kopfbild
you are here: Website \ unsere-qualifikationen

tricare



Kopf-der-Chirurgie

Our qualification


Medical specialist for plastic and cosmetic surgery


A plastic surgeon is an accredited medical specialist. It requires at least six years of further education with corresponding examinations!

Advanced training for the position of medical specialist in plastic surgery begins upon completion of studies in human medicine with the receipt of a license to practice medicine. In the advanced training phase, the physician has to conduct approximately 600 operations independently with the guidance of an experienced plastic surgeon.

It addition to practical experience and further education in theory, the physician has to complete an examination for medical specialists at the applicable state medical association. Only then does the physician receive the title “medical specialist for plastic surgery” (Facharzt für Plastische Chirurgie). This medical specialization title provides patients with the assurance that the physician has also been educated on the clinical symptom pictures in the field of plastic surgery.

The title “medical specialist for plastic surgery” is the only title which is protected. Other titles such as “cosmetic surgeon,” “beauty surgeon” or “esthetic surgeon” are not protected titles and may be used by any doctor, but they do not say anything about their education or advanced training.

The four pillars of plastic surgery

What is plastic surgery?

As early as 500 BC, “plastic surgeons” in India were already making a name for themselves with sensational reconstructions of the surface of the human body: According to historical accounts, they succeeded in performing the first reconstructive rhinoplasty. The high art of filigree reconstruction of shape and function spread from India to other countries. Then, like now, plastic surgery inspired a certain fascination among the public. At the same time, this overarching surgical discipline is often erroneously reduced to its individual sub-specializations. A brief foray into the areas of expertise of physicians belonging to the Association of German Plastic Surgeons should provide insight into the diverse work of a plastic surgeon.

Plastic surgery has four main supporting pillars:
Microsurgery, laser surgery and endoscopy are methodical specialties which are used in all of the fields. None of the four supporting pillars is expendable. These fields complement one another in terms of methods and form the complete structure of plastic surgery.

Cosmetic surgery

Cosmetic surgery refers to operations which are not used to treat a disease, but instead serve to improve the external appearance. As such, it primarily consists of reshaping operations. One of the plastic surgeon’s main medical tasks is patient consultation. This involves making operability assessments, that is, determining whether an operation of the type desired can generally be performed. This also includes a risk assessment on which complications might occur and how high the probability of success is. It is not without reason that this category of operations requires particularly in-depth consultation, since the decision to undergo the operation rests solely with the patient. For this reason, the necessity to advise against an operation arises from time to time. The Association of German Plastic Surgeons considers its members to be under obligation at this juncture in particular, which is why it requires exceptional qualifications.

The esthetic aspect is taken into consideration with all plastic surgery operations, of course. Form and function always belong together. Each plastic surgery operation must lead to an esthetic result which is formally satisfactory. This also applies to other fields of plastic surgery such as hand or burn surgery.

Reconstructive surgery

Reconstructive surgery deals with reconstructing the surface of the body after tumor operations or accidents as well as with creating normal shapes and functions in the event of birth defects. A wide range of methods is necessary due to the diversity of the size, type and location of the defects. Microsurgical techniques for transplanting large perfused sections of skin or tissue combinations including muscles and bones have considerably expanded reconstruction possibilities for such purposes as replacing disabled facial muscles or rectifying large open bone defects after accidents or tumors. Conversely, this has also enabled greater radicality in fields such as tumor surgery, which accordingly improves the chances of healing tumor disease.

Burn surgery

Operative methods similar to those in reconstructive surgery are also used in burn surgery. But the primary concern immediately after the burn is saving the patient’s life. The first goal is to remove burned, dead portions of the body’s surface and curtail massive losses of fluids by promptly covering the defects. If large areas have been burned, it will be necessary to use special skin substitute techniques, since transplanting healthy sections of skin will only compound the burn victim's problem. The phase of ultimately restoring the body surface, usually a long-term process, can only begin once this critical period has been overcome. The prevention or rectification of extensive scar areas requires conservative treatments over a long period of time as well as recurrent operations which are considerably improved by microsurgical tissue transplantation techniques. For that reason, burn patients frequently require treatment for a period of years until an acceptable final condition in form and function has been achieved.

Hand surgery

An important field of plastic surgery is hand surgery. The fundamental methods of plastic surgery are particularly complex and differentiated when applied to the hand. It is usually necessary to use many different methods in combination with one another in order to do justice to the various tightly-packed structures in this confined space. Microsurgery has been the driving force for great progresses in this context as well. Prominent examples include the surgical reattachment of severed fingers or entire limbs. Further progress has been made through muscle transplantation, making it possible to restore movement to disabled extremities. In combination with operations on the nerves, it is sometimes even possible to restore auxiliary functions to completely inoperable arms.






We will also be glad to answer your questions in person.
Call 0 800 - 22 44 55 6 to arrange a nonbinding consultation appointment.
Praxis Dr. Ulrich Kleiner & Dr. Dirk Wisser • Plastische Chirurgie Bamberg
Promenadestraß 6 • 96047 Bamberg