Trends in American Plastic Surgery Procedures (2005-2019): Observing the Growth Rate of Maxillofacial Surgery and Cosmetic Minimally Invasive Procedures in ASPS Data.

BACKGROUND: This study explores the dynamic changes in plastic surgery practices, focusing on the growth rates across different subcategories, particularly highlighting the trends in the United States. OBJECTIVES: To analyze evolving trends in plastic surgery using statistical methods, providing insights into the changes and growth patterns in various segments over time. MATERIALS AND METHODS: Utilizing data from 2005 to 2019 from the American Society of Plastic Surgeons, the authors, conducted a comprehensive statistical analysis using the SPSS program to investigate trends in plastic surgery procedures. RESULTS: Our analysis revealed no significant differences in year-on-year growth rates between cosmetic and reconstructive surgery. However, in reconstructive surgery subcategories, maxillofacial surgery showed the highest mean growth rate at 11.61%, though this was not statistically significant. In cosmetic minimally invasive procedures, soft tissue filler injections and botulinum toxin A injections experienced notably higher growth trends compared with microdermabrasion. CONCLUSION: The findings suggest that practitioners considering a career in plastic surgery should not focus solely on choosing between reconstructive and cosmetic surgery. Recognizing substantial growth in cosmetic minimally invasive procedures, especially botulinum toxin A injections and fillers, is vital for making informed career decisions.

Current trends in retraction of plastic surgery and reconstruction research.

BACKGROUND: Various studies regarding retractions of publications have determined the rate of retraction has increased in recent years. Although this trend may apply to any field, there is a paucity of literature exploring the publication of erroneous studies within plastic and reconstructive surgery. The present study aims to identify trends in frequency and reasons for retraction of plastic and reconstructive surgery studies, with analysis of subspecialty and journals. METHODS: A database search was conducted for retracted papers within plastic and reconstructive surgery. The initial search yielded 2347 results, which were analyzed by two independent reviewers. 77 studies were jointly identified for data collection. RESULTS: The most common reasons for retractions were duplication (n = 20, 25.9 %), request of author (n = 15, 19.5 %), plagiarism (n = 9, 11.6 %), error (n = 9, 11.6 %), fraud (n = 2, 2.6 %), and conflict of interest (n = 1, 1.3 %). 15 were basic science studies (19.4 %), 58 were clinical science studies (75.3 %), and 4 were not categorized (5.2 %). Subspecialties of retracted papers were maxillofacial (n = 29, 37.7 %), reconstructive (n = 17, 22.0 %), wound healing (n = 8, 10.4 %), burn (n = 6, 7.8 %), esthetics (n = 5, 6.5 %), breast (n = 3, 3.9 %), and trauma (n = 1, 1.3 %). Mean impact factor was 2.9 and average time from publication to retraction was 32 months. CONCLUSION: Analysis of retracted plastic surgery studies revealed a recent rise in frequency of retractions, spanning a wide spectrum of journals and subspecialties.

Robotic and Plastic Surgery: actuality and prospects for the near future, a scoping review.

OBJECTIVE: This work aims to review the existing use of robotics in plastic surgery. METHODS: A meticulous selection process identified 22 articles relevant to this scoping review. RESULTS: The literature on the use of robotics in plastic surgery is sparse. Nonetheless, this review highlights emerging benefits in microsurgery, breast reconstruction, and transoral surgery. CONCLUSION: This scoping review identifies critical articles reporting the emerging use of robotics in plastic surgery. While the scientific medical community has yet to extensively document its use, the available evidence suggests a promising future for robotics in this field.

Comentario al artículo "Colgajo sural reverso con técnica modificada: nuestra experiencia" / No disponible

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Trasplante de cara: una breve actualización / No disponible

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Modelo médico hegemónico: tendencias posibles y tendencias más o menos imaginarias / Hegemonic medical model: Possible trends, and more or less imaginary trends

RESUMEN El objetivo de este texto es analizar la posibilidad futura de que el modelo médico hegemónico siga perpetuándose o se generen cambios significativos. Para ello, se parte de las características y funciones actuales del modelo médico hegemónico y se las observa a través de algunos de los aportes de la inteligencia artificial, de las investigaciones genéticas y de la robótica, referidas a procesos de salud-enfermedad-atención-prevención, entre los que se analizan las posibilidades de fuertes incrementos en la esperanza de vida, las necesidades de "curar la senectud", así como los procesos que están modificando la relación médico-paciente, llegando a la conclusión de que si bien se observan algunas modificaciones sustantivas, las características y funciones del modelo médico hegemónico siguen siendo las mismas.

ABSTRACT The purpose of this article is to analyze the possibilities that the hegemonic medical model will continue to prevail in the future or if significant changes will take place. The discussion will take as a starting point the characteristics and current functions of the hegemonic medical model, and reexamine them through a look at advancements in artificial intelligence, genetic research, and robotics in health-illness-care-prevention processes. The analysis takes on issues such as possible increases in life expectancy, what is needed to "cure old age," as well as processes that are modifying the doctor-patient relationship. It is concluded that although significant changes are taking place, the characteristics and functions of the hegemonic medical model remain unmoved.

Trabajo voluntario para disminución de listas de espera de Cirugía Plástica en hospitales públicos de Chile. Operativo Hospital de Valdivia, enero 2019 / Volunteer work to decrease Plastic Surgery waiting lists in public hospitals

Introducción y Objetivo. Algunas intervenciones de Cirugía Plástica, por ser menos prioritarias en un sistema con carencias económicas propias de un país en vías de desarrollo como es Chile, tienen una larga lista de espera en los hospitales públicos. Con un objetivo de servicio público, miembros de la Sociedad Chilena de Cirugía Plástica desarrollan desde hace 2 años un operativo altruista de salud en colaboración con el Ministerio de Salud de Chile. Presentamos en este trabajo la última campaña de cirugía de reducción de mama realizada en 2019. Material y método. Revisión retrospectiva del operativo de salud para cirugía de reducción mamaria en el Hospital de Valdivia (Chile). Mostramos el protocolo de selección de pacientes, las técnicas quirúrgicas utilizadas y la evaluación de resultados. Resultados. A lo largo de 2 días fueron intervenidas 15 pacientes por un grupo de 8 especialistas divididos en 2 grupos de trabajo. Las complicaciones, todas ellas mediatas, fueron menores. Conclusiones. Si bien estos operativos quirúrgicos no son la solución para las listas de espera de Cirugía Plástica en los hospitales públicos de Chile, ayudan a su mejoría y demuestran ser efectivos con una planificación científica y administrativa adecuada

Background and Objective. Some Plastic Surgery operations have a long wait in public hospitals in Chile as they are less priority in a system with the typical economic deficiencies of a developing country. With a public service objective, members of the Chilean Society of Plastic Surgery have been developing an altruistic health operation in the last 2 years, in collaboration with the Ministry of Health. We present the latest campaign of breast reduction surgery performed in 2019. Methods. Retrospective review of the health operative for breast reduction surgery at the Valdivia Hospital (Chile). We present the patient selection protocol, the surgical techniques used and the evaluation of results. Results. Throughout 2 days, 15 patients were operated on by a group of 8 specialists divided into 2 work groups. All the complications were mediate and minor. Conclusions. Although these surgical operatives are not the solution for the waiting lists of Plastic Surgery in public hospitals in Chile, they help to improve them and prove to be effective with adequate scientific and administrative planning

Cirugía Reconstructiva en misiones médicas. Experiencia en Honduras / Reconstructive Surgery in medical missions. Experience in Honduras

En muchos países de Latinoamérica, como también ocurre en Honduras, la mora quirúrgica es algo inevitable y aceptado. Gran parte está representada por la necesidad de procedimientos de Cirugía Reconstructiva, una sección de servicios que habitualmente resulta muy limitada. Esto hace que las necesidades permanentes de las poblaciones requieran de plataformas de servicio que den apoyo confiable y constante. Probablemente en Honduras una de las mejores fuentes para esta plataforma tanto logística como humanitaria es la Universidad Nacional Autónoma, que a través del proyecto PUMAS busca ofrecer servicios de salud integrales y calidad mediante misiones quirúrgicas que cambien la calidad de vida de las personas sin nivel socioeconómico para acceder a servicios especializados reconstructivos, y con la característica particular de que esas misiones transcurren en un ambiente académico-asistencial con fundamento en "aprender, sirviendo" Es interesante el giro que tuvo la institución hospitalaria de provincia durante todo el proceso de organización, ejecución y seguimiento de la brigada, al transformarse en una sede que ahora, de forma permanente, será centro de valoración local y de consulta de servicios con expedientes a distancia, creando un puente entre la población necesitada y los servicios de salud reconstructivos, y siendo así este uno de los logros más destacables de PUMAS

In many of the countries of Latin America as it also happens in Honduras, the surgical delay is characteristically something inevitable and accepted. A considerable large segment of the surgical delay cases are those in need of Reconstructive Surgery procedures. This makes evident of the need of a service platform in a reliable and consistent manner. Probably in Honduras one of the best sources for this platform, both logistics and humanitarian, is the National Autonomous University, which through the PUMAS project offers comprehensive health services of the highest quality, with the particular characteristic that they take place in an academic control based on "learning by serving" It is interesting the turn of the provincial hospital throughout the process of organization, implementation and follow up of the mission, to become an institution that will now permanently be a center for local clinical assessment and distance consultation of these services. In this way it was created a link between the population in need and reconstructive health services, becoming one of the most remarkable achievements of PUMAS. Finally, the objective is not the body of cases, but to individually provide the best integral service as possible. Additionally we wanted to show that the humanistic attitude and volunteering as instruments of good service, are still valid today

Importancia del sistema muscular en el cáncer de mama, un enfoque de ciencia, tecnología y sociedad / Importance of muscular system in breast cancer patients: a science, technology and society approach

El presente texto es el resultado de un estudio dirigido a demostrar la importancia del sistema muscular en mujeres operadas de cáncer de mama, enfermedad con elevada incidencia en Cuba y el mundo. Se investigó en los principales reportes anatómicos. Se partió de la revisión documental de textos básicos para la carrera de Medicina inherentes a la asignatura Anatomía Humana. Se corroboró que autores como M. Prives, N Lisenkov y V Bushkovich y R. D. Sinelnikov; describen los músculos, pero no relatan su importancia en la práctica quirúrgica. Se emplearon los buscadores en Internet y otros sitios webs de información científica, que permitieron corroborar desde un enfoque de ciencia, tecnología y sociedad la importancia del tejido muscular y su aplicación en técnicas reconstructivas en pacientes operadas de cáncer de mama. Se constató que los músculos más usados son los rectos abdominales, los dorsales anchos, los gráciles y el tejido adiposo del pliegue glúteo(AU)

The present text is the result of a study directed to demonstrate the importance of the muscular system in women who had a surgery on breast cancer, illness with high incidence in Cuba and the world. It was investigated in the principal anatomical reports. It began with the documentary review of basic texts for the career of Medicine inherent to the subject Human Anatomy. It was corroborated that authors like M. Prives, N Lisenkov and V Bushkovich and R. D. Sinelnikov; they describe the muscles, but they do not report their importance in surgical practice. It was used the searche engines on Internet and other web sites of scientific information, which allowed to corroborate from an approach of science, technology and society the importance of the muscular tissue andits application in reconstructive techniques in patients who undergoa breast cancer surgery. It was stated that the most used muscles are the abdominal rectus, the latissimusdorsi, the graceful ones and the adipose tissue of the gluteus fold(AU)

Labor humanitaria en África. Nuestra experiencia / Humanitarian work in Africa. Our experience

La tercera campaña de ayuda humanitaria llevada a cabo por la Sociedad Española de Cirugía Plástica, Reparadora y Estética (SECPRE) en Monrovia (Liberia) se desarrolló durante el mes de noviembre de 2018 y supone la continuación de este tipo de ayudas en el continente africano promovidas por la ONG Juan Ciudad. Como en otras misiones humanitarias protagonizadas por cirujanos plásticos, el objetivo es mejorar la calidad de vida de la población más vulnerable y colaborar en su reincorporación a la sociedad. Las campañas humanitarias quirúrgicas tienen una fecha de ida y otra de vuelta, con un proyecto de actividad quirúrgica que desarrollar en pocos días y en unas condiciones de recursos limitados. Una buena planificación, apoyándonos en los datos obtenidos de las experiencias anteriores, facilitó la consecución de nuestros objetivos. Con la presentación de este artículo queremos transmitir nuestra experiencia personal en este proyecto

The third humanitarian aid campaign by the Spanish Society of Plastic, Reconstructive and Aesthetic Surgery (SECPRE) in Monrovia (Liberia) was carried out in November 2018 and reflects the continuation of such aid programmes in the African continent promoted by the NGO Juan Ciudad. As in other humanitarian missions involving plastic surgeons, the objective is to improve the quality of life of the most vulnerable population and to collaborate in their reintegration into society. The surgical humanitarian campaigns have a round trip date, with a surgical activity project to be developed in a few days and under limited resource conditions. Good planning, based on the data obtained from previous experiences contributed to the achievement of our objectives. Our aim presenting this article is sharing our personal experience in this project

Novas tecnologias e inovações em cirurgia mamária / New technologies and innovations in breast surgery

Introdução: A cirurgia de mama, especialmente as associadas aos implantes de silicone, teve uma crescente popularização, tornando-se a cirurgia plástica mais realizada no mundo. Junto com esta proliferação, observa-se um aumento da preocupação com a segurança dos implantes mamários de silicone, pelas intercorrências relacionadas. Objetivo: Revisar métodos existentes para minimizar as complicações relacionadas com implante mamário de silicone, bem como as tecnologias existentes e tendências tecnológicas para implantes mamários de silicone. Métodos: Foi realizada revisão de artigos científicos relacionados com novas tecnologias e tendências para redução das complicações relacionadas com implantes mamários de silicone, bem como as patentes e fabricantes de implante de silicone mamário. Resultados: Identificamos inicialmente 78 referências, sendo reduzido para 40 para publicação, todos com linhas de pesquisas que buscam melhores resultados e redução das complicações relacionadas com implantes de silicone, seja esta cirurgia com objetivo estético ou reconstrutivo. Conclusão: A busca por um implante mamário que reduza as possíveis e frequentes complicações, principalmente a formação do biofilme, processos infecciosos e resposta imune, é o foco da maioria das pesquisas encontradas. Com o mesmo objetivo, porém surgindo mais recentemente como alternativas, existem as pesquisas para o uso de matriz dérmica acelular e a lipoenxertia, com boas expectativas.

Introduction: Breast surgery with silicone implants is gaining popularity and has become the most performed plastic surgery worldwide. However, there is increasing concern about the safety of silicone breast implants due to associated complications. Objective: To review existing technologies, technological trends, and existing methods to minimize complications related to silicone breast implants. Methods: We conducted a literature review of articles describing new technologies and trends to reduce complications related to silicone breast implants, along with information on patents and manufacturers of silicone breast implants. Results: We initially identified 78 articles, out of which 40 were shortlisted for publication . All articles had a common aim of obtaining better results and reducing complications related to silicone implants, either in aesthetic or reconstructive surgeries. Conclusion: The search for a breast implant that reduces possible and frequent complications, especially biofilm formation, infectious processes, and abnormal immune response, was the focus of most articles studied. Acellular dermal matrix and fat grafting have been reported in the literature as promising alternatives.

Comentario al artículo "Conceptos prácticos para el tratamiento de las deformidades abdominales complejas" / No disponible

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PROTG-Programa social de tratamiento de la gigantomastia, Bahía-Brasil / PROTG-Social treatment program of the gigantomasty, Bahia-Brazil

En el estado de Bahía, Brasil, donde más del 73.5% de la población se declara como negra y morena (IBGE 2010), la gigantomastia es una patología común a todos los niveles y en especial entre mujeres de las clases menos favorecidas. A pesar de que esta deformidad afecta física y psicológicamente, en nuestro país, su tratamiento no es considerado como una prioridad y los pocos casos tratados en la esfera pública lo son de manera excepcional, lo que ha generado con los años grandes listas de espera en busca de solución. Durante décadas, algunos cirujanos plásticos de manera altruista y en casos específicos, han dado su contribución, pero fue a partir de 2008 cuando, con varias brigadas quirúrgicas voluntarias anuales, la administración política de la ciudad de Feira de Santana-Bahía (Brasil), con su alcalde Dr. Tarzicio Pimenta, el Presidente de la Fundación del Hospital de la Mujer, Dr. Jair de Jesús, y el cirujano plástico Dr. Cesar Kelly Villafuerte Vélez, unieron sus esfuerzos creando el primer y único programa institucional especifico del Brasil, PROTG (Programa Social de Tratamiento de la Gigantomastia), en el que con protocolos y cronogramas definidos son operadas 2 a 3 pacientes por mes, alcanzando en 2018 más de 200 pacientes beneficiadas. En 10 años de actividad ya fueron examinadas 1.115 mujeres, de las cuales fueron seleccionadas hasta la fecha 250 por cumplir con los requisitos y operadas 204 con la técnica de Thorek Pitanguy, a las que se les retiró entre 4.000 a 8.750 gr de mama (media de 4.350 gr). A pesar de los vaivenes políticos, la actual directora de la fundación, la Sra. Gilbert Lucas y el actual alcalde, José Ronaldo, continúan apoyando este programa

In the state of Bahia in Brazil, where more than 73.5% of the population declare theirselves as black and brunette (IBGE 2010), the giant breast is a common pathology that affects women in all the social levels, especially those less favored. Despite this condition affects physically and psychologically, in our country, its treatment isn’t considered a priority and the few treated cases show to the growth of a row of people with the same hope for a solution. For decades, some plastic surgeons, in an altruistic way, have given a sporadic contribution, but it was only since 2008 when, the politic administration of the city of Feira De Santana- Bahia (Brasil) with the mayor in office Dr. Tarzicio Pimenta, the president of the Foundation of the Women Hospital, Dr. Jair de Jesus, and the plastic surgeon Dr. Cesar Kelly Villafuerte Velez, united their efforts creating the first and unique specific institutional program of Brazil, PROTG (Social Treatment Program of the Gigantomasty). In this program, protocols and schedules are defined, and 2 for 3 patients are operated each month, achieving in 2018 more than 200 benefited patients. In 10 years of activity, 1.115 women were examined, of which 250 patients were selected because they met the requirements and 204 were operated with the Thorek-Pitanguy technique with a mammary tissue removal of 4.000 to 8.750 gr (average of 4.350 gr). Despite of the politics inconstances, the director of the foundation Mrs. Gilbert Lucas and the actual mayor Mr. José Ronaldo, continue to give the integral support to this program

Que el futuro no hable solo de historia / Future shouldn't talk only about history

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Respuesta al comentario del Dr O Díaz Dr G Peña / No disponible

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La seguridad en Cirugía Plástica, un bien supremo que no podemos dejar escaparé / No disponible

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