Breast Reduction May Lead to Cancer Detection in Patients

There may be some new added benefits to breast reduction surgery. Testing tissue and fat removed during the procedure may lead to increased cancer detection, reports a new study presented at the American Society of Plastic Surgeons (ASPS) Plastic Surgery 2009 conference, Oct. 23-27, in Seattle. Two-hundred-two cases were evaluated. Cancerous or pre-cancerous cells were found in 12.4 percent of patients. Age was significantly associated with negative pathologic findings. The rate of cancer was 6.2 percent in women 40 years or older and 7.9 percent in women 50 years or older. None of the lesions were identified on pre-operative mammograms. The authors suggest that increased testing in breast reduction patients can help to identify at-risk patients, especially in breast reduction patients over 40.

By the Numbers:

Nearly 90,000 women had breast reduction surgery in 2008, up 5 percent since 2000, reports the ASPS.

Source: American Society of Plastic Surgeons (ASPS)

Plastic Surgery 2009 news briefs

Cleavage Rejuvenation, Do-It-Yourself Lasers, Botox® Breast Lift – Hype or Reality?

Whether their effectiveness is fact or fiction, less invasive cosmetic procedures such as cleavage rejuvenation, do-it-yourself (DIY) cosmetic therapies, and using Botox® to “lift” the breasts are making headlines, but are they safe? Plastic surgeons will discuss if these, and more, are cutting edge new discoveries or just “buyer beware” marketing hype at the American Society of Plastic Surgeons (ASPS) Plastic Surgery 2009 conference, Oct. 23 – 27, in Seattle. Cleavage rejuvenation involves injecting a non-allergenic filler into the cleavage to alleviate wrinkles. DYI cosmetic therapies include hair removal devices, lasers, even fillers that some patients are ordering off the Internet. With a Botox Breast Lift, the toxin is injected into the chest muscles, temporarily paralyzing them, and causing the back muscles to compensate. The patient, in turn, is forced to standup straighter, thereby creating a lifted appearance in the breasts. Plastic surgeons are concerned that these may be some of the procedures consumers are turning to in the weak economy. A new procedure called Awake-Breast Augmentation, where the patient is awake during surgery and gives feedback regarding her preferred size of implant, will be examined. Additionally, the latest information on cosmetic gynecology, laser liposuction, cellulite, new fillers such as Selphyl (being touted as a new blood-based injectable), and more will be discussed.

By the Numbers:

* More than 10.4 million cosmetic minimally-invasive procedures were performed in 2008, according to the ASPS.

* Laser hair removal (1 million procedures) was among the top 5 minimally-invasive procedures and more than 400,000 patients had laser skin resurfacing in 2008.

* Cosmetic breast procedures totaled nearly 400,000 procedures last year.

Source: American Society of Plastic Surgeons

Reconstructive Plastic Surgery Patients Honored for Giving Back

Ceremony at American Society of Plastic Surgeons Annual Meeting

Seattle – An injured Iraqi citizen, a port wine stain patient, a breast reconstruction patient and a skin cancer patient will be named honorees of the Patients of Courage: Triumph Over Adversity awards by the American Society of Plastic Surgeons (ASPS) at Plastic Surgery 2009, October 24, 4:30 p.m., at the Washington State Convention & Trade Center in Seattle.  These unselfish individuals endured numerous reconstructive plastic surgeries and use their experiences, strength and determination to help others in need.

The Patients of Courage: Triumph Over Adversity program is supported by Ethicon, Inc., a Johnson & Johnson company. Continuing in the spirit of giving, Ethicon will donate, on behalf of each of the honorees, $5,000 to four non-profit organizations providing reconstructive plastic surgery services to people in need.

“ASPS Member Surgeons are humbled by the achievements of their patients,” said ASPS President John Canady, MD. “It is so impressive to see our patients doing such good things for so many people.”

Uday Hattem, New York – As a citizen of Baghdad, Iraq, Hattem signed on as a translator for the U.S. Army during Operation Iraqi Freedom. In May, 2003, Hattem ventured out for supplies for the troops when he encountered a group of insurgents who shot him at close range in the face, neck, and arm and left him for dead. He suffered facial deformities losing his right eye, cheek, palate, and partial mandible. In a twist of fate, the founder of Global Medical Relief Fund (GMRF) met Hattem in an Iraqi hospital and sought aid from doctors in the United States. Hattem arrived in New York after receiving a Certificate of Honor for his heroism. He underwent microsurgical reconstruction of the cheek and orbit followed by facial flap rotation for soft tissue coverage. He also required bone grafts, nasal reconstruction, as well as numerous skin, cartilage, and fat grafts to improve the color and contour mismatch on his face. Grateful for all he’s been given, Hattem gives back to those in need by actively participating in the GMRF efforts to bring Iraqi children injured during war to the United States.

Abigail Hardin, Clinton, Miss. – Hardin, currently a student at the University of Alabama, was born with a right cheek capillary vascular malformation – port wine stain.  She received several laser treatments throughout her childhood to try to alleviate the malformation. Based on her life experiences, she recently published a children’s book entitled “Look at me; I’m just like you” about a hippopotamus named Lucy who has a port wine stain on her cheek. Lucy is the subject of peer ridicule and teaches her classmates to accept and respect other children with facial and functional deformities. Hardin travels to schools to read her book to school children, giving both teachers and students the opportunity to increase their awareness of the self-esteem and emotional issues facing children perceived as “different.” Hardin also started a foundation called Open My Eyes whose sole purpose is to fund projects that promote character-development in children. A percentage of the sales of her book will go to support the ongoing mission of her foundation.

Janet Smith, Canton, Ohio – Smith was diagnosed with infiltrating ductal carcinoma of her left breast and underwent lumpectomy. After chemo and radiation therapy, she developed inflammatory carcinoma invading the skin and lymph nodes. This was followed by 10 cycles of chemo, and she was given a poor prognosis. A latissimus dorsi flap was unsuccessful, and she was left with an extensive chest wall wound which had to be covered with skin grafts. She recently developed inflammatory disease in the right breast and underwent a right mastectomy with advancement flap for closure. Her spirits remain high throughout her numerous surgical procedures and therapies. Next to her family, music is her joy. She volunteers with the music program at McKinley Senior High School teaching children the gift of music. Smith leads the FACES of Stark County, an agency of parents who have been successful navigating the various systems for their own children and now help other parents find appropriate services for their children.

Jane Escher, Easton, Md. – Escher was diagnosed, at age 82, with an aggressive basal cell carcinoma on her nose, a cancer she successfully fought twice before. She sought the expertise of a MOHS’ surgeon, but the cancer was more widespread than initially believed, and she was left with a large nasal defect that ended up requiring a forehead flap reconstruction.  Not wanting to miss work, Escher returned to work within a week, even though her reconstruction was not completely finished.  She is an outreach nurse for the Shore Regional Breast Center giving uninsured women access to life-saving cancer screenings. Escher is an inspiration to everyone around her, especially her young cancer patients, as they are inspired seeing an elder woman tackle the difficulties of skin cancer and reconstructive surgeries. She is a senior citizen who never let cancer slow her down in her quest to care for others as a nurse at the underserved Shore Regional Breast Center.

For more information about reconstructive plastic surgery do not hesitate to contact us.

Prophylactic Mastectomy: More women choosing to remove healthy breast after cancer diagnosis

A new study of New York State data finds that the number of women opting for surgery to remove the healthy breast after a cancer diagnosis in one breast is rising, despite a lack of evidence that the surgery can improve survival. The study also finds that despite extensive press coverage of women who choose to have both breasts removed because of a strong family history of cancer, the rate of this surgery is relatively low and has changed little in the last decade. The study appears in Cancer, a peer-reviewed journal of the American Cancer Society.

Prophylactic mastectomy, the removal of a noncancerous breast, is one method for reducing a woman’s risk of developing breast cancer; however, there is little information available on the prevalence of prophylactic mastectomies for preventing breast cancer among high-risk women or on the prevalence of the surgery to prevent tumors in the healthy breast among women whose cancer is limited to one breast.

Researchers led by Stephen B. Edge, M.D., FACS, of the Roswell Park Cancer Institute in Buffalo, NY, examined the frequency of prophylactic mastectomies in New York State between 1995 and 2005 using mandated statewide hospital discharge data combined with data from the state cancer registry. They identified 6,275 female New York residents who underwent prophylactic mastectomies. Eighty-one percent of the women had been diagnosed with cancer in one breast, while 19 percent had no personal history of breast cancer.

The researchers found that the number of prophylactic mastectomies increased during the time period, particularly among women with cancer in one breast. Over the 11-year study period, the prevalence of these contralateral mastectomies more than doubled. The prevalence of bilateral prophylactic mastectomies among women with no personal history of breast cancer increased only slightly.

“These data from New York are the only data on a large population of women that examine the use of bilateral prophylactic mastectomy,” said Dr. Edge. “These data demonstrate that prophylactic mastectomy is an uncommon procedure that is performed most commonly on women with a personal history of breast cancer. Although the total number of prophylactic mastectomies performed per year was small, it appears that the use of the surgery is increasing.” In addition, he noted that women with breast cancer should have careful counseling regarding benefits and risks before proceeding with prophylactic mastectomy of the other breast.

For more information about prophylactic mastectomy and/or breast reconstruction surgery do not hesitate to contact us.

American Society of Plastic Surgeons Hosts 78th Annual Meeting

Showcases Latest Research, Novel Procedures & Emerging Trends; Seattle, Oct. 23-27

Arlington Heights, Ill. – Whether in a quest for beauty or out of necessity, millions of Americans will have plastic surgery this year. To stay ahead of the demand, the hottest topics, technologies, and research will be presented at Plastic Surgery 2009, the annual scientific meeting of the American Society of Plastic Surgeons (ASPS), Oct. 23-27, in Seattle. The meeting, held at the Washington State Convention and Trade Center, will be attended by more than 5,000 doctors, medical personnel and exhibitors in the field of plastic surgery.

“Plastic Surgery 2009 is the complete plastic surgery experience featuring the latest information on cosmetic and reconstructive plastic surgery techniques,” said ASPS President John Canady, MD. “New discoveries on facial aging, novel uses for Botox® to treat chronic pain, concerns about do-it-yourself cosmetic treatments and more will be explored. Amazing reconstructive surgery breakthroughs that will one day allow U.S. soldiers with artificial limbs to feel sensation will be revealed.”

Opening Ceremonies
Keynote speaker and accomplished teacher, writer, and orator, Atul Gawande, MD, will discuss his unique perspective on the practice of medicine and healthcare reform, during Opening Ceremonies on Saturday, Oct. 24 from 4:30 p.m. – 6:00 p.m. The annual Patients of Courage: Triumph Over Adversity awards honoring inspirational reconstructive plastic surgery patients who’ve overcome traumatic illness or injury will also be recognized for their courage and altruism.

Breast Reconstruction Art Exhibit
Created to raise awareness about the many forms of breast reconstruction, the Out of the Shadows…Into the Light art exhibit will be held on Sunday, Oct. 25 – Tuesday, Oct. 27. The exhibit shares the stories of breast cancer patients, through plaster sculptures of their busts, representing various stages of breast cancer. The creator will discuss how she created art from tragedy.

Special Media Event
Hot Topics in Plastic Surgery is one of the most popular panels at Plastic Surgery 2009. For the first time, ASPS is bringing Hot Topics presentations straight to the media during its Hot Topics Overview/Webinar for the Media on Monday, Oct. 26, from 10:30 a.m. – 11:30 a.m. During this dynamic hour, journalists can get answers to questions regarding the latest technologies and procedures and engage in conversation with the experts.

Exhibit Hall
The Exhibit Hall, open Saturday, Oct. 24 – Monday, Oct. 26, will showcase more than 300 companies, featuring products and devices including the latest breast implants, injectable wrinkle fighters, cosmetics/skin care, and body contouring technologies. This array of exhibitors will bring plastic surgeons up-to-date on cutting-edge products and technologies to better care for patients.

Closing Ceremonies
Closing Ceremonies on Tuesday, Oct. 27 from 5:00 p.m. – 6:00 p.m. will feature recognized heart and lung transplant surgeon, the Honorable William H. Frist, MD, who will discuss the future of healthcare in America. He will present his vision of increased availability and affordability of quality healthcare.

Studies, panels, and courses presented at Plastic Surgery 2009 include:

* Hot Topics in Plastic Surgery
* Rejuvenation of the Upper Eyelid – Is Less Really More
* Breast Augmentation with Liposuctioned Fat: A Fifty Patient Study Over Five Years
* Achieving Predictable Outcomes in Buttock Rejuvenation
* Not All Facelifts Created Equal – New Ways to Reshape the Face
* Non-Surgical Rejuvenation – Lasers
* Facial Aging and the Mid-Facelift
* Five Year Outcome of Surgical Treatment of Migraine Headache
* Military Plastic Surgery – A Global Update
* The Efficacy of Botox in the Treatment of Chronic Regional Pain Syndrome
* Composite Tissue Allotransplantation (Face Transplants) – Have We Achieved Liftoff
* The Impact of Breast Reduction on Low Back Compressive Forces and Function
* Functional and Structural Repair of Peripheral Nerve Injury by Adipose-Derived Stem Cells
* Breast Reconstruction Managing Flap Reconstruction
* Carcinoma and Hyperplasia in Breast Reduction Surgery: Increased Sampling Leads to Increased Detection
* Inter-Relationships of Carpal Tunnel Syndrome with Body Mass Indices in the Massive Weight Loss Population

Our American customers have been always on the rise. This article shows how cosmetic surgery its in the center of American life. Hundreds of American citizens travel to Argentina to get the medical care that they need. Argentina offers affordable prices and the highest standard regarding medical care.

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“They still want to look good and feel good,” says Phelps. Facial procedures like face and eye lifts are most popular among seniors, and tummy tucks come in at No. 2, she notes. Many seniors also benefit from reconstructive plastic surgery after a medical procedure.

After being diagnosed with breast cancer in 2003, Jackson resident Mary Kirn, age 69, underwent a mastectomy and reconstructive surgery. It was a lengthy process, she says. After the mastectomy, she had to wait a year for the reconstruction because she was still having chemotherapy treatments. Before the TRAM flap reconstruction, which transfers tissue from the abdomen to the breast, Kirn also had to use tissue expanders to make room for the implant in her breast. When it was finally time for the reconstruction, Kirn had surgery on her remaining breast, too, so that it would match her new breast. It took three or four weeks to recover from each surgery, but she says it was worth the wait.

“The reconstruction was wonderful,” says Kirn, who has been cancer-free for six years. “You’re not as good as you were, but the procedure is so good that even a nipple can be reconstructed … It was a really positive experience for me.” In fact, she says the results are so natural that no one can tell the difference between her looks now and before the experience, even when she’s wearing low-cut gowns.

“Plastic surgery, especially of that type, makes you feel better about yourself,” she adds.

In early January 2009, Kirn had a second plastic surgery, this time on her eyes. The eyelid lift surgery, called blepharoplasty, was meant to correct her “droopy lids and poor peripheral vision,” she explains. While she was at it, she decided to have surgery on her lower lids, as well, to improve the entire area. She had some swelling and bruising, but says the surgery overall was not a problem and she was back to work in no time.

“I was totally open to plastic surgery for myself,” says Kirn. “It’s the thing to do if it will make you feel better about yourself. If you’ve had breast cancer, it’s a must. For anything else, if it bothers you, then go for it!” She would consider having more cosmetic surgeries, but for now, she says, “only time will tell.”

Lynn McLain, age 60, began experimenting about 10 years ago with Thermage and other anti-aging facial treatments. The Cape Girardeau woman has always struggled with sinus infections, and numerous surgeries had left her face looking older than she felt. She had also inherited her family’s tendency toward labial fold lines, marionette lines, and jowls.

“I felt like I looked crabby, tired and irritated,” says McLain. She considered plastic surgery, but quickly brushed it off: It was too expensive, too invasive, too scary. But after her last sinus surgery left her upper lip looking noticeably “lax,” she began to reconsider.

“I realized, this is how I’m going to look as I age,” says McLain. She spent two years researching facelifts before meeting with a Cape Girardeau surgeon and setting a surgery date for January 2008. Together, they discussed the procedure, her expectations, and things she could do to prepare, such as stocking up on soft foods to eat and bags of frozen peas to ease the swelling.

“I didn’t expect to look 45, I just wanted to look upbeat and pleasant,” says McLain. She adds that her plans to work for several more years intensified her desire to look fit and alert.

McLain’s facelift extended from the bottom of her eyelashes to the bottom of her face. Doctors cut the skin, muscles and nerves around her ears and jawline, pulled back and tightened the skin, cut off the excess, and stitched the face back together. The surgery took only a couple of hours, and McLain was back home that evening and trying to cook dinner.

She didn’t feel much pain after the surgery; her face just felt “weird” and there was some bruising and swelling. For a few weeks, her face was so numb and stiff that she couldn’t chew the chicken in her soup or feel whether or not she was smiling. McLain stayed home for two straight weeks after the surgery, was working half days by week three, and was working full-time again by week four.

She and her family were struck by how the surgery changed her face. When you’re used to seeing your face a certain way, says McLain, you forget about the features you used to have — like well-defined cheekbones.

“It may have been 10 or 15 years since I saw that bone structure,” she says. “It was a delight to look in the mirror. It was a surprise, almost.”

The face continues to heal for about a year after surgery, and the lift should last up to 10 years, depending on a person’s natural physique and how she cares for herself. McLain says she would definitely consider having another facelift.

“Overall the experience was a good one,” she says. “There was never a moment where I felt physically, unbearably uncomfortable.” She did have an initial, panicked reaction to the bruises and the tightness of her skin, but is grateful for her husband, David, who stood by her the entire time and reminded her how much she would love her new face.

“It worked out beautifully and I’m very happy,” says McLain.

Her only wish now is that she had started the process five years earlier. However, she recalls that when she was in her 30s and 40s, average people didn’t have plastic surgery. Only celebrities had plastic surgery, she says, but today, “the scene has changed considerably.” With that in mind, she advises others to begin doing research in their late 40s so that they’ll be ready for a lift by their early 50s. It’s also very important to make time for research, planning and recovery, and find a doctor you feel comfortable with and can ask any questions.

SIDEBAR/GRAPHIC

Header: The ABCs of cosmetic procedures

Abdominoplasty: A surgical procedure done to flatten your abdomen by removing extra fat and skin, and tightening muscles in your abdominal wall. This procedure is commonly referred to as a tummy tuck.

Autologen: A material used in lip augmentation to produce a look of fuller lips. Autologen is derived from your own skin and then injected into the lips.

Blepharoplasty: A primarily cosmetic surgical procedure that reduces bagginess from lower eyelids and raises drooping upper eyelids. The procedure involves the removal of excess skin, muscle and underlying fatty tissue.

Breast augmentation: A surgical procedure done to increase breast size.

Botox: A substance derived from botulinum toxin that works by preventing nerve impulses from reaching the muscle, causing the muscle to relax.

Brow lift: A surgical procedure in which the skin of the forehead and eyebrows is tightened to eliminate sagging eyebrows or correct frown lines in the forehead.

Chemical peel: A process in which a chemical solution is applied to the skin to remove dead skin cells and stimulate the production of new skin cells. This process is also called a chemexfoliation.

Debriding: The process of removing dead or devitalized tissue prior to reconstructive or cosmetic surgery.

Dermabrasion: A surgical procedure in which a patient’s upper layers of skin, scarred from acne, pox or other causes, is frozen and then removed using a high-powered rotating brush.

Electrolysis: A hair removal procedure in which chemicals or heat is used to destroy the hair follicle.

Lip Augmentation: A procedure done to improve deflated, drooping or sagging lips, correct their symmetry or to reduce fine lines and wrinkles around them. This is often done through injections or implants.

Liposuction: A cosmetic procedure in which a special instrument called a cannula is used to break up and suck out fat from the body. This procedure is also known as lipoplasty.

Mammoplasty: Any reconstructive or cosmetic surgical procedure that alters the size or shape of the breast.

Mastectomy: The surgical removal of part or the entire breast.

Mastopexy: Also called a breast lift, this procedure removes excess skin in order to lift up sagging or drooping breasts.

Micropigmentation: A form of tattooing commonly used to apply permanent makeup by injecting iron oxide pigment into the middle layer of your skin (dermis).

Rhinoplasty: A cosmetic procedure used to enhance or change the appearance of the nose. Rhinoplasty is commonly referred to as a nose job.

Rhytidectomy: Commonly called a facelift, this surgical procedure is done to eliminate the sagging, drooping, and wrinkled skin of the face and neck.

Septoplasty: A surgical procedure done to improve the flow of air to your nose by repairing malformed cartilage and/or the bony portion. The procedure is often performed along with a rhinoplasty.

Sclerotherapy: A medical procedure used to eliminate varicose veins and “spider veins.” During the procedure, an injection of a solution (generally sodium chloride) in placed directly into the vein.

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This is an except of the complete article published at semissourian.com a Missouri online news site.

I Found very good information on cosmetic surgery statistics in the US… enjoy:

New York, NY  – Nearly 11.7 million cosmetic surgical and nonsurgical procedures were performed in the United States in 2007, according to statistics released today by the American Society for Aesthetic Plastic Surgery. The Aesthetic Society, which has been collecting multi-specialty procedural statistics since 1997 says the overall number of cosmetic procedures has increased 457 percent since the collection of the statistics first began. The most frequently performed procedure was Botox injections and the most popular surgical procedure was liposuction.

“Our statistics confirm that aesthetic plastic surgery is not defined by race or gender,” said Aesthetic Society president Foad Nahai, MD. “The number of surgical and nonsurgical procedures performed on men increased 17 percent since last year, and 22 percent of the aesthetic procedures were performed on traditional racial and ethnic minorities.”

Trends and Demographic Data

Top surgical and nonsurgical cosmetic procedures among men and women in 2007:

Surgical                                   #procedures       Nonsurgical  #procedures

Liposuction 456,828             Botox 2,775,176
Breast augmentation 399,440            Hyaluronic Acid 1,448,716
Eyelid surgery 240,763          Laser Hair Removal 1,412,657
Abdominoplasty 185,335           Microdermabrasion 829,658
Female Breast Reduction 153,087         Laser Skin Resurfacing 647,707

Top cosmetic procedures for WOMEN

Surgical                               # procedures       Nonsurgical # procedures

Breast augmentation 399,440              Botox 2,445,656
Lipoplasty 398,848               Hyaluronic Acid 1,364,533
Eyelid surgery 208,199             Laser Hair Removal 1,226,974
Abdominoplasty 180,457             Microdermabrasion 743,748
Breast Reduction 153,087              IPL Laser Treatment 584,530

Women had 91 percent of cosmetic procedures. The number of procedures (surgical and nonsurgical) performed on women was over 10.6 million, an increase of 1 percent from the previous year. Surgical procedures increased 9 percent; nonsurgical procedures decreased by less than 1 percent. Since 1997, surgical procedures increased 142 percent, while nonsurgical procedures have increased 743 percent.

Top cosmetic procedures for MEN:

Surgical                              # procedures              Nonsurgical # procedures

Liposuction 57,980                        Botox injection 329,519
Eyelid surgery 32,564                          Laser hair removal 185,684
Rhinoplasty 31,713                        Microdermabrasion 85,910
Male breast reduction 20,280                       Hyaluronic Acid 84,184
Hair transplantation 16,491                         IP laser treatment 63,177

Men had 9 percent of cosmetic procedures. The number of procedures (surgical and nonsurgical) performed on men was just over 1 million, an increase of 17 percent from the previous year. Surgical procedures increased 5 percent; nonsurgical procedures increased 21 percent. Since 1997, surgical procedures have increased 3 percent while nonsurgical procedures have increased 886 percent.

Frequency of cosmetic procedures by AGE GROUP:

% of total   Age             # procedures    Top surgical procedure

47%        35-50          5.4 million          Liposuction
25%        51-64          2.9 million           Eyelid surgery
21%        19-34          2.4 million           Breast augmentation
6%         65 and over    700,096          Eyelid surgery
2%         18 and under   205,119          Cosmetic ear surgery

Racial and Ethnic Distribution

Traditional racial and ethnic minorities accounted for 22 percent of all cosmetic procedures in 2007. Hispanics again led minority racial and ethnic groups in the number of procedures: Hispanics, 9 percent; African-Americans, 6 percent; Asians, 5 percent; and other non-Caucasians, 2 percent.

Location and Fees

Almost fifty-four percent (54 percent) of cosmetic procedures in 2007 were performed in office-based facilities; 28 percent in freestanding surgicenters; and 17 percent in hospitals. Americans spent just over $13 billion on cosmetic procedures; $8.3 billion was for surgical procedures, and $4.7 billion was for nonsurgical procedures.

Quick Facts 2007

There were nearly 11.7 million surgical and nonsurgical cosmetic procedures performed in the United States in 2007, as reported by the American Society for Aesthetic Plastic Surgery (ASAPS). Surgical procedures accounted for nearly 18% of the total with nonsurgical procedures making up 82% of the total.

From 2006-2007, there was a 2 percent increase in the total number of cosmetic procedures. Surgical procedures increased by 8 percent, and nonsurgical procedures increased by 1 percent.

Since 1997, there has been a 457 percent increase in the total number of cosmetic procedures. Surgical procedures increased by 114 percent, and nonsurgical procedures increased by 754 percent.

The top five surgical cosmetic procedures in 2007 were: liposuction (456,828 procedures); breast augmentation (399,440 procedures); eyelid surgery (240,763 procedures); abdominoplasty (185,335 procedures); and breast reduction (153,087 procedures).

The top five nonsurgical cosmetic procedures in 2007 were: Botox injection (2,775,176 procedures); hyaluronic acid (1,448,716 procedures); laser hair removal (1,412,657 procedures); microdermabrasion (829,658 procedures); and IPL laser treatment (647,707 procedures).

Women had nearly 10.6 million cosmetic procedures, 91% percent of the total. The number of cosmetic procedures for women increased 1 percent from 2006.

The top five surgical procedures for women were: breast augmentation, liposuction, Eyelid surgery, Abdominoplasty and breast reduction.

Men had nearly 1.1 million cosmetic procedures, 9 percent of the total. The number of cosmetic procedures for men increased 17 percent from 2006.

The top five surgical procedures for men were: liposuction, Eyelid surgery, rhinoplasty, breast reduction to treat enlarged male breasts, and hair transplantation.

People age 35-50 had the most procedures – 5.4 million and 46 percent of the total. People age 19-34 had 21 percent of procedures; age 51-64 had 25 percent; age 65-and-over had 6 percent; and age 18-and-younger had less than 2 percent.

The most common procedures for age 18-and-under were: laser hair removal, microdermabrasion, chemical peel, otoplasty (ear reshaping) and rhinoplasty.

Traditional racial and ethnic minorities, as of last year, had approximately 21 percent of all cosmetic procedures, an decrease of 1 percent from 2006: Hispanics, 9 percent; African-Americans, 6 percent; Asians, 5 percent; and other non-Caucasians, 2 percent.

Where cosmetic surgeries were performed: office facility, 54 percent, hospital 17 percent; and free-standing surgicenter, 29 percent.

Of the doctors surveyed 70 percent say they do not offer “spa” services (e.g. wraps, facials, massages) in conjunction with their medical practices. 86 percent of the doctors say they do not work in conjunction with medical spas where nonsurgical procedures, such as injections and laser procedures are performed.

Americans spent just under $13.2 billion on cosmetic procedures last year.

Figures may not add exactly to totals and percentages may not equal 100 percent due to rounding.

United States, Professional Plastic Surgery News

The November/December 2009 issue of Archives of Facial Plastic Surgery, one of the JAMA/Archives journals, celebrates the 10-year anniversary of the journal’s publication and features a special series of articles on the art and science of the speciality.

The field is a dynamic one, notes journal editor Wayne F. Larrabee Jr., M.D., Seattle, in an introductory editorial. ‘On the research frontier, advances in wound healing, laser technology, biomaterials and other areas will transform facial plastic surgery in ways we can only imagine,’ he writes. ‘Surgical techniques will advance in an exciting – but more predictable – manner and result in better, safer outcomes for our patients. The articles in this issue speak strongly about the present and future of both facial plastic surgery and the Archives.’

Source and complete article also seen in Jama Archive Journals.