RealSelf, the go-to destination for making cosmetic treatment decisions and connecting with doctors, announced the 2020 Most Worth It Ranking—a comprehensive list of the top-rated cosmetic procedures. The ranking reveals the Most Worth It™ procedures1 of the year and is determined by Worth It Ratings from real patients on RealSelf. 

The RealSelf Worth It Rating is a proprietary consumer satisfaction score based on reviews from consumers on RealSelf who, after undergoing a treatment, rated it as “Worth It” or “Not Worth It.” A total of 15 nonsurgical and 37 surgical procedures earned the Most Worth It designation for 2020.

“With more than 600 aesthetic procedures featured on RealSelf, consumers look to our annual list of Most Worth It procedures to easily discover and compare top-rated options,” said Tom Seery, RealSelf founder and CEO. “There’s nothing complicated or opaque about our algorithm—our ranking is based solely on

Worth It Ratings shared by real patients, and that’s why consumers trust it.” 

Nonsurgical Crowd Pleasers: Facials, Injectables 

Facial treatments are highly rated by consumers, with both tried-and-true classic facials (99% Worth It Rating) and HydraFacial—which uses a patented device to cleanse, exfoliate and extract pores—earning top spots on the nonsurgical treatment list. 

Injectable fillers and toxins also earn high marks for satisfaction. Wrinkle-smoothing injectable toxins Dysport (97% Worth It Rating) and Botox (97% Worth It Rating) both made the list, as did four different injectable fillers: Restylane (97% Worth It Rating), Restylane Lyft (95% Worth It Rating), Juvéderm (93% Worth It Rating) and Voluma (92% Worth It Rating). Lip augmentation (96% Worth It Rating) and nonsurgical nose job (95% Worth It Rating), both of which involve injectable filler, also ranked. In total, injectable toxins, injectable fillers, and filler-related treatments make up more than half of the nonsurgical treatment list.

RealSelf 2020 Most Worth It Ranking: Nonsurgical Honoree

RankProcedureWorth It Rating[1](1/1/19–12/31/19)EligibleReviews(min. 50)Category
1Facial99%88Skin Rejuvenation, Facial
2HydraFacial98%102Skin Rejuvenation, Facial
3Restylane97%119Injectable, Filler
4Dysport97%224Injectable, Toxin
5Botox97%996Injectable, Toxin
6Lip Augmentation96%188Injectable, Filler
7Nonsurgical Nose Job95%83Injectable, Filler
8Restylane Lyft95%58Injectable, Filler
9IPL94%51Skin Rejuvenation, Lasers & Light
10Juvéderm93%272Injectable, Filler
11Voluma92%66Injectable, Filler
12Laser Hair Removal92%74Hair Removal
13Vivace92%59Skin Rejuvenation, Microneedling
14Emsculpt91%172Nonsurgical Body Sculpting, Muscle Toning
15CO2 Laser90%62Skin Rejuvenation, Lasers & Light
Source: RealSelf, Jan. 1, 2019–Dec. 31, 2019.
1Worth It Ratings shown as rounded percentages; official ranking determined by several decimal places.

Breast Surgeries Dominate Surgical List  

A total of 37 surgical procedures earned the Most Worth It designation in 2020, with breast-related surgeries taking 14 spots on the list. They range from breast augmentation (98% Worth It Rating), to breast reduction (98% Worth It Rating), to gynecomastia surgery (98% Worth It Rating), also known as male breast reduction. Breast implant removal (97% Worth It Rating) and breast lift (97% Worth It Rating) also made the list. 

RealSelf 2020 Most Worth It Ranking: Surgical Honorees

RankProcedureWorth It Rating1(1/1/19–12/31/19)EligibleReviews(min. 50)Category
1Motiva Breast Implants100%50Breasts
2Sleeve Gastrectomy99%95Weight Loss
3Breast Augmentation98%2,658Breasts
4Gynecomastia Surgery98%173Breasts
5Breast Reduction98%845Breasts
6Breast Implant Removal97%470Breasts
7Breast Lift97%308Breasts
8Tummy Tuck97%1,848Body
9Body Lift97%136Body
10Mommy Makeover97%993Breasts; Body
11Breast Reconstruction Revision97%61Breasts
12Ear Surgery97%60Face, Ear Enhancement
13Natrelle Breast Implants96%57Breasts
14Lower Facelift96%181Face
15Breast Reconstruction96%127Breasts
16Septoplasty96%98Face, Nose Enhancement
17Eyelid Surgery96%639Face, Eye Enhancement
18Labiaplasty96%228Vaginal Rejuvenation
20Neck Lift95%161Neck Enhancement
21Breast Implants95%536Breasts
22Breast Implant Revision94%497Breasts
23Breast Lift with Implants94%676Breasts
24Buccal Fat Removal93%76Face, Cheek Enhancement
25Lip Lift93%148Face, Lip Enhancement
26Hair Transplant93%261Hair Restoration
27FUE Hair Transplant93%169Hair Restoration
28Arm Lift93%97Body
29Revision Rhinoplasty92%266Face, Nose Enhancement
30Mentor Breast Implants92%79Breasts
31Rhinoplasty92%1,611Face, Nose Enhancement
32Chin Liposuction92%83Face, Chin Enhancement
34Mini Tummy Tuck91%56Body
35Tummy Tuck Revision91%77Body
37Brow Lift90%60Face

Source: RealSelf, Jan. 1, 2019–Dec. 31, 2019.

1Worth It Ratings shown as rounded percentages; official ranking determined by several decimal places. 

 According to a recent RealSelf survey conducted online by The Harris Poll2, more than one-third (36%) of U.S. adults are considering undergoing one or more cosmetic treatments in the next 12 months, and only 26% have had one in the past.

“Getting a plastic surgery procedure is a highly personal decision, and many factors—including an individual’s unique anatomy, concerns, and goals—come into play,” said RealSelf Chief Medical Editor Dr. Lara Devgan. “That said, understanding how satisfied others are with a particular brand or procedure is a valuable insight for both doctors and patients.”

For more information on the 2020 Most Worth It Ranking and Most Worth It procedures, please visit

To be recognized as a 2020 Most Worth It procedure, a treatment must meet the minimum requirement of 50 reviews between January 1, 2019, and December 31, 2019, and have earned a cumulative Worth It Rating of 90% or higher during the same time period. A total of 15 nonsurgical and 37 surgical procedures earned a Most Worth It designation for 2020. While treatment Worth It Ratings in the 2020 Most Worth It Ranking are shown as rounded percentages, the actual ranking is determined by several decimal places. 

About RealSelf
RealSelf is the go-to destination for making cosmetic treatment decisions and connecting with doctors. Millions of people from around the world count on RealSelf to find unbiased information, real patient reviews and photos, treatment costs and ratings, and Verified doctors. From medical-grade skin care to emerging noninvasive technologies to highly considered cosmetic surgeries, RealSelf makes it easy to get the trusted insights you need to make smart, confident decisions about modern beauty treatments and doctors. For more information, visit RealSelf News and follow us on InstagramFacebook and Pinterest.

1 To be recognized as a Most Worth It procedure, a treatment must have a cumulative Worth It Rating of 90% or more over the prior 12 months and meet the minimum review requirement of 50 reviews during the same period. 

2 This survey was conducted online within the United States by The Harris Poll on behalf of RealSelf from January 6-8, 2020, among 2,007 U.S. adults ages 18 and older, among whom 820 have had a cosmetic treatment or are considering a cosmetic treatment in the next 12 months. This online survey is not based on a probability sample and therefore no estimate of theoretical sampling error can be calculated. For complete survey methodology, including weighting variables and subgroup sample sizes, please contact RealSelf PR.