Virtual Reality (VR) and Augmented Reality (AR) technologies have made significant strides in the field of surgery, particularly in surgical education, perioperative planning, and the simulation of surgical outcomes. VR and AR involves the use of interactive 2D and 3D imaging technology to assist in the visualisation of complex anatomy, providing surgeons with a greater understanding of patient-specific features before, during and after procedures. Studies have demonstrated that VR and AR aid in reducing errors, assist in refining and gaining surgical skills, and offers live guidance to result in more individualised and sophisticated interventions. However, challenges remain in terms of the cost-benefit ratio with many questioning whether the financial investment in these technologies is worthy and relative to the long-term impact on patient outcome and surgical efficiency. This literature review critically assesses current research to evaluate the advantages, limitations, and feasibility of implementing VR, AR and mixed reality in aesthetic plastic surgery in order to offer insight into how these technological advancements will shape the future of surgical practice – taking into consideration its application in surgical training and perioperative planning to allow for superior surgical outcomes and greater patient satisfaction, particularly in the field of plastic and reconstructive surgery.