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Midlevel Injectable Practice Patterns in Dermatology and Plastic Surgery Offices.

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|April 27, 2021

Summary

While most physicians exclusively perform cosmetic injections, a notable percentage of dermatology and plastic surgery practices utilize nurse practitioners and physician assistants for these procedures, with varying supervision levels.

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Area of Science:

Medical Aesthetics
Dermatology Practice Management
Plastic Surgery Procedures

Background:

Limited understanding of physician delegation for cosmetic procedures to midlevel providers.
Need to clarify current practice patterns in aesthetic medicine.

Purpose of the Study:

To evaluate how dermatology and plastic surgery practices manage the administration of neurotoxin and dermal filler injections.
To identify the roles of physicians versus midlevel providers in performing cosmetic injectables.

Main Methods:

Surveyed 492 dermatology and plastic surgery practices across 10 major US metropolitan areas.
Gathered data on practice patterns regarding who performs injectable procedures.

Main Results:

Physicians exclusively perform injections in most dermatology and plastic surgery practices.
18.35% of dermatology and 25.4% of plastic surgery practices involve nurse practitioners and physician assistants in performing injectables.
Physician supervision levels for midlevel providers administering injectables are variable.

Conclusions:

Majority of practices rely solely on physicians for neurotoxin and filler injections.
Variable physician oversight exists when midlevel providers perform injectables.
A small fraction of plastic surgery practices permit midlevel providers to perform injectables without physician involvement.