Innovation is at the heart of all medical advances. Plastic surgeons solve difficult clinical problems every day, but numerous unmet needs remain, which is where technology begins.

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    All new technologies begin with an unmet need. To develop a new technology, it is also important to understand the scientific knowledge base in a given area (e.g., what causes cellulite). To innovate also requires a detailed exploration of the technical limitations of existing devices and the economic and reimbursement environment that may stimulate or impede innovation in this area. What is required is an ongoing dialogue between plastic surgeons (who understand the clinical problem) and technology developers (who understand what is technically possible). This will undoubtedly lead to the development of more effective technologies that more fully address the needs of patients and physicians to improve the delivery of medical care.