Experience and Evidence are two very different things
December 20, 2022
February 23, 2025
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By Dr. Andrew Campbell-Lloyd

Experience and Evidence are two very different things

The difference between EVIDENCE and EXPERIENCE is often quite the chasm.

A while ago, as I was proofing the final version of a new article that has just gone to print in the scientific journal Aesthetic Plastic Surgery, I was contemplating a few things. Whilst this new paper, which has been peer-reviewed, provides an outline of my experience and the technique I use for explant procedures, that is by no means the same thing as having sufficient "evidence" to "prove" that I am right (and by inference, that everyone else is wrong). The same thoughts have recently come to mind as I was submitting a few things for possible presentation at an upcoming conference.

Those thoughts go a little like this: 

My experience with a technique is favourable. My outcomes are, I think, good. My patients are mostly satisfied (as much as that is possible with a procedure like explant surgery). What does that mean? Does that prove anything?

And the answer is: probably not. At least, not yet.

In order to translate my experience into actual evidence, we need a couple of major steps to follow.

  1. Other surgeons need to be able to take the described technique, apply it in their own practice, and demonstrate similar outcomes.
  2. Other surgeons need to do that, and describe a similarly low rate of complications.
  3. Other surgeons then need to report on their own experiences over time.

If, following those steps, there is a pattern of genuinely better outcomes with the technique I have described, then sure, I could probably get to a point where we can then talk about "evidence" of superiority of that particular technique.

But for now, it is just experience. It is the first necessary step on a longer journey.

If you'd like to learn more about how we perform explant surgery without surgical drains, please follow this link: Explant surgery with Dr Campbell-Lloyd

If you'd like to read the research article published in the Aesthetic Plastic Surgery Journal, please use the links below:

https://pubmed.ncbi.nlm.nih.gov/38914879/

https://link.springer.com/journal/266/volumes-and-issues/49-2