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NEWS |


INFLUENCES ON ELECTIVE SURGERY


Reconstructive Surgery (AAFPRS). The annual poll of 752 of the organisation's board-certified facial plastic surgeons found that there was a 31% increase in requests for surgery as a result of social media photo sharing. The study shows that a growing number


S


of procedures are cosmetic versus reconstructive in nature, accounting for 73% of all procedures in 2012, up from 62% in 2011. Of the procedures requested as a result of social media influence, rhinoplasty, BOTOX®, and facelifts topped the list. While social media continues to play an increasingly large role in how consumers view themselves, its influence as a trusted informational resource for plastic surgery is diminishing. Last year just 7% of prospective patients used social media to research doctors and procedures, down from 35% in 2011. Instead, 57% got their information about plastic surgery online, with 33% relying on referrals. 'Patients are becoming increasingly more


ocial media is leading consumers to have a more self-critical eye, according to a new survey by the American Academy of Facial Plastic and


SELF-AWARENESS STEMMING FROM SOCIAL MEDIA


on aesthetic procedures, we encourage patients to exercise caution with blindly purchasing online deals.” said Robert M. Kellman, MD, President of the American Academy of Facial Plastic and Reconstructive Surgery.


Requests for surgical


procedures are on the rise, with rhinoplasty, blepharoplasty and


facelifts being the most requested in 2012.


Resurgence of surgical procedures Non-surgical treatments made up two-thirds of all cosmetic procedures requested in 2012. While they are still popular for their ability to delay signs of ageing with minimally-invasive measures, the number of non-surgical procedures performed was down last year. The most common cosmetic non-surgical procedures remain BOTOX® and hyaluronic acid fillers, with the top three areas of the face most treated by injectables being the forehead (42%), cheeks (35%) and the lips (18%). Conversely, requests for


surgical procedures are on the rise, with rhinoplasty, blepharoplasty and facelifts being the most requested in 2012. Among all procedures, the largest increase was among requests for facelifts and blepharoplasty, while lip


augmentation and calcium hydroxyapatite injections showed the greatest declines.


sophisticated in their knowledge of plastic surgery due to the obvious increases in online research and validations,' said Ed Williams, MD, Group Vice President for Public and Regulatory Affairs for the American Academy of Facial Plastic and Reconstructive Surgery. 'Our members are seeing a much more


educated consumer base than ever before, thanks to the increased availability of information.' However, no matter how consumers select


their facial plastic surgeon, the AAFPRS warns to be wary of discount deals online offering reduced rates on surgery and injectables. Three quarters of AAFPRS members caution consumers to stay away from these deals, citing them as potentially unethical and inappropriate without prior evaluation and consultation from a licensed health professional. 'While it may be tempting to get a discount


10 ❚


New trends The top trend AAFPRS members have identified is that consumers are more educated about plastic surgery. A more educated consumer base is leading to the further decline in requests for celebrity procedures (down to only 7%), with 53% of patients instead asking for a procedure by area of concern and 28% asking for it by name. When considering surgery, most patients were primarily concerned with the results (40%), followed by cost (33%) and recovery time (21%), with pain/invasiveness and social perception playing a very small role in their decision. Milestone events were also a driving factor, and aside from weddings, which hold the number one spot, high school reunions topped the charts as the event most likely to be an impetus for surgery.


E Wendy Lewis provides some essential tips for optimising your social media accounts, page 98


March 2013 | prime-journal.com


MIREVEN IN VITRO RESULTS


MiReven has announced an in vitro study in which the microRNA 'miR-7-5p' significantly inhibited the migration and invasion of metastatic melanoma cells, and published in Biochemical and Biophysical Research Communications. MicroRNAs (miRNAs) — non-coding


regulatory RNA molecules with altered expression and function in cancer — have both oncogenic and tumour suppressor potential. While the function of many miRNAs in melanoma remains unclear, several reports have implicated specific miRNAs, including miR-7-5p, in the progression to metastatic disease. 'There is considerable interest in the molecular pathogenesis of malignant melanoma and a focus on finding ways to improve survival of patients with metastatic disease. Our study shows that miR-7-5p may represent a novel therapeutic approach to prevent or limit melanoma metastasis,' said Dr Keith Giles and Professor Peter Leedman from the WAIMR, who led the study. In the study, miR-7-5p expression was


shown to be reduced in metastatic melanoma-derived cell lines compared with primary melanoma cells. When the microRNA was reintroduced and expressed ectopically, migration and invasion of the melanoma cells was significantly inhibited in vitro. The study authors also investigated the mechanism of miR-7-5p and found that insulin receptor substrate-2 (IRS-2) is a functional target of miR-7-5p which then decreases activity in the protein kinase B (Akt) signaling pathway, a key regulator of many oncogenic processes including cell migration. The study is now one of several demonstrating the utility of microRNAs in the treatment of cancer.


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