<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0376-7892</journal-id>
<journal-title><![CDATA[Cirugía Plástica Ibero-Latinoamericana]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. plást. iberolatinoam.]]></abbrev-journal-title>
<issn>0376-7892</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Cirugía Plástica, Reparadora y Estética (SECPRE)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0376-78922025000200163</article-id>
<article-id pub-id-type="doi">10.4321/s0376-78922025000200008</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Las tres Ces en la prevención de problemas legales en Cirugía Plástica, Estética y Reparadora: Comunicación, Consentimiento y Complicaciones]]></article-title>
<article-title xml:lang="en"><![CDATA[The three Cs in the prevention of legal problems in Plastic, Aesthetic and Reconstructive Surgery: Communication, Consent and Complications]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vicente-Ruiz]]></surname>
<given-names><![CDATA[Miriam]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hontanilla]]></surname>
<given-names><![CDATA[Bernardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ruiz]]></surname>
<given-names><![CDATA[Miriam Vicente]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hontanilla]]></surname>
<given-names><![CDATA[Bernardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Viuda]]></surname>
<given-names><![CDATA[María Asunción González De La]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Cirujano Plástico  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,Clínica Universidad de Navarra  ]]></institution>
<addr-line><![CDATA[Pamplona ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Universitario La Paz  ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2025</year>
</pub-date>
<volume>51</volume>
<numero>2</numero>
<fpage>163</fpage>
<lpage>172</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0376-78922025000200163&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0376-78922025000200163&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0376-78922025000200163&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción y objetivo. El aumento mundial en la demanda de procedimientos estéticos se ha acompañado de un incremento de los procesos legales contra cirujanos plásticos en países como España, lo que subraya la necesidad de implementar estrategias efectivas para prevenir problemas legales en nuestra especialidad.  Material y método. Analizamos 199 sentencias judiciales en España relacionadas con cirugías plásticas, tanto estéticas como reparadoras, entre 2018 y 2022, identificando sus principales causas.  Resultados. Los factores más comunes en las demandas fueron comunicación deficiente entre cirujano y paciente, consentimiento informado inadecuado y mala gestión de las complicaciones postoperatorias. De las sentencias analizadas, el 41% resultaron en condena, siendo la falta de información y las deficiencias en el consentimiento informado las razones principales de las decisiones judiciales.  Conclusiones. Proponemos recomendaciones prácticas para guiar a los cirujanos plásticos en la prevención de problemas legales, destacando la importancia de mejorar la comunicación, asegurar un consentimiento informado adecuado y gestionar proactivamente las complicaciones. Además, subrayamos la importancia de una correcta selección de pacientes utilizando herramientas como el acrónimo FATIMA para identificar aquellos con mayor riesgo de litigio. Finalmente, alertamos sobre el riesgo asociado al uso de softwares de simulación y proponemos implementar la grabación de las consultas y cirugías como modo de mejorar la transparencia y seguridad legal para pacientes y cirujanos. Nivel de evidencia científica 5 Significación]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background and objective. The increasing demand for aesthetic procedures worldwide has been accompanied by a rise in legal claims against plastic surgeons in countries such as Spain, highlighting the need to implement effective strategies to prevent legal issues within our specialty.  Methods. This study analyzed 199 judicial rulings in Spain related to plastic surgeries, both aesthetic and reconstructive, between 2018 and 2022, identifying the main causes behind these claims.  Results. The most common factors in the lawsuits were found to be poor communication between surgeon and patient, inadequate informed consent, and unsatisfactory management of postoperative complications. Of the rulings analyzed, 41% resulted in a conviction, with lack of information and deficiencies in informed consent being the primary reasons for the judicial decisions.  Conclusions. A set of practical recommendations is proposed to guide plastic surgeons in preventing legal problems, emphasizing the importance of improving communication, ensuring adequate informed consent, and proactively managing complications. Additionally, the importance of proper patient selection is highlighted, using tools such as the FATIMA acronym to identify those at higher risk of litigation. Finally, the authors warn about the risks associated with the use of simulation software and propose implementing the recording of consultations and surgeries to improve transparency and legal safety for patients and surgeons. Level of evidence 5 Meaningfulness]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Litigation]]></kwd>
<kwd lng="en"><![CDATA[Plastic Surgery]]></kwd>
<kwd lng="en"><![CDATA[Legal liability.]]></kwd>
<kwd lng="es"><![CDATA[Litigación]]></kwd>
<kwd lng="es"><![CDATA[Cirugía Plástica]]></kwd>
<kwd lng="es"><![CDATA[Responsabilidad legal.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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