Top 50 Highly Cited Publications in Facelift Surgery: A 50-Year Bibliometric Analysis Review.

INTRODUCTION: Facelift surgery, also known as rhytidectomy, is a commonly performed procedure to address aging-related changes in the face and neck. Over the years, its techniques and methodologies have evolved. This study aimed to provide a bibliometric analysis of the top 50 most cited publications related to facelift surgery over a fifty-year period (1973-2023). METHODS: The authors obtained data from the Web of Science Core Collection on July 15, 2023. Using a predefined search strategy, the most cited articles from 1973 to 2023 on facelift surgery were identified. The publications were analyzed for their type of study, journal of publication, geographic origin, and primary outcomes. Furthermore, the authorship gender distribution was assessed. RESULTS: The majority of the publications (34 out of 50) were published in the "Plastic and Reconstructive Surgery" journal. The USA contributed to 72% of the research, followed by the UK, Mexico, Australia, and Germany. The primary outcomes varied from surgical techniques, anatomical studies, risk factors, patient-specific outcomes, and facial rejuvenation techniques, to comparative and historical progression of techniques. Notably, male authors dominated the field with 47 out of 50 papers having both a first and senior male author. CONCLUSION: Facelift surgery has seen substantial research development over the past fifty years. The USA has been at the forefront of this research, with a predominant focus on surgical techniques and anatomical studies. Male dominance in authorship indicates potential scope for increased gender diversity in this specialty. Annual updates are recommended for continued insights. LEVEL OF EVIDENCE III: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Assessing the Efficacy and Resident Satisfaction of Cardiac Surgery Training Programs in Saudi Arabia.

INTRODUCTION: The Saudi Cardiac Surgery Training Program, a recent addition to Saudi Arabia's medical landscape, demands proactive assessment for potential renovations. This study aims to assess the Cardiac Surgery Training Program's structure, utilizing stakeholder satisfaction as a predictive measure in Saudi Arabia. METHOD: A cross-sectional study from March to September 2023 targeted current cardiac surgery residents in Saudi Arabia. RESULT: Achieving a 76.4% response rate from 26 out of 34 residents. 65.4% of participants aged 25-30, 65.4% males, and 53.8% females were married. Financially, 46.2% earn less than 20,000 Saudi Riyals. Rotation effectiveness ratings highlighted strengths in cardiac surgery, thoracic surgery, and vascular surgery, with areas for improvement in mid-rotation feedback and exit interviews. Participants reported moderate constructive feedback use and occasional program ambiguity (both with a median of 3.00). Concerns about the future encompassed knowledge (34.6%), surgical skills (26.9%), and employability (26.9%) post-graduation. Satisfaction analysis revealed emotional exhaustion and frustration (both with a median of 4.00), contrasting with effective problem-solving skills (median of 7.00) and a positive influence on others' lives (median of 6.00). Educational satisfaction was high, with faculty care and a sense of being respected (both with a median of 3.00). Many individuals have expressed the intent to choose the program again, contributing to a moderate overall satisfaction level (median of 4.3). CONCLUSION: These findings offer valuable insights for program enhancement, focusing on successes and addressing concerns to elevate the training experience and satisfaction of cardiac surgery residents in Saudi Arabia.