HIV, plastic surgery and Brazil: a narrative review

SECANHO, MURILO SGARBI; MENEZES NETO, BALDUINO FERREIRA DE; CARVALHO, LAISA BRANDÃO; DE-OLIVEIRA, ANA BEATRIZ PEDROSO MACIEL; CHEQUIM, MERIMAR MARIA; SILVA, ISABELLA DALSICO; PALHARES, ARISTIDES AUGUSTO

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Review Article • Rev. Bras. Cir. Plást. 36 (3) • Jul-Sep 2021 • https://doi.org/10.5935/2177-1235.2021RBCP0096 copy

HIV, plastic surgery and Brazil: a narrative review

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Introduction:

Brazil presents one of the best HIV programs globally, and one of the characteristics of this approach is multidisciplinarity, where plastic surgery is involved.

Objective:

To conduct a non-systematic review of what has already been published on HIV by Brazilian plastic surgeons, analyzing the main themes studied.

Methods:

Research at PubMed, EMBASE, MEDLINE, LILACS, SciELO, Revista Brasileira de Cirurgia Plástica with the following terms: “plastic surgery HIV”, “plastic surgery AIDS”, “HIV plastic surgery”, “AIDS plastic surgery”, “HIV” and “AIDS.

Results:

We found 862 articles, and after selecting those written by Brazilian plastic surgeons, we reached a final number of 15, produced by 10 institutions from 5 Brazilian states. The most addressed theme was lipodystrophy in 13 publications. Discussion: From the selected articles, it is clear the concentration in the Southeast region. The most addressed theme was lipodystrophy, and the articles on it were published after ordinance GM/MS 2582. Areas such as skin cancer, genetics and surgery for gender reassignment have not been published, although there is already content related to HIV and plastic surgery in other countries.

Conclusion:

Despite quality publications, there are still areas in which Brazilian plastic surgery research needs to explore concerning HIV/AIDS.

Keywords:
HIV; HIV-associated lipodystrophy syndrome; Ethics; Plastic surgery; Review, review

Authors	Title	Year	Magazine	Type of study
Robadey et al.⁸8 Robadey R, Coutinho F, Pitanguy I. Cirurgia plástica estética em portadores do vírus da imunodeficiência humana (HIV) - existe consenso?. Rev Bras Cir Plást. 2002;17(2):23-34.	Cosmetic plastic surgery in patients with human immunodeficiency virus (HIV) - is there consensus?	2002	RBCP	Non-systematic review
Gonella et al.⁹9 Gonella HA, Barbosa MAA, Marques BPA, Orgaes FAFS, Oliveira RR. Avaliação da utilização do polimetilmetacrilato na correção das lipodistrofias faciais associadas à terapia anti-retroviral em pacientes HIV positivos*. Rev Bras Cir Plást. 2007;22(1):24-9.	Evaluation of the use of polymethylmethacrylate in the correction of facial lipodystrophy associated with antiretroviral therapy in HIV-positive patients	2007	RBCP	Non-randomized non- controlled clinical trial
Araujo et al.¹⁰10 Araujo FV, Faiwichow L, Andrade A, Gurgel LP, Fernandes FS, Warde M. Logística do tratamento cirúrgico da lipodistrofia em pacientes soropositivos para HIV/AIDS no Hospital do Servidor Público Estadual de São Paulo. Rev Bras Cir Plást. 2010;25(3):96.	Logistics of surgical treatment of lipodystrophy in HIV/ AIDS seropositive patients at the Hospital do Servidor Público Estadual de São Paulo.	2010	RBCP	Retrospective
Sakabe et al.¹¹11 Sakabe D, Scozzafave GA, Bianco RM, Pinho DBM, Ferreira DL, Miranda FBS. Tratamento da lipoatrofia glútea secundária à terapia antiretroviral com inclusão de implantes de silicone. Rev Bras Cir Plást. 2010;25(3):90.	Treatment of gluteal lipoatrophy secondary to antiretroviral therapy with inclusion silicone implants	2010	RBCP	Retrospective
Martins et al.¹²12 Martins MA, Martins WH, Nogueira ACA, Pessoa KVO, Silva MH. Envelhecimento facial e lipoatrofia: como diferenciar em pacientes que vivem com AIDS. Rev Bras Cir Plást. 2011;26(3):31.	Facial aging and lipoatrophy: how to differentiate in patients living with AIDS	2011	RBCP	Cross-sectional convenience sample
Gomes et al.¹³13 Gomes HC, Nassari VB, Torejane D, Leitão EPC, Nassari VB, Torejane D, et al. Ritidoplastia para tratamento de lipodistrofia facial em paciente HIV+. Rev Bras Cir Plást. 2011;26(3):54.	Rithydraplasty for the treatment of facial lipodystrophy in HIV+ patients	2011	RBCP	Case report
Warde et al.¹⁴14 Warde M, Gragnani A, Gomes H, Hochman B, Ferreira LM. The impact of facial lipoatrophy treatment with polymethyl methacrylate in AIDS patients as measured by four quality-of-life questionnaires. Int J STD AIDS. 2011 Out;22(10):596-9. DOI: https://doi.org/10.1258/ijsa.2009.009086 https://doi.org/10.1258/ijsa.2009.009086...	The impact of facial lipoatrophy treatment with polymethyl methacrylate in AIDS patients as measured by four quality-of-life questionnaires	2011	International Journal of STD & AIDS	Non-randomized controlled trial
Dornelas et al.¹⁵15 Dornelas MT, Corrêa MPD, Netto GM, Barra FML, Alves SGS, Dornelas MC, et al. Bioplastia na lipodistrofia de pacientes com HIV/AIDS. Rev Bras Cir Plást. 2012;27(3):387-91.	Bioplasty in lipodystrophy of patients with HIV/AIDS	2012	RBCP	Retrospective
Quintas et al.¹⁶16 Quintas RCS, França ER, Petribú KCL, Ximenes RAA, Quintas LFFM, Cavalcanti ELF, et al. Treatment of facial lipoatrophy with polymethylmethacrylate among patients with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS): impact on the quality of life. Int J Dermatol. 2014 Mar;53(4):497-502. DOI: https://doi.org/10.1111/ijd.12400 https://doi.org/10.1111/ijd.12400...	Treatment of facial lipoatrophy with polymethylmethacrylate among patients with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS): impact on the quality of life	2014	International Journal of Dermatology	Non-randomized uncontrolled clinical trial
Scozzafave et al.¹⁷17 Scozzafave GAE, Martins CS, Kunisawa CM, Meyer MMCS, Pastro DAV, Bianco RM, et al. Tratamento cirúrgico de 510 pacientes portadores de lipodistrofias secundárias ao uso de antirretrovirais. Rev Bras Cir Plást. 2015;30(1):24-32.	Surgical treatment of 510 patients with lipodystrophy secondary to the use of antiretrovirals	2015	RBCP	Retrospectivo
Muüller Neto et al.¹⁸18 Müller Neto BF, Andrade GAM, Lima RVKS, Barros MEPM, Farina Junior JA. Correção cirúrgica da lipodistrofia relacionada ao uso da terapia antirretroviral: Uma análise sobre os procedimentos realizados e o impacto sobre os pacientes. Rev Bras Cir Plást. 2015;30(2):250-7.	Surgical correction of lipodystrophy related to the use of antiretroviral therapy: an analysis of the procedures performed and the impact on patients	2015	RBCP	Retrospective
Martins et al.¹⁹19 Martins WH, Pessôa KVO, Martins MA, Silva MH, Pereira Filho GV, Abreu LC. Preenchimento facial com polimetilmetacrilato em pacientes que vivem com a síndrome da imunodeficiência adquirida (AIDS). Rev Bras Cir Plást. 2016;31(2):216-28.	Facial filling with polymethylmethacrylate in patients living with acquired immunodeficiency syndrome (AIDS)	2016	RBCP	Cross-sectional convenience sample
Barreiro et al.²⁰20 Barreiro G, Zanella FA, Rosa KGD, Pereira Neto AH, Cavazzola LT, Martins PAM. Impacto na qualidade de vida em pacientes usuários de medicação retroviral e submetidos à gluteoplastia: estudo de coorte histórica. Rev Bras Cir Plást. 2017;32(3):398-401.	Impact on quality of life in patients who use retroviral medication and submitted to gluteoplasty: a historical cohort study	2017	RBCP	Retrospective - historical cohort
Andrade et al.²¹21 Andrade GA, Coltro PS, Barros ME, Müller Neto BF, Lima RV, Farina Junior JA. Gluteal augmentation with intramuscular implants in patients with human immunodeficiency virus with lipoatrophy related to the use of antiretroviral therapy. Ann Plast Surg. 2017 Nov;79(5):426-9.	Gluteal augmentation with intramuscular implants in patients with human immunodeficiency virus with lipoatrophy related to the use of antiretroviral therapy	2017	Annals of Plastic Surgery	retrospective
Silva et al.²²22 Silva PV, Cruz PHR, Pedrosa NV, Vieira DR, Affonso GB, Costa AMD. Relato de caso: retenção urinária persistente após abdominoplastia em paciente HIV-positivo. Rev Bras Cir Plást. 2019;34:87-9.	Case report: persistent urinary retention after abdominoplasty in HIV-positive patients.	2019	RBCP	Case report

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[1] *Corresponding author: Murilo Sgarbi Secanho, Avenida Professor Mário Rubens Guimarães Montenegro, Unesp Campus de Botucatu, Botucatu, SP, Brazil. Zip Code 18618-687. E-mail: murilosecanho@gmail.com