Our Summary

This research paper discusses the differences in training programs for facial cosmetic surgery across three specialties in the UK: oral and maxillofacial surgery (OMFS), plastic surgery, and otolaryngology (ear, nose, and throat surgery). Currently, the training program for plastic surgery includes detailed education in facial aesthetics, while the curriculum for OMFS does not.

The researchers compared these curricula and, based on feedback from 45 trainee surgeons, suggested a new curriculum for facial aesthetic surgery. They found that the plastic surgery curriculum covered all 11 of the procedures they were assessing, while OMFS and otolaryngology only covered 7 and 4 respectively.

Most of the trainee surgeons agreed that more training in aesthetics would be beneficial, but there were concerns about the availability of resources. The proposed new curriculum includes more detailed record-keeping to demonstrate expertise in the head and neck, and extends the training period. It also relaxes the criteria for transferring skills from one specialty to another.

The researchers argue that incorporating more aesthetics training into the core curriculum of OMFS would produce more well-rounded surgeons and benefit the field. However, they also acknowledge that there may be financial and logistical obstacles to implementing this change.

FAQs

  1. What are the current differences in training for facial cosmetic surgery across the three specialties in the UK?
  2. What are the proposed changes to the OMFS curriculum based on the research paper?
  3. What potential obstacles might occur in implementing more aesthetics training into the OMFS curriculum?

Doctor’s Tip

A doctor may tell a patient undergoing maxillofacial surgery to follow all pre-operative and post-operative instructions carefully to ensure a successful recovery. This may include avoiding certain foods, medications, or activities before and after surgery, as well as attending all follow-up appointments. It is also important for the patient to communicate openly with their healthcare team about any concerns or questions they may have throughout the process.

Suitable For

Patients who are typically recommended for maxillofacial surgery include those with congenital facial deformities, traumatic injuries to the face, facial tumors, temporomandibular joint disorders, obstructive sleep apnea, and facial pain syndromes. Additionally, patients seeking cosmetic enhancements to improve facial aesthetics may also be candidates for maxillofacial surgery.

Timeline

Before maxillofacial surgery, a patient typically undergoes consultations with their surgeon to discuss the procedure, potential risks, and expected outcomes. They may also undergo pre-operative tests and evaluations to ensure they are healthy enough for surgery. On the day of the surgery, the patient will be prepped for the procedure and given anesthesia.

After maxillofacial surgery, the patient will experience swelling, bruising, and discomfort in the days following the procedure. They will need to follow post-operative care instructions, which may include taking medication, avoiding certain foods, and attending follow-up appointments with their surgeon. Over time, the swelling and bruising will gradually decrease, and the patient will start to see the results of the surgery. Full recovery from maxillofacial surgery can take several weeks to months, depending on the extent of the procedure.

What to Ask Your Doctor

Some questions a patient should ask their doctor about maxillofacial surgery include:

  1. What specific procedures are involved in maxillofacial surgery and how will they benefit me?
  2. What are the risks and potential complications associated with the surgery?
  3. How experienced are you in performing maxillofacial surgery procedures?
  4. What is the recovery process like and how long will it take?
  5. Are there any alternative treatment options available for my condition?
  6. Will I need to follow any specific post-operative care instructions?
  7. What are the success rates for the procedures you are recommending?
  8. Do you have before and after photos of previous patients who have undergone similar procedures?
  9. What is the cost of the surgery and will my insurance cover it?
  10. Are there any long-term effects or considerations I should be aware of before proceeding with the surgery?

Reference

Authors: Awal DH, Walker TWM, Mills C. Journal: Br J Oral Maxillofac Surg. 2019 Nov;57(9):918-922. doi: 10.1016/j.bjoms.2019.08.006. Epub 2019 Aug 23. PMID: 31451318