Letter from the Editor Tracey A. Hotta, RN, BScN, CPSN, CANS
ASAPS (American Society of Aesthetic Plastic Surgery)—2013 Annual Statistics
T
he 2013 ASAPS (American Society of Aesthetic Plastic Surgery) statistics are in so let’s see how the national statistics compare to what we are doing in our practices. The statistics being cited for this article are extracted from ASAPS 2013 Cosmetic Surgery National Data Bank Statistics (2013). ASAPS has been gathering statistical data since 1997. A paper-based and online questionnaire was mailed to 23,600 board-certified physicians. A total of 771 physicians returned the questionnaire. The final figures have been projected to reflect nationwide statistics and are based exclusively on board-certified plastic surgeons, otolaryngologists, and dermatologists. The overall survey portion of this research has a standard error of ±3.62% at a 95% level of confidence (ASAPS, 2013). Cosmetic procedures, whether surgical or nonsurgical, remain on a steady increase. In 2013, there were more than 11 million cosmetic procedures performed in the United States, which is up 12% from 2012. The breakdown shows that surgical procedures accounted for 16.5% of the total procedures being performed whereas the nonsurgical procedures accounted for 83.5%. Even though the percentage was smaller, surgical procedures accounted for 58% of the total expenditures. The most popular surgical procedure was liposuction, which had a 16% increase from 2012. It replaced breast augmentation, which landed the second most popular procedure but was down 5.2% from 2012. Rounding out the top five surgical procedures were blepharoplasty, +5.4%; abdominoplasty, +2.3%; and in fifth place was
FIGURE 1 Top five cosmetic surgical procedures in 2013.
TABLE 1 Comparison 2012–2013—Aesthetic Surgery Procedures Surgical Procedure
2013
2012
Percentage Change
Breast augmentation
313,327
330,631
−5.2%
Liposuction
363,912
313,011
+16.3%
Blepharoplasty
161,389
153,171
+5.4%
Abdominoplasty
160,077
156,508
+2.3%
Rhinoplasty
147,996
143,801
+2.9%
Mastopexy
137,233
127,776
+7.4%
Rhytidectomy
129,807
119,006
+9.1%
rhinoplasty, +2.9% (see Figure 1 and Table 1). Two procedures that are not in the top five but have gained substantial popularity over the past year is buttock augmentation, which increased by 58% from 2012, and labiaplasty, which had an increase of 44%.
Tracey A. Hotta, RN, BScN, CPSN, CANS, is the owner and president of TH Medical Aesthetics. Tracey currently holds the position as the editor of the Plastic Surgical Nursing Journal, is on the Board of Directors of the Canadian Society of Plastic Surgical Nurses, and is the Director of Operations (Canada) for Aesthetics Advancements Inc. The author has not received any funding in writing this article. The author reports no conflicts of interest. Address correspondence to Tracey A. Hotta, RN, BScN, CPSN, CANS, 45 Wild Cherry Lane, Thornhill, Ontario L3T 3T3, Canada (e-mail: [email protected]). DOI: 10.1097/PSN.0000000000000045
FIGURE 2 Top five nonsurgical procedures in 2013.
Plastic Surgical Nursing
47
www.psnjournalonline.com
Copyright © 2014 American Society of Plastic Surgical Nurses. Unauthorized reproduction of this article is prohibited. PSN200271.indd 105 PSN-D-14-00018_LR 47
5/17/14 12:30 PM
Letter from the Editor
TABLE 2 Comparison 2012–2013— Nonsurgical Procedures Nonsurgical Procedure
2013
2012
Percentage Change
Neurotoxin
3,766,148
3,257,913
+15.6%
Hyaluronic acid
1,872,172
1,423,705
+31.5%
Calcium hydroxylapatite
160,926
129,674
+24.1%
Poly-L-lactic acid
87,946
69,965
+25.7%
Total injectables
5,887,192
4,881,258
+20.6%
Microdermabrasion
479,865
498,821
−3.8%
Photorejuvenation
456,613
337,482
+35.5%
Chemical peel
444,268
443,824
+0.1%
Ablative laser resurfacing
359,404
432,496
−16.9%
Skin tightening
293,388
183,741
+3.4%
Fractional resurfacing
90,802
86,313
+5.2%
Laser hair removal
901,571
883,893
+2.0%
Sclerotherapy
375,446
297,501
+26.2%
Nonsurgical fat reduction
94,922
76,612
+23.9%
Injectables
Skin rejuvenation
When surveying the physicians regarding the nonsurgical services performed, they included those treatments being performed by the physician, physician assistants, and nurse injectors. There was a 13% increase in procedures being performed compared with 2012. Once again the top nonsurgical procedure performed was botulinum toxins (Botox, Xeomin, and Dysport) with a 15.6% increase from last year. Rounding out the top five were hyaluronic acids +31.5%; laser hair removal, +2%; microdermabrasion, +3.8%; and photorejuvenation, +35.3% (see Figure 2 and Table 2). In the next issues of PSN, I will compare the statistics from ASPS (American Society of Plastic Surgery) including the reconstruction procedures. For further information about the 2013 statistics, you may contact the American Society of Aesthetic Plastic Surgeons at www.surgery.org.
Respectfully, Tracey A. Hotta, RN, BScN, CPSN, CANS Editor, PSN
Other treatments
48
www.psnjournalonline.com
REFERENCE 2013 Cosmetic Surgery National Data Bank Statistics. Retrieved March 30, 2014, from http://www.surgery.org/sites/default/ files/Stats2013_3.pdf
Volume 34 Number 2 April–June 2014
Copyright © 2014 American Society of Plastic Surgical Nurses. Unauthorized reproduction of this article is prohibited.
PSN-D-14-00018_LR 48
5/17/14 12:30 PM
ASAPS (American Society of Aesthetic Plastic Surgery)—2013 Annual Statistics
T
he 2013 ASAPS (American Society of Aesthetic Plastic Surgery) statistics are in so let’s see how the national statistics compare to what we are doing in our practices. The statistics being cited for this article are extracted from ASAPS 2013 Cosmetic Surgery National Data Bank Statistics (2013). ASAPS has been gathering statistical data since 1997. A paper-based and online questionnaire was mailed to 23,600 board-certified physicians. A total of 771 physicians returned the questionnaire. The final figures have been projected to reflect nationwide statistics and are based exclusively on board-certified plastic surgeons, otolaryngologists, and dermatologists. The overall survey portion of this research has a standard error of ±3.62% at a 95% level of confidence (ASAPS, 2013). Cosmetic procedures, whether surgical or nonsurgical, remain on a steady increase. In 2013, there were more than 11 million cosmetic procedures performed in the United States, which is up 12% from 2012. The breakdown shows that surgical procedures accounted for 16.5% of the total procedures being performed whereas the nonsurgical procedures accounted for 83.5%. Even though the percentage was smaller, surgical procedures accounted for 58% of the total expenditures. The most popular surgical procedure was liposuction, which had a 16% increase from 2012. It replaced breast augmentation, which landed the second most popular procedure but was down 5.2% from 2012. Rounding out the top five surgical procedures were blepharoplasty, +5.4%; abdominoplasty, +2.3%; and in fifth place was
FIGURE 1 Top five cosmetic surgical procedures in 2013.
TABLE 1 Comparison 2012–2013—Aesthetic Surgery Procedures Surgical Procedure
2013
2012
Percentage Change
Breast augmentation
313,327
330,631
−5.2%
Liposuction
363,912
313,011
+16.3%
Blepharoplasty
161,389
153,171
+5.4%
Abdominoplasty
160,077
156,508
+2.3%
Rhinoplasty
147,996
143,801
+2.9%
Mastopexy
137,233
127,776
+7.4%
Rhytidectomy
129,807
119,006
+9.1%
rhinoplasty, +2.9% (see Figure 1 and Table 1). Two procedures that are not in the top five but have gained substantial popularity over the past year is buttock augmentation, which increased by 58% from 2012, and labiaplasty, which had an increase of 44%.
Tracey A. Hotta, RN, BScN, CPSN, CANS, is the owner and president of TH Medical Aesthetics. Tracey currently holds the position as the editor of the Plastic Surgical Nursing Journal, is on the Board of Directors of the Canadian Society of Plastic Surgical Nurses, and is the Director of Operations (Canada) for Aesthetics Advancements Inc. The author has not received any funding in writing this article. The author reports no conflicts of interest. Address correspondence to Tracey A. Hotta, RN, BScN, CPSN, CANS, 45 Wild Cherry Lane, Thornhill, Ontario L3T 3T3, Canada (e-mail: [email protected]). DOI: 10.1097/PSN.0000000000000045
FIGURE 2 Top five nonsurgical procedures in 2013.
Plastic Surgical Nursing
47
www.psnjournalonline.com
Copyright © 2014 American Society of Plastic Surgical Nurses. Unauthorized reproduction of this article is prohibited. PSN200271.indd 105 PSN-D-14-00018_LR 47
5/17/14 12:30 PM
Letter from the Editor
TABLE 2 Comparison 2012–2013— Nonsurgical Procedures Nonsurgical Procedure
2013
2012
Percentage Change
Neurotoxin
3,766,148
3,257,913
+15.6%
Hyaluronic acid
1,872,172
1,423,705
+31.5%
Calcium hydroxylapatite
160,926
129,674
+24.1%
Poly-L-lactic acid
87,946
69,965
+25.7%
Total injectables
5,887,192
4,881,258
+20.6%
Microdermabrasion
479,865
498,821
−3.8%
Photorejuvenation
456,613
337,482
+35.5%
Chemical peel
444,268
443,824
+0.1%
Ablative laser resurfacing
359,404
432,496
−16.9%
Skin tightening
293,388
183,741
+3.4%
Fractional resurfacing
90,802
86,313
+5.2%
Laser hair removal
901,571
883,893
+2.0%
Sclerotherapy
375,446
297,501
+26.2%
Nonsurgical fat reduction
94,922
76,612
+23.9%
Injectables
Skin rejuvenation
When surveying the physicians regarding the nonsurgical services performed, they included those treatments being performed by the physician, physician assistants, and nurse injectors. There was a 13% increase in procedures being performed compared with 2012. Once again the top nonsurgical procedure performed was botulinum toxins (Botox, Xeomin, and Dysport) with a 15.6% increase from last year. Rounding out the top five were hyaluronic acids +31.5%; laser hair removal, +2%; microdermabrasion, +3.8%; and photorejuvenation, +35.3% (see Figure 2 and Table 2). In the next issues of PSN, I will compare the statistics from ASPS (American Society of Plastic Surgery) including the reconstruction procedures. For further information about the 2013 statistics, you may contact the American Society of Aesthetic Plastic Surgeons at www.surgery.org.
Respectfully, Tracey A. Hotta, RN, BScN, CPSN, CANS Editor, PSN
Other treatments
48
www.psnjournalonline.com
REFERENCE 2013 Cosmetic Surgery National Data Bank Statistics. Retrieved March 30, 2014, from http://www.surgery.org/sites/default/ files/Stats2013_3.pdf
Volume 34 Number 2 April–June 2014
Copyright © 2014 American Society of Plastic Surgical Nurses. Unauthorized reproduction of this article is prohibited.
PSN-D-14-00018_LR 48
5/17/14 12:30 PM
