Saule A Mussabekova, Yuliya Menchisheva, Álvaro Varela Morillas
{"title":"The Medicolegal Challenges of Facial Plastic Surgery: A Systematic Review.","authors":"Saule A Mussabekova, Yuliya Menchisheva, Álvaro Varela Morillas","doi":"10.1093/asj/sjaf082","DOIUrl":null,"url":null,"abstract":"<p><p>Facial plastic surgery is associated with a growing number of medico-legal challenges, particularly due to postoperative complications and patient dissatisfaction. This systematic review aimed to examine the medico-legal challenges associated with facial plastic surgery, focusing on postoperative complications, patient dissatisfaction, litigation cases, and medico-legal risk factors. A comprehensive literature search was conducted in MEDLINE (National Library of Medicine; Bethesda, MD), EMBASE (Elsevier; Amsterdam, the Netherlands), Cochrane Library (Wiley; Hoboken, NJ), PubMed (National Library of Medicine), Web of Science (Clarivate Analytics; Philadelphia, PA), SCOPUS (Elsevier), and Google Scholar (Alphabet Inc., Mountain View, CA) from 2020 to 2024. Medico-legal cases related to facial aesthetic surgeries were included. In total, 27 studies met the inclusion criteria. The leading causes of litigation included unsatisfactory aesthetic outcomes, failure of informed consent, technical surgical errors, and inadequate postoperative follow-up. The highest litigation rates were reported in countries with high volumes of plastic surgery cases and stringent regulations. This review highlights the increasing medico-legal burden in aesthetic surgery. Informed consent, postoperative monitoring, and technical precision are crucial for mitigating risks and preventing malpractice claims. The study synthesized medico-legal trends across all major facial aesthetic surgeries. It incorporated a global perspective, analyzing litigation data from over 10 countries, which is uncommon in most similar studies.</p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":""},"PeriodicalIF":3.0000,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Aesthetic Surgery Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1093/asj/sjaf082","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
Facial plastic surgery is associated with a growing number of medico-legal challenges, particularly due to postoperative complications and patient dissatisfaction. This systematic review aimed to examine the medico-legal challenges associated with facial plastic surgery, focusing on postoperative complications, patient dissatisfaction, litigation cases, and medico-legal risk factors. A comprehensive literature search was conducted in MEDLINE (National Library of Medicine; Bethesda, MD), EMBASE (Elsevier; Amsterdam, the Netherlands), Cochrane Library (Wiley; Hoboken, NJ), PubMed (National Library of Medicine), Web of Science (Clarivate Analytics; Philadelphia, PA), SCOPUS (Elsevier), and Google Scholar (Alphabet Inc., Mountain View, CA) from 2020 to 2024. Medico-legal cases related to facial aesthetic surgeries were included. In total, 27 studies met the inclusion criteria. The leading causes of litigation included unsatisfactory aesthetic outcomes, failure of informed consent, technical surgical errors, and inadequate postoperative follow-up. The highest litigation rates were reported in countries with high volumes of plastic surgery cases and stringent regulations. This review highlights the increasing medico-legal burden in aesthetic surgery. Informed consent, postoperative monitoring, and technical precision are crucial for mitigating risks and preventing malpractice claims. The study synthesized medico-legal trends across all major facial aesthetic surgeries. It incorporated a global perspective, analyzing litigation data from over 10 countries, which is uncommon in most similar studies.
期刊介绍:
Aesthetic Surgery Journal is a peer-reviewed international journal focusing on scientific developments and clinical techniques in aesthetic surgery. The official publication of The Aesthetic Society, ASJ is also the official English-language journal of many major international societies of plastic, aesthetic and reconstructive surgery representing South America, Central America, Europe, Asia, and the Middle East. It is also the official journal of the British Association of Aesthetic Plastic Surgeons, the Canadian Society for Aesthetic Plastic Surgery and The Rhinoplasty Society.