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Lighting for surgery was one overhead light, then a silicone implant, and no distal flap, with a sensitive breast
movable light stand… and the endoscope was unheard the usual expectation.
of (“take a deep breath” became my mantra).
Yes, the evolution in plastic surgery has been remarkable…
Management of postoperative pain in the early years now change, change, change… constant and unremitting…
seems near barbaric and penicillin (a Godsend) had just but one thing has not changed: our sole purpose in all
become well-known. our efforts remains the same. Our identity as plastic
surgeons… as innovational surgeons… implies that we
Current evolutionary excitement seems focused on the use use special techniques as surgeons to fulfill our single and
of fat. Whereas Guerro Santos and Chachir were extolling primary goal… to make our patients’ lives longer, better,
the miracle of fat grafting before the turn of the century, or both. To this we remain dedicated… and with this new
it was not until Coleman described the importance of the journal we hope the make the path straighter and more
fat’s being grafted in very small droplets that most plastic direct for all our colleagues.
surgeons took an interest in fat grafting. Then, with
Khouri’s introduction of the BRAVA system, large volume
fat grafting became a reality. Now, the woman wishing How to cite this article: Biggs TM. Fifty-six years of plastic surgery.
Plast Aesthet Res 2014;1:1-2.
breast augmentation without a foreign material put into
her body can be accommodated. Now, immediate breast Source of Support: Nil, Conflict of Interest: None declared.
reconstruction can be carried out with no expander, no Received: 06-05-2014; Accepted: 13-05-2014

2 Plast Aesthet Res || Vol 1 || Issue 1 || Jun 2014