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ASPS Collaborates With FDA to Establish Breast Implant Registry

ARLINGTON HEIGHTS, Ill. - The American Society of Plastic Surgeons (ASPS) is establishing a national registry for breast implants in collaboration with the Food and Drug Administration (FDA). The registry is being developed in response to reports of a rare lymphoma - Anaplastic Large Cell Lymphoma (ALCL) - in a very small number of women with breast implants.

The ASPS and the FDA agree this extremely rare form of lymphoma is not breast cancer. Of the estimated 10 million implants worldwide, only 34 cases of ALCL have been identified since 1989.

While lymphomas can appear anywhere in the body, this condition appears in the scar tissue that forms around the breast implants. At this time, both the FDA and ASPS remain confident that breast implants are safe and effective.

"ASPS shares the FDA's commitment to patient safety, but we also want to make certain this information does not raise false alarms with our patients,"  Phillip Haeck, MD, ASPS President, said. "We've been down this path before. For nearly 20 years American women were denied access to their choice of breast implants because of false claims and unfounded science. We are determined this shouldn't happen again."

ASPS recommends that women with breast implants should continue their normal routine in medical care and follow-up, specifically regular self examination and mammography when appropriate. Women with breast implants should watch for changes in their breasts such as pain and swelling and contact their plastic surgeon if they have questions.

"Women who are considering breast implant surgery," Dr. Haeck said, "should do their homework to see if it is right for them. ASPS is committed to helping women make informed choices about their health care and our website plasticsurgery.org is an excellent resource."

Plastic Surgery up 5% in 2010

American Society of Plastic Surgeons Reports Annual Statistics

For Immediate Release: February 07, 2011

ARLINGTON HEIGHTS, Ill. - As the U.S. economy pulls out of the recession, so are nips, tucks and lifts. According to statistics released today by the American Society of Plastic Surgeons (ASPS), 13.1 million cosmetic plastic surgery procedures, including those that are minimally-invasive or surgical, were performed in the United States in 2010, up 5 percent from 2009. In addition, more than 5.3 million reconstructive plastic surgery procedures were performed last year, up 2 percent. The increase in cosmetic plastic surgery mirrors the rise in consumer confidence throughout most of 2010.

"The economy is showing signs of improvement and, financially, things are a little better for people this year," said ASPS President Phillip Haeck, MD. "The financial markets are at a two year high, we're seeing a double digit increase in the percentage of auto sales over a year ago, and as the aging population continues to grow, people are investing in plastic surgery procedures to help stay competitive in the workplace. The growth in cosmetic plastic surgery procedures is multi-factorial."

Cosmetic surgical procedures increased 2 percent, with nearly 1.6 million procedures in 2010. The top five surgical procedures were:

• Breast augmentation (296,000)
• Nose reshaping (252,000)
• Eyelid surgery (209,000)
• Liposuction (203,000)
• Tummy tuck (116,000)

Interestingly, in what might be viewed as a trend toward more than minimally-invasive procedures, facelifts rose 9 percent in 2010, with nearly 113,000 procedures. Facelifts have not experienced growth since 2007. Breast augmentations increased 2 percent, with silicone implants being used in 60 percent of all breast augmentations. All surgical body contouring procedures, i.e., breast lifts (90,000 procedures, up 3 percent), lower body lifts (10,000 procedures, up 9 percent), upper arm lifts (15,000 procedures, up 5 percent), and thigh lifts (9,000 procedures, up 8 percent), experienced growth in 2010. A substantial amount of those procedures are being requested following massive weight loss.

"There's some pent up demand for cosmetic surgical procedures," said Dr. Haeck. "People have waited a couple of years or more to have procedures, until their finances were at least somewhat back in order. But, all indications are, more consumers are again willing to spend more to look better."

Cosmetic minimally-invasive procedures increased 5 percent, with nearly 11.6 million procedures in 2010. The top five minimally-invasive procedures were:

• Botulinum toxin type A (5.4 million)
• Soft tissue fillers (1.8 million)
• Chemical peel (1.1 million)
• Laser hair removal (938,000)
• Microdermabrasion (825,000)

"Injectables have remained robust despite the economy," said Dr. Haeck. "Botox® and Dysport® injections are up 12 percent, while, interestingly, fat injections are up 14 percent, which could reflect how a patient's own fat is being used in more creative ways to rejuvenate the face and body."

Reconstructive plastic surgery, which improves function and appearance to abnormal structures, increased 2 percent in 2010. The top five reconstructive procedures were:

• Tumor removal (4 million)
• Laceration repair (357,000)
• Scar revision (161,000)
• Hand surgery (106,000)
• Breast reconstruction (93,000)

Breast reconstruction is up 8 percent in 2010 and is new to the top five reconstructive procedures. It replaces maxillofacial surgery.

"It's been a major goal of the ASPS to increase women's awareness of their breast reconstruction options, so much so that in 2009 the ASPS started a breast reconstruction public education campaign," said Dr. Haeck. "It's great that we can report that this procedure is now among the top five reconstructive procedures."

ASPS procedural statistics are collected through the first online national database for plastic surgery procedures, Tracking Operations and Outcome for Plastic Surgeons (TOPS). This data, combined with the annual survey sent to American Board of Medical Specialties certified physicians most likely to perform these procedures, results in the most comprehensive census on plastic surgery.