Purpose This study aimed to assess gender distribution in authorship roles within plastic surgery research in Australia. Methodology We examined 114 original articles published in a prominent Australian plastic and reconstructive journal over a 3-year span from 2020 to 2023. Results Our findings indicated that females accounted for 42% of first authors. However, a sharp decline in female representation was evident in subsequent authorship roles: only 9% of second authors and a mere 3.5% of the most senior author positions were held by females. Interestingly, there was a noticeable upsurge in female first authorship in the three most recent issues of the journal when compared to preceding editions. Notably, the majority of these first-authored papers were led by non-training registrars. Conclusion Given that only 16% of plastic surgeons in Australia are female, the under representation of females in senior authorship roles may be reflective of this demographic. Nonetheless, with an increasing number of females pursuing plastic surgery as a profession, coupled with the recent spike in female-led publications, we are optimistic about a potential upward shift in these numbers in the near future. It is imperative to consider these findings in light of broader conversations around gender equity in the medical field and to proactively seek solutions that ensure diverse representation in academic contributions.