The Aesthetic Society Unveils 2019 Plastic Surgery Predictions

The American Society for Aesthetic Plastic Surgery (The Aesthetic Society/ASAPS) has released its 2019 predictions detailing what plastic surgery trends are expected in the coming year.

Insight from its members includes specific trends for surgical and non-invasive options, and a topline forecast for the next decade including less emphasis on celebrity emulation and more emphasis on a tailored, individual look, explains a media release from ASAPS.

“Next year also promises a surge of significant technological advancements for aesthetic procedures geared at skin resurfacing, body contouring, skin tightening, and more,” says W. Grant Stevens, MD, FACS, president of the Aesthetic Society, in the release.

“Our predictions provide foresight into new developments that fulfill the consumer’s desire for minimally invasive solutions, as well as modern techniques for the surgical gold standards, minimizing downtime, improving outcomes, and reaching a broader audience.”

2019 Predictions

Celebrity Feature Requests Dwindle in Favor of Social Media Filters:

  • ASAPS surgeons say while they still have requests for Meghan Markle’s nose and Kylie Jenner’s lips, the requests for celebrity features has dropped off substantially and more patients want to look like the best version of themselves.
  • Many patients are referencing their own filtered selfies for their aesthetic aspirations—requesting to look the way they do through filters on Instagram and Facetune (an app that allows users to edit portraits and selfies with image-enhancing retouching tools).

Desire for Subtle, Conservative Outcomes:

  • Many Aesthetic Society members say plastic surgery is trending towards refined, subtle results versus the sculpted glam or “overdone” look.
  • The trend toward conservative options creates a renewed interest in smaller breast implants (or even explantation) and non-implant-based breast augmentation. ASAPS data reflects these emerging trends with fat transfer to the breast increasing (up 41.4%) and fat transfer to the face (up 16.7%).

The Next 10 Years:

  • An increase in surgical procedures with industry advances allowing for less invasive techniques and limited downtime.
  • Patients will be more open to surgical procedures as they can achieve the longest or sometimes permanent results.
  • Modern improvements like minimally invasive face and neck lifts and procedures done under local anesthesia will draw greater numbers of patients to consider surgical options.

Also Likely to Trend in 2019:

Millennials Entering the Aesthetic Market:

  • Marketing to Millennials will also evolve as more flock to social media for plastic surgery information and a shift to subscription-based services will grow.

Plastic Surgery Among Men:

  • High-definition abdominal liposculpting (liposuction and body sculpting with fat transfer) will likely continue to rise in popularity next year as men seek solutions for their ideal physique.

Study: Google Placement Favors Physicians’ Social Media Presence–Not Smarts and Skills

Patients find plastic surgeons based on their popularity online and often ignore their experience, expertise, and ability, suggests a study published in the Aesthetic Surgery Journal, one of the two official publications of the American Society for Aesthetic Plastic Surgery (ASAPS/The Aesthetic Society).

In the study, researchers conducted a search in the top 25 United States metropolitan areas to identify the top 20 websites of board-certified plastic surgeons. Social media presence was quantified by tracking the number of followers on Facebook, Twitter, and Instagram for every surgeon, as well as medical school and year of graduation.

Through a multivariate logistic regression analysis, it became evident that the total number of social media followers is associated with Google first-page placement, while medical school ranking and years in practice, were not, explains a media release from ASAPS.

“Surprisingly, Google is delivering patients style (online social media presence), over substance (academic pedigree, years of experience, etc), which is a bit disconcerting,” states Dr Clark F. Schierle, MD, PhD, FACS, an author of the study.

“Google’s current algorithms are fueling the transition to this new business model, which means that patients believe a first-page ranking on Google is more important than a physician’s experience, expertise, and ability,” he notes.

The study shows what Schierle and his co-authors have suspected for some time, that the old paradigm of patients finding plastic surgeons through referrals, word-of-mouth, a surgeon’s reputation, and academic pedigree is over. Having a strong social media following is what now drives patients into plastic surgeons’ offices, the release continues.

Patients have increasingly been using online resources to make healthcare decisions and have a tendency to trust and value the ratings that providers receive online. As the understanding and use of social media has grown, it has become a natural marketing venue for providers of aesthetic surgery due to its low cost and ability to reach a wide audience.

The proliferation of preoperative and postoperative photos, intraoperative videos, and graphic explanations of the procedures offered appeals to many potential patients, as evidenced by many of the hugely popular social media accounts belonging to aesthetic surgery providers.

“This also raises questions regarding professional etiquette on these social media channels, especially in light of some aesthetic providers’ harmful behavior,” Schierle concludes in the release.

[Source(s): American Society for Aesthetic Plastic Surgery, PR Newswire]

ASAPS Study Reveals Characteristics of Ideal Thigh in Women

Findings from a recent study published in the Aesthetic Surgery Journal, the official publication of the American Society for Aesthetic Plastic Surgery (ASAPS/The Aesthetic Society), finds that characteristics of the aesthetically ideal thigh in women include wider thighs, creating a more natural contour from the augmented buttock.

These findings represent a fundamental shift from the traditionally assumed preference for slender thighs and demonstrate the importance for plastic surgeons to consider thigh appearance and augmentation when performing gluteal procedures.

Last year, there were more than 1.5 million aesthetic surgical procedures performed in the United States. As modern aesthetic trends shift to fuller, more dramatic curves, the number of gluteal augmentations also continue to rise. In 2017, more than 25,000 buttock augmentation procedures were performed—an increase of more than 25% from the previous year. Yet, there is little research available to inform patients and surgeons about the impact that thigh shape and size can have on the overall aesthetic after a buttock augmentation. To predict positive outcomes for this procedure, the authors performed the first population analysis of thigh characteristics that men and women view as aesthetically attractive.

Using images from the operative photos of a 27-year-old female patient, the surgeons digitally altered the images to create thighs of varying proportions and angles. These images were surveyed among a diverse group of men and women from the US and abroad. Of those surveyed, 54.4% of respondents were male and 45.6% were female, with all age groups and ethnicities represented. The data received concluded that contrary to traditional aesthetic perceptions, respondents preferred the thigh option with a thigh-buttock junction angle of 170 degrees and thus the widest thigh base with more than 43% preferring it overall.

“Trends in cosmetic nonsurgical and surgical procedures have been leaning towards more pronounced, curvier aesthetics for quite some time now, so this doesn’t come as a surprise,” states W. Grant Stevens, MD, president of The Aesthetic Society and an author of the study, in a media release from ASAPS. “Further, balance and harmony have always been in vogue, so if you enhance the size/shape of one feature, it makes sense to balance that enhancement out with nearby features as needed,” he explains.

While many have described detailed guidelines for surgical approaches to gluteal augmentation, the thigh, though in immediate proximity to the buttock and playing a significant role in its appearance, has been neglected by researchers. By surveying a diverse group of individuals, the authors seek to begin to establish population-based guidelines for the ideal thigh and improve outcomes and patient satisfaction for gluteal procedures.

[Source(s): American Society for Aesthetic Plastic Surgery, PR Newswire]

IDEAL IMPLANT Developed as a Solution to Address ‘Silent Rupture’

Thousands of US women with FDA-approved silicone gel implants do not realize their implants have ruptured, according to cross-referenced data from the American Society of Plastic Surgeons (ASPS), the American Society for Aesthetic Plastic Surgery (ASAPS) and silicone gel implant rupture rates monitored by the FDA.

As an MRI is recommended by FDA after the first 3 years then every two years to detect silicone gel implant rupture, conservative estimates point to over 150,000 women across the country living daily with “silent rupture”— and sticky silicone gel in contact with their tissues.

“Replacing ruptured silicone gel implants has been a very common surgery for plastic surgeons, due to the rates of rupture and capsule contracture,” explains Newport Beach Plastic Surgeon Larry Nichter, in a media release.

“This is driving demand for new technology advancements like the structured IDEAL IMPLANT. It’s internal baffling structure provides a similar natural look and feel to silicone gel implants, it has a very low rupture risk, easy rupture detection by looking at the breast, and only saline coming into contact with body tissue if the implant shell is compromised. So it’s clear why more women are choosing this third option.”

ASPS reports that 4.93% of the 158.3 million women in the United States have undergone breast augmentation surgery. As the top cosmetic surgery procedure in the US for over a decade, according to the release, procedures are up 40% since 2000, with over half of patients choosing silicone gel or “gummy bear” implants since the FDA allowed them back on the market in 2006. With rupture risk ranging from 8.7% to 24.2% over 10 years, and no way to easily detect rupture without a potentially costly MRI, tens of thousands of women with ruptured silicone gel implants are unaware of what is happening inside their body.

Even if many women are in the dark about whether their silicone gel implants are intact, this doesn’t mean they aren’t worried. According to survey results of 1,143 women presented at the March 2018 ASPS meeting, 97% said they would want to know if their silicone gel implants were ruptured, with 95% wanting the faulty implant replaced, even if it was not causing symptoms. Anxiety about potential rupture also ran high, with most women reporting they would be “very” or “constantly” concerned of silicone gel silent rupture (73%), including 68% of women who already had silicone gel implants, the release continues.

“After years of struggling with ruptured silicone gel implants in my practice and hearing countless patient concerns, I felt women shouldn’t have to choose between the natural look and feel of a silicone gel implant and the peace of mind of saline in their body,” explains Robert S. Hamas, MD, president and CEO of Ideal Implant, the maker of the IDEAL IMPLANT Structured Breast Implant approved by both FDA and Health Canada in 2014.

“We all expect technology advancements in every aspect of our lives, and it was time to develop a third option that provided the benefits of both of the earlier implant choices without the drawbacks—truly an ideal solution.”

For more information, visit IDEAL IMPLANT.

[Source: IDEAL Implant]

Plastic Surgery Societies Issue Urgent Warning About the Risks Associated with Brazilian Butt Lifts

Gluteal fat grafting, more commonly referred to as the popular Brazilian Butt Lift (BBL) procedure, has resulted in an alarming rate of mortality, estimated to be as high as 1:3,000, a rate of death far greater than any other cosmetic surgery.

In response to these unusually high figures, the American Society of Plastic Surgeons (ASPS), the American Society for Aesthetic Plastic Surgery, International Society of Aesthetic Plastic Surgery, International Society of Plastic Regenerative Surgeons and the International Federation for Adipose Therapeutics and Science, formed the Task Force for Safety in Gluteal Fat Grafting with the goal of conducting studies to develop specific safety guidelines. The task force, which represents plastic surgeons worldwide who are board-certified by the American Board of Plastic Surgery (ABPS), issued an advisory to surgeons this week, urging discussion of these risks with patients and providing additional recommendations for the safe performance of the procedure.

Read the full press release at PR Newswire.