Plastic SurgeryCosmeticPlaintiff-side

Built for BBL + breast implant + office anesthesia cases.
AI deposition trainer with ASPS + FDA depth.

Plastic surgery medmal cases concentrate around BBL fat embolism (intramuscular injection), textured breast implant BIA-ALCL consent gaps, office-based anesthesia complications, and smoker flap necrosis. ASPS 2019 BBL Position Statement + FDA BIA-ALCL Guidance + ASA office-anesthesia standards define the floors.

Try the 2-min Plastic demo → All specialties

Plastic failure modes

cited guidelines

signature impeachment trap

Why a plastic-specific trainer matters

Plastic surgery cases turn on documented adherence to specific safety protocols (subcutaneous-only fat in BBL, specific BIA-ALCL discussion in textured implant consent, capnography + ACLS in office sedation). Each is in the chart or it isn't.

The 7 failure modes

Sev 10

BBL — intramuscular fat injection

Documented or suspected intramuscular gluteal fat injection; fat embolism death.

"I tried to stay subcutaneous but it can be hard to be sure."

Sev 10

Office-based anesthesia complication

Deep sedation in office without ACLS + capnography + post-anesthesia monitoring.

"I was managing sedation myself."

Sev 9

Breast implant — BIA-ALCL consent gap

Textured implant consent doesn't name BIA-ALCL by name per FDA + ASPS.

"I discussed general implant risks."

Sev 9

Smoker flap necrosis — no cessation

Active smoker operated for cosmetic procedure with flap risk; no documented cessation period.

"She said she'd cut down."

Sev 8

Post-op infection — recognition delay

Post-op cellulitis/abscess; antibiotics delayed or inadequate.

"I thought it was normal post-op inflammation."

Sev 7

Cosmetic outcome consent — unrealistic expectations

Consent doesn't document realistic outcomes/scarring/revision discussion.

"She came in with photos of what she wanted."

Sev 7

Diabetic — wound-healing not optimized

Uncontrolled diabetic (A1C>8) operated electively without pre-op optimization.

"Her diabetes was a little uncontrolled but she really wanted the surgery."

The signature impeachment trap

"I tried to stay subcutaneous" vs ASPS BBL canon

Lock the BBL witness into "I tried to stay subcutaneous" hedge, then juxtapose against ASPS 2019 categorical recommendation against intramuscular gluteal fat injection.

"You tried to stay subcutaneous?" → "Yes."
"ASPS 2019 says intramuscular gluteal fat injection should never be done?" → "Yes."
"Your operative note does not document the cannula tip position or subcutaneous-only confirmation."

Why this lands: witness has framed a documented avoidance technique as effort rather than the categorical standard.

The 3 cited guidelines

ASPS Position Statement on Gluteal Fat Grafting (2019)Subcutaneous-only fat injection; the BBL safety canon

FDA + ASPS BIA-ALCL GuidanceTextured implant counseling + monitoring + management

ASA + AMA Office-Based Anesthesia StandardsCapnography + ACLS + recovery monitoring in office

FAQ

Why does plastic surgery need its own deposition trainer?

Plastic surgery cases turn on documented adherence to specific safety protocols (BBL technique, BIA-ALCL consent, office sedation monitoring). ASPS + FDA + ASA are real published floors.

What guidelines does the AI cite?

ASPS Position Statement on Gluteal Fat Grafting (2019), FDA + ASPS BIA-ALCL Guidance, ASA + AMA Office-Based Anesthesia Standards.

Does it work for defense expert prep?

Yes. Expert-prep mode against your defense plastic surgeon.

Pricing?

Bundled in MedLegal AI Pro ($49/mo), Professional ($249/mo), or Firm ($499/mo).

Start with the 2-minute plastic demo

No signup, no mic. Cross-exam transfers to plastic surgery — lock witness into the ASPS + FDA standards.

Run the 2-min demo → Start free 14-day trial

Built for BBL + breast implant + office anesthesia cases.AI deposition trainer with ASPS + FDA depth.