Mario S Blondin, Jaimie L Bryan, Gayle S Wiesemann, David T Kerekes, Jonathan Dang, Bruce A Mast
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Patients who had cosmetic surgery at our institution before nonsurgical treatments were excluded.</p><p><strong>Results: </strong>Of the 737 patients included, 39 underwent surgical treatment, for an overall conversion rate of 5.3%. Patients with a history of prior cosmetic surgery had a higher conversion rate than those without (12.5% vs 4.1%, P < 0.0004). Patients undergoing surgical treatment were more likely to have had prior aesthetic surgery (P < 0.0004), received fillers (P < 0.0009), and were older at the time of the first filler visit (P < 0.0098). The most common surgical procedures were facelifts and liposuction.</p><p><strong>Conclusions: </strong>Due to the low conversion to surgical procedures, the results of this study support the practice model in which APPs perform the chemodenervation and dermal filler treatment. 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引用次数: 0
摘要
背景:非手术治疗面部老化已成为整形外科实践的主流。存在两种实践模式,一种是整形外科医生同时提供非手术和手术治疗,另一种是由高级实践提供者(APP)进行非手术治疗。目的:本研究旨在为应用程序提供非手术治疗的实践模式提供客观数据。方法:回顾性分析2015年至2021年我科使用肉毒杆菌毒素或皮肤填充剂治疗的患者。在非手术治疗之前在我们机构做过整容手术的患者被排除在外。结果:纳入的737例患者中,39例接受了手术治疗,总转换率为5.3%。有整容史的患者转化率高于无整容史的患者(12.5% vs 4.1%, P < 0.0004)。接受手术治疗的患者更有可能先前进行过美容手术(P < 0.0004),接受过填充物(P < 0.0009),并且在第一次填充物就诊时年龄较大(P < 0.0098)。最常见的外科手术是拉皮和抽脂。结论:由于向外科手术的转换率较低,本研究的结果支持应用程序进行化学神经支配和真皮填充治疗的实践模型。此外,年龄较大且接受填充物治疗的患者更有可能进行外科手术,这表明潜在的提供者专注于治疗咨询和优化结果。这些发现还表明,非手术美容治疗仍然是整形外科实践的主流。
Nonsurgical Aesthetic Treatment Conversion to Surgery: Implications for Patient Selection and Practice Modeling.
Background: Nonsurgical treatments for facial aging have become a mainstay in plastic surgery practices. Two practice models exist, one in which the plastic surgeon provides both the nonsurgical and surgical treatments and the other in which an advanced practice provider (APP) performs the nonsurgical treatment.
Objectives: This study aims to provide objective data on the practice model in which APPs provide nonsurgical treatments.
Methods: A retrospective chart review was conducted on patients treated with either botulinum toxin or dermal fillers at our division between 2015 and 2021. Patients who had cosmetic surgery at our institution before nonsurgical treatments were excluded.
Results: Of the 737 patients included, 39 underwent surgical treatment, for an overall conversion rate of 5.3%. Patients with a history of prior cosmetic surgery had a higher conversion rate than those without (12.5% vs 4.1%, P < 0.0004). Patients undergoing surgical treatment were more likely to have had prior aesthetic surgery (P < 0.0004), received fillers (P < 0.0009), and were older at the time of the first filler visit (P < 0.0098). The most common surgical procedures were facelifts and liposuction.
Conclusions: Due to the low conversion to surgical procedures, the results of this study support the practice model in which APPs perform the chemodenervation and dermal filler treatment. Additionally, patients who are older and are treated with fillers are more likely to have surgical procedures, indicating a potential provider focus on treatment counseling and optimization of outcomes. These findings also indicate that nonsurgical aesthetic treatments remain a mainstay in the plastic surgery practice.
期刊介绍:
The only independent journal devoted to general plastic and reconstructive surgery, Annals of Plastic Surgery serves as a forum for current scientific and clinical advances in the field and a sounding board for ideas and perspectives on its future. The journal publishes peer-reviewed original articles, brief communications, case reports, and notes in all areas of interest to the practicing plastic surgeon. There are also historical and current reviews, descriptions of surgical technique, and lively editorials and letters to the editor.