Cosmetic procedures such as laser treatments, wrinkle fillers, and Botox have become more popular than ever, and it’s no surprise that many medical spas have appeared to take advantage of this growing market. However, as a result, many states are grappling with questions about the safety of medical spas and facilities. A recent article in the Boston Globe highlights some of the concerns about these spas that have driven a movement to tighten regulations in Massachusetts.

According to the Globe article, the number of medical spas has grown by 80% over the last 2 years. There are roughly 4,250 in the US, while Massachusetts has about 250. The state has been embroiled in an ongoing debate about the spas’ safety, with legislation to bring in tighter controls stalling in the State House last summer.

Dr. Matthew Avram, the director of the dermatology laser and cosmetic center at Massachusetts General Hospital, fears that many patients may not be aware of their treatment quality when they enter a spa. “A lot of people assume that the person treating them in a white coat is a physician, and they don’t ask,” he told the Globe.

Staff members at medical spas are subject to few regulations, as they are not required to be licensed by the state, so long as a licensed physician owns or is associated with the facility. However, under Massachusetts state law, the doctor is not required to be on-site, which means that staff members often perform cosmetic procedures while there is no physician present.

The possible complications associated with injectable fillers such as Juvederm, Perlane, and Restylane are minor compared to surgical procedures. However, there are still a number of risks, including infection, bruising, swelling, and unwanted outcomes, which can be minimized by a qualified plastic surgeon familiar with the art and science of cosmetic enhancement.

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plastic surgeries in 2011, rising popularity of plastic procedures, breast implants, liposuction, injectable treatmentsTough economic times over the past couple of years have not hampered the plastic surgery industry, according to statistics released earlier this month by the American Society of Plastic Surgeons (ASPS). The numbers indicate that 13.8 million cosmetic plastic surgery procedures – including surgical and minimally invasive techniques – were performed in the US last year. This was an increase of 5% over 2010.

Top 5 Plastic Surgeries

Cosmetic surgeries increased 2 percent, with nearly 1.6 million procedures performed last year. Male chin augmentation skyrocketed 71 percent from 2010, with 21,000 procedures performed, while lip augmentation jumped 49 percent, with more than 25,000 procedures performed in 2011. Facelifts managed to bump abdominoplasty (tummy tuck surgery) from the bottom to place on the top 5 list for the first time ever.

Top 5 Minimally Invasive Procedures

Minimally invasive procedures continue to grow in popularity with a 6 percent increase and 12.2 million procedures in 2011. With their speed, effectiveness, and minimal discomfort, these procedures will likely continue to make inroads for many years.

“While the rate of economic recovery in the U.S. is still uncertain, 2011 proved to be a good year for plastic surgery,” says ASPS President Malcolm Z. Roth, M.D. “Consumer confidence was up, auto sales rose 10 percent, so it is not surprising that we would also see increased demand for plastic surgery procedures.”

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social media decisions, facelifts, celebrity plastic surgeries, rhinoplasty, BotoxIf you were considering facial plastic surgery, where would you look for advice and information? According to new survey results released by the American Academy of Facial Plastic and Reconstructive Surgery, it seems more likely that you would seek out social networking sites, rather than friends, as part of your decision-making process. The survey points to a shift in medical decision-making that presents opportunities and uncertainties for patients and plastic surgeons.

AAFPRS learned that 42 percent of patients in 2011 had received most of their information about plastic surgery from social media venues such as Facebook and Twitter. This was an increase from 29 percent in 2010. Over the same period, the proportion of patients who gained information from friends dropped from 63 percent to 48 percent.

Tom D. Wang, M.D. and AAFPRS president, expressed some concerns for patients who may receive the wrong impression about surgery through social media. “We are encouraged by the possibilities that Facebook, Twitter and other social channels offer for prospective patients, but urge all patients to exercise caution in researching facial plastic procedures to ensure information is from a reliable source.” He urged patients to consult a board-certified physician “who is qualified, experienced and trained in performing facial plastic procedures.”

Other results from the survey reinforced ongoing trends, such as the continued popularity of Botox and hyaluronic acid injections as nonsurgical alternatives. Blepharoplasty, brow lifts, and facelifts also remain quite popular.

Some other results from the survey:

  • Rhinoplasty continues to be the most common surgical procedure performed on both women and men under the age of 35.
  • A quarter or more of facial plastic surgeons have seen an increase in the number of ethnic minority patients
  • African Americans and Hispanics are the most likely to seek rhinoplasty, while Asian Americans are the most likely to seek blepharoplasty.
  • Only 14 percent of surgeons saw an increase in requests for “celebrity procedures” such as Angelina Jolie’s lips.
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