Tracking Complications and Unplanned Healthcare Utilization in Aesthetic Surgery: An Analysis of 214,504 Patients Using the TOPS Database | Journal CME Article
February 2023
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Availability
On-Demand
Expires on Jun 16, 2028
Credit Offered
1 CME Credit
0.5 Patient Safety Credit

Tracking surgical outcomes is essential to quality improvement, transparency, and informed consent in aesthetic surgery. Patients must thoroughly understand possible complications and individual risk factors before proceeding with elective operations. The Tracking Operations and Outcomes for Plastic Surgeons (TOPS) database is a voluntary national database with a uniquely high volume of aesthetic surgery procedures. This article reviews the outcomes of common cosmetic procedures including breast augmentation, liposuction, rhinoplasty, blepharoplasty, and abdominoplasty. The low overall incidence of complications across aesthetic procedures is emphasized, reaffirming findings of prior studies. Certain procedures such as abdominoplasty are noted to increase complication risk. The role of specific comorbidities such as diabetes mellitus and obesity in increasing risk is discussed.

The Accreditation Council for Continuing Medical Education (ACCME) accredits ASPS to provide educational activities and material with Category 1 CME credits. As an official CME provider, ASPS must comply with all ACCME standards, as outlined in the ACCME Standards for Integrity and Independence in Accredited Continuing Education.

Intended Audience
This educational activity is intended for plastic surgery practitioners, residents, and other healthcare professionals interested in translating expanded knowledge into practice for the improvement of patient outcomes in plastic and reconstructive surgery.

Sergesketter, Amanda R. MD; Shammas, Ronnie L. MD; Geng, Yisong MD, PhD, MBA; Levinson, Howard MD; Matros, Evan MD; Phillips, Brett T. MD, MBA

Plastic and Reconstruction Surgery®Editors:
Editor-in-Chief:
 Kevin Chung, MD
Co-Editor: Amy Colwell, MD
Section Editors: Bernard Markowitz, MD

Patient Safety Subcommittee Faculty:
Heather R. Faulkner, MD, MPH, Chair
Daniel Krochmal, MD, Vice-Chair
Gregory M. Swank, MD
Michele Manahan, MD
Josef Hadeed, MD
Omar Beidas, MD
Anureet Bajaj, MD
Vikisha Fripp, MD
Libby Copeland-Halperin, MD
Karina Charipova, MD
Debra Johnson, MD
Lynn Damitz, MD

After viewing this course, the participant should be able to:

  1. Understand the most frequent complications from common aesthetic plastic surgery operations performed by board-certified plastic surgeons.

  2. Learn about risk factors that increase the risk of unplanned health care utilization (hospital admissions, emergency room visits, returns to the operating room) after common aesthetic plastic surgery operations performed by board-certified plastic surgeons.

  3. Increase familiarity with the TOPS (Tracking Operations and Outcomes for Plastic Surgeons) database.

The American Society of Plastic Surgeons (ASPS) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Designation
The ASPS designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit™️. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Recognition Statement
The Continuing Medical Education (CME) credits offered by this activity are enhanced by ASPS Learner Credit Reporting for learners who have opted into this reporting. Successful completion of this CME activity enables active American Board of Surgery (ABS) members the opportunity to earn credit toward the CME requirement of the ABS's Continuous Certification program when claimed within 30 days of completion of the activity.

Participants in ASPS-accredited education who want their CME credits reported to certifying and state licensing boards must opt-into reporting and add their NPI as well as state license ID and/or collaborating board ID(s) before claiming credit.

Disclosure Policy
The American Society of Plastic Surgeons (ASPS) requires all instructors, planners, reviewers, managers and other individuals in a position to control or influence the content of an activity to disclose all relevant financial relationships or affiliations. All identified conflicts of interest must be resolved and the educational content thoroughly vetted by ASPS for fair balance, scientific objectivity and appropriateness of patient care recommendations. ASPS also requires faculty/authors to disclose when off-label/unapproved uses of product are discussed in a CME activity or included in related materials.

Disclaimer: All relevant financial relationships for planners, faculty and others in control of content (either individually or as a group) are reviewed by the ASPS Continuing Education Committee and have been mitigated, if applicable.

The following faculty and contributors have no relevant financial relationships or affiliations to disclose:
Amanda R. Sergesketter, MD
Ronnie L. Shammas, MD
Yisong Geng, MD, PhD, MBA
Howard Levinson, MD
Evan Matros, MD 
Brett Phillips, T. MD, MBA
Kevin C. Chung, MD
Amy S. Colwell, MD
Bernard Markowitz, MD
Heather R. Faulkner, MD, MPH
Daniel Krochmal, MD
Gregory M. Swank, MD
Michele Manahan, MD
Josef Hadeed, MD
Omar Beidas, MD
Anureet Bajaj, MD
Vikisha Fripp, MD
Libby Copeland-Halperin, MD
Karina Charipova, MD
Debra Johnson, MD
Lynn Damitz, MD 

AMA PRA Category 1 CreditTM1.0
Patient Safety Credit: 0.5
Media:Journal Article
Release Date: 6/17/2025
Expiration Date: 6/17/2028*
Estimated time to complete this course: 1 hour

*Course access ends on course expiration date

Directly provided by the American Society of Plastic Surgeons® (ASPS®)
For Physician Assistants and Nurse Practitioners, these credits have been designated as AMA PRA Category 1 Credits™ by an ACCME-accredited organization and are applicable to these certifications. These credits/hours may be applicable to your profession. Check PlasticSurgery.org/CME for more information.

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