This article seeks to inform facial plastic surgeons about the evolving issues that affect contemporary medical literature and the publishing landscape. We hope to shed light on the key metrics that influence a journal’s decision to accept a particular submission and how these metrics are predicated on a rapidly changing landscape within the academic and public community. The key metrics are: citations, number of views, and social media or public attention. These metrics produce what we call “high impact” articles. This article introduces bibliometric terms and further defines the metrics that are most important to a journal.