Monday, 21 June 2021

Research report covers the Spirometry Market Forecasts and Growth, 2020-2027

 The global spirometry market is predicted to exhibit a 10.03% CAGR from 2018 to 2023 (forecast period) to reach USD 1,106.76 million by 2023, as per the latest report by Market Research Future (MRFR). This can be attributed to the sharp rise in the cases of chronic obstructive pulmonary disorders (COPD) and asthma.

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Spirometry is a basic test conducted by clinicians to evaluate the status of lungs. It is vital for diagnosing asthma, COPD, and other breathing disorders. The tests are carried out with the help of spirometers. Factors such as the increasing elderly populace, constrained budgets of healthcare institutes, and technological advances of respiratory care devices can drive the market demand over the forecast period. Initiatives taken by governments to curb smoking, home utilization spirometers, and focus on monitoring respiratory diseases can further the spirometry market till 2023.

Report Overview

The report provides an accurate overview of the market complete with statistical graphs to support the forecasted figures. Our analysts make insightful predictions regarding the scope of the market and its future prospects. MRFR’s report includes a thorough analysis of the global spirometry market segmented on the basis of product, technology, application, end-user, and region. Numerous growth strategies undertaken by companies as well as the latest trends driving the market are outlined in the report. The market share of all prominent players and their current position is discussed in minute detail. It analyzes new revenue sources for players and emphasizes on the various strategies implemented by players.

Spirometry Market Segment Overview

The global market is segmented by product, technology, application, and end-user. Various products in the market include table-top spirometry, hand-held spirometry, and desktop (PC) spirometry. Based on technology, the market is segmented into volume measurement spirometry, peak flow meters (PFM), and flow measurement spirometry.

By application, the spirometry market is segmented into diagnostic and treatment monitoring. The former is further segmented into COPD, asthma, and interstitial pulmonary fibrosis. End-users in the market include research & academic institutes, diagnostic centers, hospitals & clinics, and home care.

The segments covered in the spirometry market report are analyzed with respect to four main regions – Americas, Europe, Asia Pacific (APAC), and the Middle East & Africa (MEA), with respective country-level market sizing. The report discusses in detail the various players residing in these regions and their respective strategies to climb up the market ladder.

Spirometry Market – Competitive Landscape

Prominent players in the spirometry market include Carefusion Corporation (U.S.), NDD Medical Technologies, Inc. (U.S.), Nihon Kohden Corporation (Germany), MGC Diagnostics Corporation (U.S.), Vitalograph (U.K.), Schiller AG (Switzerland), COSMED srl (Italy), Hill-Rom Holdings, Inc. (U.S.), Midmark Corporation (U.S.), Smiths Medical Inc. (U.S.), and Koninklijke Philips N.V. (The Netherlands).

The report offers a comprehensive analysis on the profiles on these market players and assesses their current standing in the market. Company history coupled with annual turnover, profit margins, segmental share, SWOT analysis, growth strategies, expansion techniques, and latest R&D initiatives are discussed in minute detail.

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Sunday, 20 June 2021

Global Respiratory Care Devices Market Show Steady Growth: Study 2027

 The global respiratory care devices market is expected to register a significant growth at 10.1% CAGR during the forecast period (2018–2023).

The respiratory care devices are used for treatment, assessment, diagnosis, and care of patients suffering from cardiopulmonary devices. Respiratory care devices are used in the treatment of lung diseases such as chronic bronchitis, tuberculosis, acute and chronic pulmonary diseases, asthma, and others. With the growing age, the function of lungs starts to decline and hence the respiratory system undergoes various physiological, functional and immunological changes. The market growth is due to the rising incidences of chronic pulmonary diseases, asthma, and others. These devices can be used in hospitals and in-home care settings as they have developed from stationary to portable ones.

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Factors such as the increasing frequency of respiratory diseases, increasing geriatric population, urbanization, and its adverse effects, and changes in the environment and lifestyle boosts the growth of the market. The growing demand for point-of-care diagnostic devices in developing regions is anticipated to provide new opportunities for players in the respiratory care devices market. The lack of awareness about respiratory problems, intense competition, and the cost associated with the device and the respiratory surgery hamper the growth of the market.

Segmentation

The global respiratory care devices market has been segmented on the basis of therapeutic devices, monitoring devices, diagnostic devices, accessories and consumables, application, and end-users.

On the basis of therapeutic devices, the market has been classified as pap devices, masks, ventilators, nebulizers, humidifiers, oxygen concentrators, inhalers, reusable resuscitators, nitric oxide delivery units, and oxygen hoods.

On the basis of monitoring devices, the market has been classified as pulse oximeters, pulse oximeter sensors, pulse oximeter equipment, capnographs, and gas analyzers.

On the basis of diagnostic devices, the market has been classified as spirometers, polysomnography (PSG) devices, peak flow meters, and other diagnostic devices.

On the basis of accessories and consumables, the market has been classified as disposable masks, disposable resuscitators, tracheostomy tubes, nasal cannulas, and other consumables and accessories.

On the basis of application, the market has been classified as chronic obstructive pulmonary disease (COPD), sleep apnea, asthma, infectious diseases, and other diseases.

On the basis of end-users, the market has been classified as hospitals, clinics, ambulatory care, home care, and others.

On the basis of region, the market is segmented into the Americas, Europe, Asia-Pacific, and the Middle East and Africa. The Americas has been further segmented into North America and South America, with the North American market divided into the US and Canada.

The European respiratory care devices market has been segmented into Western Europe and Eastern Europe. Western Europe has further been classified as Germany, France, the UK, Italy, Spain, and the rest of Western Europe.

The respiratory care devices market in Asia-Pacific has been segmented into Japan, China, India, South Korea, Australia, and the rest of Asia-Pacific. The respiratory care devices market in the Middle East and Africa has been segmented into the Middle East and Africa.

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Wearable Injectors Market Growth, Trends and Value Chain 2020-2027

 The global wearable injectors market is expected to grow significantly over the forecast period. It is estimated that the global wearable injectors market is expected to register a CAGR of ~ 15.2% during the forecast period from 2018 to 2023. Wearable Injectors are medical devices designed to dispense large doses of the drug. Wearable Injectors are user-friendly, convenient and they lessen the need for multiple painful injections.

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Numerous factors such as growing demand of convenient methods of drug administration, rising prevalence of chronic diseases such as diabetes, technological advancements and design development in wearable injectors are expected to drive the growth of the market. For instance, in July 2016, Amgen received US Food and Drug Administration (FDA) approval for its on-body wearable injector, Repatha (evolocumab) Pushtronex system, a human monoclonal antibody injector.

Moreover, favorable healthcare investments by government and the rising demand for minimally invasive devices boosts the growth of the market. However, stringent government regulation for product approval and the growing preference for traditional methods of drug delivery may hamper the market growth during the assessment period.

Segmentation

The global wearable injectors market has been segmented into type, usage, mechanism of action, therapeutic area, and end-user.

The market, on the basis of type, has been segmented into on-body wearable injectors, off-body wearable injectors, and hand-held wearable injectors.

The market, by usage, has been segmented into disposable and semi-reusable.

The market, by mechanism of action, has been segmented into spring based, motor driven, rotary pump, expanding battery, pressurized gas, and collapsible reservoir.

The market, by therapeutic area, has been segmented into oncology, infectious diseases, cardiovascular diseases, autoimmune diseases, diabetes, and others.

The market, by end-user, has been segmented into hospitals, clinics, homecare, ambulatory surgery centers, others.

The market has been segmented, by region, into the Americas, Europe, Asia-Pacific, and the Middle East & Africa. The wearable injectors market in the Americas has further been segmented into North America and South America, with the North American market divided into the US and Canada.

The European wearable injectors market has been segmented into Western Europe and Eastern Europe. Western Europe has further been classified as Germany, France, the UK, Italy, Spain, and the rest of Western Europe.

The wearable injectors market in Asia-Pacific has been segmented into Japan, China, India, South Korea, Australia, and the rest of Asia-Pacific. The wearable injectors market in the Middle East & Africa has been segmented into the Middle East and Africa.

Key players

West Pharmaceutical Services, Inc., Valeritas, Inc., Eli Lilly and Company, YPSOMED, Amgen Inc., Becton, Dickinson and Company (BD), CeQur SA, SteadyMed Therapeutics, Inc., BioSpace, Enable Injections, and Sensile Medical AG are some of the key players in the global wearable injectors market.

Regional Market Summary

Geographically, the Americas is anticipated to dominate the global wearable injectors market owing to a well-developed healthcare sector, rising prevalence of autoimmune and chronic disease and growing healthcare expenditure. According to a report published by American Autoimmune Related Diseases Association (AARDA) in April 2017, in the US approximately 50 million people i.e. nearly 20% population suffer from autoimmune diseases. Additionally, government funding in this region contributes to the growth of the market.

Europe is expected to hold the second largest position in the global wearable injectors market. The market growth in this region is attributed to the growing prevalence of chronic diseases, the availability of funds for research, and increasing healthcare expenditure. According to a report published by the NSD Alliance in July 2017, 1/3rd of the European population above the age of 15 years suffer from a chronic disease.

Asia-Pacific is anticipated to be the fastest growing region in the market due to the presence of a huge patient population, continuously developing economies, rising prevalence of chronic diseases like diabetes, cardiovascular diseases and increasing government funding for the healthcare sector. According to a study published in the Asian Pacific Journal of Tropical Biomedicine journal in 2014, it was estimated that about 150 million diabetic patients reside within the region, out of which more than 95% have type 2 diabetes mellitus.

On the other hand, the Middle East & Africa has the least share of the market. Majority of the market of this region is expected to be held by the Middle East region due to a well-developed healthcare sector and growing government initiatives for the healthcare sector.

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Swollen Knee Treatment Market 2020 Analysis, Industry Size, Share Leaders, Current Status by Major vendors and Trends by Forecast to 2027

 The global swollen knee treatment market is expected to register a significant growth during the forecast period (2018–2023).

Knee swelling or occasionally mentioned as “water on the knee” is a condition where excess fluid gets accumulated in an around the knee joint. This conditions in medical terms are referred to as “knee effusion”. The swollen knee can result due to injuries such as torn ligament, cartilage tear or broken bones. The increasing number of geriatric populations followed by the rising frequency of musculoskeletal diseases, a growing number of surgeries undertaken is projected to grow the global swollen knee treatment market. The operating procedure of knee replacement is inclusive of various steps taken to implant the artificial device and replacement of the damaged knee.

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The swollen knee treatment market is anticipated to grow due to several factors such as the growing rate of elderly aged diseases like obesity, arthritis, osteoporosis, diabetes and sports-related injuries. Contrary, due to existing and upcoming advance technologies such as minimally invasive surgery and improved implant supplies are making it more broadly accepted even by the younger population.

In spite of being a widely used technique for curing extremely debilitating diseases, such as rheumatoid arthritis, the global swollen knee treatment market is confronting some challenges such as financial slowdown which is avoiding the growth of the market. Other growth restraining factors of the global swollen knee treatment market are intense competition, huge surgical cost, growing awareness for some non-surgical treatment methods such as exercises, shoe inserts, walking aids, weight loss programs, and painkiller medicines.

Segmentation

The global swollen knee treatment market has been segmented on the basis of type and end-users.

On the basis of type, the market has been classified as medications, patient-controlled analgesia (PCA) pumps, nerve blocks, liposomal bupivacaine, and surgery. The medications have been segmented into opioids and corticosteroids and others. The surgery is segmented into arthrocentesis, arthroscopy and knee replacement. The knee replacement is further segmented into total knee replacement, unicompartmental knee replacement, and others.

On the basis of end-users, the market has been classified as hospitals, clinics, ambulatory surgery centers, and others.

On the basis of region, the market is segmented into the Americas, Europe, Asia-Pacific, and the Middle East and Africa. The Americas has been further segmented into North America and South America, with the North American market divided into the US and Canada.

The European swollen knee treatment market has been segmented into Western Europe and Eastern Europe. Western Europe has further been classified as Germany, France, the UK, Italy, Spain, and the rest of Western Europe.

The swollen knee treatment market in Asia-Pacific has been segmented into Japan, China, India, South Korea, Australia, and the rest of Asia-Pacific. The swollen knee treatment market in the Middle East and Africa has been segmented into the Middle East and Africa.

Regional Market Summary

In the swollen knee treatment market, North America is anticipated to account for the largest market share due to the early adoption of advanced medical technologies, the rise in awareness, the rise in growth of the healthcare sector, and due to favorable compensation setting for many surgical procedures.

The European market is expected to hold the second largest market share. The market growth in this region can be attributed to the rising frequency of diabetes patients, increasing number of surgeries, and increasing demand for advanced treatment procedures are boosting the European market.

The market share in Asia-Pacific is also projected to experience growth in the near future due to access to optimal treatment facilities and growing demand for advanced technology, better adoption rate, increase in disposable income, and rising medical tourism.

The market in the Middle East and Africa is expected to account for the smallest share of the global swollen knee treatment market due to an underdeveloped healthcare sector, lack of technical knowledge, and poor medical facilities.

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Surgical Stapler Market Size, Share, Demand, Financial Overview, Key Developments, Swot Analysis and Forecast to 2027

 The Global Surgical Stapler Market is expected to grow during the forecast period (2018 to 2023) at a CAGR approx. 7.2 %.

A surgical stapler is a complex mechanical medical device that has been present in the market for years and is mature in technology. Surgical staplers are used in various surgeries such as gastrointestinal, gynecologic, thoracic, and many other surgeries to remove the part of organ and tissues. This surgical stapler reduces the time of surgical procedure. The global surgical stapler market is increasing due to increasing surgical procedures, the introduction of technologically advanced surgical staplers, and growing number of bariatric and other weight loss surgeries. However, due to increasing aesthetic surgeries, breast surgeries, surgical technology, and pediatric surgical procedures, the surgical stapler market size is expected to grow in the future.  

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However, the high cost of treatment, misuse of funding, and lack of awareness are some of the factors which are expected to hamper the growth of the market during the forecast period.

Segmentation

The global surgical stapler market is segmented into types, product, application, and end-users. Based on types the surgical stapler market is segmented into disposable surgical staplers and reusable surgical staplers. On the basis of the product, the market is segmented into manual surgical staplers and powered surgical staplers. Based on application, the surgical stapler market is segmented into abdominal and pelvic surgery, general surgery, cardiac and thoracic surgery, orthopedic surgery, and other surgical applications. Based on end-user the market is segmented into hospitals, ambulatory surgical centers (ASCs), and clinics.

Regional Market Summary

The market has been segmented, by region, into the Americas, Europe, Asia-Pacific, and the Middle East and Africa. The global surgical stapler market in the Americas has further been segmented into North America and South America, with the North American market divided into the US and Canada. The European global surgical stapler market has been segmented into Western Europe and Eastern Europe. Western Europe has further been classified as Germany, France, the UK, Italy, Spain, and the rest of Western Europe. The global surgical stapler market in Asia-Pacific has been segmented into Japan, China, India, South Korea, Australia, and the rest of Asia-Pacific. The surgical stapler market in the Middle East and Africa has been segmented into the Middle East and Africa.

North America will dominate the surgical stapler market during the forecast period. Technological advancements, growing geriatric population, and rising number of surgical procedures are likely to drive the surgical stapler market during the forecast period. North America and Europe are expected to hold a major share of around 70% of the surgical stapler market during the forecast period. The European market is expected to be the second-largest market. The market growth in this region can be attributed to the increasing awareness and adoption of the advanced surgical technology. Asia-Pacific is expected to be the fastest-growing surgical stapler market during the forecast period owing to the increasing prevalence of cardiac diseases, rising investments in healthcare, increasing geriatric population, and expansions by market players in the region. Asia-Pacific is giving strong competition to the global surgical stapler market by producing cost-effective treatments that are high in demand in local as well as global markets. The market in the Middle East and Africa is expected to account for the smallest share in the global surgical stapler market due to the underdeveloped healthcare sector, lack of technical knowledge, and poor medical facilities.

Key Players

Some of the key players in the global surgical stapler market are  Ethicon. US, LLC., Cardica Inc, Smith and Nephew Plc, CONMED Corporation, Purple Surgical Inc., Welfare Medical Ltd, Reach Surgical, Grena Ltd, B.Braun Melsungen AG, Frankenman International Limited, Zimmer Biomet, Stryker, Meril Life Sciences Pvt. Ltd., Touchstone International Medical Science Co.Ltd, and Medtronic.

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COVID-19 Outbreak Impact Market Size, Share, Demand, Financial Overview, Key Developments, Swot Analysis and Forecast to 2027

 COVID-19 Outbreak and Healthcare Industry

At the time of evaluating the impact of COVID-19 outbreak on healthcare market the total positive cases reached 1,350,357, the death toll came out to be at 74,866, whereas the total recovered population is 287,481. It has been observed that countries such as South Korea, Taiwan, and Singapore have controlled the spreading of COVID-19 before it could reach the community level. On the other hand, well-developed economies such as the US, Italy, the UK, Spain, France, and Germany are not capable to control the COVID-19 even after having a robust healthcare infrastructure. This has resulted in a very high impact of COVID-19 outbreak on healthcare market.

However, precautionary measures such as strict social distancing and lockdown taken by many countries that include India, Italy, Germany, France, Spain, and the US have resulted in the decline in the number of cases of COVID-19. However, China has a low rate of new COVID 19 patients and is in a position of restarting its economy.

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Impact of COVID-19 Outbreak on Healthcare Market by sector

Continuously rising positive cases are also generating the demand for medical ventilators across the globe. It has been observed the around 5% of the total positive COVID-19 cases are severe that require ventilators for the smoothness in breathing. This is resulting in a growing demand for medical ventilators across the globe. Most of the companies have extended their production capacity to meet the ongoing demand. For instance,

  • Getinge increased its capacity by 60% compared to its previous production capacity of 10,000
  • Philips has doubled its ventilator production capacity from ~1000 ventilators a week to ~2000 ventilators capacity a week
  • Medtronic announced to upscale its production with 40% and is working hard to make it double in the coming days
  • GE Healthcare has come up with an agreement with Ford to fill the gap between demand and supply

Also, many players such as Mahindra Group, Ford, and Maruti Suzuki are stepping into the healthcare industry.

It has been observed that many companies are repurposing their production lines to join the fight against COVID-19. Along with this, there are many industrialists and luxury hotels that are entering into the hygiene masks and quarantine center services, respectively.

Many new start-ups are also contributing to the fight against COVID-19 by introducing apps that help to track COVID-19 cases. A Canada-based company Emerge, a blockchain startup based in Toronto, is introducing a public safety system app called Civitas to assist local authorities in many nations.

Apart from a rise in demand and a shortage of medical supply capacity, the spread of medical protectionism has been one of the biggest problems for supply chains in healthcare so far. And though obstacles are eliminated there are still sourcing problems. Malaysia's shutdown may result in a shortage of global supplies of rubber from companies such as Top Glove. However, The G20 heads-of-state meeting has committed to "minimizing trade and global supply chain disruptions" caused by the coronavirus outbreak. Encouragingly, there is a determination to ensure that medical supplies and important agricultural products are distributed "where they are needed the

Objective behind Repurposing

During this critical situation, the priorities for most of the manufacturing companies are to protect their workforce along with the running operation. For meeting this objective, workers are required to protect themselves by wearing masks and disinfecting themselves properly. In countries such as China which now ready to reopen its manufacturing unit, the government allows only those companies for production who have enough face masks along with other required measures. As a result, there is a surge in the demand and supply of such products.

Most of the companies started their production units to meet the demand for such products for their workers to smoothly run their production unit. For instance, Foxconn an electronic company started to produce face masks itself with the clear aim of increasing its production. Also, in India, Anheuser-Busch InBev, that sells Budweiser and Haywards, the known brands of beer, tied-up with the state government to provide 15 lakh basic measure equipment along with face masks to the frontline workers. These companies are rapidly developing production capacities for masks that surpassed their demands and are beginning to help frontline workers in the medical sector and others in their daily battle against COVID-19 at no cost.

Repurposing, though, does not only help businesses retain their workforce and support the common good, it also allows them to keep production lines up in the time of poor demand, raising their modest sales and affecting their image positively.

We at MRFR are continuously tracking the Impact of COVID-19 pandemic on various industries within the healthcare sector that include an impact analysis over medical devices, diagnostics, pharmaceuticals, healthcare IT, insurance, medical tourism, healthcare facilities, etc. These studies help you to understand the drop and rise, owing to the impact of COVID-19 on these industries. Also, we help you to identify the gap between the demand and supply of your interested market. Moreover, the report helps you with the analysis of rapid clinical trials, amended government regulations, and many other useful insights.

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New research report offers detailed research on developments in Medical Aesthetics Market 2027

 Global Medical Aesthetics Market Size is expected to register a CAGR of 8.30% during the assessment period, to reach USD 38,850.89 Million by 2027.

Market Dynamics

The growing obese and geriatric population worldwide is leading to an increased demand for aesthetic procedures such as liposuction, hair transplantation, and others. Moreover, the growing demand for beauty treatments and other anti-aging-related cosmetic procedures are accelerating the growth of the global medical aesthetics market. The rising need to appear younger and visible positive effects of these treatments are increasing the popularity of aesthetic procedures across the globe.

In 2016, according to the International Society of Aesthetic Plastic Surgery, an estimated 18,447 liposuction procedures were performed in Taipei, accounting for 1.3% of the total surgical liposuction procedures across the globe. Moreover, it was determined that India stood third in liposuction procedures, representing 5.0% of the total liposuction procedures performed in the world. According to the American Society for Aesthetic Plastic Surgery, 414,335 liposuction procedures were performed in the US in 2016.

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Segmentation

Medical Aesthetics Market Share is segmented based on Product, Technology, and End User.

Global Market based on the product has been segmented into facial aesthetic, body contouring devices, cosmetic implants, hair removal devices, skin aesthetic devices, tattoo removal devices, others. The global medical aesthetics industry, by technology, has been segmented into invasive, non-invasive, minimally invasive. The invasive segment is held the largest market share in 2019. Invasive procedures, such as liposuction, breast augmentation, and nose reshaping, among others, are some of the trending invasive aesthetic procedures. The rise in a number of men and women wanting to improve their aesthetic appearance has been fueling the demand for liposuction procedures, which is fueling the market growth. The global medical aesthetics market, by end user, has been segmented into hospitals & clinics, dermatology & cosmetic centers, others. The hospitals & clinics segment dominated the market. The increasing patient pool in the hospitals & clinics also raises the demand for medical aesthetics, which is propelling the market growth of this segment.

Regional Analysis

Global Medical Aesthetics Market, based on region, has been divided into the Americas, Europe, Asia-Pacific, and the Middle East & Africa.

The Americas has been segmented into North America and Latin America, with the North America market further divided into the US and Canada. The Americas spearheaded the market in 2019 and is likely to continue to command during the assessment period. Well-developed healthcare infrastructure, adoption of cosmetic procedures, increasing prevalence of skin disorders, and presence of board-certified and skilled cosmetic surgeons in the region are some of the major factors contributing to the market growth. According to the American Society of Plastic Surgeons (ASPS), the U.S. is reported to top the list of countries with the maximum number of cosmetic surgeons globally in 2017.

The European market has been divided into Western Europe and Eastern Europe. The Western Europe market has further been classified into Germany, France, the UK, Italy, Spain, and the rest of Western Europe. Europe would follow the Americas in terms of value during the forecast. Europe accounts for the second-largest market for global aesthetics owing to the increasing support from the government, the presence of the target population, and high healthcare spending. According to the report published by the European Union, the healthcare expenditure in European nations was around 9.6% of the total gross domestic product.

The medical aesthetics industry in Asia-Pacific has been segmented into China, India, Japan, South Korea, Australia, and the rest of Asia-Pacific. Asia-Pacific is expected to witness the highest growth rate during the study period. Growing awareness about aesthetics among the young population, rapid development in technology, and the presence of huge opportunities for the development of the market drive the growth of the medical aesthetics in Asia-Pacific market. The government of this region is also looking forward to availing better treatment options from developed nations to improve the quality of life of their citizens. Additionally, the increasing acceptance of facial aesthetics is also fueling the market for medical aesthetics in this region.

The Middle East & Africa market is segmented into the Middle East and Africa. The Middle East is expected to dominate the market owing to the presence of a well-developed healthcare sector. The growth of the market is majorly attributed to the developing healthcare infrastructure, untapped market in this region, and increasing demand for products. These factors are driving the market growth in this region.

Key Players

The Prominent Players in the Global Medical Aesthetics Market are Galderma Laboratories, L.P (US)., Allergan plc (Ireland), Merz Pharmaceuticals GmbH (Germany), Lumenis (Israel), and Bausch Health (US).

Some of the key strategies followed by players operating in the global medical aesthetics market were FDA approvals, joint ventures, acquisitions, expansions, and collaborations, among others.

  • In October 2020, Alma, a Sisram Medical Company, launched Alma Hybrid to enable endless options of ablative, non-ablative, and thermal treatments for skin rejuvenation and scar revision.

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