American Society of Plastic Surgeons
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Plastic Surgery Registries Network

The Plastic Surgery Foundation (PSF) facilitates evidence-based medicine by bringing together plastic surgeons, other specialists and government leaders who seek to answer important questions that can best be addressed through broad registry participation. The Plastic Surgery Registries Network (PSRN), the registry suite of The PSF, has been actively collecting plastic surgery data since 2002. The program has evolved over the past 20 years collecting data on plastic surgery procedures, outcomes, devices and rare diseases. The goal of the PSRN is to help plastic surgeons identify safe, effective treatments for their patients. PSRN registries also provide a means for quality reporting and practice improvement activities.

GRAFT, NBIR and/or TOPS registry data can satisfy the Practice Improvement Activity of Continuous Certification for the American Board of Plastic Surgery (ABPS) . The ABPS's Continuous Certification program is used to demonstrate a plastic surgeon's commitment to life-long learning and practice improvement throughout the certification years.

For more information on the PSRN Registries, please click on the links below:


The NBIR is a prospective, non-interventional, population-based, outcomes and safety surveillance registry and quality improvement initiative, developed by The PSF in collaboration with the FDA and breast implant manufacturers. The NBIR collects clinical, procedural and outcomes data at the time of operation and any subsequent reoperations for all US patients receiving breast implants. Plastic Surgeons that enter data into the NBIR will be able to compare their practice performance and outcomes to the registry aggregate.


General Registry for Autologous Fat Transfer (GRAFT) is a web-accessible database that prospectively collects data on procedures and outcomes of fat grafting performed for all aesthetic and reconstructive surgical procedures. Data collected in GRAFT will provide insight into safety and efficacy of these procedures and help practices benchmark themselves against aggregate data in the registry. Data collected in GRAFT would help establish best practice guidelines, that will have a broad impact on the plastic surgery community. All board certified plastic surgeons within US, and ASPS members in Brazil and Canada can enter and track fat grafting procedures performed to any area of the body by participating in GRAFT.


The PROFILE Registry is open to all physicians in the United States who have a patient with breast implants that has a suspected or confirmed case of Breast Implant-Associated ALCL (BIA-ALCL), Breast Implant Associated Squamous Cell Carcinoma (BIA-SCC) or any lymphoma or other cancer found in the capsule surrounding the breast implant. In 2011, ASPS/PSF and FDA collaborated to conduct research and develop the PROFILE Registry, to increase the scientific data on ALCL in women with breast implants and develop the PROFILE Registry. PROFILE has recently been amended to include reports of Breast Implant Associated Squamous Cell Carcinoma (BIA-SCC) or any lymphoma or other cancer found in the capsule surrounding the breast implant.


Tracking Operations and Outcomes for Plastic Surgeons (TOPS) is a national database of plastic surgery procedures and outcomes. Launched in 2002, this evidence-based tool provides the ability to efficiently follow patients over time and was designed to assist plastic surgeons with clinical decision making and practice improvement by identifying clinical strengths and areas needing improvement on an individual level with national benchmarking. TOPS contains over 1.6 million plastic surgery procedures with more than 20 years in clinical use. All ASPS members and candidates for membership who practice in the US are encouraged to participate in the TOPS program.