asiaaestheticstudy2018-executive summary 010119 · any use which a reader makes of this report or...

Asia-Pacific Aesthetic Market Study January 2019

miinews.com Medical Insight, Inc. 2

i. Methodology Sale

This report represents the fifth edition of Medical Insight, Inc.’s Asian Aesthetic Market

report. It examines the leading aesthetic procedures in the Asia-Pacific (APAC) region overall, as well as the top countries. Sales estimates take into account recent technology, product,

company, regulatory and other developments, as well as an in-depth analysis of the competitive positions of key players.

This report was compiled from a wide variety of public and proprietary sources.

Information was cross-checked against other data, using Medical Insight’s proprietary forecasting models, and synthesized into both qualitative and quantitative analyses and

projections.

Public sources that were utilized include:

- articles in trade publications, medical journals and regulatory documents;

- articles in consumer magazines and newspapers;

- company news releases, website information, patent documents, regulatory data, marketing materials and financial filings;

- information from trade associations

Proprietary sources that were utilized include:

- Medical Insight’s extensive databases of industry and product information;

- Medical Insight’s physician survey data;

- industry analyst reports;

- exclusive, detailed interviews with company executives, researchers, sales representatives, physicians, patients, consultants and other industry experts



ii. Disclaimer Sale

Information in this study has been obtained by Medical Insight, Inc. from sources believed to be reliable. While Medical Insight believes the data provided herein to be accurate, no expressed or implied guarantees regarding accuracy or adequacy are made. Product and corporate data can change very quickly and without notice and Medical Insight continually updates its research products. Due to this, certain figures in Medical Insight reports may differ from corresponding figures in earlier reports, even if those reports were issued relatively recently. Furthermore, current economic conditions are contributing to a highly volatile market, in which actual results often diverge significantly from estimates developed by manufacturers, analysts and others, resulting in a revision of projections. Therefore, while Medical Insight will provide an explanation of figures in any of its reports, only the most recent reports contain Medical Insight’s latest estimates.

This study is not intended as a substitute for proper due diligence. Although an attempt

has been made to provide thorough coverage of the subject matter of this report, no guarantees regarding completeness or thoroughness are made. Medical Insight is not responsible for any errors, omissions, or results obtained from use of information provided herein.

Any use which a reader makes of this report or any reliance on or decisions to be made

based on it are the sole responsibility of such reader. Medical Insight accepts no responsibility for damages, if any, suffered by any reader as a result of decisions or actions taken based on this study.

Medical Insight, Inc. reserves all rights to this copyrighted document. This study is

protected by U.S. Copyright Law; Copyright 2019 Medical Insight, Inc. Unauthorized reproduction is strictly forbidden by law. This report may not be reproduced in part or in whole without written consent of a duly authorized officer of Medical Insight. Multiple copies of this report can be obtained at a nominal cost by contacting the publisher. Medical Insight, Inc. www.miinews.com Email: [email protected]



M.I.I Professional Biography

Michael Moretti President Medical Insight, Inc.

Michael Moretti has served as a medical industry analyst and strategic advisor for more than 25 years. As an industry consultant, Mr. Moretti specializes in strategic business development projects and high-growth, emerging market segments. He provides custom reports and confidential market studies for a variety of clients, including global medical and pharmaceutical companies.

In 1993, Mr. Moretti founded Medical Insight, Inc., the leader in focused aesthetic

market research offering comprehensive data on procedure volume and growth, revenue forecasts and new product introductions. Under Mr. Moretti’s leadership, Medical Insight publishes global market studies and forecasts for major industry sectors such as facial injectables, cosmeceuticals, body shaping procedures, skin rejuvenation technologies and home-use aesthetic products. Medical Insight also sponsors executive business forums to address scientific developments and market trends for the investment community.

Mr. Moretti is the founder of Aesthetic TV®, the first and only one-stop online resource

for current, reliable information about cosmetic and anti-aging treatments. Aesthetic TV offers expert advice for consumers via interviews with the top physicians in the field, and unprecedented access to the latest beauty-enhancing procedures and products created specifically to help people look and feel their absolute best.

Mr. Moretti is also founder of THE Aesthetic Guide® – a digital and print publication

featuring in-depth reports on new products, procedures and trends, reaching physicians, industry executives and investment analyst subscribers.

In 2007, Mr. Moretti debuted THE Aesthetic Show™, the first multidisciplinary annual

business to business trade show that brings thousands of the highest profile physicians and medical professionals together in Las Vegas to learn about the newest aesthetic procedures, products and technologies in a dynamic, interactive, educational format. For more information please visit: www.miinews.com. Contact Information: Michael Moretti Medical Insight, Inc. Email: [email protected] Or visit the Medical Insight website at: www.miinews.com



M.I.I Table of Contents Disclaimer 3

Biography 4

Table of Contents 5

Table of Exhibits 9

1.0 Executive Summary 11

2.0 Background 14

3.0 Market Analysis 25

3.1 By Procedure Type 25

3.1.1 Energy-Based Aesthetic Treatments 25

3.1.1.1 Energy-Based Hair Removal 26

3.1.1.2 Energy-Based Skin Rejuvenation 30

3.1.1.3 Energy-Based Vascular Lesion Treatment 35

3.1.1.4 Energy-Based Tattoo Removal 37

3.1.2 Body Shaping and Skin Tightening 40

3.1.3 Energy-Based Feminine Rejuvenation 45

3.1.4 Cosmetic Neurotoxins 50

3.1.5 Dermal Fillers 53

3.1.6 Liposuction 57 3.1.7 Breast Implants 60 3.1.8 Physician-Dispensed Topicals 62

3.2 By Geographic Region 65

3.2.1 Australia / New Zealand 68

3.2.2 Greater China 70

3.2.3 Indian Subcontinent (South Asia) 76

3.2.4 Japan 78

3.2.5 South Korea 80

3.2.6 Southeast Asia 82

4.0 Market Forecasts 87

4.1 Product and Equipment Sales 87



4.1.1 By Procedure 87

4.1.1.1 Energy-Based Aesthetic Treatments 88

4.1.1.2 Body Shaping and Skin Tightening 90

4.1.1.3 Cosmetic Neurotoxins 93

4.1.1.4 Dermal Fillers 94

4.1.2 By Geographic Region 96

4.1.3 By Company 98

4.2 Procedure Volume 99

4.2.1 By Procedure Type 100

4.2.1.1 Energy-Based Aesthetic Devices 100 4.2.1.2 Body Shaping and Skin Tightening 101

4.2.1.3 Cosmetic Neurotoxins 103

4.2.1.4 Dermal Fillers 105

4.2.2 By Geographic Region 108

5.0 Manufacturer Profiles 109 5.1 Adoderm 110 5.2 Allergan 111 5.3 Alma Lasers 118 5.4 AMA / Meditime 122 5.5 AMT Engineering 123

5.6 BLOOMAGE 124

5.7 BTL Industries 124

5.8 Candela 127

5.9 Classys 132

5.10 Contura / Specialty European Pharma 132

5.11 cocoon medical 134

5.12 CosmoScience 134

5.13 CROMA-PHARMA 135

5.14 Cutera 135

5.15 Cynosure, a Hologic Company 137

5.16 Daewoong Pharmaceutical 142

5.17 Daeyang Medical Technology 143

5.18 Dinona 143



5.19 El.En. 144

5.20 Ellipse 147

5.21 EndyMed 147

5.22 Erchonia 149

5.23 Eufoton Medical Lasers 150

5.24 Eunsung Global Corp. 151

5.25 Laboratories FILORGA 154

5.26 Fotona 154

5.27 Galderma 156

5.28 General Project 159

5.29 Hanghzhou Gallop Biological Products 160

5.30 Hangzhou Singclean Medical Products 161

5.31 Hironic 161

5.32 Hugel 163

5.33 Huons Global Co., Ltd. 164

5.34 Hyalual Institute 165

5.35 The HydraFacial Company 165

5.36 IBSA Farmaceutici Italia 165

5.37 Ilooda Co., Ltd. 166

5.38 InMode 167

5.39 Jeisys 169

5.40 Lanzhou Institute 170

5.41 LASERING 171

5.42 LG Life Sciences 172

5.43 Lumenis 172

5.44 Lutronic 175

5.45 Laboratories MATEXLAB 178

5.46 MedixSysteme 179

5.47 Medytox 180

5.48 Mentor / JNJ 181

5.49 Merz Aesthetics 183

5.50 mesoestetic 187

5.51 Miramar Labs 187



5.52 Newpong 188

5.53 Novaclinical 189

5.54 NovoNexus 190

5.55 O’Meiye Group 191

5.56 PerfAction 191

5.57 ProCytech / The Cell Bio-Tech (China) Co. 192

5.58 Prollenium Medical Technologies 192

5.59 Radiancy / PhotoMedex 193

5.60 Regenyal 194

5.61 SBS-Med 194

5.62 Sciton 194

5.63 SharpLight 198

5.64 Silimed 199

5.65 Sinclair Pharma 200

5.66 Solta Medical (Bausch Health) 202

5.67 STORZ 208

5.68 Suneva 209

5.69 Suisselle 210

5.70 TEOXANE 210

5.71 Thermi, LLC 212

5.72 Venus Concept 214

5.73 Laboratories VIVACY 215

5.74 Viveve Medical 216

5.75 WONIK 216

5.76 WONTECH 217

5.77 Zimmer MedizinSysteme 217



M.I.I. Table Of Exhibits

Table 1: Leading Hair Removal Devices 28

Table 2: Leading Skin Rejuvenation Devices 31

Table 3: Leading Vascular Lesion Devices 36

Table 4: Leading Tattoo and Pigmented Lesion Devices 39

Table 5: Leading Skin Tightening, Body Shaping and/or Cellulite Reduction Devices

42

Figure 1: Female Sexual Organs 46

Table 6: Leading Energy-Based Feminine Rejuvenation Devices 49

Table 7: Leading Cosmetic Neurotoxins 52

Table 8: Leading Dermal Fillers 55

Table 9: Leading Suppliers of Liposuction Equipment 59

Table 10: Leading Breast Implant Products 61

Table 11: Comparison of Benefits: Topicals vs. In-Office Treatments 62

Table 12: Top Cosmeceutical Ingredients 64

Table 13: Key Demographics and GDP Growth of Leading Asian Aesthetic Markets

65

Table 14: Total Asian Sales of Aesthetic Products in $MM 87

Figure 2: Share of Total Asian Aesthetic Market by Procedure Type 88

Table 15: Asian Projected Dollar Sales for Top Manufacturers of Energy-Based Aesthetic Device Platforms in $MM

89

Figure 3: Total Sales for Leading Manufacturers of Energy-Based Device Platforms and Disposables in Asia

90

Table 16: Asian Projected Dollar Sales for Leading Manufacturers of Body Shaping / Skin Tightening Devices in $MM

91

Figure 4: Total Sales for Leading Manufacturers of Body Shaping / Skin Tightening Device Platforms and Disposables in Asia

92

Table 17: Asian Projected Dollar Sales of Leading Manufacturers of Cosmetic Neurotoxins in $MM

93



Figure 5: Total Sales for Leading Manufacturers of Cosmetic Neurotoxins in Asia

94

Table 18: Asian Projected Dollar Sales of Leading Manufacturers of Dermal Fillers in $MM

95

Figure 6: Total Sales for Leading Manufacturers of Dermal Fillers in

Asia

95

Table 19: Total Asian Sales of Aesthetic Products and Equipment in $MM, by Geographic Region

96

Figure 7: Total Sales of Aesthetic Products and Equipment in Asia, by Region

97

Table 20: Total Asian Sales of Aesthetic Products and Equipment in $MM, by Company

98

Table 21: Total Asian Aesthetic Procedure Volume 99

Table 22: Total Asian Procedure Volume and Tx Fees for Energy-Based Aesthetic Devices

100

Table 23: Energy-Based Device Treatment Volume per Year by Geographic Region

101

Table 24: Total Asian Procedure Volume and Tx Fees for Body Shaping / Skin Tightening

102

Table 25: Body Shaping / Skin Tightening Tx Volume per Year by Geographic Region

103

Table 26: Total Asian Procedure Volume and Tx Fees for Cosmetic Neurotoxins

104

Table 27: Cosmetic Neurotoxin Treatment Volume per Year by Geographic Region

105

Table 28: Total Asian Procedure Volume and Tx Fees for Dermal Fillers

106

Table 29: Dermal Filler Treatment Volume per Year by Geographic Region

107

Table 30: Aesthetic Treatment Volume per Year by Geographic Region

108

Figure 8: BOTOX Injection Points 112

Figure 9: BOTOX Injection Points for Lateral Canthal Lines 113



Section

Executive Summary 1

While most medical aesthetic markets are experiencing robust growth worldwide, a

truly bright spot is in the Asia-Pacific (APAC) region, which continues to expand more dramatically than any other area. This is because more people seek cosmetic treatments

with the main demographic drivers of aging patients, disposable income that is rising, and aesthetic practitioners that have a more advanced tool set encompassing less invasive,

non-surgical solutions.

For all of the above reasons and more, the APAC region aesthetic markets represent a major opportunity for global manufacturers.

Total Asian sales of all aesthetic products and equipment reached nearly $2.1 billion in 2017 and are expected to increase by 13.2% per year through 2022. In 2017, Asian sales

of energy-based devices totaled $423 million and are expected to rise by 8.2% per year through 2022. At $255 million in 2017, sales of body shaping/skin tightening devices are

considerably lower, but the expected CAGR is estimated to be much higher at 16.9%, as physicians increasingly embrace these technologies and the APAC region sees more

product launches. In 2017, Asian sales of cosmetic neurotoxins reached $476 million and through 2022, annual growth will be strong at 16.2% per year as manufacturers continue to

expand their distribution. Sales of dermal fillers reached $507 million in 2017 and are

anticipated to rise by 11.6% per year through 2022.

China, Korea, Japan and Taiwan show some of the most active growth, although

Vietnam, Thailand, Indonesia and the Philippines have started to come alive. “Compared with other world regions, APAC is one of the fastest growing and that's a very healthy trend,”

stated Fred He, business development director at Bloomage Biotechnology Corp., Ltd. (Beijing, China). “In mainland China, the sheer number of potential customers is still growing

in a big way. Even when compared with South America, medical aesthetics in APAC is healthier and with a good overall economic future.”



Throughout Asia but excluding Australia and New Zealand, the number one

treatment is for skin-related problems. Facial and body rejuvenation, treatments that address pigmentary and vascular issues, and skin lightening procedures are widespread.

In Australia and New Zealand, there is more of a Western approach and attitude towards procedures, notably body contouring, wrinkle and fat reduction and solutions to

photodamage concerns.

In Australia and New Zealand, non-invasive cosmetic treatments are routinely

treated like any regular beauty treatment. “Injectables and laser hair removal are the new facials and waxing,” said Gavin Dimitri, managing director at i-Medix Pty, Ltd., a wholesale

and distribution company specializing in energy-based aesthetic products and devices in

Bulleen, Victoria, Australia. “As a result, the market continues to grow. Cosmetic surgery probably still has some stigma amongst the wider population and the cost is quite

prohibitive, so that growth is much slower.”

On the business / manufacturing side, companies entering the market —

predominantly from the U.S. and Europe — have been moving further away from using middle-man local distributors to sell their products and devices, and are going direct.

Allergan, for instance, recently established a China-based presence in the region, which includes an expansive training / education facility.

Among practices and clinics, non-invasive approaches remain more popular than

invasive or surgical procedures. In the niche markets, vaginal rejuvenation remains a strong, growing segment with an increasing number of device manufacturers entering the

marketplace. China remains the biggest market in Asia for aesthetic devices and is the fastest growing, as well.

The overall regional economy is strong, expressed Robert Ruck, president, Asia Pacific at Candela, “And it has even picked up over the last couple of years. Late last year

and early this year saw a lot more clinic openings, in Indonesia and especially in China, which is still leading and the biggest and the fastest growing.”

As stated by William Kelley, a global business consultant and former vice president,

Europe, Middle East & Africa at Cynosure, Inc., “After the U.S., Asia is the big plum, especially because of mainland China, as well as Korea and Japan. I’m guessing that when

you put those three together that is probably 70% of the overall market in APAC.”



Recently, geopolitics and trade wars have impacted the region, which is affecting

the medical aesthetic industry. “When President Trump started talking about tariffs on China it had a ripple effect. Some economies in APAC have started to see some downturn,” Mr.

Kelley continued. “Korea, China and Japan are the biggest markets. From what I'm hearing and seeing, there is a slump among companies that are feeling the pinch. These are mostly

laser companies, but eventually everybody will start feeling it.”

Because of the new tariffs taking effect in late 2018 and going forward possibly

indefinitely, companies are looking at how they can do business differently in some ways. For instance, move final assembly to China or shift manufacturing to countries outside of

the U.S., so that they can avoid the tariffs.”

Long-term, things look very positive, Mr. Kelley said. “Physicians are still interested in new technology and they are still interested in new procedures. From facial rejuvenation

to treating acne or wrinkles or tattoo removal, they are all interested in those technologies and procedures. They are willing to spend the money to buy equipment to do these

treatments. They are also trying to be competitive. Good physicians cannot survive if they don’t have the equipment that their competitors have.”

asiaaestheticstudy2018-executive summary 010119 · any use which a reader makes of this report or...

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