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Cosmetic Surgery Practice at an Academic Institution: A Report of 4,705 Cases with Trends and Comparisons to National Statistics
Michael G. Tecce, BS, Michael A. Lanni, BS, Chen Yan, MD, Ivona Percec, MD, PhD.
University of Pennsylvania, Philadelphia, PA, USA.

PURPOSE:
The majority of cosmetic plastic surgical procedures in the U.S. are conducted by private practitioners. The purpose of this study is to report the experience of an academic cosmetic surgical practice at the University of Pennsylvania as compared to national records and determine its functionality within the surgical training framework.
METHODS:
Records of all surgical and non-surgical procedures performed by the senior author (IP) from 2010-2015 were reviewed. Unique procedures listed by CPT code were analyzed for trends and percent changes. Further analysis included classification of each surgical procedure by type and age for comparison to the 2014 ASAPS National Data Bank Statistics.
RESULTS:
The largest cohort of patients by age group was 51-64 years in the academic setting as opposed to the 35-50 age group most likely to undergo cosmetic surgery nationwide. Neurotoxin and filler injections were overall the most prevalent procedure representing 24-29% of the practice. Of the ASAPS top 5 surgical procedures, abdominoplasty (33%) was the most commonly performed by the senior author as compared to ASAPS statistics (15%). The most common procedure at the national level, liposuction (31%), comprised 21% of the academic cosmetic surgical practice.
CONCLUSION:
A cosmetic surgical practice can successfully be developed at an academic institution despite national trends relegating cosmetic surgery to private practice models. While the patient population and procedure demographics may differ from national statistics, it is critically important to retain cosmetic surgery within the academic setting for both academic practice diversity and comprehensive resident training.


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