Objectives of the Aesthetic Surgery Rotation (PS2,PS3)

The Aesthetic Surgery rotation is a focused experience in the evaluation, operative treatment, and postoperative management of the patient seeking aesthetic surgery. The goals and objectives are centered around the six core competencies set forth by the RRC: 

  1. Medical nowledge
    • Understand the anatomy of the breast, eyelid and periorbital region, nose, and facial skeletal and soft tissues as they relate to aesthetic surgical procedures.
    • Describe the conventional ideal aesthetics of the male and female face, the breast, and the trunk, and be able to contrast these with common primary and secondary deformities of these areas for which corrective procedures may be sought (breast hypoplasia, tuberous breast deformity, Poland syndrome, lipodystrophy, nasal deformities, facial disharmony, facial aging, eyelid ptosis, brow ptosis, prominent ear, etc).
    • Understand the procedures and alternatives available for the correction of facial, breast and trunk aesthetic and functional complaints:
      • rhinoplasty
      • blepharoplasty
      • brow lift
      • rhytidectomy
      • facial soft tissue augmentation
      • otoplasty
      • orthognathic surgery
      • genioplasty
      • reduction mammaplasty
      • augmentation mammaplasty
      • mastopexy
      • liposuction
      • lipectomy (abdominoplasty, brachioplasty, thigh lift, total body lift)
    • Be able to identify the differences and historical relevance of the different types of breast implants available, and the advantages and disadvantages of each.
    • Understand the unique physical, medical, nutritional, and emotional issues associated with the massive-weight-loss patient.
    • Understand the oncologic issues relevant to elective breast surgery.
    • Know the options available for nonoperative facial rejuvenation.
    • Describe the use of lasers for hair removal, tattoo removal, facial resurfacing, and other dermatological applications.
    • Discuss the complications that may arise after aesthetic surgical procedures, both short-term and long-term, and the management of these complications.
  2. Patient Care
    • Perform the preoperative assessment of the patient presenting for elective aesthetic surgery, including obtaining a history and an appropriate physical examination, as well as obtaining any further testing needed (i.e., mammogram, bloodwork, etc).
    • Gain experience in performing the following: mammoplasty, mastopexy, liposuction, brachioplasty, abdominoplasty, thigh lift, rhinoplasty, septoplasty, rhytidectomy, brow lift, blepharoplasty, genioplasty, nonoperative facial rejuvenation, laser use, and soft tissue filler placement).
    • Participate in the postoperative care and follow-up of the aesthetic surgery patient.
    • Consider the different approaches to female patients, male patients, and patients of varied ethnic backgrounds.
    • Identify psychosocial stressors affecting patients presenting for aesthetic surgery, considering issues of interpersonal relationships, career, and body image, including body dysmorphic disorder.
  3. Practice-Based Learning and Improvement
    • Prepare for surgical cases by reviewing the current literature and evaluating the appropriateness of clinical decision making based on quality of published evidence.
    • Analyze the resident’s own effectiveness in caring for aesthetic surgical patients.
    • Continue to progress towards independence in the care of the aesthetic surgery patient.
    • Present patients as appropriate in the monthly plastic surgery morbidity and mortality conference.
  4. Systems-Based Practice
    • Discuss the issues related to patient financing of elective aesthetic surgery.
    • Study the unique structure and challenges of the plastic surgery practice specializing in aesthetic surgery from the viewpoint of the surgeon as well as the global health care system.
    • Facilitate efficiency in the operating room and timely discharge of aesthetic surgery patients
    • Understand the state, local and specialty requirements for outpatient surgical centers utilized in the care of aesthetic surgery patients.
  5. Interpersonal Communication
    • Educate patients and families in operative strategies for aesthetic surgery.
    • Provide preoperative counseling and informed consent to aesthetic surgical patients.
    • Understand patient expectations and be able to address any limitations in being able to meet those expectations.
    • Demonstrate accurate and efficient documentation.
    • Demonstrate effectiveness in communicating with other members of the care team.
  6. Professionalism
    • Exhibit unselfish care and regard for the welfare of patients presenting for aesthetic surgery.
    • Demonstrate adherence to a code of moral and ethical values.
    • Demonstrate reliability, punctuality, and accountability.
    • Exhibit courtesy and respect for all members of the care team.
    • Demonstrate sensitivity to the differences in backgrounds, lifestyles and priorities of patients presenting for aesthetic surgery.
    • Appreciate the unique challenges of treating patients seeking elective surgical procedures, with respect to placing the patients’ best interest over the profit of the aesthetic surgical practice.
Saint Louis University Faculty: Dr. Prada