Does Demand for Breast Augmentation Reflect National Financial Trends?

Kearney, L.; Dolan, Roisin T.; Clover, A. James P.; Kelly, Edward J.; O’Broin, Eoin; O’Shaughnessy, Michael V.; O'Sullivan, SS

doi:10.1007/s00266-016-0773-z

Cited by 7 publications

(4 citation statements)

References 8 publications

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“…This study supports the findings of Gordon et al, where select cosmetic surgery procedures show an association with economic trends . A second study examining breast augmentation surgery supported the use of trends in GDP to predict the demand for cosmetic surgery procedures . The declining annual number of rhinoplasties since the recession has seemingly stabilized over the last few years based on the results of this study.…”

Section: Discussionsupporting

confidence: 88%

“…12 A second study examining breast augmentation surgery supported the use of trends in GDP to predict the demand for cosmetic surgery procedures. 13 The declining annual number of rhinoplasties since the recession has seemingly stabilized over the last few years based on the results of this study. Blepharoplasties and otoplasties both mirrored rhinoplasties in that they remained stable or declined.…”

Section: Discussionmentioning

confidence: 75%

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Associations between national financial trends and facial plastic surgery procedural volume

et al. 2019

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Objective(s) To characterize procedural trends in facial plastic and reconstructive surgery procedures in relation to the United States economy. Methods Retrospective cohort study examining annual procedure rates were determined from the American Society of Plastic Surgeons (ASPS) National Clearinghouse of Plastic Surgery Procedural Statistics from January 1 2007 to December 30, 2017. Procedures were compared to economic activity of the United States as measured by gross domestic product (GDP) were compared using Kolmogorov‐Smirnov goodness of fit testing and piecewise multivariate regression modeling. Results Annual trends in procedural rates showed an overall decrease in the rates of rhinoplasty (284,960 to 218,924), blepharoplasty (240,660 to 209,571), and otoplasty (28,571 to 23,433) from 2007 to 2017. Total cosmetic surgery remained fairly stable, while minimally invasive cosmetic surgery increased in frequency over the study period. On piecewise regression analysis, rhinoplasty (P = .02), rhytidectomy (P = .007), invasive cosmetic surgery (P < .001) were significantly associated with GDP, whereas otoplasty (P = .98) and reconstructive surgery (P = .11) were not associated with GDP. Conclusion Cosmetic plastic surgery procedures show a greater correlation to GDP than reconstructive procedures. Trends in plastic surgery cases over the last decade show a decreasing number of rhinoplasty, otoplasty, and blepharoplasty, with stabilization in the last few years. An increasing number of reconstructive cases are found. Level of Evidence 4 Laryngoscope, 130:632–636, 2020

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 75%

Associations between national financial trends and facial plastic surgery procedural volume

et al. 2019

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“…A study reported an increase in cesarean sections during economic decline [23], which was likely due to the prioritization of emergency procedures. According to research from the USA, there is a substantial positive association between cosmetic surgery procedures and the GDP per capita, demonstrating that as GDP rises, so do the types of surgeries performed beyond emergency cases [24, 25]. Sierra Leone experienced a dramatic decline in surgical volume from 2012 to 2014, despite a rise in GDP per capita, which may be attributed to the country's Ebola epidemic in 2014 [26], highlighting the dynamic nature of the surgical volume indicator.…”

Section: Discussionmentioning

confidence: 99%

Are LMICs Achieving the Lancet Commission Global Benchmark for Surgical Volumes? A Systematic Review

et al. 2023

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Introduction The Lancet Commission on Global Surgery (LCoGS) set the benchmark of 5000 procedures per 100,000 population annually to meet surgical needs adequately. This systematic review provides an overview of the last ten years of surgical volumes in Low and Middle- Income-Countries (LMICs). Methodology We searched PubMed, Web of Science, Scopus, Cochrane, and EMBASE databases for studies from LMICs addressing surgical volume. The number of surgeries performed per 100,000 population was estimated. We used cesarean sections, hernia, and laparotomies as index cases for the surgical capacities of the country. Their proportions to total surgical volumes were estimated. The association of country-specific surgical volumes and the proportion of index cases with its Gross Domestic Product (GDP) per capita was analyzed. Results A total of 26 articles were included in this review. In LMICs, on average, 877 surgeries were performed per 100,000 population. The proportion of cesarean sections was found to be high in all LMICs, with an average of 30.1% of the total surgeries, followed by hernia (16.4%) and laparotomy (5.1%). The overall surgical volumes increased as the GDP per capita increased. The proportions of cesarean section and hernia to total surgical volumes decreased with increased GDP per capita. Significant heterogeneity was found in the methodologies to assess surgical volumes, and inconsistent reporting hindered comparison between countries. Conclusion Most LMICs have surgical volumes below the LCoGS benchmark of 5000 procedures per 100,000 population, with an average of 877 surgeries. The surgical volume increased while the proportions of hernia and cesarean sections reduced with increased GDP per capita. In the future, it's essential to apply uniform and reproducible data collection methods for obtaining multinational data that can be more accurately compared.

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“…NUMBER 1. JANUARY 2022 along with economic growth [7]. However, the ongoing crisis of breast implant-associated anaplastic large cell lymphoma has led to growing concerns for patient safety, which in turn have prompted increasing interest in non-surgical breast augmentation [8].…”

Section: Introductionmentioning

confidence: 99%

Efficacy of breast augmentation using an external breast tissue expander for a shorter period while applying higher pressure: a preliminary study

Kim

et al. 2022

Arch Aesthetic Plast Surg

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Background Various types of external breast tissue expanders have been found to be effective for aesthetic breast augmentation. However, their use has been limited when compared with implant-based breast augmentation due to the burdensome nature of their application. This article reports the possibility that external breast tissue expanders may be applied safely and effectively with higher pressure and shorter application time.Methods The participants comprised patients who desired breast augmentation using the EVERA-RAPHA device between January 2020 and March 2020. A double-blinded prospective study was conducted on two groups of eight patients each, with either 60 mmHg or 100 mmHg of pressure applied. Standardized photographs were taken and blinded measurements of volume and circumference were made. The Mann-Whitney and paired t-tests were conducted.Results Sixteen patients were evaluated after 1 month of treatment. The women in groups 1 and 2 (60 mmHg and 100 mmHg, respectively) used EVERA-RAPHA for 15.400± 0.704 and 15.300±0.477 minutes per day, respectively. The mean volume increases in groups 1 and 2 were 39.000±42.526 cc and 27.700±20.260 cc, respectively. No patients dropped out of the study. All patients reported that the device was tolerable. Mild bruising was found in 62.5% of the patients in group 2.Conclusions Breast augmentation using external tissue expanders can be a safe, effective, and practical option. Pressures of 60 mmHg or 100 mmHg can be safely applied for a shorter duration. Larger studies are needed to further confirm our findings.

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Does Demand for Breast Augmentation Reflect National Financial Trends?

Abstract: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Cited by 7 publications

References 8 publications

Associations between national financial trends and facial plastic surgery procedural volume

Associations between national financial trends and facial plastic surgery procedural volume

Are LMICs Achieving the Lancet Commission Global Benchmark for Surgical Volumes? A Systematic Review

Efficacy of breast augmentation using an external breast tissue expander for a shorter period while applying higher pressure: a preliminary study

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