A rash of plastic surgery disasters is causing an international emergency and prompting calls for tougher regulation.
Here’s what we know so far about the issues.
Plastic surgeons are not the only ones having trouble getting the jobs they need.
A growing number of plastic surgeons are turning to alternative treatments.
One surgeon told The Associated Press that some doctors are doing plastic surgery for cosmetic reasons, and that the patients are asking for a different kind of surgery.
More than half of plastic surgeries performed in the United States last year were cosmetic, according to the Centers for Disease Control and Prevention.
But some plastic surgeons say they are having difficulty filling out paperwork, making appointments and hiring patients.
Plastic surgery accidents and injuries are not new.
The Centers for Medicare and Medicaid Services has recorded more than 2,500 plastic surgery-related injuries and deaths since 2004, including 1,903 deaths.
A 2011 study from the American Society of Plastic Surgeons found that nearly two-thirds of American surgeons have had to close or cut jobs.
The number of U.S. plastic surgeons has fallen since 2004.
Plastic surgeon David Gollnick, an emergency room doctor who lives in Charlotte, N.C., said that he has seen a sharp drop in patients over the past year.
“I’ve had one patient who came in on a Saturday and said they didn’t have a date for a surgery, and they had to go to the emergency room,” Gollick said.
“That’s not good.
I don’t think there’s any way to say that a person doesn’t deserve an appointment to have surgery.”
Plastic surgery is a high-risk practice.
About 40 percent of plastic surgeon-attending procedures are cosmetic.
In a survey of plastic surgical residents in New York City, the American Journal of Surgery found that just 9 percent of them reported being told that they would have to cut their work hours, or reduce hours.
Gollitch said he has to be flexible with patients, but he is seeing more patients with cosmetic surgeries.
“If they’re asking for something, I’m like, ‘I’ll be happy to take that,”‘ Gollik said.
A majority of patients say they don’t like the way they look.
More patients than ever before say they prefer to have their own surgeries than have the same surgery done by a surgeon.
“They’re more open with me, but I have to be very careful with them,” Grolick said of patients.
“You want to keep it simple, but if there’s something that you’re uncomfortable with, it’s not OK to do.”
Some surgeons say that they have to go through a more rigorous screening process before they can open a new office or even take patients.
There are strict requirements for a patient to pass a screening test and pass the licensing exam.
“The process is not the problem,” said plastic surgeon Robert L. Tysen, a member of the board of directors of the American Association of Plastic Surgery.
“We’re dealing with a whole range of health-related issues, not just cosmetic surgery.”
The industry is changing.
The American Society for Plastic Surgery said in a report that the number of surgeons has been on a steady decline since 2000.
“There is a growing body of evidence that suggests that the health-care system is not meeting the needs of an increasing number of Americans,” the report said.
That’s because the medical devices and surgery industry has been shrinking and doctors are having to change jobs, shift practices and move to remote locations.
The surgeon who runs an office in the town of Staunton, Va., in southern Virginia, said that the practice has seen an influx of new patients in recent years.
“It’s become a little bit more of a lifestyle thing, more of an individual thing,” said John R. Tylor, the chairman of the local board.
“A lot of people are really into it.
I mean, it used to be a lifestyle, but now it’s become more of just a job.”
He said he is not worried about the number.
“At this point, the demand is just going to keep going up,” he said.
The National Association of Cosmetic Surgeons has said that it is “ready to take on the entire cosmetic surgery industry.”
It’s a big challenge for many surgeons.
The association says it will not accept cosmetic surgery patients until the federal government requires more regulations and has a better understanding of how the industry works.
“All of us in the industry, including surgeons, are going to have to step up to the plate to protect ourselves from a potential crisis,” said Dr. James Hulbert, the president of the association.
“Our job is to make sure that we are as safe as possible.
But we also need to be proactive about doing that, so that we can keep patients in our care and prevent these types of disasters.”