Global Alliance Spotlight - ASAPS

Global Alliance Spotlight

Member: American Society for Aesthetic Plastic Surgery, Inc (ASAPS)
President: Dr. Daniel C. Mills

1) How many Board certified plastic surgeons practice in the USA?

There are approximately 6500 board certified plastic surgeons practicing in the U.S

2) From your society's research and experience, what is the most popular aesthetic surgical procedure requested?

The Aesthetic Society was the first plastic surgery organization to produce annual procedural statistics: we have this information going back to 1997 and its considered by the media to be the most reliable data available in the US. For the past five years, liposuction and breast augmentation have been the most popular procedures

3) What is the most surprising thing about aesthetic surgery in the USA?

I don’t think this is unique to the US, but the explosion of non-surgical enhancements that have come up within the last 15 years is truly amazing. Of course, the results are not the gold standard like surgery, but they don’t have any down time or usually very little down time.

4) Are there any current regulatory or legislative issues pertaining to plastic surgery in the USA that are of great concern to ASAPS?

Regulatory issues are an ever evolving and never ending thing that we see in the US: regulation for the most part is on a state by state basis.  

A big ongoing debate, for organized plastic surgery and for consumers, concerns who is certified to perform plastic surgery. Here in the US, any doctor can self-identify as a plastic surgeon.  However, to be a board certified plastic surgeon requires, among other things, 6 years of post- medical school training. 

We constantly have groups that wish to take weekend courses, or join bogus boards, and say they are board certified. The regulators aren’t very educated on this issue and we have to be diligent with each and every state to educate what the differences are.  As silly as it sounds, we even have pharmacologic regulators trying to legislate that we cannot even add saline to Botox or to dilute steroids or even make up our own tumescent fluid.  So we have to diligently watch for these issues every day.  

5) How can the Alliance, as a group, best help your society?

I think we all can work in unison to address the growing concerns around ALCL. With so many unknowns: is it a bacterial causation, could there be a genetic component, is it a lymphoproliferative disease - we just don’t know because there are such few cases around the world.  

There seems to be a difference in the types of implants used world-wide than what we have in the United States.  This difference could also be involved in the incidence of ALCL.  

It is certainly a global issue and one that we will solve globally with clinical research throughout the world.  

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