Bridging the Gap: Enhancing Aesthetic Surgery Training through Post-bariatric Procedures in Plastic Surgery Residencies

Plastic surgery includes both reconstructive and aesthetic procedures, with residency programs designed to provide comprehensive training. However, practical experience in aesthetic surgeries is often limited because these procedures are not typically covered by public health systems. Body contouring surgeries for patients who have experienced massive weight loss offer a training opportunity, as they are technically similar to aesthetic procedures and are publicly funded. This study surveyed recent graduates from a plastic surgery residency program to assess their perceived competence and autonomy in aesthetic surgery. The survey focused on experiences with post-bariatric procedures such as abdominoplasty, breast surgery, thigh dermolipectomy, brachioplasty, and liposuction. The results indicated that residents felt confident in preoperative consultations and basic surgical skills but felt less prepared in theoretical knowledge, technique comparison, and the use of prostheses. Surgical autonomy was highest in abdominoplasty and lowest in inguinocrural dermolipectomy. The study also emphasized the crucial role of the assistant surgeon progressing toward full surgical autonomy. The findings suggest a need for improved training in aesthetic procedures, as well as in commercial and medicolegal aspects. Incorporating these elements into residency curricula can better prepare future plastic surgeons for comprehensive practice and enhance patient outcomes.