Associations between national financial trends and facial plastic surgery procedural volume

Abstract

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

Quantifying Aerosolization of Facial Plastic Surgery Procedures in the COVID-19 Era: Safety and Particle Generation in Craniomaxillofacial Trauma and Rhinoplasty

“…4,6 A return to providing patients surgical care while mitigating surgeon and operating room staff risk is increasingly relevant in the field of facial plastic surgery, where a significant proportion of cases performed annually are nonemergent. 7 In this study, we aim to characterize particle generation, ranging from droplet to aerosol in size, during procedures related to facial trauma (mandibular plating and drilling and calvarial bone drilling) and rhinoplasty (osteotomies, nasal dorsal bone rasping, and piezoelectric saw use) at distances adjacent to the surgical site and at surgeon mouth level (SML). We hypothesized that bone drilling would have significantly higher particle burden than drill-free tasks, and that irrigation would increase particle generation.…”

Global and Chinese publications in plastic surgery journals between 2010 and 2020: a bibliometric analysis

“…These results suggest that China is supporting plastic surgery academia by increasing funding expenditure. In addition, the rapid growth of the Chinese GDP could result in more surgical procedures, especially cosmetic, being performed, resulting in a large and accessible research cohort (29). A promising future trend of more funding awaits, encouraging more Chinese surgeons to apply themselves to this field.…”

Otolaryngologists Trail Other Specialties in Industry Payments From Dermal Filler Companies

“…[3][4][5] More recent uses of DF include treatment of facial fat atrophy in patients with human immunodeficiency virus (HIV) 6 along with improvement of symmetry in patients with facial palsy. 7 Mirroring the rise in overall cosmetic procedures in recent years, the use of DF increased annually from 2013 to 2018, 8 with 2.7 million such procedures performed during 2018 alone. 9 This trend is expected to continue, with the market size for DFs projected to increase from $3.5 billion in 2018 to $6.3 billion in 2026.…”