Endorsed by American Society of Plastic Surgeons CosmetAssure Statistics as of August 1, 2008*

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ONE OUT OF EVERY 66 PATIENTS

Your patients know that elective plastic surgery is not covered by health insurance, but they may not know that most health insurance policies exclude the coverage of complications due to elective plastic surgery. According to data collected from CosmetAssure*, one out of every 66 patients require treatment for a complication, which is much more common than we all had previously thought.

TRANSFER AGREEMENTS

As you well know, when performing a surgical procedure in an ambulatory surgical center or accredited office setting you are required to have a transfer agreement with a hospital. During that transfer physicians often do not consider the financial impact on our patients who must be transferred or re-operated on due to complications.

BEWARE OF BLEEDING!

The most frequent complication of elective cosmetic surgery is excessive blood loss, which results in approximately 39% of all CosmetAssure claims. These numbers should be alarming enough to justify discussion of this complication with your patients. Make certain all patients have discontinued the use of all prescription and non-prescription medications, which can increase bleeding, including aspirin, ibuprofen, vitamin E and many herbal supplements.

TUMMY TUCKS CAN BE A BIG PROBLEM

While hematoma is the most frequent complication, an abdominoplasty, either alone or paired with other surgical procedures, results in the highest probability of medical complications, about 33% of all CosmetAssure claims. While you are planning for postoperative care for your abdominoplasty patients, consider scheduling an overnight stay in the hospital or observational facility for monitoring prior to going home, especially if significant travel is involved.

PAUSING FOR SAFETY

CosmetAssure assisted the American Society for Aesthetic Plastic Surgery with the creation of the Surgical PAUSE poster for your operating room. It is a checklist for you to make sure you have "all your bases covered" before the start of each and every case. Members can receive one free from ASAPS central office by calling (562) 799-2356.

*CosmetAssure data has been collected through inception of the program beginning in July 2003.

CosmetAssure covered plastic surgeons have now performed 107,095 covered procedures.

One out of every 66 surgical events results in a covered complication.

Current Average CosmetAssure claim cost is $7,863.85.

Top 5 Covered Procedures

1. Breast Augmentation - 34.82%
2. Liposuction - 19.02%
3. Abdominoplasty - 16.56%
4. Breast Lift - 10.46%
5. Eyelid Surgery - 7.15%

Top 5 Procedures Resulting in a Claim

1. Abdominoplasty - 33.03%
2. Breast Augmentation - 31.22%
3. Liposuction - 7.25%
4. Facelift - 7.25%
5. Lower Body Lift - 5.05%

Top 5 Highest Complication Rates

Procedure Risk of Complication
Lower Body Lift 1 out of 26 (3.86%)
Abdominoplasty 1 out of 53 (1.88%)
Face Lift 1 out of 80 (1.26%)
Thigh Lift 1 out of 95 (1.06%)
Breast Augmentation 1 out of 114 (0.88%)

Most Frequent Complications

Complication
% of Total Paid Claims

Hematoma, Hemorrhage & Blood loss

38.66%
Infection
16.71%
Rule-Out DVT
4.97%
Pulmonary Embolism
2.89%
Pulmonary Dysfunction/Edema
2.71%
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*Statistics have been collected through inception of the program beginning July 2003.

CosmetAssure