MAY-JUN 2018

MedEsthetics—business education for medical practitioners—provides the latest noninvasive cosmetic procedures, treatment trends, product and equipment reviews, legal issues and medical aesthetics industry news.

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BEST PR ACTICES 12 MAY/JUNE 2018 | Med Esthetics © GETTY IMAGES Long Wait Times Send Patients Packing If you have ever wondered how important wait times are to your patients, a new report from Vitals, a company that educates consumers on healthcare decisions, may shed some light. The 9 th Annual Vitals Wait Times Report revealed that 84 percent of patients rate wait times as "somewhat important" or "very important" to the overall experience at a doctor's offi ce. What's more, 30 percent of respondents reported that they've walked out of an appointment due to long waits, and one in fi ve have changed doctors because of long wait times. According to the company, the importance of wait time can be seen in the correlation between the amount of time a patient waits and a doctor's average rating on Physicians with fi ve-star ratings had, on average, 13-minute, 17-second wait times. Doctors with one-star ratings had an average wait time of 34 minutes, 11 seconds. What do people do while they wait for their doctors? Forty- four percent said they look at their phones or other electronic devices and 55 percent said they browse through the stacks of magazines in waiting rooms. Results were gleaned from patient-reported wait times from 2008 through the end of 2017 and via 675 online respondents to a March 2018 poll conducted by Vitals. BEST DAYS FOR SURGERY Surgeons seeking to provide the best outcomes and shortest recovery times may want to limit their surgeries to early in the week. In 2013, researchers Paul Alyin, et al, reviewed outcomes of 4,133,346 elective inpatient surgical procedures performed between 2008-2011 (BMJ) and found that the overall risk of death within 30 days for patients undergo- ing elective surgery increased with each day of the week on which the procedure was performed. Their fi ndings seem to have been confi rmed by a new study in Orthopedics (April 2018), which found that the day surgery is performed has a signifi cant effect on length of hospitalization following total joint arthroplasty. The best day to undergo surgery, ac- cording to the new study: Tuesday. The worst: Thursday. Nanofat grafting softens scars, reduces skin discoloration and makes wrinkles less prominent, according to a new Swiss study by Semra Uyulmaz, MD, et al, published in Aesthetic Surgery in April. The researchers treated 52 patients—40 scars plus six patients with wrinkles and six patients with discoloration—using nanofat grafts prepared by a standard emulsifi cation and fi ltration protocol. The liquid was injected intradermally or directly into scar tissue, wrinkles or dispigmented areas. Three physicians compared and analyzed standardized pre- and post-treatment photographs. Patient satisfaction was also documented. Post-treatment follow-up was 155 ± 49 days and the average volume of harvested fat was 165cc (taken from the abdomen and fl anks). The volume of nanofat injected ranged from 1mL to 25mL (mean, 4.6mL). Clinical evaluations at follow-up showed a marked improve- ment in scar quality, which included softening of the scars, a reduction in skin discoloration and a decrease in the depth and appearance of wrinkles. Patients also reported high satisfaction with the procedure. NANOFAT GRAFTING IMPROVES SCARRING AND SKIN QUALITY

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