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Perception of Risk Among Aesthetic Plastic Surgeons.

Rami D Sherif1, Jeffrey Lisiecki1, Robert H Gilman1

  • 1Department of Surgery, Section of Plastic Surgery, University of Michigan, Ann Arbor, MI, USA.

Aesthetic Surgery Journal
|March 16, 2021
PubMed
Summary
This summary is machine-generated.

Plastic surgeons often overestimate the risks of unfamiliar cosmetic procedures, leading them to avoid newer techniques. Lack of training and perceived dangers contribute to this hesitancy, impacting patient access to innovative treatments.

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Area of Science:

  • Plastic Surgery
  • Cosmetic Procedures
  • Surgical Innovation

Background:

  • Continuous innovation in plastic surgery introduces new procedures.
  • Some novel procedures carry rare but serious complication risks.
  • Surgeons may avoid these procedures due to safety concerns.

Purpose of the Study:

  • To survey The Aesthetic Society members on risk perception of novel/less mainstream procedures.
  • To understand surgeon attitudes towards specific cosmetic techniques.
  • To identify factors influencing the adoption of new surgical methods.

Main Methods:

  • A 24-item survey distributed to members of The Aesthetic Society.
  • Focused on surgeon experience and attitudes towards filler rhinoplasty, gluteal augmentation with fat grafting, and submandibular gland excision.
  • Collected data on procedure performance and reasons for avoidance.

Main Results:

  • High percentages of surgeons do not perform filler rhinoplasty (50%), gluteal augmentation (49%), and submandibular gland excision (89%).
  • "Danger to the patient" was the primary concern cited for avoiding these procedures.
  • Surgeons perceived risks of common procedures (abdominoplasty, breast augmentation-mastopexy) as lower and more acceptable.

Conclusions:

  • Plastic surgeons tend to overestimate risks for less familiar procedures.
  • Lack of formal training in novel techniques contributes to avoidance.
  • Perceived risk and limited training hinder the adoption of innovative cosmetic procedures.