American Society of Plastic Surgeons
For Consumers

Plastic Surgery Registries Network

The Plastic Surgery Foundation (PSF) and American Society of Plastic Surgeons (ASPS) are facilitating 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 ASPS/PSF, has been actively collecting plastic surgery data since 2002. The program has evolved over the past 20 years from one registry to five registries, now 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:

NBIR Now Open

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 Patient Registry and Outcomes For breast Implants and anaplastic large cell Lymphoma etiology and Epidemiology (PROFILE) Registry is a collaboration between ASPS, The PSF and the FDA to better understand the role of breast implants in the etiology of anaplastic large cell lymphoma (ALCL) in order to determine whether an association exists between the device and the disease. Physicians practicing in the United States are encouraged to report their cases to


Tracking Operations & Outcomes for Plastic Surgeons (TOPS) is a HIPAA compliant, secure and confidential 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 1.5 million plastic surgery procedures with more than 14 years in clinical use. All ASPS members and candidates for membership who practice in the US are encouraged to participate in the TOPS program.


ASPS Qualified Clinical Data Registry (QCDR) is a CMS approved repository of physician performance measures for federal quality reporting. Members are benchmarked against national CMS results and their peers to inform their quality improvement efforts and improve patient outcomes. The ASPS QCDR contains a mix of CMS approved Quality Payment Program (QPP) and non-QPP measures. These include two breast reconstruction measures specifically developed for plastic surgeons.