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Facial Plastic Surgery : The Truth

By Luke Durham

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Published: 13Jun2010
Word count: 627
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The cosmetic surgery business is a thriving industry! Type into the Google box a phrase such as "Nose Job" or "Face Lift" and a bewildering page of companies, agents, brokers, celebrities and high profile surgeons leap to the page. Every one of them making hyped claims with enticing deals both home and abroad. This is hard sell. You know that and I know that too.

With this in mind I felt compelled to write a short series of articles to dispel some of the so called myths regarding facial cosmetic surgery. Did you know that in the United Kingdom there is no formal procedure based training of surgeons in cosmetic surgery? The national health service provides funding for cosmetic surgery procedures for individual patients but only in rare and exceptional cases. I can only assume that this is not the case in the United States of America.

As a result, the practice of cosmetic surgery in the UK is characterized by a variation in practice, limited recognized standards of practice and limited regulation of practitioners other than the general medical council and the courts.

Where does this leave our client? How do they find a surgeon of their choice? This leads me to dispel a myth regarding cosmetic surgery, particularly facial cosmetic surgery. Did you know that there are at least five different types of specialist surgeons who regularly perform cosmetic surgery of which plastic surgeons are only one group? Let me explain further.

There are 850 to 900 surgeons in the UK who have completed a recognized training program where there is some aspect of cosmetic surgery training as part of their curriculum leading to the specialty fellowship examinations.

This group comprises:

1. 500 Ear Nose and Throat Surgeons

2. 350 Plastic Surgeons

3. 100 Breast Surgeons

4. 80 Eye Surgeons

5. 280 Oral Surgeons

A significant proportion of these surgeons undertake cosmetic procedures "within their anatomical areas of expertise". This last point is perhaps the most important factor!

Take for example the Ear, Nose and Throat surgeons who are very often called upon to perform corrective surgery on the nose for functional reasons such as breathing disorders, trauma or congenital disorders. These are usually coupled with a cosmetic element to a greater or lesser degree.

The rhinoplasty, commonly called the "Nose Job" enables the ear,nose and throat surgeon to perfect his training in both functional and cosmetic aspects nasal surgery. This same principle applies to surgery of the neck and the so called neck lift too! So if you require a nose job, it makes good sense to see a site specific experienced rhinoplasty Surgeon, usually an ear,nose and throat specialist.

In a similar fashion eye specialists or Ophthalmologists who carry out plastic surgery of the eyelids are very highly specialized within their anatomical areas of expertise. Unfortunately their numbers are small. The training in cosmetic surgery should be as rigorous as the training in the national health. It should be governed by numerous factors of which site specificity, ultra specialization and the numbers of surgical procedures performed during training and after training are mandatory. This is crucial in the facial plastic field.If a surgeon wishes to specialize in the facial plastic surgery, they should be members of a peer review group such as the European academy of facial plastic surgery, an open source forum of surgeons of differing specialties dedicated to this area. This amalgamation of cosmetic surgery training between the various surgical specialties is not a personal view it is being addressed now by the cosmetic surgery inter specialty group and the senate of surgery of Great Britain and Ireland.

This can only be of benefit to our future clients in the growing field of facial plastic surgery. I will keep you posted on this fascinating subject as a source of information.

Luke Durham is the Principal Surgeon and Director of the Facial Plastic Surgery Company. In the world of Facial Cosmetic Surgery, his passion is Plastic surgery of the nose, Rhinoplasty, better known as : The Nose Job

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