Advances and Ethical Challenges in Modern Aesthetic and Reconstructive Surgery

Resumen

This article analyzes recent advances and ethical challenges in aesthetic and reconstructive surgery in Mexico, with comparative insights from Colombia, based on demographic, clinical, technological, pharmacological, and ethical-legal dimensions observed between 2020 and 2024. Results showed that women were the majority recipients of procedures, though participation of men and semi-urban populations is increasing. Body contouring procedures dominated the aesthetic field, amplified by the widespread use of GLP-1 receptor agonists, while reconstructive practice focused on trauma and oncologic cases. Microsurgery remains the cornerstone of complex reconstructions, whereas robotic-assisted and AI-assisted techniques are emerging with promising but limited adoption. Complications were predominantly minor, yet major adverse events and arbitration cases persist, emphasizing the importance of perioperative safety, strict protocols, and robust risk communication. Failures in informed consent and unsatisfactory results were the most frequent causes of litigation, underscoring the role of ethical communication and patient-centered care. These findings suggest that the future of aesthetic and reconstructive surgery in Latin America depends on strengthening ethical frameworks, ensuring equitable access to innovation, and consolidating multidisciplinary collaboration to align technological progress with social responsibility.