharoplasty | 1,350 | Nose reshaping | 942 |
| Colorado | Brazilian butt lift | 5,183 | Blepharoplasty | 3,017 | Breast augmentation | 1,758 |
| Texas | Brazilian butt lift | 31,925 | Blepharoplasty | 12,775 | Nose reshaping | 8,850 |
| Florida | Brazilian butt lift | 19,533 | Blepharoplasty | 10,858 | Breast augmentation | 6,517 |
| Virginia | Brazilian butt lift | 8,325 | Blepharoplasty | 3,892 | Nose reshaping | 2,608 |
| Georgia | Brazilian butt lift | 11,183 | Blepharoplasty | 4,400 | Breast augmentation | 2,983 |
Are breast procedures rising in search interest?
Searches for "breast surgery" rose 69.5% since the start of 2023, according to Google Trends. Searches for "breast reduction surgery" rose 22% since December 2024, according to the same source.
The state-level data reflects that trend. Breast lift or breast augmentation ranks among the three most searched procedures in five of the top 10 states: Washington (No. 2), and Utah, Colorado, Florida and Georgia (No. 3).
What do Haute MD and 5WPR say about the findings?
"What the data shows is a market that is maturing in two directions at once. Body contouring still drives the volume, and the Brazilian butt lift remains the single most searched procedure in every top 10 state. Blepharoplasty has climbed to No. 2 nationally, and it now outranks nose reshaping in Florida specifically. That tells us patients are researching facial rejuvenation with the same seriousness they bring to body procedures. That shift matters for how practices in Florida plan consultations, capacity and patient education over the next 12 months."
Seth Semilof, Co-Founder and Chief Operating Officer, Publisher, Haute Living
"Search data is patient intent before it becomes a patient. The Brazilian butt lift out-searches every other procedure in every one of the top 10 states. Blepharoplasty is closing in on it in states like Florida. That is a roadmap for what practices should publish, and for what AI platforms and search engines need to find and cite correctly through generative engine optimization. A Florida practice built around body-contouring content alone leaves facial rejuvenation, the fastest-growing part of patient research, to whichever competitor answers it first."
Ronn Torossian, Founder and Chairman, 5WPR
"What stands out in Florida is how strongly the Brazilian butt lift continues to dominate interest. It generates more than 19,000 average monthly searches, outperforming every other procedure in the state. That is consistent with what we often see across the Southeast, where body contouring remains especially popular. But Florida's search volume also shows growing interest in facial procedures. Blepharoplasty ranking second suggests body-focused enhancements still lead, with a real shift toward facial rejuvenation underneath."
Dr. Ari Hoschander, Head Plastic Surgeon, Breast Reduction Surgeons of Long Island
How do all 50 states rank?
Massachusetts ranks 11th nationally, followed by Arizona and Illinois. The table below lists the complete ranking for states 11 through 50.
| Rank | State | Population | Total avg. monthly searches | Avg. per 100,000 |
|---|---|---|---|---|
| 11 | Massachusetts | 7,001,399 | 32,919 | 470.18 |
| 12 | Arizona | 7,431,344 | 34,686 | 466.75 |
| 13 | Illinois | 12,549,689 | 57,340 | 456.90 |
| 14 | Oregon | 4,233,358 | 19,091 | 450.96 |
| 15 | New Jersey | 9,290,841 | 41,613 | 447.89 |
| 16 | Hawaii | 1,435,138 | 6,338 | 441.60 |
| 17 | Connecticut | 3,617,176 | 15,897 | 439.48 |
| 18 | North Carolina | 10,835,491 | 47,360 | 437.08 |
| 19 | Maryland | 6,180,253 | 26,733 | 432.55 |
| 20 | Rhode Island | 1,095,962 | 4,674 | 426.49 |
| 21 | North Dakota | 783,926 | 3,305 | 421.60 |
| 22 | Delaware | 1,031,890 | 4,313 | 417.92 |
| 23 | Minnesota | 5,737,915 | 23,336 | 406.70 |
| 24 | Tennessee | 7,126,489 | 28,765 | 403.63 |
| 25 | New Hampshire | 1,402,054 | 5,624 | 401.14 |
| 26 | South Carolina | 5,373,555 | 21,275 | 395.92 |
| 27 | Nebraska | 1,978,379 | 7,788 | 393.67 |
| 28 | Alaska | 733,406 | 2,875 | 392.01 |
| 29 | Pennsylvania | 12,961,683 | 50,498 | 389.60 |
| 30 | Michigan | 10,037,261 | 39,037 | 388.92 |
| 31 | Vermont | 647,464 | 2,494 | 385.22 |
| 32 | Louisiana | 4,573,749 | 17,474 | 382.05 |
| 33 | Idaho | 1,964,726 | 7,488 | 381.14 |
| 34 | Ohio | 11,785,935 | 44,672 | 379.03 |
| 35 | Kentucky | 4,526,154 | 17,153 | 378.96 |
| 36 | New Mexico | 2,114,371 | 7,998 | 378.24 |
| 37 | Kansas | 2,940,546 | 11,107 | 377.71 |
| 38 | Missouri | 6,196,156 | 23,376 | 377.26 |
| 39 | Maine | 1,395,722 | 5,213 | 373.52 |
| 40 | Indiana | 6,862,199 | 25,414 | 370.35 |
| 41 | Alabama | 5,108,468 | 18,831 | 368.62 |
| 42 | Oklahoma | 4,053,824 | 14,909 | 367.78 |
| 43 | Wyoming | 584,057 | 2,133 | 365.26 |
| 44 | Montana | 1,132,812 | 4,095 | 361.49 |
| 45 | South Dakota | 919,318 | 3,308 | 359.87 |
| 46 | Arkansas | 3,067,732 | 10,935 | 356.45 |
| 47 | Wisconsin | 5,910,955 | 20,817 | 352.17 |
| 48 | Iowa | 3,207,004 | 10,773 | 335.91 |
| 49 | West Virginia | 1,770,071 | 5,827 | 329.18 |
| 50 | Mississippi | 2,939,690 | 9,600 | 326.57 |
What does this mean for cosmetic practices?
Search interest is the earliest signal of patient intent, and the state data shows where that intent is concentrated. The Brazilian butt lift leads every top 10 state, so body contouring content remains the entry point. Blepharoplasty ranks second in nine of those states, which makes facial rejuvenation the clearest second pillar for practice websites.
- Build a page for each leading procedure. Cover cost ranges, recovery, candidacy and surgeon credentials, written for the patient who searches "near me" and "before and after."
- Pair body and face content. Practices that publish only body contouring pages leave the second most searched procedure to competitors.
- Answer questions in plain language. Short question-and-answer sections give search engines and AI assistants clear passages to cite.
- Keep claims accurate and current. Credentials, pricing and outcomes should match what a patient finds in a consultation.
5W supports aesthetics brands and medical practices through its dermatology and aesthetics marketing and PR and health and wellness PR teams, and helps them show up in AI answers through generative engine optimization.
What are the limits of search interest data?
Search interest shows what people look up online. It does not show how many procedures are performed, how many patients book, or which practices they choose. Google Ads search volume is an estimate that is grouped by keyword and averaged over a year, and per-capita rates favor smaller states where a few thousand searches can move the ranking. Treat the ranking as a guide to patient research behavior, not as a measure of market size.
Where can readers find the Haute MD version of this study?
5WPR produced this research jointly with Haute MD, the health and aesthetics authority of Haute Living. Haute MD published its own version of the findings, framed for its physician and patient audience, at Haute MD's cosmetic surgery search interest study.
The underlying search-volume analysis was originally commissioned by Breast Reduction Surgeons of Long Island. Republication of these findings should credit and link to Breast Reduction Surgeons of Long Island. Additional 5WPR studies on AI search behavior are available in 5WPR's research library.
Frequently asked questions
Which state has the highest cosmetic surgery search interest?
Washington ranks first with 560 average monthly searches per 100,000 residents, ahead of California at 509 and New York at 505.
Where does Florida rank for cosmetic surgery search interest?
Florida ranks eighth at 478 average monthly searches per 100,000 residents, based on 108,166 total average monthly searches across a population of 22,610,726.
What is the most searched cosmetic procedure by state?
The Brazilian butt lift is the No. 1 searched procedure in all 10 of the highest-interest states. Blepharoplasty is the No. 2 procedure in nine of the top 10 states.
How was cosmetic surgery search interest measured?
5WPR and Haute MD tracked 300 cosmetic surgery keywords drawn from the American Society of Plastic Surgeons' 2024 Plastic Surgery Statistics Report. Average monthly search volume came from DataForSEO API v3 (Google Ads Search Volume data) over 12 months for all 50 states, then was adjusted per 100,000 residents.
Who conducted the study?
5WPR and Haute MD conducted the study jointly. The underlying search-volume analysis was originally commissioned by Breast Reduction Surgeons of Long Island.
Does search interest equal the number of procedures performed?
No. Search interest shows what people research online and is a signal of patient intent. It does not measure how many procedures are performed or booked.
About 5W
5W is an independent PR, creative and AI Visibility agency founded in 2003, and we get you in the chatbox. All of our work is done in house, including media relations, site building and content. Write to info@5wpr.com.
