1
|
Foppiani JA, Kim E, Weidman A, Valentine L, Stearns S, Alvarez AH, Lee TC, Moradian S, Lee BT, Lin SJ. Preferences and Barriers of Male Patients Seeking Aesthetic Procedures. Aesthetic Plast Surg 2024; 48:1465-1472. [PMID: 37750951 DOI: 10.1007/s00266-023-03659-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2023] [Accepted: 09/06/2023] [Indexed: 09/27/2023]
Abstract
BACKGROUND As social attitudes toward plastic surgery continue to evolve, the prevalence of men seeking plastic surgery has been increasing. By delving into the factors that encourage male patients to seek plastic surgery and the obstacles they encounter, this study aims to facilitate the development of more inclusive and effective approaches for this population. METHOD An anonymous 41-question survey was conducted among adult men in the USA via the Amazon Mechanical Turk crowdsourcing platform. Questions assessed demographic information and identified factors that influenced males to seek plastic surgery care, the barriers they experienced while seeking care, and their preferences. Multivariate logistic regression was used to assess relationships between demographic variables and likelihood of undergoing cosmetic surgery. RESULTS Four hundred and eleven complete responses were analyzed. The median (IQR) age of respondents was 32 (30, 40) years old. Of the respondents, 60% had undergone cosmetic surgery. Functional improvement (40%), personal aspiration (32%), and partners' opinions (22%) were the most commonly cited reasons for undergoing procedures. The most common barriers faced by this population were recovery time following a procedure (52%), perceived risk of complications (48%), cost (43%), fear of being identified as having had plastic surgery (32%), and surgeons not being able to meet expectations (31%). Eighty-nine percent of respondents who underwent plastic surgery procedures reported facing at least one barrier. Multivariate regression demonstrated that higher education levels were strongly associated with a likelihood of undergoing cosmetic surgery (p < 0.001). Income (p = 0.44) and region (p = 0.23) did not significantly affect the likelihood of undergoing plastic surgery. CONCLUSION Despite improving societal stigma, many male patients continue to face barriers when obtaining plastic surgery care. Efforts may be made to alleviate these barriers and surgeons looking to expand their practice may benefit from increased outreach to male patients. This may be compounded with improved education targeting stigma and risks of procedures, increasing male-specific marketing communications to make them feel welcome in an industry predominantly focused on female patients, and offering male-tailored procedures. NO LEVEL ASSIGNED This journal requires that authors assign a level of evidence to each submission to which Evidence-Based Medicine rankings are applicable. This excludes Review Articles, Book Reviews, and manuscripts that concern Basic Science, Animal Studies, Cadaver Studies, and Experimental Studies. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
Collapse
Affiliation(s)
- Jose A Foppiani
- Division of Plastic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, 110 Francis Street Suite 5A, Boston, MA, 02215, USA
| | - Erin Kim
- Division of Plastic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, 110 Francis Street Suite 5A, Boston, MA, 02215, USA
| | - Allan Weidman
- Division of Plastic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, 110 Francis Street Suite 5A, Boston, MA, 02215, USA
| | - Lauren Valentine
- Division of Plastic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, 110 Francis Street Suite 5A, Boston, MA, 02215, USA
| | - Stephen Stearns
- Division of Plastic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, 110 Francis Street Suite 5A, Boston, MA, 02215, USA
| | - Angelica Hernandez Alvarez
- Division of Plastic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, 110 Francis Street Suite 5A, Boston, MA, 02215, USA
| | | | - Simon Moradian
- Division of Plastic Surgery, Northwestern Medicine, Feinberg School of Medicine, Chicago, IL, USA
| | - Bernard T Lee
- Division of Plastic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, 110 Francis Street Suite 5A, Boston, MA, 02215, USA
| | - Samuel J Lin
- Division of Plastic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, 110 Francis Street Suite 5A, Boston, MA, 02215, USA.
| |
Collapse
|
2
|
Rajan S, Menedal A, Pereira C, Chandran A, Bhaskaran D, Mohammad N, Thomas B, Sulochana AD. Its Not about the Destination, Its about the Journey-Plotting 50 Years of Changing Clinical Trends in Plastic Surgery in a Public Sector Teaching Hospital. Indian J Plast Surg 2021; 54:302-307. [PMID: 34667515 PMCID: PMC8515339 DOI: 10.1055/s-0041-1729510] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Background
The year 2019 marked the 50th anniversary of plastic surgery department of our institution. We present an audit to plot the changing clinical trends in our work in the past five decades.
Methods
A single-center retrospective cohort study based on the department demographics was performed and compared across the decades from 1969 to 2019.
Results
In 1969, the relative proportion of reconstructive versus cosmetic surgery procedures was 94.32% versus 5.68%; in 2019 this was 76.25% and 23.75%, respectively. An increase of 22 times increase in outpatient registrations, 13.1 times in total surgeries, 642 times in trauma reconstruction, 290 times for hand surgeries, and 323 times for skin tumor surgeries was noted. Male patients (64.9%) increased every decade more than females (35.1%), mostly for trauma surgery and gynecomastia correction. Proportion of pediatric cleft patients have markedly decreased. Spectrum of surgical procedures have widened. Top five reconstructive surgeries in 2019 were limb trauma reconstruction, skin tumor surgeries, hand surgeries, arterio-venous fistula (AV) creation, and oculoplasty. The most common surgery performed was cleft lip surgery in 1969 and hand surgery in 2019. The top five cosmetic surgeries performed in 2019 were scar revisions, nevus excision, liposuction and gynecomastia correction, rhinoplasty, and otoplasty.
Conclusions
Data collection and archiving and periodic audits help us study changing trends in our field compared with the global trends. Knowing societal demands will help to improve the resident training in teaching hospitals.
Collapse
Affiliation(s)
- Sheeja Rajan
- Department of Plastic and Reconstructive Surgery, Government Medical College, Kozhikode, Kerala, India
| | - Akshata Menedal
- Department of Plastic and Reconstructive Surgery, Government Medical College, Kozhikode, Kerala, India
| | - Carlsen Pereira
- Department of Plastic and Reconstructive Surgery, Government Medical College, Kozhikode, Kerala, India
| | - Aswathy Chandran
- Department of Plastic and Reconstructive Surgery, Government Medical College, Kozhikode, Kerala, India
| | - Deepak Bhaskaran
- Department of Plastic and Reconstructive Surgery, Government Medical College, Kozhikode, Kerala, India
| | - Najeeb Mohammad
- Department of Plastic and Reconstructive Surgery, Government Medical College, Kozhikode, Kerala, India
| | - Bestin Thomas
- Department of Plastic and Reconstructive Surgery, Government Medical College, Kozhikode, Kerala, India
| | - Aabha Das Sulochana
- Department of Plastic and Reconstructive Surgery, Government Medical College, Kozhikode, Kerala, India
| |
Collapse
|
3
|
Sex-Differentiated Attire’s Impact on Individual Action and Mate Selection. SEXES 2021. [DOI: 10.3390/sexes2030028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Various theories highlight the importance of using the actor/environment as the ideal unit for theoretical and experimental focus. Clothing, placed as it is as the intermediary between body and environment, is typically treated as a symbol rather than as either an integral part of either the body or the environment. When clothing is considered an extension of the body, the historical development of clothing reflects persistent differences in the physical capabilities of the human animal and operates as an instrument for solo action. In addition, it is argued that due to the ecological mechanisms connecting perception and action, differential clothing options for the sexes has led in no small part to differences in self-perception as well as the perception of others. However, when it comes to the very specific behavior of mate selection and procreation, clothing can be understood as a tether between two systemic units, offering a description of a system that allows for communication of potential social affordances and opportunities for joint action.
Collapse
|
4
|
Rini IS, Krisna MA, Basuki A, Djarot KR. The characteristics of private plastic surgery practice in developing country: An epidemiological study. Indian J Plast Surg 2019; 51:309-315. [PMID: 30983732 PMCID: PMC6440347 DOI: 10.4103/ijps.ijps_11_18] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Background: With the rise in working-age population, there has been notable economic growth in Indonesia. Along with it, there is an increase in expenditure for non-food items such as health-care service, without exception to plastic surgery practice. Aesthetic plastic surgery practice has gained its popularity in several other developing countries such as Brazil, Russia, India and China. Epidemiology report of private plastic surgery practice in Jakarta, the capital of Indonesia, will provide the evidence of increasing need for aesthetic plastic surgery practices as the basis for further improvement. Methods: This is a single-centre descriptive cross-sectional study with a total sampling method which included all patients registered at a private plastic surgery clinic between January 2008 and December 2016. Results: There were 1457 medical procedures. The majority (93.4%) of patients were female. More than 80% were surgical procedures, the most common ones were breast implant and blepharoplasty with the latter being similarly popular in both gender. The majority of the patients fell into 20–45-year-old group. Patients <20-year-old had undergone a more minor surgical procedure such as skin tumour and nevus excision or scar treatment while patients >45-year-old had more procedures with rejuvenation purpose. Conclusion: The epidemiology of private plastic surgery practice in an urban area of developing country resembles those in either developed or developing countries with a similar socio-demographic profile. This data can be further utilised for a more focused private plastic surgery practice improvement. The limitation however is that, the study is based on a single centre data.
Collapse
Affiliation(s)
- Irena Sakura Rini
- Department of Plastic Surgery, Casa Lovina Plastic Surgery Clinic, Banten, Jakarta, Indonesia.,Department of Plastic Surgery, Dharmais Cancer Hospital, Jakarta, Indonesia
| | - Made Ananda Krisna
- Department of Plastic Surgery, Dharmais Cancer Hospital, Jakarta, Indonesia
| | - Adi Basuki
- Department of Plastic Surgery, Dharmais Cancer Hospital, Jakarta, Indonesia
| | - Kasih Rahardjo Djarot
- Plastic Surgery Division, Department of Surgery, Cipto Mangunkusumo National Hospital, Jakarta, Indonesia
| |
Collapse
|
5
|
Sinno S, Lam G, Brownstone ND, Steinbrech DS. An Assessment of Gender Differences in Plastic Surgery Patient Education and Information in the United States: Are We Neglecting Our Male Patients? Aesthet Surg J 2016; 36:107-10. [PMID: 26082091 DOI: 10.1093/asj/sjv100] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/08/2015] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND The number of total cosmetic procedures performed yearly has increased by more than 274% between 1997 and 2014, according to the American Society for Aesthetic Plastic Surgery. However, the vast majority of plastic surgery procedures are still targeted toward women, with little attention toward men. OBJECTIVES This study sought to quantify the extent of gender discrepancies observed in online plastic surgery marketing in this country. METHODS For the 48 contiguous United States, a systematic Google (Mountain View, CA) search was performed for "[state] plastic surgeon." The first 10 solo or group practice websites in each state were analyzed for the gender of the first 10 images featured, presence of a male services section, and which procedures were offered to men. The results were statistically analyzed using SPSS Software (IBM Corporation, Armonk, NY). RESULTS A total of 453 websites were analyzed, as 5 states did not have 10 unique solo or group practice websites. Of the 4239 images reviewed, 94.1% were of females, 5.0% were of males, and 0.9% were of a male and female together. A male services page was present in 22% of websites. The most common procedures marketed toward men were gynecomastia reduction (58%), liposuction (17%), blepharoplasty (13%), and facelift (10%). Less than 10% of all websites offered other procedures to males, with a total of 15 other aesthetic procedures identified. CONCLUSIONS Many plastic surgeons choose to ignore or minimize male patients in their online marketing efforts. However, as the number of men seeking cosmetic procedures continues to grow, plastic surgeons will benefit from incorporating male patients into their practice model.
Collapse
Affiliation(s)
- Sammy Sinno
- Dr Sinno is a Resident, Ms Lam is a Medical Student, and Mr Brownstone is a Pre-Doctoral Research Fellow, Department of Plastic Surgery, New York University Medical Center, New York, NY. Dr Steinbrech is a plastic surgeon in private practice in New York, NY
| | - Gretl Lam
- Dr Sinno is a Resident, Ms Lam is a Medical Student, and Mr Brownstone is a Pre-Doctoral Research Fellow, Department of Plastic Surgery, New York University Medical Center, New York, NY. Dr Steinbrech is a plastic surgeon in private practice in New York, NY
| | - Nicholas D Brownstone
- Dr Sinno is a Resident, Ms Lam is a Medical Student, and Mr Brownstone is a Pre-Doctoral Research Fellow, Department of Plastic Surgery, New York University Medical Center, New York, NY. Dr Steinbrech is a plastic surgeon in private practice in New York, NY
| | - Douglas S Steinbrech
- Dr Sinno is a Resident, Ms Lam is a Medical Student, and Mr Brownstone is a Pre-Doctoral Research Fellow, Department of Plastic Surgery, New York University Medical Center, New York, NY. Dr Steinbrech is a plastic surgeon in private practice in New York, NY
| |
Collapse
|
6
|
Comparison of Surgical Techniques and Results of Upper Blepharoplasty Between Asian Males and Females. Ann Plast Surg 2013; 70:6-9. [DOI: 10.1097/sap.0b013e318230995b] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
7
|
Abstract
In a society desiring images of beauty and youthfulness, the world of cutaneous surgery offers the gifts of facial rejuvenation for those determined to combat the signs of aging. With the development of novel laser and plasma technology, pigmentary changes, scarring, and wrinkles can be conquered providing smoother, healthier, younger-looking skin. This review highlights five of the most popular resurfacing technologies in practice today including the carbon dioxide (CO(2)) laser, the erbium:yttrium-aluminum-garnet (Er:YAG) laser, combination resurfacing, fractional photothermolysis, and plasma resurfacing.
Collapse
Affiliation(s)
- Joseph P Janik
- Department of Dermatology, Baylor College of Medicine, Houston, Texas
| | | | | | | |
Collapse
|
8
|
Abstract
PURPOSE OF REVIEW Current cosmetic surgical practice for facial rejuvenation has undergone a significant change due to the introduction of technologies to improve the age-associated changes of the face. The most widely adopted methods of minimally invasive facial rejuvenation include the use of neuromuscular blocking agents and injectable fillers. The topic of minimally invasive procedures might include a variety of subjects including nutritional and hormonal modulation, light-based and laser-based therapies, minimal incision surgical procedures, as well as the use of botulinum toxin and fillers. The focus of this study will be on the minimally invasive facial rejuvenation efforts achieved by injection techniques. RECENT FINDINGS Botulinum A neurotoxin has been shown to be effective in the reduction of hyperfunctional lines in the upper and lower face. Anatomic areas that have been found to benefit include the glabella, the forehead, the periorbital area, lips, and the platysma muscle. The more recently introduced hyaluronic acid and other injectable fillers are receiving increasing usage. These temporary fillers have been found to improve creases and wrinkles, augment deep nasolabial folds, augment thin lips, and improve hollowing in the periorbital and other depressions and deformities. SUMMARY There has been a significant paradigm shift in the field of rejuvenation surgery. Injectable minimally invasive methods have been offered to remedy age-related and other acquired deformities of the head and neck region. These methods have provided temporary correction of undesirable characteristic that were traditionally approached with more invasive surgically oriented modalities.
Collapse
|
9
|
Poore SO, Shama L, Marcus B. Facial Resurfacing of the Male Patient. Facial Plast Surg Clin North Am 2008; 16:357-369. [DOI: 10.1016/j.fsc.2008.04.001] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
10
|
|
11
|
Filler Rhinoplasty. Dermatol Surg 2007. [DOI: 10.1097/00042728-200712001-00014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|