Public Perceptions of Plastic Surgery Practice in Brazil

Abstract

The perception of medical specialists by the public has a significant effect on health-care decisions, research funding allocation, and implantation of educational measures. The purpose of this survey was to assess the public's perception of the field of plastic surgery practice. General public members (n = 1290) completed a survey where they matched nine specialties with 28 plastic surgery-related scenarios. Response patterns were distributed as "plastic surgeon alone," "plastic surgeon combined with other specialists," or "no plastic surgeon." Sociodemographic data and previous plastic surgery contact were also collected. "Plastic surgeon alone" was identified as an expert by more than 70% of respondents in four (40%) aesthetic-related scenarios and in one (5.5%) general/reconstructive-related scenario. "Plastic surgeon alone" was significantly (all p < 0.05) more recognized as an expert than other response patterns in all aesthetic-related scenarios, except for botulinum toxin for facial wrinkles. There was a significant (all p < 0.05) poor understanding of the role of plastic surgeons in facial fracture surgery, facial paralysis management, chest wall surgery, hand surgery-related scenarios, and tumor surgery-related scenarios. Age, health-care professional, education level, and prior plastic surgery contact were significant (all p < 0.05) determinants of "plastic surgeon" as a response pattern, according to bivariate analysis and multiple linear regression analysis. The public has a poor understanding of the broad field of plastic surgery practice. Therefore, improved public education about the scope of plastic surgery is needed.