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Published in: Aesthetic Plastic Surgery 1/2018

01-02-2018 | Letter to the Editor

Aesthetic Training for Plastic Surgeons: Are Residents Getting Enough?

Authors: Athanasios Papas, Paolo Montemurro, Per Hedén

Published in: Aesthetic Plastic Surgery | Issue 1/2018

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Abstract

Plastic Surgery is one of the most competitive specialties in the field of medicine. However, this specialty has a unique particularity: the difficulties in Aesthetic Surgery training within the residency program. Despite the fact that the full title of the specialty is Plastic, Reconstructive, and Aesthetic Surgery and that Aesthetic Surgery is a part of the examination syllabus, the actual training in the specific area is limited. One of the solutions to this problem is Fellowships. The first author describes his personal experience with Aesthetic training and how it enhanced his knowledge in the area as well as the status of Fellowships in various training programs.

Level of Evidence V

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Literature
1.
go back to reference Brandel MG, DʼSouza GF, Reid CM et al (2017) Analysis of a resident aesthetic clinic: process for rhinoplasty, resident experience, and patient satisfaction. Ann Plast Surg 78(5 Suppl 4):S175–S179CrossRefPubMed Brandel MG, DʼSouza GF, Reid CM et al (2017) Analysis of a resident aesthetic clinic: process for rhinoplasty, resident experience, and patient satisfaction. Ann Plast Surg 78(5 Suppl 4):S175–S179CrossRefPubMed
2.
go back to reference Buckley CE, Dolan RT, Morrison CM et al (2017) Aesthetic surgery training in a changing healthcare environment. J Plast Reconstr Aesthet Surg 70(4):e11–e13CrossRefPubMed Buckley CE, Dolan RT, Morrison CM et al (2017) Aesthetic surgery training in a changing healthcare environment. J Plast Reconstr Aesthet Surg 70(4):e11–e13CrossRefPubMed
3.
go back to reference Donfrancesco A, Montemurro P, Hedén P (2013) Three-dimensional simulated images in breast augmentation surgery: an investigation of patients’ satisfaction and the correlation between prediction and actual outcome. Plast Reconstr Surg 132(4):810–822CrossRefPubMed Donfrancesco A, Montemurro P, Hedén P (2013) Three-dimensional simulated images in breast augmentation surgery: an investigation of patients’ satisfaction and the correlation between prediction and actual outcome. Plast Reconstr Surg 132(4):810–822CrossRefPubMed
4.
go back to reference Eberlin KR, Del Frari B, Dai X, Austen WG Jr, The John D (2015) Constable international traveling fellowship: a reciprocal education in plastic surgery. J Craniofac Surg 26(4):1050–1052CrossRefPubMed Eberlin KR, Del Frari B, Dai X, Austen WG Jr, The John D (2015) Constable international traveling fellowship: a reciprocal education in plastic surgery. J Craniofac Surg 26(4):1050–1052CrossRefPubMed
5.
go back to reference Gilmour A, Stewart KJ (2017) The effect of the adult exceptional aesthetic referral protocol (AEARP) and NHS rationing of aesthetic surgery provision upon aesthetic training opportunities for plastic surgery trainees in Scotland. J Plast Reconstr Aesthet Surg 70(6):860–861. doi:10.1016/j.bjps.2017.02.019 CrossRefPubMed Gilmour A, Stewart KJ (2017) The effect of the adult exceptional aesthetic referral protocol (AEARP) and NHS rationing of aesthetic surgery provision upon aesthetic training opportunities for plastic surgery trainees in Scotland. J Plast Reconstr Aesthet Surg 70(6):860–861. doi:10.​1016/​j.​bjps.​2017.​02.​019 CrossRefPubMed
6.
go back to reference Hashem AM, Waltzman JT, D’Souza GF et al (2017) Resident and program director perceptions of aesthetic training in plastic surgery residency: an update. Aesthet Surg J. doi:10.1093/asj/sjw275 Hashem AM, Waltzman JT, D’Souza GF et al (2017) Resident and program director perceptions of aesthetic training in plastic surgery residency: an update. Aesthet Surg J. doi:10.​1093/​asj/​sjw275
7.
go back to reference Hedén P (2011) Breast augmentation with anatomic, high-cohesiveness silicone gel implants (European Experience). In: Spear SL (ed) Surgery of the breast: principles and art, 3rd edn. Wolters Kluwer/Lippincott Williams & Wilkins, Philadelphia, pp 1322–1345 Hedén P (2011) Breast augmentation with anatomic, high-cohesiveness silicone gel implants (European Experience). In: Spear SL (ed) Surgery of the breast: principles and art, 3rd edn. Wolters Kluwer/Lippincott Williams & Wilkins, Philadelphia, pp 1322–1345
8.
go back to reference Hedén P, Jernbeck J, Hober M (2001) Breast augmentation with anatomical cohesive gel implants: the world’s largest current experience. Clin Plast Surg 28(3):531–552PubMed Hedén P, Jernbeck J, Hober M (2001) Breast augmentation with anatomical cohesive gel implants: the world’s largest current experience. Clin Plast Surg 28(3):531–552PubMed
9.
go back to reference Hedén P, Montemurro P, Adams WP Jr, Germann G, Scheflan M, Maxwell GP (2015) Anatomical and round breast implants: how to select and indications for use. Plast Reconstr Surg 136(2):263–272CrossRefPubMed Hedén P, Montemurro P, Adams WP Jr, Germann G, Scheflan M, Maxwell GP (2015) Anatomical and round breast implants: how to select and indications for use. Plast Reconstr Surg 136(2):263–272CrossRefPubMed
12.
go back to reference Hultman CS, Wu C, Bentz ML et al (2015) Identification of best practices for resident aesthetic clinics in plastic surgery training: the ACAPS national survey. Plast Reconstr Surg Glob Open 3(3):e370CrossRefPubMedPubMedCentral Hultman CS, Wu C, Bentz ML et al (2015) Identification of best practices for resident aesthetic clinics in plastic surgery training: the ACAPS national survey. Plast Reconstr Surg Glob Open 3(3):e370CrossRefPubMedPubMedCentral
13.
go back to reference Lindenblatt N, van Hulle A, Verpaele AM, Tonnard PL (2015) The role of microfat grafting in facial contouring. Aesthet Surg J 35(7):763–771CrossRefPubMed Lindenblatt N, van Hulle A, Verpaele AM, Tonnard PL (2015) The role of microfat grafting in facial contouring. Aesthet Surg J 35(7):763–771CrossRefPubMed
14.
go back to reference Momeni A, Goerke M, Bannasch H et al (2013) The quality of aesthetic surgery training in plastic surgery residency: a survey among residents in Germany. Ann Plast Surg 70(6):704–708CrossRefPubMed Momeni A, Goerke M, Bannasch H et al (2013) The quality of aesthetic surgery training in plastic surgery residency: a survey among residents in Germany. Ann Plast Surg 70(6):704–708CrossRefPubMed
15.
go back to reference Momeni A, Kim RY, Wan DC et al (2014) Aesthetic surgery training during residency in the United States: a comparison of the integrated, combined, and independent training models. Plast Surg Int 2014:281923PubMedPubMedCentral Momeni A, Kim RY, Wan DC et al (2014) Aesthetic surgery training during residency in the United States: a comparison of the integrated, combined, and independent training models. Plast Surg Int 2014:281923PubMedPubMedCentral
16.
go back to reference Moncrieff MD, Thompson JF, Stretch JR (2010) Extended experience and modifications in the design and concepts of the keystone design island flap. J Plast Reconstr Aesthet Surg 63(8):1359–1363CrossRefPubMed Moncrieff MD, Thompson JF, Stretch JR (2010) Extended experience and modifications in the design and concepts of the keystone design island flap. J Plast Reconstr Aesthet Surg 63(8):1359–1363CrossRefPubMed
17.
go back to reference Montemurro P, Avvedimento S, Hedén P, Quattrini Li A (2016) A four-layer wound closure technique with barbed sutures for stable reset of the inframammary fold in breast augmentation. Aesthet Surg J 36(8):966–971CrossRefPubMed Montemurro P, Avvedimento S, Hedén P, Quattrini Li A (2016) A four-layer wound closure technique with barbed sutures for stable reset of the inframammary fold in breast augmentation. Aesthet Surg J 36(8):966–971CrossRefPubMed
18.
go back to reference Montemurro P, Papas A, Heden P (In Press) Is rotation a concern with anatomical breast implants? A statistical analysis of factors predisposing to rotation. Plast Reconstr Surg Montemurro P, Papas A, Heden P (In Press) Is rotation a concern with anatomical breast implants? A statistical analysis of factors predisposing to rotation. Plast Reconstr Surg
19.
go back to reference Morton DL, Thompson JF, Cochran AJ et al (2014) Final trial report of sentinel-node biopsy versus nodal observation in melanoma. N Engl J Med 370(7):599–609CrossRefPubMedPubMedCentral Morton DL, Thompson JF, Cochran AJ et al (2014) Final trial report of sentinel-node biopsy versus nodal observation in melanoma. N Engl J Med 370(7):599–609CrossRefPubMedPubMedCentral
20.
go back to reference Paterson P, Allison K (2006) Maintaining standards of aesthetic practice in trainees subject to NHS restrictions. J Plast Reconstr Aesthet Surg 59(8):856–859CrossRefPubMed Paterson P, Allison K (2006) Maintaining standards of aesthetic practice in trainees subject to NHS restrictions. J Plast Reconstr Aesthet Surg 59(8):856–859CrossRefPubMed
21.
go back to reference Qureshi AA, Parikh RP, Myckatyn TM, Tenenbaum MM (2016) Resident cosmetic clinic: practice patterns, safety, and outcomes at an academic plastic surgery institution. Aesthet Surg J 36(9):NP273–NP280CrossRefPubMed Qureshi AA, Parikh RP, Myckatyn TM, Tenenbaum MM (2016) Resident cosmetic clinic: practice patterns, safety, and outcomes at an academic plastic surgery institution. Aesthet Surg J 36(9):NP273–NP280CrossRefPubMed
22.
go back to reference Qureshi AA, Tenenbaum MM (2017) Commentary on: resident and program director perceptions of aesthetic training in plastic surgery residency: an update. Aesthet Surg J. doi:10.1093/asj/sjw278 Qureshi AA, Tenenbaum MM (2017) Commentary on: resident and program director perceptions of aesthetic training in plastic surgery residency: an update. Aesthet Surg J. doi:10.​1093/​asj/​sjw278
23.
go back to reference Rhee S, Grotting JC (2017) Commentary on: resident and program director perceptions of aesthetic training in plastic surgery residency: an update. Aesthet Surg J. doi:10.1093/asj/sjx044 PubMed Rhee S, Grotting JC (2017) Commentary on: resident and program director perceptions of aesthetic training in plastic surgery residency: an update. Aesthet Surg J. doi:10.​1093/​asj/​sjx044 PubMed
24.
go back to reference Rohrich RJ (2000) The importance of cosmetic plastic surgery education: an evolution. Plast Reconstr Surg 105(2):741–742CrossRefPubMed Rohrich RJ (2000) The importance of cosmetic plastic surgery education: an evolution. Plast Reconstr Surg 105(2):741–742CrossRefPubMed
25.
go back to reference Schenker M, Lees VC, McGeorge DD et al (2006) Aesthetic surgical training in the UK independent sector—the clients’ view: results of a survey on 155 private patients. J Plast Reconstr Aesthet Surg 59:1188–1192CrossRefPubMed Schenker M, Lees VC, McGeorge DD et al (2006) Aesthetic surgical training in the UK independent sector—the clients’ view: results of a survey on 155 private patients. J Plast Reconstr Aesthet Surg 59:1188–1192CrossRefPubMed
26.
go back to reference Sterodimas A, Boriani F, Bogetti PP et al (2010) Junior plastic surgeon’s confidence in aesthetic surgery practice: a comparison of two didactic systems. J Plast Reconstr Aesthet Surg 63(8):1335–1337CrossRefPubMed Sterodimas A, Boriani F, Bogetti PP et al (2010) Junior plastic surgeon’s confidence in aesthetic surgery practice: a comparison of two didactic systems. J Plast Reconstr Aesthet Surg 63(8):1335–1337CrossRefPubMed
27.
go back to reference Sterodimas A, Radwanski HN, Pitanguy I (2009) Aesthetic plastic surgery: junior plastic surgeons’ confidence in a training program. Aesthetic Plast Surg 33(1):131–132CrossRefPubMed Sterodimas A, Radwanski HN, Pitanguy I (2009) Aesthetic plastic surgery: junior plastic surgeons’ confidence in a training program. Aesthetic Plast Surg 33(1):131–132CrossRefPubMed
28.
go back to reference Thompson JF, Kam PC, Waugh RC, Harman CR (1998) Isolated limb infusion with cytotoxic agents: a simple alternative to isolated limb perfusion. Semin Surg Oncol 14(3):238–247CrossRefPubMed Thompson JF, Kam PC, Waugh RC, Harman CR (1998) Isolated limb infusion with cytotoxic agents: a simple alternative to isolated limb perfusion. Semin Surg Oncol 14(3):238–247CrossRefPubMed
29.
30.
go back to reference Tonnard P, Verpaele A, Peeters G, Hamdi M, Cornelissen M, Declercq H (2013) Nanofat grafting: basic research and clinical applications. Plast Reconstr Surg 132(4):1017–1026CrossRefPubMed Tonnard P, Verpaele A, Peeters G, Hamdi M, Cornelissen M, Declercq H (2013) Nanofat grafting: basic research and clinical applications. Plast Reconstr Surg 132(4):1017–1026CrossRefPubMed
31.
go back to reference Tonnard PL, Verpaele AM, Zeltzer AA (2013) Augmentation blepharoplasty: a review of 500 consecutive patients. Aesthet Surg J 33(3):341–352CrossRefPubMed Tonnard PL, Verpaele AM, Zeltzer AA (2013) Augmentation blepharoplasty: a review of 500 consecutive patients. Aesthet Surg J 33(3):341–352CrossRefPubMed
32.
go back to reference Verpaele AM, Tonnard PL, Hamdi M (2015) Long-term use of the Fogli temporal lift technique. Plast Reconstr Surg 135(2):282e–290eCrossRefPubMed Verpaele AM, Tonnard PL, Hamdi M (2015) Long-term use of the Fogli temporal lift technique. Plast Reconstr Surg 135(2):282e–290eCrossRefPubMed
33.
go back to reference Whitaker IS, Mason L, Boyce DE et al (2007) An analysis of 1361 aesthetic procedures from 2000 to 2005 in a large regional plastic surgery unit: implications for cosmetic surgery training. J Plast Reconstr Aesthet Surg 60(4):437–439CrossRefPubMed Whitaker IS, Mason L, Boyce DE et al (2007) An analysis of 1361 aesthetic procedures from 2000 to 2005 in a large regional plastic surgery unit: implications for cosmetic surgery training. J Plast Reconstr Aesthet Surg 60(4):437–439CrossRefPubMed
34.
go back to reference Zeltzer AA, Tonnard PL, Verpaele AM (2012) Sharp-needle intradermal fat grafting (SNIF). Aesthet Surg J 32(5):554–561CrossRefPubMed Zeltzer AA, Tonnard PL, Verpaele AM (2012) Sharp-needle intradermal fat grafting (SNIF). Aesthet Surg J 32(5):554–561CrossRefPubMed
Metadata
Title
Aesthetic Training for Plastic Surgeons: Are Residents Getting Enough?
Authors
Athanasios Papas
Paolo Montemurro
Per Hedén
Publication date
01-02-2018
Publisher
Springer US
Published in
Aesthetic Plastic Surgery / Issue 1/2018
Print ISSN: 0364-216X
Electronic ISSN: 1432-5241
DOI
https://doi.org/10.1007/s00266-017-0966-0

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