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At the recent annual convention of the American Society of Plastic and Reconstructive Surgeons, a few new technological “ breakthroughs ” were introduced without much fanfare. Nonetheless, as usually happens, by the time the meeting finished, the news had traveled across the small knots of surgeons conversing in the hallways and onto the exhibits floor. Like most of us senior enough to have seen many promising modalities of treatment come and go, I have always adopted a “wait and see” attitude. This time it is different because the rules of the game have changed noticeably.

In any field of endeavor progress is seldom revolutionary; it is much more often evolutionary. Nowhere is this more evident than in our craft. Traditionally, we learn of a new procedure or important modification at our scientific meetings or read about them in our literature. We attend symposia or seminars and discuss them with our peers, and, if it is a difficult procedure, we may go back to the anatomy laboratory before we go to the operating room. We may then try it to determine whether it really works or modify it slightly. We may scrub in with someone more experienced. Once we develop some familiarity with the procedure and have the opportunity to observe results, we may or may not adapt it to our own practice.

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Aesthetic Legalert
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