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Handedness and Laterality in Plastic Surgery and Outcome-A Retrospective, Two-Center, Evaluator-Blinded Study
Flurina Gass1, Alice Thürlimann2, Mauro Maniglio2
1Faculty of Medicine, University of Basel, Basel, BS, Switzerland.
Aesthetic Plastic Surgery
|April 28, 2025
Summary
Surgeon handedness has a minor impact on plastic surgery outcomes, with no significant difference between right and left sides. Optimizing surgical ergonomics and considering handedness ambiguity may improve results.
Area of Science:
- Plastic Surgery
- Surgical Outcomes
- Handedness Research
Background:
- Limited understanding of handedness influence on plastic surgery results.
- Investigating potential differences in outcomes between right and left surgical sites based on surgeon handedness.
Purpose of the Study:
- To determine if surgeon handedness affects plastic surgery outcomes on bilateral body sites.
- To analyze differences in aesthetic results and complication rates between operated sides.
Main Methods:
- Retrospective, two-center study of 61 patients undergoing bilateral plastic surgery (Jan 2020-Dec 2023).
- Outcomes assessed by an independent evaluator using a 1-10 Likert scale.
- Complications categorized as minor or major, with reoperation status as a key factor.
Main Results:
- No statistically significant difference in outcomes between right and left surgical sites (p=0.60).
- A slight trend towards better outcomes on the right side was observed.
- 19.7% of patients experienced minor complications, with a tendency towards higher rates on the right.
Conclusions:
- Surgeon handedness appears to play a minimal role in plastic surgery outcomes.
- Ergonomic optimization and consideration of handedness ambiguity could enhance surgical results.
- Further research may be needed to fully elucidate the impact of handedness in plastic surgery.

