Cosmetic surgeons-in-training are doing more circumferential abdominoplasty, or tummy tucks to remove loose skin after extreme weight loss, and breast re-augmentation, a new study suggests.

Body implants and aesthetic vein procedures are in decline, however, according to findings presented February 29 at the annual meeting of the American Academy of Cosmetic Surgery (AACS) in Las Vegas.

There was a decrease in body and face implants, and an increase in fat grafting to the buttock, popularized by celebrities and changing social norms, Dr. Grace Valina, a cosmetic surgeon based in Miami, told Reuters Health by email.

Dr. Valina and her colleagues reviewed data from procedures that surgeons-in-training carried out during General Cosmetic Surgery fellowship programs offered by AACS from 2015 to 2018.

During the three years studied, the number of fellowships increased by more than a quarter. Fellows performed an average of 633 procedures during their one-year training period. Liposuction was the most common procedure, performed an average of 215 times. Breast augmentation followed at an average of 80 times, then it was abdominoplasty at 45 times, breast reductions or lifts at 39 times, and eyelid surgery at 34 times.

“Strongest increasing trends in surgical procedures included circumferential abdominoplasty and breast re-augmentation. Strongest decreasing trends included body implants and vein procedures,” the researchers write in their conference abstract.

The study did not seek to identify causes, and aside from conjecture about the reasons for more fat grafting to buttocks, Dr. Valina declined to comment on the why these trends are underway.

“The biggest request: Mommy Makeovers,” said Dr. Mark Mandell-Brown, president-elect of the AACS and a cosmetic surgeon in private practice in Cincinnati, Ohio, who was not involved in the research.

“Also, more patients are requesting Botox and fillers. My opinion: Younger patients are requesting lip filler and Botox,” Dr. Mandell-Brown told Reuters Health by email.

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