Enhancing Aesthetic Breast Surgery Training: A 10-Year Comparison of Outcomes Between Resident- and Attending-Led Cosmetic Breast Procedures at a Single Institution.
Abstract
[BACKGROUND] The resident aesthetic clinic is a practice in which plastic surgery residents oversee patient care, thereby gaining autonomy and hands-on experience in cosmetic surgery.
[OBJECTIVE] This study evaluates outcomes of resident-led cosmetic breast surgeries in a resident aesthetic clinic compared to attending-led procedures.
[METHODS] A retrospective analysis was conducted of patients who underwent cosmetic breast surgery at a single institution's resident clinic from 2012 to 2021. Resident-led cases were matched with attending-led cases, and comparisons in demographic information, procedure type, operation details, follow-up, re-operations, and complications were performed.
[RESULTS] Among 134 female patients at a resident aesthetic clinic, 27 (20.1%) underwent breast augmentation, 7 (5.2%) had mastopexy, and 12 (9.0%) received augmentation mastopexy, with a matched control group of attending-led cases. Residents favored silicone implants and inframammary incisions, while the attending preferred saline implants and peri-areolar incisions (p < 0.001). For breast augmentation, complication rates for breast augmentation were similar between residents and attendings (18.5% vs. 11.1%, p = 0.704), with identical re-operation rates (11.1%; p = 1.000). In mastopexy, residents had no complications, while attendings had a 25% complication rate (p = 0.467). In augmentation mastopexy, complication rates were 25.0% for residents and 33.3% for attendings (p = 0.500), with lower re-operation rates in residents (0.0% vs. 16.7%, p = 0.238).
[CONCLUSION] Resident-led cosmetic breast procedures demonstrate comparable safety outcomes to attending-led surgeries, supporting the efficacy of resident training in aesthetic surgery and highlighting the importance of resident-led clinics in surgical education.
[LEVEL OF EVIDENCE III] This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
[OBJECTIVE] This study evaluates outcomes of resident-led cosmetic breast surgeries in a resident aesthetic clinic compared to attending-led procedures.
[METHODS] A retrospective analysis was conducted of patients who underwent cosmetic breast surgery at a single institution's resident clinic from 2012 to 2021. Resident-led cases were matched with attending-led cases, and comparisons in demographic information, procedure type, operation details, follow-up, re-operations, and complications were performed.
[RESULTS] Among 134 female patients at a resident aesthetic clinic, 27 (20.1%) underwent breast augmentation, 7 (5.2%) had mastopexy, and 12 (9.0%) received augmentation mastopexy, with a matched control group of attending-led cases. Residents favored silicone implants and inframammary incisions, while the attending preferred saline implants and peri-areolar incisions (p < 0.001). For breast augmentation, complication rates for breast augmentation were similar between residents and attendings (18.5% vs. 11.1%, p = 0.704), with identical re-operation rates (11.1%; p = 1.000). In mastopexy, residents had no complications, while attendings had a 25% complication rate (p = 0.467). In augmentation mastopexy, complication rates were 25.0% for residents and 33.3% for attendings (p = 0.500), with lower re-operation rates in residents (0.0% vs. 16.7%, p = 0.238).
[CONCLUSION] Resident-led cosmetic breast procedures demonstrate comparable safety outcomes to attending-led surgeries, supporting the efficacy of resident training in aesthetic surgery and highlighting the importance of resident-led clinics in surgical education.
[LEVEL OF EVIDENCE III] This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 해부 | breast
|
유방 | dict | 8 | |
| 시술 | mastopexy
|
유방성형술 | dict | 4 | |
| 시술 | breast augmentation
|
유방성형술 | dict | 3 | |
| 해부 | peri-areolar incisions
|
scispacy | 1 | ||
| 합병증 | inframammary incisions
|
scispacy | 1 | ||
| 약물 | silicone
|
C0037114
silicones
|
scispacy | 1 | |
| 약물 | [BACKGROUND] The
|
scispacy | 1 | ||
| 약물 | [OBJECTIVE]
|
scispacy | 1 | ||
| 약물 | saline
|
scispacy | 1 | ||
| 질환 | cosmetic breast surgeries
|
scispacy | 1 | ||
| 기타 | Attending-Led
|
scispacy | 1 | ||
| 기타 | patient
|
scispacy | 1 | ||
| 기타 | patients
|
scispacy | 1 |
📑 인용 관계
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