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Dermatologists & Cosmetic Surgeons 2020Practice Challenges During the PandemicBecause many dermatological/cosmetic surgical procedures are elective, they were of secondary importance during the early-pandemic period; however, compared to the baseline week of March 1–7, dermatology visits increased 17% for the week of 10/4/20.Telemedicine visits quickly became an important option for many physicians and practices, with behavioral health the specialty with the largest increase of visits; however, dermatology telemedicine visits only increased 3% from the baseline week to October.Melanoma care was specifically delayed for many patients with the outset of the pandemic, as in-person visits decreased from 4.83/week pre-pandemic to 0.83/week pandemic. Various studies have indicated these delays had a negative impact on patient 5 and Bottom 5 Medical Specialties,* by Weekly Visits, October 2020?Top 5PercentBottom 5Percent#1: Dermatology+17%#1: Pulmonology-20%#2: Adult primary care+13%#2: Otolaryngology-17%#3: Ophthalmology+4%#3: Behavioral health-14%#4: Urology+4%#4: Cardiology-10%#5: Surgery+3%#5: Allergy/Immunology-10%The Commonwealth Fund, October 2020 *week starting October 4?usage as a percent of total visits during baseline week (March 1–7)Overall Plastic Surgery InsightsAccording to the American Society of Plastic Surgeons (ASPS), the total of 1.8 million cosmetic surgical procedures performed in the US during 2019 didn’t increase from 2018; however, the 16.3 million cosmetic minimally invasive procedures increased 2%.The ASPS and The Aesthetic Society agreed the top 2 surgicial procedures during 2019 were breast augmentation and liposuction. Because of survey differences, the ASPS reported 299,715 breast augmentations while the Society reported 280,692.The ASPS listed eyelid surgery, nose reshaping and a facelift as #3, #4 and #5, respectively, while the Society listed breast lift, tummy tuck and eyelid surgery as the third, fourth and fifth most surgical 5 Cosmetic Minimally-Invasive Procedures Among Men and Women, 2019WomenTotal% ChangeMenTotal% Change#1: Botulinum Toxin Type A7.2 M+3%#1: Nose reshaping49,528-6%#2: Soft tissue filler2.4 M+1%#2: Eyelid surgery31,5330%#3: Chemical peel1.3 M+1%#3: Liposuction30,288+3%#4: Laser hair removal881,800-1%#4: Breast reduction24,123-3%#5: Microdermabrasion551,065-4%#5: Hair transplantation17,050+1%American Society of Plastic Surgeons, 2020Plastic Surgery DemographicsDespite a decrease in elective cosmetic surgery during the pandemic period, a May 2020 consumer survey from the ASPS found 49% without previous plastic surgery would consider a treatment during the future, primarily rhinoplasty, face lifts and breast augmentation.The American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) found 72% of its members said 15% or more of their patients wanted cosmetic procedures to improve their looks for their selfies.Patients younger than 30 continue to increase their interest in minimally invasive procedures (neurotoxins, fillers and skin treatments), according to 74% of the facial plastic surgeons surveyed, a 32% increase since 2016.Changes to Plastic Surgical Procedures, by Age Group, 2019 vs. 2018Surgical Type13–19 Years Old20–29 Years Old30–39 Years Old40–54 Years Old55 and OlderTotal cosmetic procedures-1%-1%+2%-1%+2%Surgical procedures-1%-2%-1%-1%+1%Minimally invasive-1%0%+2%+2%+2%American Society of Plastic Surgeons, 2020Inside the PracticeAccording to The American Board of Plastic Surgery, there were approximately 7,075 board-certified plastic surgeons with an active practice as of May 1, 2020.The 2019–2020 survey for the Medscape Dermatologist Compensation Report found 76% of dermatologists and 72% of plastic surgeons (last) would choose medicine again as a career, but 95% of dermatologists and 94% of plastic surgeons would choose the same specialty.While 65% of dermatologists said they are compensated fairly (third on the list), a smaller percentage (55%) of plastic surgeons agree; however, plastic surgeon earned the second most on the list, or $479,000, and dermatologists (eighth on the list) earned $411,000.Dermatologists’ Most Rewarding/Most Challenging Parts of Their Job, 2020Most RewardingPercentMost ChallengingPercent#1: Being very good at what I do; finding answers, diagnoses26%#1: Difficult patients24%#2: Gratitude/relationships with patients25%#2: Too many rules and regulations23%#3: Knowing I’m making the world a better place23%#3: Difficulty receiving fair reimbursement or engaging with Medicare and/or other insurers17%#4: Making good money at a job I like14%#4: Electronic Health Records (EHR) system16%#5: Being proud of being a physician4%#5: Worry about being sued5%#6: Teaching3%#6: Working many hours4%#7: Other4%#7: Other11%#8: Nothing2%#5: Nothing1%Medscape, April 2020Skin Care Trends During the PandemicThe wearing of face masks during the pandemic has increased the incidences of rosacea and perioral dermatitis, an acne-like rash near the mouth, and a renaming of these and similar conditions as “maskne.”Dermatologists also report increasing interest for Botox in the eye area, lip fillers, laser hair removal, radiofrequency microneedling and skin cancer screenings.A recent survey from the ASPS found five procedures are likely to increase soon after the pandemic: Botulinum Toxin Type A (65%), breast augmentation (44%), soft-tissue fillers (37%), liposuction (30%) and abdominoplasty (24%).Average Surgeon/Physician Fees for 10 Most Costly Cosmetic Surgical and Minimally Invasive Procedures, 2019Cosmetic Surgical ProcedureFeeCosmetic Minimally Invasive ProceduresFee#1: Lower body lift$8,073#1: Soft-tissue filler (acellular dermal matrix)$2,169#2: Facelift$7,467#2: Soft-tissue filler (fat-face)$2,163#3: Tummy tuck$6,092#3 Non-surgical skin tightening$2,134#4: Breast reduction (aesthetic patients only)$5,475#4: Laser skin resurfacing (ablative)$1,963#5: Nose reshaping$5,409#5: Non-invasive fat reduction$1,376#6: Thigh lift$5,171#6: Laser skin resurfacing (non-ablative)$1,201#7: Neck lift$5,110#7: Injection lipolysis$1,027#8: Buttocks implants$5,004#8: Polylactic acid$878#9: Buttock lift$4,960#9: Polymethyl-methacrylate microspheres$855#10: Breast lift$4,693#10: Soft-tissue filler (calcium hydroxylapatite)$690American Society of Plastic Surgeons, 2020More Valuable InsightsThe ASPS’ 2019 Plastic Surgery Statistics Report includes a number of important data insights and trends about patients, so you can help any dermatologists and plastic surgeons utilize their advertising dollars effectively to target patient prospects accurately. These insights will be particularly valuable once your station is offering NextGenTV technology.According to the ASPS report, 38% of cosmetic surgery patients are repeat patients, 58% of cosmetic non-surgery patients are repeat patients, 45% of cosmetic surgery patients have multiple cosmetic procedures during the same visit and 38% of cosmetic non-surgery patients have multiple cosmetic procedures during the same visit.The largest percentage (40%) of cosmetic surgical and non-surgical procedures were performed at free-standing ambulatory surgical facilities during 2019, with 35% performed in practice offices and 25% in hospitals.Cosmetic Surgeries, by Ethnicity, 2019 vs. 2018Ethnicity2019Percent2018Percent% ChangeCaucasian Americans12.74 M70%12.48 M70%+2%Latinx Americans1.99 M11%1.94 M11%+3%African Americans1.68 M9%1.62 M9%+4%Asian Americans1.2.0 M7%1.17 M7%+3%Other566,6213%520,8083%+9%American Society of Plastic Surgeons, 2020Cosmetic Surgical Procedures, by Ethnicity, 2019ProcedureCaucasian AmericansAfrican AmericansAsian/Pacific Islander AmericansLatinx AmericansOtherBreast augmentation73%8%5%11%3%Rhinoplasty (nose)73%7%5%11%4%Blepharoplasty (eyelids)80%4%7%7%2%Liposuction75%9%4%11%2%Abdominoplasty66%12%5%13%3%American Society of Plastic Surgeons, 2020Cosmetic Minimally Invasive Procedures, by Ethnicity, 2019ProcedureCaucasian Americans African Americans Asian/Pacific Islander AmericansLatinx Americans OtherBotulinum Toxin Type A78%5%5%10%1%Soft-tissue fillers80%7%4%8%1%Chemical peel82%4%4%7%2%Laser hair removal75%7%5%8%3%Microdermabrasion76%6%4%10%5%American Society of Plastic Surgeons, 2020Sources: Medscape Website, 11/20; The Commonwealth Fund Website, 11/20; American Society of Plastic Surgeons Website, 11/20; The Aesthetic Society Website, 11/20; American Academy of Facial Plastic and Reconstructive Surgery Website, 11/20; The American Board of Plastic Surgery Website, 11/20; Everyday Health Website, 11/20.Updated: November 2020? 2020 Media Group Online, Inc. 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