cosmetic sugery

[zidanereal2003]

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I know that oral surgeons perform facial cosmetic surgery. My question is how they compete with plastic surgeons and head and neck surgeons.
I mean if I was going to perform a cosmetic surgery I would prefer a plastic surgeon to perform it .. any comments

 

[zipkosucks]

Zidane is awesome!

Unfortunately Real sucks!

 

[zidanereal2003]

Zidane is awesome!

Unfortunately Real sucks!

Come on real is such a great team what's wrong with you ? they haven't played well since the soccer model joined the team!

You didn't answer my question!

 

[Jediwendell]

I depends on the surgeon's training. I know that the plastics guys at San Antonio only spend about six months on head and neck. OMS spends all of their time on head and neck and do a lot of cosmetics. ENT does a ton of rhinoplasty now that they have Holt, but didn't do a lot before. It just depends on the training. I think that the US public has a misconception about plastic surgeons, thinking that they can do everything. You really have to ask the right things of people.

 

[UFOMS]

I personally don't want to do cosmetic surgery. I agree with Jedi...it depends on your training. Some programs (i.e Alabama) do tons of cosmetics. The problem with doing cosmetics as a OMFS is that it's hard to market yourself. Doing post-traumatic cosmetics is more feasable ....such as post-traumatic rhinoplasty. Otherwise, you're going to be fighting turf wars with plastics...and if plastics is strong in your area, you'll never find a niche to do cosmetics. Look at what's happening to oral surgeons in California. Because Plastics is so dominant there, oral surgeons are losing the battle to do cosmetics. Oral surgeons make their money on wisies (thirds) and implants.

 

[KY2007]

I agree with UFOMS. If you want to do lots of cosmetics you either need to be an academic or you need to move to a city where plastic surgeons don't have a choke hold.

 

[zidanereal2003]

I agree with UFOMS. If you want to do lots of cosmetics you either need to be an academic or you need to move to a city where plastic surgeons don't have a choke hold.

I heard if you get your MD degree it helps you to do more cosmetic surgeries.

 

[Bruxomaniac]

I depends on the surgeon's training. I know that the plastics guys at San Antonio only spend about six months on head and neck. OMS spends all of their time on head and neck and do a lot of cosmetics. ENT does a ton of rhinoplasty now that they have Holt, but didn't do a lot before. It just depends on the training. I think that the US public has a misconception about plastic surgeons, thinking that they can do everything. You really have to ask the right things of people.

How much freedom is there to gain experience in a certain area during your residency? For example, the program you are in doesn't do much cosmetic surgery but that is really what you want to focus on. Can you find opportunities to do more cosmetics despite your program or is everything 100% set.

 

[ItsGavinC]

I heard if you get your MD degree it helps you to do more cosmetic surgeries.

One of my professors is a DDS/MD and nearly all he does is cosmetic work (breast augmentation, specifically). He works that 3-4 days a week and pulls 3rds out one day a week, or one day every other week.

Here's his website: http://www.anewbeautifulyou.com/welcome.htm

(fair warning--some nudity at this link when looking at patient profiles)

 

[OMFSdoc]

The majority of US programs do not focus on cosmetics. The previous posts on areas where plastics do / do not have choke holds on the market are all true. Highly populated and wealthy areas of the country (ie NY and California) have such a high saturation of plastic surgeons that they make it so OMFS docs really cannot do much in terms of plastics. The 2 ways that you can get some good plastics training are either 1) Train in the South where they are really begging for surgeons in general and you can do whatever you want and many southern programs teach plastics (ie Alabama, LSU) or 2) Do a plastics fellowship after your OMFS program is over, you will be very competent after a fellowship.

 

[Sprgrover]

...Here's his website: http://www.anewbeautifulyou.com/welcome.htm...

That's a pretty slick site...

 

[Jediwendell]

One of my professors is a DDS/MD and nearly all he does is cosmetic work (breast augmentation, specifically). He works that 3-4 days a week and pulls 3rds out one day a week, or one day every other week.

Here's his website: http://www.anewbeautifulyou.com/welcome.htm

(fair warning--some nudity at this link when looking at patient profiles)

Realistically, it is still ORAL and MAXILLOFACIAL surgery. Don't know if breasts are involved with that. If full body cosmetic surgery is your gig, then you should do a plastics fellowship. Facial cosmetics is one thing, breasts is another. I don't think this is the reputation I would like to see dentistry and OMS have. If your professors are pushing this I am not really impressed.

 

[frogger33]

My best friends father is an oral surgeon who does lots of cosmetics dealing with the jaw line and elongating chins, etc...

He said that plastic surgeons (MD) can put in a chin implant on a patient to move a chin (jaw line) up a few mm, but that an oral surgeon can actually take the jaw apart, add in pins and screws, and actually move a persons jaw forward to make their profile even (which implants cannot do in some cases). He also said many plastics refer patients to him to correct gum lines and such by rearranging the line of the jaw.

Besides that he deals with TMJ, cleft pallet, and said some perio and prostodontists in the area ask him to do a joint cases on complex implant cases where where they need to take bone from the sinus cavity since the patient does not have enough gum remaining in the gum area.

I am just a pre-dent so I personally do not know much about it, but I thought I would just tell you what my friend 's Dad said about it all. BTW- He does not do boob-jobs, etc... just sticks to oral, but he does makes big $$$

 

[Tristero]

One of my professors is a DDS/MD and nearly all he does is cosmetic work (breast augmentation, specifically). He works that 3-4 days a week and pulls 3rds out one day a week, or one day every other week.

Here's his website: http://www.anewbeautifulyou.com/welcome.htm

(fair warning--some nudity at this link when looking at patient profiles)

do youthink its proper that he is performing breast augs and abdominoplasties without completing a plastics fellowship. i mean he is more than qualified for the face, an di'm sure he is a talented surgeon, but doesnt that mean all the breast aug/abdomino experience was during his plastics rotation during gsurg? thats messed up.

 

[Jediwendell]

My best friends father is an oral surgeon who does lots of cosmetics dealing with the jaw line and elongating chins, etc...

He said that plastic surgeons (MD) can put in a chin implant on a patient to move a chin (jaw line) up a few mm, but that an oral surgeon can actually take the jaw apart, add in pins and screws, and actually move a persons jaw forward to make their profile even (which implants cannot do in some cases). He also said many plastics refer patients to him to correct gum lines and such by rearranging the line of the jaw.

Besides that he deals with TMJ, cleft pallet, and said some perio and prostodontists in the area ask him to do a joint cases on complex implant cases where where they need to take bone from the sinus cavity since the patient does not have enough gum remaining in the gum area.

I am just a pre-dent so I personally do not know much about it, but I thought I would just tell you what my friend 's Dad said about it all. BTW- He does not do boob-jobs, etc... just sticks to oral, but he does makes big $$$

This is an interesting concept called "counter clockwise rotation of the jaw". If you are a dental student, it can be conceptualized by looking at a ceph, and flattening the plane of occlusion with the mandible staying in a constant position in relation to the teeth. This will provide forewared a-p changes of the bony contour of the chin point, thereby augmenting the projection of the soft tissue portion of the chin. If you aren't a dental student, then yes, they can do that.

 

[lnn2]

Realistically, it is still ORAL and MAXILLOFACIAL surgery. Don't know if breasts are involved with that. If full body cosmetic surgery is your gig, then you should do a plastics fellowship. Facial cosmetics is one thing, breasts is another. I don't think this is the reputation I would like to see dentistry and OMS have. If your professors are pushing this I am not really impressed.

I'm not impressed either! Shocked is the word! I think to do any cosmetic surgery below the head, OMS need to have a Fellowship in Plastic surgery, and should be Board Certified by the American Board of Plastic Surgery. His professor shouldn't perform breast augmentation. Only one of those before and after pics looks natural. Some of them are really really bad boob jobs, imo.

 

[frogger33]

One of my professors is a DDS/MD and nearly all he does is cosmetic work (breast augmentation, specifically). He works that 3-4 days a week and pulls 3rds out one day a week, or one day every other week.

Here's his website: http://www.anewbeautifulyou.com/welcome.htm

(fair warning--some nudity at this link when looking at patient profiles)

I dont know.... I find that a little disturbing. I am sure he is well trained and all, but as a patient I rather go to a real plastic surgeon (certified with plastic surgery) and YEARS of residency and fellowships in the specialty. Did he ever tell you guys why he even went into dentistry if he wanted to become a plastic surgeon?? I mean, would it not have been easier to just go to medical school, since it seems he does more of that side than actual Oral stuff ??

Again, I may be ignorant on this topic, but that seems to bizzare to me. I have never met an OMS that does plastics like that. Crazy stuff 🙄

 

[zidanereal2003]

I dont know.... I find that a little disturbing. I am sure he is well trained and all, but as a patient I rather go to a real plastic surgeon (certified with plastic surgery) and YEARS of residency and fellowships in the specialty. Did he ever tell you guys why he even went into dentistry if he wanted to become a plastic surgeon?? I mean, would it not have been easier to just go to medical school, since it seems he does more of that side than actual Oral stuff ??

Again, I may be ignorant on this topic, but that seems to bizzare to me. I have never met an OMS that does plastics like that. Crazy stuff 🙄

Maybe to make more money or he got interested in plastic surgery when he was a resident. I agree that OMFS are quilfied to perform facial cosmtic surgery but they are not quilified to perform other type of plastic surgey.

 

[GatorDMD]

Maybe to make more money or he got interested in plastic surgery when he was a resident. I agree that OMFS are quilfied to perform facial cosmtic surgery but they are not quilified to perform other type of plastic surgey.

http://www.americanboardcosmeticsurgery.org/fellowship_route.php

http://www.cosmeticsurgery.org/Surgeons/education.asp

 

[toofache32]

JediWendell's comments about the Plastics guys at San Antonio are also true in many other programs, including the one at my institution which is a very highly-regarded plastics residency. In the 5 years of surgical training, the first 3 are spent below the neck doing basically GI and extremity surgery (general surgery). Formal Plastics training is only done in the final 2 years and only about 6 months is spent on the head & neck, on average. Only a portion of that time is spent on cosmetics.

I would guess that most OMS guys who do into cosmetic surgery are doing it more for a mixture of interesting cases rather than money. You can make more money doing 3rd molars and implants than nosejobs. For example, a nosejob takes you 2-3 hours and you charge maybe $3000, depending on where you practice and what type of nosejob. You can charge $1500 for a set of 3rd molars that only takes you 30 minutes, and with less pre-op and post-op care spent.

I would also guess this is why a couple of the local Plastics guys here are now placing dental implants.

 

[Energon]

I dont know how much I really trust these "cosmetic Fellowships". There are AAOMS approved fellowships that I trust as well as AMA approved PRS residencies/craniofacial fellowships.

Personally I could care less about nose jobs, facelifts etc etc, i spent the better half of last month assisting on these procedures in our OMFS clinic (where cosmetic procedures are done almost on a daily basis these days). I personally prefer the dentoalveolar and orthognathic procedures which all programs train their residents to do. Also from a legal standpoint, if you are not a board certified PRS, its a real sticky situation if your patient decides to sue you.... also, I may be wrong, but I feel that a lot of patients clamoring to have cosmetic procedures done are hard to please to begin with and also tend to be very lawyer happy.

 

[oms fan]

I would also guess this is why a couple of the local Plastics guys here are now placing dental implants.

Wow, that is scary. I wonder if they have any concept of the restorative goals after implant placement. They are probably placing them wherever the most bone support is at. I wonder if they are considering torque from occlusion and other restorative concerns.

 

[Energon]

I would also guess this is why a couple of the local Plastics guys here are now placing dental implants.

😱 That is scary. I know of plastic surgeons who use the implants for otoplasties or replacing ear lobes. However, any non dentists placing intraoral implants is just scary.

 

[adamlc18]

I would also guess this is why a couple of the local Plastics guys here are now placing dental implants.

Is that legal? Don't you have to be a dentist to place intraoral devices?

 

[tx oms]

They are probably placing them wherever the most bone support is at.

As opposed to hanging them in space with a piece of a gortex wader and some freeze-dried cow bone? Where are my periodontists...

Physicians in Texas can practice dentistry if it is related to their practice per Texas Board of Dental Examiners (aka The Law Dogs).

 

[oms fan]

They are probably placing them wherever the most bone support is at.

I am only refering to placement that is good technically because they are in a lot of bone but are likely to not provide much in the way of restorative options. I am sure everyone has seen films of implants in the posterior mand that are too close together or at different angles that make splinting necessary or make it impossible to restore with a bridge.

I just think that there needs to be a lot of coordination with the restorative dentist to make sure the implants will be useful. That is why it scares me that someone not trained in dentistry might be placing implants.

 

[toofache32]

I just want to know who the heck is referring these implants to the plastics guys. I can't imagine a dentist referring a patient to a non-dentist for a dental procedure.

 

[lnn2]

I just want to know who the heck is referring these implants to the plastics guys. I can't imagine a dentist referring a patient to a non-dentist for a dental procedure.

A dentist who was well trained in stupidity!