Basic Laws of Physics: Applied Plastic Surgery
Abstract
Physics is really nothing more than a search for ultimate simplicity, but so far all we have is a kind of elegant messiness. —Leonid Levitov1 A scientific law is no more than a prediction of observed phenomena, whereas civil law is a set of rules to prevent social unrest or disobedience. We are not exempt—the “Ten Commandments” of Gillies demanded compliance with his basic principles of plastic surgery.2 The esteemed Robert M. Goldwyn took a different approach; his “Laws of Plastic Surgery” were simply observations “of earthly happenstance and human behavior,” for example, “the patient with only a fair result is your most enthusiastic supporter” or “the dissatisfied patient never moves away.”3 These tenets were “akin to the laws of gravity and energy.”3 Could plastic surgery be no more than an application of the basic laws of physics? 1. Fundamentalism: Physical principles provide a solid foundation for the other scientific disciplines, all in essence examples of “applied physics.”4 Plastic surgery is fundamentally the problem solver for all specialties5—are we not the last true general surgeons? 2. Classicism: Newton’s laws of mechanics describe object motion under the influence of forces, but lose validity at the extremes of quantum physics or velocity.4 The trainee best obeys the recognized standards of form and craftsmanship of their mentor, but the duty of both must be to evolve or else both perish. 3. Randomness: The random path of “Brownian motion,” Einstein…
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