Plastics vs Maxillofacial Surgery

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qw098

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I've heard that Maxillofacial surgeons are much better trained for facial surgeries and cosmetic surgeries with respect to the face. I was wondering if this was true.

I guess my underlying question is..... in ten years will maxillofacial surgeons overtake plastics as the go to guy making plastic surgeons almost "obsolete".

I am in medical school at the moment and have looked at plastics as something I am interested in.
 
Plastics can do so much more than just face. Is face all that you're interested in?
 
I've heard that Maxillofacial surgeons are much better trained for facial surgeries and cosmetic surgeries with respect to the face. I was wondering if this was true.

I guess my underlying question is..... in ten years will maxillofacial surgeons overtake plastics as the go to guy making plastic surgeons almost "obsolete".

I am in medical school at the moment and have looked at plastics as something I am interested in.
qw,

Max-Fac surgeons are excellent at operating on the hard tissue of the face (ie, bones). Plastic surgeons have far more experience with soft tissue operations. I think the only Max-Fac surgeons who will present real competition to Plastics are those who have completed a fellowship in some aspect of facial aesthetic surgery. There are few of these spots. I'd like to say that if your real interest is plastics, then go to med school, but the odds of you (or anyone) getting into a plastics spot is very slim. You're talking about needing to get a 250+ on the boards and that will probably not happen, plus all kinds of (published!) research. Compare that to dental school where there are a decent number of avg students who match in to OMFS every year who have never done any research, and you can see that your chances there are much better than matching plastics from med school.

good luck
 
qw,

I'd like to say that if your real interest is plastics, then go to med school, but the odds of you (or anyone) getting into a plastics spot is very slim. You're talking about needing to get a 250+ on the boards and that will probably not happen, plus all kinds of (published!) research. Compare that to dental school where there are a decent number of avg students who match in to OMFS every year who have never done any research, and you can see that your chances there are much better than matching plastics from med school.

good luck

While integrated plastics is extremely difficult to get into, there are still quite a few plastics fellowships after a general surgery residency. Obviously you want to shoot for integrated plastics, but if you don't get it and can suffer through 5 years of a GS residency, there are fellowship spots still open on the other side.

The time frame for OMFS (at least at my institution) is significant as well. 4 years of dental + 2 years of MS3/MS4 (along with step 1) to get the MD + GS intern for a year or two followed by chief year in OMFS. It's a really weird path to take in terms of responsibilities.
 
ENT-trained facial plastic surgeons > integrated/gsurg plastics > OMFS

(for facial plastic surgery, in general)
 
Is this a troll? When you refer to "maxillofacial surgeons," I'm assuming you mean the specialty "oral and maxillofacial surgery," because plastics, ENT, and OMFS are all maxillofacial surgeons. Each of these specialties operates on the craniofacial skeleton, so because one specialty has the word "maxillofacial" in it does not mean that they are the most well-trained facial surgeon. ENT would really be referred to as "Otorhinolaryngology - Head and Neck Surgery and Facial Plastic and Reconstructive Surgery." ENT is much easier to say, though. It would make more sense to me if you were to say "craniofacial surgeons," because craniofacial surgery is a subset of more specialized training within plastic surgery, and in this case I would say yes, craniofacial surgeons would have better training (because they have more training). With respect to facial cosmetic and reconstructive surgery, I'm not quite sure where you've obtained the impression that OMFS surgeons are more well-trained. To the contrary, OMFS requires the least training of all the three fields I mentioned previously (Plastics is 6-8 years, ENT Facial plastics is at least 6 years, and OMFS is 4 years), and by far has the least case load for cosmetic cases at any program I have seen. I've heard of some OMS trying to get into rhinoplasty, but I don't know of any OMS residents training on facelifts, blephs, or any other cosmetic cases, they certainly don't do them where I train. In general, the majority of OMFS surgeons are going to 1) extract wisdom teeth (that's where the money is) or 2) fix mandibles (they also do a lot of implants). The only thing OMFS does that ENT does not is mandibular and maxillary distraction, but there are very few of these cases that are actually performed, plastic surgery trains to do these as well. In fact, the biggest name craniofacial surgeon around my area is an ENT who then did a PRS fellowship, which makes a lot of sense. There are several big name guys who have OMS backgrounds but go on to further their training by doing PRS fellowships, after which they tend to work on big head and neck reconstructions like plastics and ENT, but if you were to poll pretty much anyone, they would rather their facelift, rhinoplasty, or blepharoplasty be done by a plastic surgeon or facial plastic surgeon rather than a general OMFS.

So to answer your question "in ten years will maxillofacial surgeons overtake plastics as the go to guy making plastic surgeons almost 'obsolete,'" no this will never happen. OMFS surgeons will stick to wisdom teeth and mandibles, and plastic surgeons will stick to plastic surgery. If that paradigm shifts, then I'm going to start taking out wisdom teeth.
 
I disagree that plastic would do better than OMFS in facial surgeries. They only spend two years in plastic fellowship after GS while the OMFS are involved from their primary educations. They are more focused on facial surgeries than plastics do. Although they have some distraction in other subjects along the way but all together they spend more trainig specially in maxillofacial region. They understand facial structures more than plastics. Maybe the only superiority plastic would have over the OMFS is in the field of soft tissue grafts. In trauma and orthognathic surgery plastic never can compete with OMFS, ENTs are out of cometition in these areas. Belph and face lift are not consider major surgery in OMFS teainig. In surgical oncology ENTs are good specially in neck dissections. Although OMFS and plastic would do good surgeries too.
ENTs and plastics never understand the relation between upper and lower jaw which is almost 2/3 of the face (maxilla+ mandible)
 
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