"The trend is towards less but regular. Especially the increase in minimally invasive treatments shows this development," says Hilpert, President of the 46th Annual Meeting of the DGÄPC, on the results of the patient survey 2017/2018. Compared to the previous year, the proportion of non-surgical procedures increased from 30.8 percent to 44.4 percent. "The wrinkle injection is clearly in first place," says Hilpert. In fact, at 26.8 percent, it achieves the highest value in all aesthetic treatments considered in the evaluation. At the top of the list is botulinum toxin (Botox®) after wrinkle injection with fillers, which accounts for 20.1 percent of all procedures. Both are thus the most popular surgical intervention. As before, most of the so-called gentle treatments are injections.
Furthermore, liposuction, breast augmentation and upper eyelid tightening are among the most popular surgical interventions in the field of Aesthetic Plastic Surgery in Germany. "Liposuction as the most frequent surgical treatment surprised us", clarifies Kantelhardt and adds: "If the eyelid tightening in the last evaluation 2017 could clear even before the other two, the treatments this year are much closer to each other". So, in the most popular surgical procedures, the first place for liposuction is at 8.6 percent; breast augmentation with implant and upper eyelid tightening follow each other with 8.4 per cent each.
The flagship for aesthetic plastic surgery was breast augmentation with implant for several years in a row. If not only the treatments, but also the consultation dates are taken into account, the DGÄPC statistic shows an interesting picture: The classical interventions are still very popular. "A breast that is perceived as too small means that many women are under a lot of pressure," Kantelhardt notes with regard to the results and says: "It all starts with serious advice. Therefore, many patients find out about the possibilities that breast augmentation can achieve. "With 15.5 percent, breast augmentation (implant), including consultation, is in first place. This is followed by liposuction (11.6 percent) and rhinoplasty (8.4 percent) in ranks three and four. But the modern, non-invasive treatments also consolidate their relevance in the evaluation: in 12.8 percent of all cases, the thematic focus of the treatment and the advice in the treatment of wrinkles with fillers.
After the DGÄPC statistics 2017 showed a boom in the proportion of male patients, this year's survey shows a different picture. Last year, 17.5 percent of those seeking a specialist in plastic and aesthetic surgery were men. Compared with the current statistics, the value has fallen by around 5.5 percent and, at 12.0 percent, is just below the share from 2016 (12.1 percent). "The lower proportion of male patients is less due to a lack of interest in Aesthetic Plastic Surgery," says conference president Hilpert, summing up: "Men want surgery. Women are more likely to want minor surgery. "Kantelhardt clarifies," Men tend to long-term treatments, while female patients often prefer minimally-invasive therapies that require regular refresher. This increases the proportion of women accordingly.
Primarily, both women (41.8 percent) and men (45.2 percent) hope for a physical improvement from the aesthetic-plastic surgery. However, the desire for an emotional, that is emotional change for the better shows differences: 21.4 percent of women expect a mental improvement; for men, this value is 27.0 percent, which is significantly higher. For 31.8 percent of women, physical and psychological change together play a major role in aesthetic-plastic treatment; for men, it is only 20.7 percent. "Women seem to feel more complex. While the primary focus for men is the correction of an individual's physical blemish, women also want to have the procedure carried out in order to simultaneously reduce the personally perceived suffering, "explains DGÄPC President Dr. Ing. Torsten Kantelhardt this circumstance.
"Patients pay attention to the education of physicians," Hilpert sees as a statistical result and assumes: "Specialist training is more important to patients than a low surgery price." Kantelhardt notes: "Particularly gratifying is the increased importance of the specialist title, because this serves patient safety . "In 2017, the specialist physician title came fifth in the most important selection criteria for patients, ranking third in the DGÄPC statistics in 2018 behind the good reputation (56.2 percent) and the expert status (48.3 percent) with 39.6 percent. Compared to the previous year, this represents an increase of more than 7 percent. "The title Specialist in Plastic and Aesthetic Surgery is an objective indication of the qualification and experience of the doctor. Patients want experts, "adds DGÄPC President Kantelhardt.
An essential prerequisite for as uncomplicated as possible aesthetic and plastic treatment with the desired result is the personal and detailed consultation. Not only the specialist for plastic and aesthetic surgery attaches great importance to this important meeting in order to be able to individually adapt the treatment to the person but for the patients, the consultation is increasingly crucial. "Counseling comes first," says Kantelhardt, referring to the statistics: A total of 73.3 percent of the patients survey stated that they had consulted the Aesthetic Plastic Surgeon for advice; in the previous year it was still 58.6 percent. "The low level of unplanned corrective surgery as a reason to visit an aesthetic plastic surgeon is a very positive development for us," says Kantelhardt, adding, "Patients are increasingly finding out about surgery before deciding on a surgeon."
In the case of the motivational factors for an aesthetic-plastic treatment, one's own person comes first and foremost for both women and men. "The decision to undergo surgery must always come from the patient. Pressure from another person must not play a role ", warns conference president Dr. Alexander Hilpert and DGÄPC President Kantelhardt reminds: "During a consultation, a good Aesthetic Plastic Surgeon has to recognize the motivation of the patient." The evaluation shows, with regard to the partnership, that there are differences between men and women: Almost every fifth man (20.3 percent) hopes that a positive impact on the partnership will be achieved through aesthetic intervention; this is a significantly higher value for women with 12.7 percent. Even with regard to the professional positive expectations, the men distance themselves with 16.2 percent of the women, who only gave the job as motivation with 9.8 percent.