Re: Brazilian Consensus Recommendation on the Use of Polymethylmethacrylate Filler in Facial and Corporal Aesthetics by Túlio Armanini Blanco Souza, Letícia Marques Colomé, Eduardo André Bender, Gottfriede Lemperle Aesthethic Plastic Surgery 2018; 42(5): 1244-51.

The self-titled study Brazilian Consensus Recommendation cannot be considered a consensus and more specifically cannot be considered a Brazilian consensus. The study does not represent the point-of-view of members of the Brazilian Society of Plastic Surgery. The content of this paper is plenty of contradictory and questionable affirmations. Method is flaw and does not inform any consistent data. Results and discussion are in the same section, making unclear what is result and what is pure speculation. This report is not a consensus nor reflects the opinion of plastic surgeons represented by the Brazilian Society of Plastic Surgery (SBCP). Moreover, SBCP does not approve the use of PMMA as a filler for esthetical purposes in healthy patients.Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .