As the number of auto safety devices increases, the number and severity of injuries decreases.
The recent headlines about the Massive Takata Airbag Recall, got me thinking about how many fewer Facial Fractures I see in the ER. It is true that an increasing number of drivers, and passengers, are seen with facial abrasions from hitting these powerful air cushions. However, the number of patients seen in Emergency Departments with facial fractures continues to decrease.
Maybe We Are Driving Safer? (Why Are You Laughing?)
The incidence of facial fractures decreases (P < .01).
The probability of facial injury with newer car models decreases (P < .01).
The risk of facial fractures decreases (OR, 0.14; 95% CI, 0.09-0.22).
Interestingly, air bags alone were not associated with a reduced probability of injury (OR, 0.78; 95% CI, 0.58-1.06). Moreover, side impacts (OR, 1.81; 95% CI, 1.14-2.86) and mismatch in the sizes of the crash vehicles (OR, 1.99; 95% CI, 1.27-3.12) were associated with an increased risk of facial fractures.
Rene Le Fort documented how the face breaks with severe trauma. In Le Fort I fractures, the upper jaw is separated from the face. With Le Fort II fractures, the nose and upper jaw are separated from the face. A Le Fort III fracture is the separation of all the facial bones from the skull. All Le Fort fractures are worth avoiding, and are less likely, if you wear your seat belt.
Plastic Surgeons classify Facial Fractures by the location and pattern of the breaks. The most commonly used terminology is based on the often gruesome work of French surgeon Rene Le Fort. While the number of facial fractures is reduced by the combination of air bags and seat belts, the pattern of fractures is almost the same. The only exception was for ZMC fractures of the cheek, which points to an area that can still be improved.
Memphis Grizzlies point guard Mike Conley is familiar with the ZMC fracture. You may have noticed him wearing a protective mask during his team’s attempt at eliminating The Golden State Warriors from the 2015 NBA playoffs. Go Dubs.
Use It, or Lose It
Studies show the importance of personal protection while driving. The human body was not designed to accelerate, or more accurately decelerate, as fast as our cars can. With more states mandating the use of passive restraints, and more requirement for smart restraints, fewer facial fractures can be expected. On the other hand, your seat belts only protect you if your are wearing them properly.
Vehicles on the Takata Airbag Recall List
Takata has been the subject of several recalls recently. Be certain to check the site below for an up-to-date list.
I have tried to include all vehicles on the Takata Airbag Recall List here:
2005 Acura RL
BMW (approximately 765,000):
2000–2005 3-series sedan and wagon
2000–2006 3-series coupe and convertible
2001–2006 M3 coupe and convertible
Chrysler (approximately 2.88 million, including Dodge):
2004–2008 Chrysler 300
Dodge/Ram (approximately 2.88 million, including Chrysler):
2003–2008 Dodge Ram 1500
2004–2008 Ram 2500, Dakota, and Durango
2004–2008 Ram 3500 and 4500
2008 Ram 5500
Honda (approximately 5.5 million, including Acura):
2001–2007 Accord (four-cylinder)
2001–2002 Accord (V-6)
2001–2004 Infiniti I30/I35
2002–2003 Infiniti QX4
2003–2005 Infiniti FX35/FX45
2006 Infiniti M35/M45
Mazda (330,000, est):
2004–2008 Mazda 6
2006–2007 Mazdaspeed 6
2004–2008 Mazda RX-8
Nissan (approximately 1,091,000, including Infiniti):
2002–2006 Nissan Sentra
2003–2005 Baja, Legacy, Outback
2004–2005 Impreza, Impreza WRX, Impreza WRX STI
Toyota (approximately 1,514,000*):
2002–2007 Toyota Corolla and Sequoia
*Estimate including Lexus and Pontiac Vibe
Other Auto Recall Resources
You can also lookup your vehicle by Vehicle Identification Number (VIN) on the SaferCar.gov website. The site includes all recalls, not just airbags. Since it can take a few weeks for new defects to be listed, be certain to recheck the site periodically.
Maybe you noticed. DrMele.com got a Facelift. This is the fourth complete rewrite of the site, and version 4.0 contains all the latest features to enhance your desktop, tablet and mobile experience.
DrMele.com v4.0 Released – Desktop Version pictured above.
Responsive Plastic Surgery
The new DrMele.com site is fully responsive. Just like I adapt the latest techniques to each individual patient, the web site morphs to fit your screen. No matter how large or how small, the pages are created to give the most information, with the best possible layout.
DrMele.com’s mobile friendly version has bigger icons and larger text.
The 800 pound gorilla known as Google has decreed that sites, which are not mobile friendly, will begin to lose ranking. According to Search Engine Watch, Google currently holds a 67.6% market share of the world’s searches.
For mobile searches, Google is even more dominant with an 83.3% market share. Google defines mobile friendly, by objective criteria like the size of the fonts used and the separation between buttons. So, DrMele.com now adapts to the size of your screen automatically.
Content is King
The organic links are ranked by how well they fit the search criteria. While Mobile Friendly may help presentation, the information presented is what makes the a site useful. The main reason DrMele.com has enjoyed success in the organic links is its content. Certainly, a website cannot substitute for an in-person consultation with a qualified and experienced plastic surgeon; however, a website with updated, accurate information can help supplement your decision making process, by providing a framework and some direction.
Plastic Surgery by Body Area
The site is organized into body regions, so if you are looking for face, breast, body or skin enhancement, your choices are just a click away.
More Before and After Pictures
DrMele.com’s new Before and After gallery is organized by body region.
Plastic Surgery Before and After Pictures can give you an idea of what is possible. More photos have been added to the Plastic Surgery Before and After Picture Gallery. The new galleries are HTML5 compatible. They are designed to reduce the need for plugins, and the potential security problem that come with them. While pictures are helpful, they need to be framed with the guidance of a Board Certified Plastic Surgeon. Individual results depend on the individual.
More Plastic Surgery Videos
The number and scope of Plastic Surgery Videos has also been expanded. There are videos that discuss each procedure, and these are augmented with television appearances that go over many more specific details of today’s plastic surgery. The videos and before and after pictures have been distributed to each procedure’s page, and the videos also collected on the Plastic Surgery Video Page.
San Francisco Bay Area Plastic Surgery
The San Francisco Bay Area is in known for its tech. I am proud to bring you Bay Area’s Newest Hi-Tech Plastic Surgery Web Site. Whether it’s the design of a new website, or the practice of Plastic Surgery, the drive for improvement is continuous. If you are considering plastic surgery in the San Francisco Bay Area, give me a call at (925) 943-6353 or write the office via the contact form in the margin.
I read a funny editorial this morning. The title, Immediately Everything Was Wrong, and the author, Conan O’Brien, caught my eye. It was written in honor of David Letterman’s final season. The full article is here: “Immediately Everything Was Wrong”
Immediately Everything Was Wrong
One of the most frequently asked questions I get in my San Francisco Bay Area Plastic Surgery practice is, “Am I a good candidate for Plastic Surgery?” In the spirit of David Letterman, I put together a top ten list of some characteristics found in good candidates for cosmetic surgery.
Top Ten Reasons You Might Be a Good Candidate for Plastic Surgery
A primary goal of Cosmetic Plastic Surgery is a result that is safe and predictable. Below, I have outlined the top ten items that can help improve both the safety and predictability of your desired cosmetic surgery results.
You Are Healthy.
You have no health issues.
Your health problems are well controlled.
Exercise leads to better circulation, oxygen delivery and faster healing.
Exercise promotes a lower inflammatory state and better healing.
You Eat Well.
A good diet promotes healthy reserves for healing.
Good building blocks are available to optimize recovery.
Check to see if they are Certified by the American Board of Plastic Surgery. Despite my best efforts to effect change, the American Board of Plastic Surgery website remains perhaps the ugliest plastic surgery website ever created.
The real Botox bottle and box have many security features to prevent counterfeiting.
Botulinum Toxin remains the number one non-surgical cosmetic treatment year after year. In 2014, 3,588,218 neuromodulating wrinkle treatments were reported by the American Society for Aesthetic Plastic Surgery alone. Botulinum Toxin Treatments were more popular than the next four nonsurgical beauty treatments combined:
The latest counterfeit Botox bottles look a lot like the old Botox bottles. They are taller, thinner, lack holograms, lack unique lot numbers, lot numbers on bottle and box may not match and they have “Botulinum Toxin Type A” instead of “Botox Cosmetic OnabotulinumtoxinA.”
When I say, “Counterfeit Botox,” I am not talking about competitive brands of FDA approved Botulinum Toxin. Botox was the first to market in the US, while Dysport was the first to market in Europe. Both are FDA approved, as are two others:
FDA Approved Botulinum Toxin – What’s The Difference?
Dysport was the first to market in Europe, second in the US and is also FDA approved.
There is a big difference between FDA approved Botulinum Toxin and everything else fraudulently making the claim. The approved drugs are deemed safe and effective when administered in the prescribed fashion by a qualified and experienced injector. These drugs have been tested, and are manufactured under the supervision of the FDA. Their factories are open to surprise inspection at any time, and the distribution can be stopped when problems are found.
Counterfeit Botulinum Toxin on the other hand, is not manufactured with the same quality controls. It may not contain any Botulinum Toxin, and when it does, the dosing can range from ineffective to lethal.
How to Avoid Counterfeit Botox
You get what you pay for, and beauty is not cheap. If an offer seems too good to be true, it’s most likely false. It takes experience to become a good injector, so look for an established practice with experienced injectors. Ask questions:
How many Botox injections do you do a month?
How long have you been performing Botox injections?
What is your training?
Can I see the bottle? (for Botox look for the Allergan hologram)
How long between mixing the Botox and Administration?
Reputable doctors will be happy to explain. Grumpy or evasive responses are a red flag.
Wrinkle Ridding Consultations
As a Board Certified Plastic Surgeon, I perform everything from Botox to Facelifts. Botox is usually performed in the office on the third Wednesday of each month. It’s a busy day, but it allows me to use Botox or Dysport within a few hours of mixing, so nothing gets stale. If you are interested in Botox, Fillers or Surgical Correction of Facial Wrinkles, give me call at (925) 943-6353. More Plastic Surgery Information is available on our newly revamped and mobile friendly web site: DrMele.com.
Today, Lip Augmentation is dominated by injectables. Fillers like Restylane, Juvederm and Perlane, were used a few million times last year to plump the American’s lips and the treat facial wrinkles. Fillers are second only to Botox in number of non-surgical cosmetic procedures performed.
With the advent of improved dermal fillers, Lip Augmentation has become one of the most popular facial procedures. Lips are very important in defining facial beauty. In fact, the lips and the eyes together are the most important features in facial aesthetics. Lipstick and eye makeup are used to enhance their appearance and to focus our attention on these areas.
Large Lips are sexy and are associated with youth and fertility. Did you know the lips are largest when a woman is pregnant? While tout pouts, duck lips and some well known Lip Tragedies occur, modern lip fillers are safe, effective and FDA approved. Injectable HA fillers most often give a natural, soft enhancement that lasts for months.
Lips begin decreasing in size in the late twenties and early thirties. The loss of volume is natural, so Thin Lips are associated with advancing age.
While the perception of age is important, there are other practical considerations too. Thin lips begin to wrinkle around the edges, causing lipstick to bleed, defeating lipstick’s enhancing ability.
Dermal grafting offers a longer lasting Lip Augmentation. This type of Lip Enhancement is frequently combined with the Facelift.
Lip enhancement is one of the most popular procedures at my San Francisco Bay Area Plastic Surgery office. In terms of the non-surgical procedures offered, the fillers used for Lip Augmentation, Restylane, Juvederm and Perlane, are second only to Botulinum Toxin, Botox and Dysport, in terms of demand. Since the later inhibit motion, they are not often used for Lip Enhancement.
The Lip Augmentation Video segment below was taken from the Bay Area’s News Station, KRON 4’s, Body Beautiful. Host Janelle Marie and I recently discussed the non-surgical and the surgical methods currently available for Lip Enhancement. While fillers are quick and convenient, they do require maintenance and periodic touch-ups. Surgical alternatives can provide longer lasting results; however, the recovery is longer.
The pro’s and con’s of Non-Surgical and Surgical Lip Augmentation are discussed further on the Lip Enhancement Video below. Before and After Pictures are also included to help illustrate what is possible.
Lip Augmentation and Enhancement Video
Lip Enhancement Options
If you are considering Lip Enhancement, give us a call at (925) 943-6353. Only an in-person consultation can offer you the full scope of your options. Whether it’s the quick plumping afforded by the latest in modern lip fillers, or the longer lasting results of surgical lip augmentation, Dr. Mele’s office in East San Francisco Bay Area city if Walnut Creek, CA, can get you the information you need for a safe and predictable result.
Prominent ears, and other ear deformities, are usually present at birth. About 30% correct themselves with normal aging, but the majority will require treatment for correction. There are many variations, but protruding ears are the ear deformity that is corrected most frequently with Otoplasty.
Ear Pinning Video – Otoplasty for Prominent Ears
The television segment below is from the San Francisco Bay Area News Station KRON 4’s Body Beautiful. In this Otoplasty Video, I discuss the Correction of Prominent Ears, and include a few examples of Otoplasty Before and After Pictures. Any advice offered in this video is true in general; however, individual treatment recommendations can only be made after a consultation, which includes a medical history and physical examination.
Cosmetic Ear Surgery (Otoplasty) Video
Treatment Right After Birth
For the first few days of life, the ears can be molded. The mother’s estrogen, makes the ear’s cartilage soft, allowing a brief window of time in which to actively reshape the ear. According to research from the Department of Plastic Surgery University of Texas Southwestern Medical Center, treatment started within the first few weeks after birth can be as high as 90% effective, and avoid the need for surgery. If you notice your newborn has an irregular shape to their ear, be certain to mention this to your doctor and see if Ear Molding is an option.
Treatment Before Elementary School
The five-year-old’s ear is already 85% of its adult size. Otoplasty is often performed at this age, prior to Elementary School, to decrease teasing about prominent ears.
A common time for treatment of Prominent Ears is age five of six. By this age, the ear is about 85% of its adult size, and if it was going to spontaneously correct, it should have. Otoplasty, or ear changing surgery, is performed as an outpatient procedure under anesthesia with good long-term results. The head is often wrapped for a week, and a head band worn for a few months at night, can help protect the results while the ear shape becomes set.
Treatment Later in Life
Young Adulthood is another common time for the correction of prominent ears. Otoplasty can improve the appearance of the ears, and remove the anxiety associated with them.
Otoplasty can be performed at any age. A common time for Otoplasty is young adulthood. The ear re-shaping surgery is performed in much the same way as it is in childhood, though it can often be performed under local with light sedation for the properly selected patient. If the idea of being awake causes anxiety, anesthesia may be the better option for you.
What is Otoplasty?
Otoplasty can be performed in adults too. Even the follicly challenged can feel confident that the surgical evidence will be hidden behind their ears.
The most common reasons for a prominent ear are:
Incomplete folding – leaving the rim sticking out
A large central bell of the ear (the concha)
Anterior rotation of the ear
Each of these deformities can be addressed during Otoplasty. Incomplete folding is corrected with sutures, or by scoring the ear cartilage. A large concha can be surgically reduced, and an anteriorly rotated ear can be set back. Most these corrections are done through an incision hidden in the fold behind the ears, so that it remains hidden, even with short hair-cuts.
If you or your child has prominent ears, a Board Certified Plastic Surgeon can help. A careful examination and medical history will determine the best course of treatment. To schedule a consultation in our San Francisco Bay Area Plastic Surgery Office call (925) 943-6353 today.
Breast buds can lead to “puffy nipples,” really the enlargement of the areolae rather than the nipple proper. Gynecomastia reduction surgery can remove the disproportionate breast tissue and masculinize the chest.
Gynecomastia Reduction Surgery on the Bay Area’s KRON 4’s Body Beautiful
A couple of months ago, I had the opportunity to discuss Gynecomastia Reduction Surgery on the San Francisco Bay Area’s News Station, KRON 4. Body Beautiful, was the first live show broadcast from the new KRON 4 studios, and what a beautiful facility it is. It was my privilege to discuss the various forms of Gynecomastia and the many Breast Reduction treatments available.
Types of Gynecomastia Reduction Treatments
Liposuction, direct excision of the gland, removal of excess skin and combinations of all these methods were reviewed and illustrated with Gynecomastia Reduction Before and After Pictures. Excision of the skin is not usually necessary, unless there is a large amount of loose skin. This type of skin redundancy is seen in older patients and after large weight loss, like with Post Bariatric Plastic Surgery.
Gynecomastia and Male Breast Reduction Surgery Video
Breast Buds – The First Wave Effects Us All But Doesn’t Last
Gynecomastia effects every man at some point in his life. Every infant is born with it. The mother’s female hormones cross the placenta and cause the development of breast tissue. Infants will quickly lose the breast buds as their mother’s hormones gradually metabolize in the infant’s circulation.
Breast Buds – The Second Wave Effects Most of Us and Often Stays
The second wave of Gynecomastia might not go quietly. The breasts experience a second surge of hormones during puberty. This can be a problem for young men. Approximately 65% of boys experience the recurrence of Breast Buds during the pre-teen to teen years. In about half those affected, the enlarged breast tissue again decreases as the hormone levels drop. Since this can take several years, it is recommended that early Gynecomastia be observed for 1-2 years. If it persists, and it remains a cosmetic concern, there are surgical options that are safe and effective.
The chances of Gynecomastia can go up with certain behaviors, too. Many medications can promote breast development in men. While young men do not often require water pills (diuretics) or blood pressure medicine (antihypertensives); however, steroid use and smoking Marijuana both promote abnormal growth of breast tissue. There are no medications known to reliably decrease the size of gynecomastia, once it develops.
Breast Buds – The Third Wave Comes Later
The third wave of Gynecomastia is in middle age and later in life. It can be Pseudogynecomastia, fat from weight gain, or True Gynecomastia, often secondary effects of medications, like the diuretics and antihypertensives mentioned above. Gynecomastia can also be a significant side effect of prostate cancer treatments. After puberty, once Gynecomastia develops, it rarely leaves without surgical intervention.
Breast Buds – Outside the Waves Could be Dangerous
While the vast majority of Gynecomastia is benign, certain signs and symptoms, including abnormal timing at presentation, may be a warning, and further investigation may be warranted. Men account for 1% of all Breast Cancer cases, and other tumors, like testicular and pituitary cancer, can produce hormones that promote breast development. Gynecomastia associated with bleeding or discharge from the nipple may also require additional testing.
If you have problems with disproportionately large breasts, areolae or nipples, whether you are a man or a woman, you have options. Explore your options with a private and personalized consultation appointment. Give my San Francisco Bay Area Plastic Surgery office a call today at (925) 943-6353. The San Francisco Plastic Surgery Blog, and my other web sites provide accurate information; however, the best results are obtained by tailoring your surgical plan to your situation.
I repeat this often: when it comes to getting the best results, there is no substitute for an in-person consultation with a qualified, experienced, Board Certified Plastic Surgeon.
Body Dysmorphic Disorder (BDD) is a socially isolating belief that one’s body is unusually defective. It effects 1-2% of the population, and is equally prevalent in women and men. BDD is defined as a preoccupation with an imagined or trivial defect in appearance, causing clinically significant distress or impairment in social, occupational, or other functioning. BDD can manifest as a strong desire to hide, or fix the defect.
Body Dysmorphic and Plastic Surgery Patients
Most people with Body Dysmorphic Syndrome become socially isolated, but some seek the care of a Plastic Surgeon for correction of their problem. Unlike most plastic surgery patients; however, BDD patients do not always have a physical flaw, and those who do tend to have exaggerated concern about what seems to be a minor flaw. Even if the defect can be corrected with Plastic Surgery, BDD patients do not get the usual relief that most Plastic Surgery patients get. This can lead to continued distress, repeated operations and, as confirmed in a new study, more surgical complications. More on this below.
Body Dysmorphic Disorder Research
BDD was described by Enrico Morselli in 1886, as dysmorphophobia. One hundred years later, it made its way into the DSM-III-R, and last month an article published by Austin J. Woolley and Julian D. Perry in the American Journal of Ophthalmology confirmed what Plastic Surgeons have know about the disorder. The article entitled Body Dysmorphic Disorder: Prevalence and Outcomes in an Oculofacial Plastic Surgery Practice confirmed the important aspects of how BDD affects, and can complicate, plastic surgery.
Picasso – Tete de Femme – Jacqueline
BDD and Eyelid Surgery (Blepharoplasty)
The article focused on a consecutive series of 728 Blepharoplasty patients who were screened with the Dysmorphic Concern Questionnaire. 50 patients (6.9%) scored greater than 9, and were classified as positive for BDD. While this is higher than the percentage expected in the general population, it is not unusually high for patients seeking cosmetic surgery. The BDD group was then compared to a group of 150 control patients (who scored less than or equal to 8).
Characteristics of Body Dysmorphic Patients
Significant differences (confidence interval of 95%) were demonstrated. Patients in the positive questionnaire screening group were:
Significantly younger (P = .004)
Had more eyelid surgeries (P = .007)
Experienced higher rates of complications after surgery (P = .002)
Had a higher technician word count compared to the control group (P = .003)
While you might expect these types of findings, the magnitude of the differences always surprises me.
For example, the reoperation rate for BDD patients was 22.7% compared to 6.9% in the control group. Perhaps this is understandable, given the subjective nature of reasons for reoperations, coupled with the BDD patient’s strong desire to fix a problem, even if it is slight or imaginary. Moreover, the complication rate for BDD patients was 19.1% compared to 0% in the control group. Complications are much more objective. Was there a component of sabotage in the BDD group? Because how one feels about the outcome of eyelid surgery, should not lead to such a significant increase in outcomes like infections or bleeding.
Patients with BDD are prone to compulsive or repetitive behavior, and solutions often give only momentary relief. Typical patterns of behavior include:
Camouflaging (clothing, makeup, hair, hats)
Comparing themselves to others in terms of appearance
Seeking plastic surgery
Constantly checking the mirror
Plastic Surgery is not the Cure
Picasso – Tete de Femme Same painter, same woman, a more connected view of the world.
While the physical deformity in BDD may be minor or absent, the distress experienced is real. Seeking Cosmetic Plastic Surgery may be a symptom, but Plastic Surgery is not the cure. Cognitive behavior therapy seems more effective than medication, but both modalities are used. Interestingly, patient improvement is associated with an increase in the number and quality of connections between the orbitofrontal cortex and the amygdala. Both these areas of the brain are involved in decision making, while the amygdala also helps with emotional reactions and processing memory. More connected inside. More connected to the outside, and less Body Dysmorphia.
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This month, I had the unique opportunity to tape the latest installment of Body Beautiful in the newest TV studio in San Francisco. KRON 4’s new studios are bright, shiny and in high definition. The show is still live, and has a new set, new cameras, a new control room and everything worked perfectly. A big thank you to KRON for trusting me with live launch, and to the cast and behind the scenes crew who made it work seamlessly.
Breast Augmentation Revision Surgery
Over the next few weeks, I will be posting segments from the show. This week, we start with Breast Augmentation Revision Surgery. The FDA requires plastic surgeons to notify their patients that Breast Implants, like most implanted medical devices, are not “lifetime devices.” This means your Breast Augmentation may wear out before you do. On the other hand, there is no expiration date on a Breast Implant. Despite what you may read on the Internet, Breast Implants do not need to be replaced every ten years, though about a fourth of women with Breast Implants will have Breast Implant Revision Surgery in the ten years after their Breast Augmentation.
Breast Implant Revision Surgery Video
The above Breast Augmentation Revision Video reviews the most common reasons for Breast Implant Revision. The preview above shows Pictures of Before and After Symmastia (Uni-Boob) Repair. Watch the video to see treatment of many of the most common revision surgeries with Before and After Pictures of Breast Implant Revision Surgery.
Reasons for Breast Implant Revision Surgery
There are many reasons for Breast Augmentation Revision Surgery. The most common reason is to replace perfectly good breast implants with larger perfectly good breast implants. Many of the most common reasons for Breast Revision Surgery are discussed in the Breast Augmentation Video featured above. To learn more about the common reasons for breast revision surgery, just click on any of the following links:
If you have problems with your Breast Implants, and are considering upsizing, upgrading or revision surgery, give my San Francisco Bay Area Plastic Surgery office a call. While I try to supply you with the most up-to-date and accurate Breast Implant Information possible on the San Francisco Plastic Surgery Blog, there is no substitute for an in-person consultation. Call (925) 943-6353 today, to arrange your personal, private consultation appointment.
The American Society for Aesthetic Plastic Surgery (ASAPS) has released its 2014 Cosmetic Plastic Surgery statistics. The United State’s premier professional society dedicated to the advancement of Aesthetic (Cosmetic) Plastic Surgery has compiled the procedures performed by its members and others last year, and here are the results:
The ASAPS has released last year’s plastic surgery statistics.
Plastic Surgery Procedures- Who had What?
More than ten million surgical and nonsurgical cosmetic procedures were performed in the United States last year.
Nonsurgical cosmetic procedures are easier, simpler and more frequently performed than surgical procedures.
As expected, nonsurgical procedures accounted for the majority of the total with 8.8 million procedures:
Americans have spent more than 12 billion dollars during each of the last two calendar years on surgical and nonsurgical cosmetic plastic surgery procedures. While nonsurgical procedures outnumbered surgical procedures in frequency, surgical procedures accounted for 60% of the total expenditures.
The Fastest Growing Procedure in 2014
Liposuction, Breast Augmentation and Tummy Tucks have increased dramatically since I started my Walnut Creek Plastic Surgery practice in 1997, while Cosmetic Eyelid and Nasal Surgery have remained steady.
Since starting my San Francisco Bay Area Plastic Surgery practice in 1997, there has been a 274% increase in the total number of cosmetic procedures. Surgical procedures have increased by 82% and nonsurgical procedures increased by 508%. The fastest growing procedure in 2014 was Buttock Augmentation, aka the Brazilian Butt Lift (BBL). While the totals are still less than 10% of the number of breast augmentations, the growth was an impressive 86% last year. The BBL, with over 21,000 procedure performed in 2014, moved up steadily from 20th in 2004, and 18th in 2009 to 15th in 2014.
Breast Augmentation Trends
Breast Augmentation was passed by Liposuction again this year for the most popular procedure. The two are usually neck-and-neck for the top spot each year. With the introduction of breast implants 5.0, form-stable, high-strength, cohesive silicone gel, gummy bear or whatever the latest catch phrase is, 80% of breast implants used in 2014 were silicone and 20% were saline. Breast Implant Revision Surgery increased 30% last year, and may be the result of both the improved alternatives in breast implants currently available and the recognition that breast implants are not life-time devices.
The Ladies Have It
Since 1997, the number of cosmetic procedures for women increased over 429%. Women account for 90% of all cosmetic plastic surgery patients. With breast procedures, excluding breast reconstruction, accounting for over one-third of all cosmetic surgery, this is no surprise. 605,987 female breast procedures (breast augmentation, breast lift, breast reduction, breast revision) were performed in 2014. Comparing this with 24,234 male breast procedures (gynecomastia reduction), women account for over 96% of all cosmetic breast surgery.
Cosmetic Plastic Surgery Consultations
If you are considering Cosmetic Plastic Surgery, be certain to find a Board Certified Plastic Surgeon with experience in the procedure you are considering. If you are in the San Francisco Bay Area, give my office a call at (925) 943-6353. My friendly Plastic Surgery staff in Walnut Creek, CA, is available to take your call, and arrange your private consultation.