Current Trends in Breast Augmentation: Analysis of 2011-2015MOC Data
Tiffany N,S. Ballard, MD1, Sean Hill, MD2, Jerry R. Lysikowski, PhD2, Jeffrey M. Kenkel, MD2, Paul S. Cederna, MD1.
1University of Michigan, Ann Arbor, MI, USA, 2UT Southwestern Medical Center, Dallas, TX, USA.
Purpose: To determine the current trends in breast augmentation, we analyzed data from the American Board of Plastic Surgery (ABPS) Maintenance of Certification (MOC) Tracer Database.
Methods: A retrospective cross-sectional study of breast augmentation procedures was performed utilizing data from the MOC Tracer Database. During each MOC cycle, ABPS Diplomates submit information from 10 consecutive breast augmentations. The primary outcomes of interest included patient variables, surgical technique, and use of antibiotic and VTE prophylaxis. Descriptive statistics were generated.
Results: Between 2011 and 2015, 11,716 breast augmentations were submitted. Surgeries were most commonly performed at a freestanding outpatient operating facility (n=5,538, 47.3%). The inframammary fold incision was utilized in 75.1% (n=8,794) of cases. The majority of implants were placed in a submuscular (n=3,585, 30.6%) pocket, followed by dual plane (n=3,125, 26.7%) and subglandular (n=786, 6.7%) pockets. Silicone implants were most commonly used (n=7,829, 66.8%), and most had smooth surfaces (n=10,805, 92.2%). Preoperative antibiotics were administered within an hour of incision in 49.4% (n=5,783) of augmentations overall, and their use increased throughout the study period. The utilization of SCDs for venous thromboembolism (VTE) prophylaxis also significantly increased from 2.2% (n=48) of cases in 2011 compared to 63.0% (n=1,587, p<0.05) in 2015.
Conclusions: Based on breast augmentation tracer data, surgeons today are most commonly placing smooth silicone gel implants. A submuscular or dual plane pocket and inframammary fold incision are preferred. Current trends also reveal that evidence-based practice with regards to antibiotic administration and VTE prophylaxis is increasingly being incorporated into clinical practice.
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