The Ethics of Stem Cell-Based Aesthetic Surgery

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' W" M7 ?; j* j' M% ^The Ethics of Stem Cell-Based Aesthetic Surgery: Attitudes and Perceptions of the Plastic Surgery Community
4 Q5 X6 D8 `; f  S' h, [8 G4 @( U( AAbstract
$ c9 g/ i' U7 \& J: NBackground: The emerging field of stem cell–based aesthetics has raised ethical concerns related to advertising campaigns and standards for safety6 B9 R+ \3 n. O
and efficacy.! E  M% S) ~4 b
Objectives: The authors sought to characterize the attitudes of plastic surgeons regarding the ethics of stem cell–based aesthetics.
) A6 V5 p; m0 s" J  c' v7 \Methods: A cross-sectional electronic survey was distributed to 4592 members of the American Society for Aesthetic Plastic Surgery and the American' Q7 v* a2 X' r9 ]6 @8 I# S1 d
Society of Plastic Surgeons. Statements addressed ethical concerns about informed consent, conflicts of interest, advertising, regulation, and stem cell
( ~) {& y, p6 T! rtourism. An agreement score (AS) from 0 to 100 was calculated for each statement. Majority agreement was designated as ≥60 and majority disagreement
# i; n9 b- i% ^- p9 b3 R$ z4 Qas ≤40.
: N! D, Y9 R( d4 s9 `1 LResults: A total of 770 questionnaires were received (16.7%). The majority of respondents indicated that knowledge regarding the risks and benefits
2 V& u7 q  l0 c$ p! aof stem cell procedures is insufficient to obtain valid informed consent (AS, 29) and that direct-to-consumer advertising for these technologies is
2 \0 q6 Z- S% f* T) p% Rinappropriate and unethical (AS, 23). Most respondents reported that patients should be actively warned against traveling abroad to receive aesthetic$ X4 i8 q- a$ d: X3 o
cell therapies (AS, 86) and that registries and evaluations of these clinics should be made publicly available (AS, 71). Even more respondents noted
) V* \, n. b8 zthat financial conflicts of interest should be disclosed to patients (AS, 96) and that professional societies should participate in establishing regulatory
7 P! I$ k, P. r( |( h9 t  ^0 Istandards (AS, 93).
% W6 o' X& W; ?: ~# m1 p: |Conclusions: The plastic surgeons surveyed in this study support a well-regulated, evidence-based approach to aesthetic procedures involving stem  c, K% k  t! }# j" r3 n* f
cells.

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