What will shape cosmetic medicine in 2018? We asked industry leaders to weigh in with what they think will drive aesthetic medicine’s evolution this year.
Jeffrey E. Janis, M.D., president of the American Society of Plastic Surgeons (ASPS)
Fat grafting safety, multimodal pain management and nerve decompression for migraine headaches will make big impacts on plastic surgery in 2018, according to Dr. Janis, who is professor of plastic surgery, neurosurgery, neurology and surgery at Ohio State University Wexner Medical Center, Columbus, Ohio.
Fat Grafting Made Safer
“Fat grafting to correct reconstructive deformities or augment cosmetic surgery results is a growing part of everyone’s practice. What’s going to be new this year is technical refinements on how to make fat grafting as safe as possible,” Dr. Janis says. “I think that’s going to be a major issue, especially with regards to fat grafting to the buttock or what’s otherwise known as the Brazilian Butt Lift. There are going to be scientific recommendations that are going to be made this year that are going to be beneficial for anyone who performs this procedure.”
Multimodal Pain Management
“I think we’re all aware of the opioid epidemic that has really ravaged the county. The question is: How can we apply procedure-specific multimodal pain management strategies to our patients and our practices?” Dr. Janis says. “I think that, as we all become more aware of alternative strategies to curtail opioid use in helping to treat acute postoperative pain in our patients, we will be able to provide safer, more effective pain control to our postsurgical patients.”
“There are 35 million Americans who suffer from migraine headaches. It’s actually more common than asthma and diabetes combined,” Dr. Janis says. “…plastic surgeons can help treat these patients by doing nerve decompression of nerves in the head and neck [in appropriate candidates for the procedure]. We have published results behind it and are continuing to come out with additional scientific evidence to support this procedure. This year, I think you’re going to see this become more main stage because we have position statements about to come out from the American Society of Plastic Surgeons that basically define indications and provide scientific evidence to support its safety and efficacy.”