It’s also the secret to finding the right surgeon for the greatest rhinoplasty results. Head, neck and thyroid conditions. Dr. Reid loves working on noses; it’s his favorite procedure to perform. In short, it's a field with happy patients, (mostly) happy surgeons, a ton of cool procedures, and a nice lifestyle. He discusses that while it’s best to see a plastic surgeon or facial plastic surgeon, the most important thing is to see a surgeon who performs this procedure often, and well. Do you have any other advice for an aspiring trauma surgeon? The acute care surgeons I've worked with are definitely doing nothing more complex than a general surgeon in a decent-sized community hospital, and I would say they have less variety but higher acuity. 2018 I had my deviated septum repaired. Trauma/Critical Care/Acute care surgery is a great specialty. Wide range of pathology. Features he examines: His goal with any nose job is to restore a sense of harmony to the face. The specialty of facial plastic surgery includes surgical and non-surgical solutions for improving the appearance of the face. Pediatric otolaryngology. You are the most efficient doc in the hospital, in house and ready to cut. A short time later, he found he could no longer urinate and sought medical attention. When he addresses the nose, his approach is two-pronged. You have the opportunity to add to the collective body of knowledge of medicine. Your email address will not be published. Dr. Even so, as he mentioned, an ENT who has done 500 cases is a far better choice than a plastic surgeon who has done 10. Trauma/Critical Care/Acute care surgery is a great specialty. He works in MORRIS, IL and 3 other locations and specializes in Otolaryngology and Plastic Surgery. Nearly 95 percent of U.S. allopathic senior medical students matched for postgraduate year 1 (PGY-1) positions in the 2018 Main Residency Match, but that’s not to say the competition in certain specialties wasn’t fierce. His goal post-op is for patients to look better, feel more confident, and be able to breath better because of the aesthetic and functional improvements that he makes during the procedure. As a former “Certified Operating RoomTechnician” who passed instruments for years-I would say yes they CAN in some cases- but in most cases NO they don’t. “I take that responsibility seriously, and it can weigh on you,” he shares. Perhaps other pros and cons? Facial plastic surgeons are often ENTs (ear, nose, throat) in addition to plastic surgeons. While an ENT (ear, nose and throat doctor) is trained to address a deviated septum, for example, is he or she as well trained to address the aesthetic aspects of your nose? Publications. Thanks for your post, I really hadn't realized how much variety was in the field. Lots and lots. There are very few urological emergencies, so you can have a pretty good lifestyle as far as medicine goes. Don't want to be stuck doing hernias, gallbladders, feeding tubes and lipomas while specialists get all the cool stuff? This specialization requires two or more years of extensive training to prepare an ENT specialist in performing cosmetic, reconstructive and functional surgery of the face, ear and neck. Sleep conditions. Press question mark to learn the rest of the keyboard shortcuts. Vascular injury? Dr. Mehta graduated from the University of Missouri-Kansas City School of Medicine in 1992. But all of these things will be true for any surgical specialty. Dr. Chung graduated from the University of Illinois At Chicago College of Medicine,University of Cincinnati College of Medicine in 1997. I'm applying to Urology this year and I've spent a ton of time with the faculty at my school as well as friends who are residents at various programs, so I'll talk a bit about it. Otolaryngology and Plastic Surgery . Laryngology (voice and swallowing functions). This is a highly moderated subreddit. On his second arrival, he was somewhat more compliant and got a suprapubic catheter. He always want to deliver the perfect nose for his patients. Overview; Insurance; Office Info; Overview. At this stage, an ENT specialist can choose to pursue a fellowship to focus on a subspecialty, such as facial plastic and reconstructive surgery. After residency (when you're called in at 2 AM to place foleys), your schedule is a lot less variable. 7 years ago. ENT (ear, nose, and throat) specialists, or otolaryngologists, diagnose and treat a wide range of conditions involving the whole face, nose, lips, ears, and neck. You may have to do a lung resection. The downsides if you do a lot of trauma is that its a lot of non operative management and most jobs work you pretty hard. I’ve seen two facial plastic surgeons and they are charging “cosmetic fees” even though my insurance has approved the cpt and surgery codes for a rib graft. Lets divide it into its parts and find out. This is the specialty that keeps the general surgeon true to his name. That said, with the excitement of tremendous result comes sweat, anxiety, and hard work. You might have to repair an iliac artery. If it’s out of proportion in any significant way, it can readily throw off the harmony of the face. The difference between the two is that a facial plastic surgeon is actually an ENT who has also completed an aesthetic fellowship, allowing him or her to operate on the face and/or nose. Overview; Insurance; Office Info; Overview. And unlike medical intensivists, if the patient needs to go to the OR, thats you too! The difference between the two is that a facial plastic surgeon is actually an ENT who has also completed an aesthetic fellowship, allowing him or her to operate on the face and/or nose. The Division of Plastic and Reconstructive Surgery. Department of Otolaryngology–Head and Neck Surgery, New York University Grossman School of Medicine, New York, New York, U.S.A. /r/medicine is a virtual lounge for physicians and other medical professionals from around the world to talk about the latest advances, controversies, ask questions of each other, have a laugh, or share a difficult moment. In terms of patient's age, primary cleft lip repair occurred within the recommended time frame in both otolaryngology and plastic surgery cohorts at averages of 0.66 years (7.9 months) and 0.86 years (10.3 months), respectively, and medians of 0.35 years (4.2 months) and 0.37 years (4.4 months), respectively. If you don't like adrenaline inducing cases and operative challenges then you may not like this specialty. Trauma: Every trauma is a present. Why is a plastic or facial plastic surgeon a better choice for your rhinoplasty procedure than an ENT? This is a little off topic but how do you feel about using mesh slings to treat stress urinary incontinence? Reconstructive facial plastic surgery includes procedures to improve nasal breathing, to … You may have to do a distal panc/spleen. This is part of what makes him a great rhinoplasty surgeon and why those who also perform the procedure routinely echo the same sentiments. “Basically, the choice that you want to make is either a plastic surgeon or a facial plastic surgeon,” says Dr. Reid. “One of the risks of rhinoplasty is that we could cause breathing problems because we are reducing the size of the nose, typically,” explains Dr. Reid. Weill Cornell Medicine plastic surgeons provide a full spectrum of plastic, reconstructive and aesthetic surgery procedures. He works in MORRIS, IL and 3 other locations and specializes in Otolaryngology and Plastic Surgery. My son had the surgery to repair his nose when he was 20 years-old. Hehe. Facial Plastic Surgeon vs Plastic Surgeon: Rhinoplasty Considerations. Let me tell you my best urology story. They are different residencies. Head and neck cancer surgery. And you will bitch about it. Mayo Clinic ear, nose and throat (ENT) specialists study ways to improve care for people having nasal surgery. Don't know his long-term outcome, but it's safe to say he won't do that again anytime soon. When my patients lose limbs, it's to twinkies and Marlboros, not a drunk on the highway. Rhinoplasty is a surgical procedure to change the size and shape of the nose while also maintaining function. I'm currently on my elective urology rotation and I'm really enjoying it! Most agree that it is the hardest and most technically-challenging procedure that plastic surgeons perform, and this is why the great rhinoplasty surgeons enjoy it. You can pick what you want to do as a surgeon or you can do everything and have a wide variety. The field is small, so you get to know people. “Basically, the choice that you want to make is either a plastic surgeon or a facial plastic surgeon,” says Dr. Reid. Sinus surgery. Whether or not there were functional issues before, it is critical he either solves a problem or maintains a well-functioning nose. “This is the reality,” begins Dr. Reid. EDIT: Also, how are outcomes, on average? o Urology / ENT: great overlap with general surgery o Radiology: Surgeons like to read their own scans “I did my surgery rotation and no longer want to do surgery” o This rotation schedule should help you get optimal grades in 3 required rotations and optimize use of elective time. Any recs on programs? They’re not hard to learn and can be done easily. While most patients today are pretty clear about the benefits of a rhinoplasty, they are often confused about who to see for their procedure —a plastic surgeon, ENT or facial plastic surgeon? As a rhinoplasty expert, Dr. Reid performs this surgery a lot. Dr. Whitehouse graduated from the University of Louisville School of Medicine in 1987. You can fix a lot of problems in clinic - BPH, incontinence, ED, etc can be treated with lifestyle modifications and medications. Dr. Divenere graduated from the University of Illinois At Chicago College of Medicine in 1995. Additionally, most ENT residencies do very very very little facial cosmetic surgery. Most programs are very high volume and graduates come out trained in endoscopic, laparoscopic, robotic, and open procedures. Envelope Share-alt Specialities +91-9962 242 000 ENT Request Appointment > +91-9962 242 000 ENT Overview ENT also called as otolaryngology is a department of medicine that provides medical and surgical services for disorders related to ear, nose, throat, neck and head with the latest equipment’s and technologies. To be honest urologist are some of the best MDs out there in terms of what you guys do and handle. Cardiac injury? ENT Surgical Consultants 960 W Rte 6 Morris, IL 60450. Also seems like a great lifestyle. The aesthetic aspects of the nose take years and hundreds of cases [to master].”. When people come in with diverticulitis, appendicitis, cholecystitis, nec fasc, etc, you are there to get them in and out. That and penises. Board certified plastic surgeon Dr. Dustin Reid of Austin, TX is a rhinoplasty expert. I would then look at the plastic surgeon's before and after photos, look at his experience and schedule a consultation. He first examines the aesthetics and how it affects the overall facial proportion. Lots of cancer (testicular, bladder, renal, prostate), lots of lifestyle improvement (stones, incontinence, ED), lots of life-changing stuff (infertility comes to mind). Its you buddy. Most plastic surgeons who perform this procedure would agree with Dr. Reid that it is something that one never truly masters. The truly important thing is that “you need to choose someone who does rhinoplasty often and does it well.”. Would you pick surgery and your particular field again? I honestly don't agree with that assessment. My ENT can fix it. Yes I'll admit theres 10 pairs of socks for every xbox but when that arrives, you are in for a fun night. Overview; Insurance; Office Info; Overview. Upon arrival to the ED, he was still pretty high - he barked at staff and left AMA. The Plastic Surgery Channel™ All Rights Reserved. Lets divide it into its parts and find out. Plastic surgery can either be a 6 year residency if you match into Integrated Plastics, or you can do 5 years of general surgery followed by 2-3 years of Plastic Surgery fellowship (I'm not entirely sure of the length to be honest). I'm only starting my fellowship but I'll do mine for whatever its worth. Press J to jump to the feed. Patients see a lot of benefit from what you do. The patient isn't gonna make it until a specialist gets there. I was diagnosed by a ENT that I have a deviated septum (80% on one side), this has caused frequent nasal drip and snoring. When operative trauma comes in, its fast paced diagnosis and stabilization with eventual definitive therapy which is a blast and keeps your skills intact. The American Council of Academic Plastic Surgeons (ACAPS) is composed of the program directors / chairpersons and associates of American College of Graduate Medical Education (ACGME) approved plastic surgery residency programs in the United States. Rhinology (conditions and diseases of the nose). The vast majority of acute care surgery is bowel obstructions, colitis (usually diverticulitis), gall bladder troubles, ventral hernias, and some kind of inflamed or perforated viscus. Your email address will not be published. Dr. Mehta is affiliated with Silver Cross Hospital, AMITA Health Saint Joseph Medical Center Joliet, Morris Hospital & Healthcare and Silver Cross Hospital. It pays well. The only true downsides are the competitiveness of the field, the length of training (5-6 years for residency, an extra 1-2 for fellowship), the early hours, and the huge amount of work you will put in during residency. Skull base surgery. Otolaryngology and Plastic Surgery (815) 941-1972. If you dont like trauma, go to a non trauma center. Don't like ICU care? Aesthetic or cosmetic facial plastic surgery includes procedures and treatments to counter the effects of aging or to change something that you do not like about your face. Care to share where you did fellowship? Surgeries range from the very short (urolifts, vasectomies, circs, etc) to medium length (kidney stones, TURPs, PVPs, prostheses) to long (nephrectomy, prostatectomy, cystectomy) to very long (a lot of reconstructive stuff, RPLNDs, etc). This field is for validation purposes and should be left unchanged. Research. I will be…, Is the keto diet good for visceral fat And is…, While I wholeheartedly agree with my colleagues' views on this,…, The Australians have taken a real leadership role in policing…. He said that a septoplasty can fix this. Lots and lots and lots of penises and prostates. Home; About; Blogs; TV ARTSCAPES; CRYSTAL WHISKEY; Reinvention Power Coach; ent residency reddit It is a fellowship out of general surgery and its basically general surgery on steroids with more variety. “There’s a lot of confusion amongst patients about who does rhinoplasty,” explains Dr. Reid. And lots. Lots of opportunities for research and tons of new technologies being used every year, so the field is cutting edge and you get to constantly improve as a surgeon. The gruesome stuff) die than survive, or is it completely subjective? Facial plastic and reconstructive surgery. Do more of your very bad traumas (MVCs, GSWs, etc. Creating a beautiful nose that doesn’t work is clearly never an option. It is a fellowship out of general surgery and its basically general surgery on steroids with more variety. Pancreatic injury? Someone suggested silicone caulk as a substitute for natural reaction. With rhinoplasty becoming one of the most popular forms of plastic surgery performed, prospective patients want to know their options regarding an affordable rhinoplasty nose procedure. Is it risky? The four blobs of silicone extracted from his urethra and bladder were in toto five inches in length. He is constantly learning, improving, and tweaking his rhinoplasty technique with every nose job he performs. So at the end of the day, that's why they do a facial plastic surgery year - so they get more comfortable with the facial cosmetic procedures. Therefore, instead of focusing on the specialty (Plastic Surgery vs. Facial Plastic Surgery), I would have a frank conversation with the surgeon(s) you consider whether or not he or she performs septoplasties. What drew you to surgery and your specific area? He works in Augusta, GA and 3 other locations and specializes in Otolaryngology and Plastic Surgery. He works in Joliet, IL and 2 other locations and specializes in Otolaryngology and Plastic Surgery. Please read the rules carefully before posting or commenting. The American Board of Plastic Surgery and the American Board of Otolaryngology are both members of the American Board of Medical Specialties and both of these boards have Subspecialty Certificates in "Facial Plastic Surgery". This is the specialty that keeps the general surgeon true to his name. Also, you should look at pre-OP and post-OP photos of actual patients and decide if you like the surgeon's aesthetic preferences. What are your thoughts on avoiding routine PSA screening in asymptomatic average-risk men? Facial plastic surgery is a part of otolaryngology that is divided into two categories: reconstructive and cosmetic. Dr. Divenere graduated from the University of Illinois At Chicago College of Medicine in 1995. ENT is a 5 year surgical residency. Surgical intensivist: Who wants to just be a dumb ole surgeon (well lots of people but thats besides the point). Happy patients, less time spent on the floors. Required fields are marked *, My heavy metals are off the charts. “The functional aspects of a rhinoplasty/septoplasty are straight forward. You are managing shock, placing central lines, a lines, participating in the complete care of the patient you stabilized in the OR. The specialty of plastic surgery deals with the resection, repair, replacement and reconstruction of defects of form and function of the integument its underlying anatomic systems, including the craniofacial structure, the oral pharynx, the trunk, the extremities, the breast, and the perineum including aesthetic (cosmetic) surgery of structures with undesirable form. Go to a hospital without and ICU or with an open ICU (that way you only take care of your patients). Best of luck applying to Urology! Here you are the most complete physician I can think of. “I love doing it,” he says. If you go into private practice urology, you will be called in from home to place foley catheters at 2 AM. If you like office/clinic and spending a lot of time talking to patients, it may not be for you as well. The nose occupies prime real estate on the face. Thats the best I can summarize! Is it a basic, go-to treatment option or is it last resort? The Division of Plastic and Reconstructive Surgery at MUSC, provides the finest in patient care offering a full range of plastic and reconstructive services, as well an integrated plastic surgery residency training program and fellowship programs, and is recognized for its clinical and basic science research. I've been thinking about surgical specialties, and I'm really starting to think trauma may be for me. When it comes to the face, there really is nothing as important as the nose aesthetically. In a way however-you might loosely call-some procedures that they do-“Cosmetic”. Toggle navigation. Since 1958, The Ear, Nose, Throat & Plastic Surgery Associates has combined quality patient care with state-of-the-art innovation. We followed the majority opinion and went with the ENT because function was the primary concern. The best part? Augusta ENT PC 720 Saint Sebastian Way Ste 201 Augusta, GA 30901. That said, Dr. Reid says there’s a catch. I have a deep, deep admiration for those who can cope with the relative youth and health of patients who have sustained tragic injuries through no fault of their own. You will have continuity of care with your patients. Don't want to be stuck doing hernias, gallbladders, feeding tubes and … He works in Joliet, IL and 4 other locations and specializes in Otolaryngology and Plastic Surgery. Wow! An Otolaryngology (ENT) Resident’s Perspective: From an interview with an ENT resident at from the Midwest.. Part of an interview series entitled, "Specialty Spotlights", which asks medical students' most burning questions to physicians of every specialty.See what doctors from every specialty had to say about why they chose their specialty and how to match in their … Thank you for this. In fact, he does all of the rhinoplasty procedures at his office. See a list of publications about nasal surgery by Mayo Clinic doctors on PubMed, a service of the National Library of Medicine. Plus my Urologist has 2 Ferraris a Maserati and a brand new mp412c mclaren so i assume he is doing quite well. You are working in cooperation with other physicians and other surgeons to get the patient the most complete care possible. Don't want to be stuck doing hernias, gallbladders, feeding tubes and lipomas while specialists get all the cool stuff? Ent Surgical Consultants Ltd 960 W US ROUTE 6 MORRIS, IL 60450. PSC Case Files – The Truth About Tummy Tucks, PSC Case Files – The Surgical Fix for Man Boobs, Women Continue to Seek Labiaplasty for Comfort and Confidence, COVID Vaccine Highly Effective – Immunized DO NOT Spread, Plastic Surgeons Share Their Experience with the COVID-19 Vaccines, Risk Reduction for Breast Implant-Associated ALCL. That said, Dr. Reid says there’s a catch. Many plastic surgeons undergo training to perform all aspects of plastic surgery throughout the body, meaning they are less focused on just rhinoplasties. I now have a major saddle nose deformity. You can do small procedures in clinic (cystoscopy, vasectomy). They are busy learning how to help people hear, take out tumors, fix massive facial trauma, etc etc. Ultimately, it doesn’t matter whether your doctor is a plastic surgeon or a facial plastic surgeon. A patient engaged in a meth orgy. Plastic Surgery and Otolaryngology (706) 868-5676. There's not really a lot of mystery to why it's competitive, and that's generally the biggest thing that scares people away from it. Every hospital has a little different interpretation of the job. It is a fellowship out of general surgery and its basically general surgery on steroids with more variety. First things first, urologists are well-trained surgeons. Patients aren't that sick in urology. You don't have to worry about the job market because only 250 people join the fold each year. The two ways that your plastic surgeon can … In the seven years between the break and the repair, I sought the advice of many doctors regarding the issue of ENT vs. plastic surgeon. After three days, he could no longer keep it up. When its non operative, its still mentally challenging to prioritize injuries and get the patient to the specialist they need and most of the time you are the coordinating care and ICU doc, which leads me to the next component. Acute Care Surgeon: This is basically non elective general surgery. Our academically based program provides treatment for conditions and deformities related to trauma, cancer, and a wide range of elective cosmetic procedures.Our doctors are dedicated to providing comprehensive, state-of-the-art cosmetic or reconstructive It's a well reimbursed specialty as well. Many patients who don’t like the look of their nose and would like to change its size or shape may also have functional issues that affect their breathing. Some people are afraid of penises and vaginas, this is not the field for them. “At the same time, it’s probably shaved some years off my life!”. An ENT has studied the complex relationship between each area of the face and has passed the exams given by the American Board of Otolaryngology. 'Twas done. All content on this website is Copyright © 2020, Its goal is to provide leadership and support for educational programs for plastic surgery residents. I have had urological problems my whole life and my urologist has made my way of life bearable again. Plastic Surgeon or ENT for Your Rhinoplasty? What is your "bread and butter" surgery? Lung laceration? Formed in 2006 under the name Crescendo, the Brown Eyed Girls are a K-pop quartet who've been very open about their use of plastic surgery, especially Narsha. Fertility-trained fellows will be good microsurgeons. New comments cannot be posted and votes cannot be cast. Send correspondence to Judy W. Lee, MD, NYU Grossman School of Medicine/ NYU Langone, 345 East 37th St, New York, NY 10016. The Plastic Surgery Channel / Face Videos / Rhinoplasty (Nose Surgery) Video / Plastic Surgeon or ENT for Your Rhinoplasty? By contrast, ENTs with a focus on facial plastic surgery just focus on the face; and, therefore, have more rhinoplasty experience and more successful cases under their belt than traditional plastic surgeons in some instances. This was so awesome to read.
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