If you are a foreign medical graduate, you can get into Plastics
Actually - SIU has two.
Their new integrated PGY1 is from Canada, did 2 yrs research in Ann Arbor, and matched.
They had an open slot for a PGY5, and I think the person was FMG, who was doing a hand fellowship (so I guess he must have done General surgery in the states) and then got the 2 yr plastics slot
Anyway - there are non-US med grads that do General surgery in US, and get into PRS, and then, those that do Med School outside US and get into PRS integrated.
I am sure there are other programs that have non-US grads in Plastics