What 2016 Cosmetic Medicine Stats Mean For Your Clinic

Stats from 2016 are trailing indicators of the market but they should give you a clear view of where cosmetic medicine is headed.

When you're looking at where cosmetic medicine is headed, you'd do well to keep up with the latest stats showing that nonsurgical treatments are on a path to overtake cosmetic surgery in total dollars spent. 

If you look at some of these stats you'll sees some obvious trends, and that should make you think about what kinds of treatments you might look to ad or promote. Nonsurgical is where the growth is.

Nonsurgical cosmetic medicine's growth is accelerating according to the International Society for Aesthetic Plastic Surgery's (ISAPS) annual statistics.

Take a look at this chart of nonsurgical treatment's growth in the US, and compare that with the growth in surgical treatments. IPLs, cosmetic lasers, Botox and injectables.

Download and read the ASAPS report here.

Nonsurgical cosmetic medicine growth

The International Society of Aesthetic Plastic Surgery (ISAPS) 2016 Stats

Read the ISAPS report here

If you're not practicing cosmetic medicine in the US, you might want to think about starting a clinic in Brazil.

In the report, Brazil and the US trade top spots depending upon the proceedure. They're neck and neck, except when the treatment is further South. Brazil is almost double the total number of treatments in both Labiaplasty and Vaginal Rejuvenation than the US. (Interstingly, Labiaplasty worldwide had the greatest increase in treatments year over year at a massive 45% increase.)

The US has far more nonsugical treatments due to greater market penetration of cosmetic lasers and IPLs.

Here's a breakdown of nonsurgical treatments wich shows wider spread than if all cosmetic treatments (including surgical) are included.

Total Nonsurgical Procedures by Country

Total number of nonsurgical treatments by country

Here's another chart that gives a little insight into the macro trends around injectables worldwide.

Year-to-Year Comparison of Injectable Change

Injectable filler injection treatments

Winners? Juvederm, Restylane, Belotero Balance and Sculptra Aesthetic. Loser? Radiesse.

Implications and takeaways for your clinic

Non-surgical procedures continue to grow at a steady. No surprise there, but there are some areas of interest if you're looking at adding to your treatment menu. You really want to ride a wave that's growing and a careful reading of these types of reports can show you where that wave is headed.

The fastest growing cosmetic procedure of all? Labiaplasty, at 45% year over year growth. That's a pretty damn good indication that there's a lot of demand. 

The non-surgical options using RF and fillers for vaginal rejuvenation has just started to trend, but it's dramatic. You might want to take a hard look at adding vaginal rejuvenation to your treatment lineup.

More non-surgical procedures may continue to progress and develop, as dermal fillers and Botox are not limited to the use of the face. Lasers and IPL also contribute to the increase as they are considered non-surgical alternatives for fat reduction or skin rejuvenation. It is expected that in the coming years, there may be a spike of numbers coming in from the younger and middle age demographic.

2016 Trends: Classic and Elegant Beauty

The year 2016 is predicted to be a time for putting forward a classy, elegant, and modern yet effortless look.

Beauty experts reveal that  the trend is leaning more on the "natural" look as complexions are expected to be taking a softer turn with a subtle quality.

Glowing and luminous skin will be a trend. According to Vogue, the recent call to natural beauty was given a windswept polish this season, with healthy washes of sun-kissed blush at Gucci and Michael Kors Collection meeting the breeze-tousled waves of Versace, Alexander McQueen.

Its all about bright and pouty lips this 2016, with classic reds and browns as "in" lip colors as they balance against a backdrop of a bare skin.

Hairstyles are expected to be going back to basics as natural and effortless look will be in style and buns and ponytails will be given a fresh twist. As they say, less is more.

With these trends, minimally invasive aesthetic procedures are expected to be popular among medspa patients to achieve a more enhanced yet effortless and youthful look.

Non-surgical facelifts, use of autologous fat grafting, botox injections, and fillers are among the procedures that are expected to be a trend in 2016.

Non-invasive procedures which offer less pain and quick recovery are also seen to be popular among patients. 

For more beauty trends in 2016, you may browse: http://www.vogue.com/13359453/top-beauty-trends-spring-2016-fashion-week/.

ReShape: US FDA Approved Non-Surgical Weight Loss Procedure

ReShape's approval by the US Food and Drug Administration comes as a good news for people who want to lose weight but have not achieved such by diet and exercise alone.

The ReShape Integrated Dual Balloon System, according to the company's website, is the first-of-its kind non-surgical weight loss procedure for those who do not want to undergo surgery or those who do not qualify for bariatric surgery.

It is best for obese patients with a Body Mass Index (BMI) of 30 – 40 kg/m2 and one or more obesity-related comorbid conditions. In the study that paved the way for the US FDA approval of ReShape, it was found that patients lost twice as much weight compared to those who only received diet and exercise coaching.In Europe, it was shown that patients lost around 47% of their excess weight and maintained 98% of their weight loss at one year.

A patient of ReShape will undergo and three-process journey in a span of one year. First, the patient will be educated regarding ReShape and a personalized evaluation will be done. In the second phase, two balloons will be inserted in a patient's stomach through an endoscopic procedure with sedation. The medical-grade and saline-filled balloons will take up room in the patient's stomach so there will be less space for food.

According to its website, these balloons will help curb appetite and will allow patients to enjoy food in healthy proportions. The balloons will be removed after six months, otherwise adverse effects such as intestinal obstruction may occur. Personalized coaching will still be undertaken so that a patient can focus on healthy eating and lifestyle habits to increase success.

The third phase will be the continued support and coaching after the balloons are removed to make sure that patients achieve and maintain their optimal weight and lifestyle.

In an interview, Carmella, a ReShape patient said that:

Anyone who struggled with diet and exercise to lose weight knows it can be a very frustrating cycle. Still the idea of undergoing surgery or being on medication for life is also unattractive. The ability to make long-term changes in my lifestyle with ReShape has not only changed how I see myself in the mirror, but how I see my future.

There are still several risks associated with the use of ReShape Integrated Dual Balloon which include ulceration, perforation, abdominal pain, nausea, vomiting, bloating, belching, heartburn, dehydration, sore throat, device migration, and intestinal obstruction. These may cause the early removal of the balloons before the 6 month period.

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Dr. Janet Turkle, (Turkle & Associates) Phases Skin Care & Laser Center In Indianapolis, Indiana

Some problems are better handled with less invasive treatment and there are products and treatments that can delay the need for surgery or prolong and protect one’s investment in surgical procedures.

Indiana Board Certified Plastic Surgeon Dr. Janet Turkle

Name: Dr. Janet K. Turkle
Clinic: Turkle & Associates
           Phases Skin Care and Laser Center
Location: Indianapolis (Carmel), Indiana
Website: turklemd.com  phasesskincare.com

That's interesting: Dr. Janet K. Turkle was involved in the clinical trials for the silicone gel implants and provided extensive data to the researchers.

Please tell us briefly about your qualifications and how did you get to where you are?

I have been in Indiana as a plastic surgeon since I completed my residency at Indiana University Medical Center in 1993 and entered private practice.

Are you convinced that being female creates opportunities in attracting prospective clients?

I think it has advantages and disadvantages. As a female, I can relate to my female patients but I hopefully relate to my male patients as well. Some women may feel more comfortable telling you things or showing you things that they would not if you possessed the Y chromosome but it doesn't always work that way.

If you weren't a medical professional, is there anything you'd rather be spending time on?

I truly cannot think of what that would be. I am doing exactly what I want to do.

Janet Turkle MD, Indiana Cosmetic Plastic Surgeon

Aside from a plastic surgery practice, you also have a Skin care and Laser Center. What difficulties did you tackle when you began your practice? 

When we started then skin care portion of the practice it was fairly rare to combine that with a plastic surgery practice. I think that the biggest challenges have been to make people aware of how important lasers and skin care can be in terms of their total improvement. When we do surgery, we can make improvements in structure but we cannot improve things like texture and discoloration. A combined effort of laser treatments, products and other therapies will improve the outcome, regardless of the type of surgery.

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Dr. Alicia Teska - Skin Temple Medi Clinic & Spa In Melbourne, Austrailia

Dr. Alicia Teska Australian Cosmetic Physician

Name: Dr. Alicia Teska                  
Clinic: Skin Temple Medi Clinic & Spa
Location: Melbourne, Australia
Website: skintemple.com.au
That's interesting: Dr. Alicia Teska is a founding fellow of the Australasian College of Aesthetic Medicine.

What is it like practicing cosmetic medicine in Australia?

Cosmetic medicine is much regulated for doctors in Australia, but completely unregulated for any other health provider. It can be very frustrating to find that your previously loyal client is now going to the home of a local plastic surgeon’s nurse to have their Botox injections.

Unsupervised (and uninsured) nurse injecting (of just about any substance at all) is quite rampant in Australia. I get a number of new clients coming in each week who have had treatments in salons or at the nurse’s home, with complaints about the outcome.

Australia regulates its own medical technologies independently of other countries. If the technology has been approved for a use in the USA, it definitely assists to get it through the Therapeutic Goods Administration in Australia a lot faster.

I have been reported for calling myself a "Cosmetic Physician". In Australia, there is a frightening holier-than-thou attitude towards medical practitioners who work outside of a “Royal College” setting. It is disturbing to see how ignorant many medical practitioners are of the work being done by Cosmetic Physicians. The regulatory body in Australia (AHPRA) would like to see the Cosmetic Physicians who are vocationally registered (Fellows of the RACGP, such as myself) call themselves Specialist GPs. This would be quite misleading to my patients, as I no longer practice the full spectrum of normal General Practice.

There is an opportunity to establish a subspecialty/special interest group of General Practice in Cosmetic Medicine/Dermatology. I think it’s likely that a group of us who work exclusively in that area will get together and put Cosmetic Medicine on the map in this country.. if the politics allow!

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Dr. Rick Balharry - Canmore MediSpa & Laser Centre in Alberta, Canada

Technology has allowed this Canadian MD form Alberta to leave Obstetrics and the ER to focus on cosmetic medicine.Dr. Rick Balharry - Canmore MediSpa & Laser Centre in Alberta, Canada

Name: Dr. Rick Balharry=
Clinic: Canmore MediSpa & Laser Centre
Location: Canmore, Alberta, Canada
Website: canmoremedispa.com

Can you give us a picture on how you manage your medispa and laser center?

I have now backed out of Emergency Medicine and Obstetrics and focused on my office apart from my surgical days. This has allowed me to structure visits accurately so there is rarely anyone waiting. I do the invasive procedures and the injections and my technician does IPL, laser hair removal, dermal infusion, peels and skin care advice.

I also have a large vein practice and perform ultrasound examinations, US guided injections and regular sclerotherapy in the office and the surgery if needed at the Hospital. To add to this I have a large rehab practice as I do prolotherapy injections and PRP injections for the treatment of soft tissue injuries. These also are often ultrasound guided procedures. So, my days are...

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New European Aesthetics Standards To Be Split Between "Surgical" and "Non-surgical".

For the past three years a new pan European services standard for the aesthetics sector has been in development.

This work has been coordinated at the European level by CEN, the European Committee for Standardization. Member states, including the UK, have been making considerable input into this work, and it had been hoped to publish the standard (as EN 16372) by Q2 / Q3 2014. 

The current working title for the EN 16372 standard, reflecting its wide scope, is: 'Aesthetic surgery and aesthetic non-surgical medical services'. However CEN have announced that, for procedural reasons, the decision has now been made to split EN 16372 into two separate standards. One will deal solely with 'aesthetic surgery services', and the other with 'aesthetic non-surgical medical services'. It is anticipated that the content of the two separate standards will be similar to the recent public consultation draft - but simply split into two documents. The target publication dates for the two standards are by Q2 and Q4 2014 respectively.

Mike Regan 
Chair, BSI Committee CH/403
Aesthetic Surgery Services

via the Medical Spa MD LinkedIn Group

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Interview: Dr. R. Scott Haupt of Utah Cosmetic Surgery

Dr. Haupt is very open and honest about the outcomes that patients can expect. His ultimate goal is improvement, not perfection.

Name: R. Scott Haupt, M.D.
Clinic: Utah Cosmetic Surgery
Location: Murray, UT
Website: utahcosmeticsurgery.com

Dr. Haupt has always wanted to purchase a crystal ball. "I would like to gaze into it to let patients know what they will look like after surgery so that I can guarantee their success and improvement."

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Dr. Michael J. Brown, Plastic Surgeon In Virginia & Maryland

Dr. Michael Brown's practice includes three offices across Virginia and Maryland.

Name: Michael J. Brown MD
Clinic: The Loudoun Center for Plastic Surgery
Locations: Ashburn & Richmond VA, Bethesda MD
Website: rejuven8u.com

About: Dr. Michael J. Brown has been voted a Top Plastic Surgeon in Virginia and Top Doctors in Virginia by Northern Virginia Magazine and Best Cosmetic Surgeon in Virginia by Virginia Living Magazine in 2012. Dr. Brown has also served on the editorial board of a cosmetic surgery magazine. He is an active committee member for the The American Society for Aesthetic Plastic Surgery.

As a clinic that is primarily focused on plastic surgery but offers nonsurgical treatments, how is your clinic organized?

The Center is organized with 4 components. There is the medical office that's devoted to plastic surgery. The Center has a nurse who is trained and provides assistance with injectable treatments like Botox, Restylane, Juvederm, Dysport

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