Current Trends in Breast Augmentation: Analysis of 2011-2015 Maintenance of Certification (MOC) Tracer Data

Tiffany N.S. Ballard, Sean Hill, Bao Tram Nghiem, Jerzy R. Lysikowski, Keith Brandt, Paul S. Cederna, Jeffrey M Kenkel

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

BACKGROUND: Breast augmentation is the most common aesthetic surgery performed in the United States. Despite its popularity, there is no consensus on many aspects of the procedure. OBJECTIVES: The authors assessed current trends and changes in breast augmentation from January 1, 2011 to December 31, 2015. METHODS: A retrospective cross-sectional study of 11,756 women who underwent breast augmentation based on the American Board of Plastic Surgery (ABPS) Maintenance of Certification Tracer Database was performed. RESULTS: There were clearly dominant trends in how ABPS-certified plastic surgeons performed breast augmentations. Most surgeries were performed in freestanding outpatient (47.3%) or office operating room (33.7%). The inframammary fold incision was most popular (75.1%), followed by periareolar (17.8%) and transaxillary approaches (4.1%). Implants were more commonly placed in a submuscular pocket (30.6%) compared with dual plane (26.7%) or subglandular (6.7%). Silicone implants (66.8%) were favored over saline (25.1%), with a statistically significant increase in silicone prostheses from 2011 to 2015. Data were "not applicable" or "other" in the remainder of cases. Administration of both preoperative antibiotics (3.8% in 2011, 98.7% in 2015, P < 0.05) and deep venous thromboembolism (DVT) prophylaxis (3.8% in 2011, 90.6% in 2015, P < 0.05) dramatically increased during the study period. Overall adverse events (7.4%) and reoperation rates (2.2%) were low. CONCLUSIONS: Changes in standard of care for breast augmentation are reflected by the evolving practice patterns of plastic surgeons. This is best evidenced by the dramatic increase in use of antibiotic and DVT prophylaxis from 2011 to 2015.

Original languageEnglish (US)
Pages (from-to)615-623
Number of pages9
JournalAesthetic surgery journal
Volume39
Issue number6
DOIs
StatePublished - May 16 2019

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Certification
Breast
Maintenance
Plastic Surgery
Venous Thromboembolism
Silicones
Anti-Bacterial Agents
Operating Rooms
Standard of Care
Reoperation
Prostheses and Implants
Outpatients
Cross-Sectional Studies
Databases
Surgeons

ASJC Scopus subject areas

  • Surgery

Cite this

Current Trends in Breast Augmentation : Analysis of 2011-2015 Maintenance of Certification (MOC) Tracer Data. / Ballard, Tiffany N.S.; Hill, Sean; Nghiem, Bao Tram; Lysikowski, Jerzy R.; Brandt, Keith; Cederna, Paul S.; Kenkel, Jeffrey M.

In: Aesthetic surgery journal, Vol. 39, No. 6, 16.05.2019, p. 615-623.

Research output: Contribution to journalArticle

Ballard, Tiffany N.S. ; Hill, Sean ; Nghiem, Bao Tram ; Lysikowski, Jerzy R. ; Brandt, Keith ; Cederna, Paul S. ; Kenkel, Jeffrey M. / Current Trends in Breast Augmentation : Analysis of 2011-2015 Maintenance of Certification (MOC) Tracer Data. In: Aesthetic surgery journal. 2019 ; Vol. 39, No. 6. pp. 615-623.
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abstract = "BACKGROUND: Breast augmentation is the most common aesthetic surgery performed in the United States. Despite its popularity, there is no consensus on many aspects of the procedure. OBJECTIVES: The authors assessed current trends and changes in breast augmentation from January 1, 2011 to December 31, 2015. METHODS: A retrospective cross-sectional study of 11,756 women who underwent breast augmentation based on the American Board of Plastic Surgery (ABPS) Maintenance of Certification Tracer Database was performed. RESULTS: There were clearly dominant trends in how ABPS-certified plastic surgeons performed breast augmentations. Most surgeries were performed in freestanding outpatient (47.3{\%}) or office operating room (33.7{\%}). The inframammary fold incision was most popular (75.1{\%}), followed by periareolar (17.8{\%}) and transaxillary approaches (4.1{\%}). Implants were more commonly placed in a submuscular pocket (30.6{\%}) compared with dual plane (26.7{\%}) or subglandular (6.7{\%}). Silicone implants (66.8{\%}) were favored over saline (25.1{\%}), with a statistically significant increase in silicone prostheses from 2011 to 2015. Data were {"}not applicable{"} or {"}other{"} in the remainder of cases. Administration of both preoperative antibiotics (3.8{\%} in 2011, 98.7{\%} in 2015, P < 0.05) and deep venous thromboembolism (DVT) prophylaxis (3.8{\%} in 2011, 90.6{\%} in 2015, P < 0.05) dramatically increased during the study period. Overall adverse events (7.4{\%}) and reoperation rates (2.2{\%}) were low. CONCLUSIONS: Changes in standard of care for breast augmentation are reflected by the evolving practice patterns of plastic surgeons. This is best evidenced by the dramatic increase in use of antibiotic and DVT prophylaxis from 2011 to 2015.",
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AU - Lysikowski, Jerzy R.

AU - Brandt, Keith

AU - Cederna, Paul S.

AU - Kenkel, Jeffrey M

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N2 - BACKGROUND: Breast augmentation is the most common aesthetic surgery performed in the United States. Despite its popularity, there is no consensus on many aspects of the procedure. OBJECTIVES: The authors assessed current trends and changes in breast augmentation from January 1, 2011 to December 31, 2015. METHODS: A retrospective cross-sectional study of 11,756 women who underwent breast augmentation based on the American Board of Plastic Surgery (ABPS) Maintenance of Certification Tracer Database was performed. RESULTS: There were clearly dominant trends in how ABPS-certified plastic surgeons performed breast augmentations. Most surgeries were performed in freestanding outpatient (47.3%) or office operating room (33.7%). The inframammary fold incision was most popular (75.1%), followed by periareolar (17.8%) and transaxillary approaches (4.1%). Implants were more commonly placed in a submuscular pocket (30.6%) compared with dual plane (26.7%) or subglandular (6.7%). Silicone implants (66.8%) were favored over saline (25.1%), with a statistically significant increase in silicone prostheses from 2011 to 2015. Data were "not applicable" or "other" in the remainder of cases. Administration of both preoperative antibiotics (3.8% in 2011, 98.7% in 2015, P < 0.05) and deep venous thromboembolism (DVT) prophylaxis (3.8% in 2011, 90.6% in 2015, P < 0.05) dramatically increased during the study period. Overall adverse events (7.4%) and reoperation rates (2.2%) were low. CONCLUSIONS: Changes in standard of care for breast augmentation are reflected by the evolving practice patterns of plastic surgeons. This is best evidenced by the dramatic increase in use of antibiotic and DVT prophylaxis from 2011 to 2015.

AB - BACKGROUND: Breast augmentation is the most common aesthetic surgery performed in the United States. Despite its popularity, there is no consensus on many aspects of the procedure. OBJECTIVES: The authors assessed current trends and changes in breast augmentation from January 1, 2011 to December 31, 2015. METHODS: A retrospective cross-sectional study of 11,756 women who underwent breast augmentation based on the American Board of Plastic Surgery (ABPS) Maintenance of Certification Tracer Database was performed. RESULTS: There were clearly dominant trends in how ABPS-certified plastic surgeons performed breast augmentations. Most surgeries were performed in freestanding outpatient (47.3%) or office operating room (33.7%). The inframammary fold incision was most popular (75.1%), followed by periareolar (17.8%) and transaxillary approaches (4.1%). Implants were more commonly placed in a submuscular pocket (30.6%) compared with dual plane (26.7%) or subglandular (6.7%). Silicone implants (66.8%) were favored over saline (25.1%), with a statistically significant increase in silicone prostheses from 2011 to 2015. Data were "not applicable" or "other" in the remainder of cases. Administration of both preoperative antibiotics (3.8% in 2011, 98.7% in 2015, P < 0.05) and deep venous thromboembolism (DVT) prophylaxis (3.8% in 2011, 90.6% in 2015, P < 0.05) dramatically increased during the study period. Overall adverse events (7.4%) and reoperation rates (2.2%) were low. CONCLUSIONS: Changes in standard of care for breast augmentation are reflected by the evolving practice patterns of plastic surgeons. This is best evidenced by the dramatic increase in use of antibiotic and DVT prophylaxis from 2011 to 2015.

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