7/30/2019 Fellowship Leicester Plastic Surgery
1/1Copyright @ 2013 Lippincott Williams & Wilkins.
Unauthorized reproduction of this article is prohibited.
Fellowship Review:Interface ReconstructiveCosmetic Surgery
Fellowship at Leicester
Ihad the privilege of spending 4 monthsdoing a United Kingdom
Interface Recon-structive Cosmetic Fellowship, involving theNHS and
private hospitals in Leicester. Thisis a truly multidisciplinary
fellowship involv-ing plastic surgery, oral maxillofacial
surgery,oculoplastic surgery, ENT surgery, and breastsurgery. The
training is flexible and completelyled by the training needs of the
fellow. This fel-lowship is only opento UK trainees,
completingtheir training on a national training scheme.
I would typically start the week by
spending the Monday in the maxillofacialtheater learning the
fundamentals of orthog-nathic surgery. Oculoplastic clinics were
onTuesday mornings, followed by a busy theaterlist involving the
full range of reconstructivesurgery around the eyelids. I would
then spendWednesday and Thursday with 2 experiencedand successful
plastic surgeons, who providedthe full range of cosmetic surgery.
Friday wasreserved for time with ENT surgeons,
learningseptorhinoplasty. All the trainers took greatpride in
teaching and ensured the fellow waspart of the team. Training is
not only limited tothe named persons on the fellowship, but has
inbuilt flexibility to allow one to getinvolved inany
interesting case, reconstructive or cosmetic.
I participated in a wide range of cases,such as primary and
secondary rhinoplasty, facelift, upper/lower lid blepharoplasty,
brow lift,breast augmentation, breast reduction, masto-pexy,
abdominoplasty, liposuction with/withoutColeman fat transfer, adult
and pediatric ptosiscorrection, lateral tarsal strip procedure,
ectro-pion correction, genioplasty, Le Fort 1 maxillaryadvancement,
mandibular sagittal split. I alsoparticipated in several facial
fracture fixations,which allowed me to be familiar with
variousapproaches to the craniofacial skeleton. Every-
day there were multiple procedures occurringsimultaneously, so I
had to plan ahead andprioritize my time.
The hidden gem of the fellowship is the
opportunity to spend time with Melanie Smith,
aesthetic nurse practitioner. There is adequate
opportunity to practice injection techniques of
Botox, facial fillers, and other nonsurgical re-
juvenation techniques. More importantly, the
practice manager at her practice taught me
the principles of a successful and safe busi-
ness practice.
There are plenty of opportunities to sit
in the aesthetic consultation room, like a fly on
thewall! One can observe the consultant make
decisions and appreciate the subtle skills ofthe consultation
process. No patient refused
my presence in the private consulting room.
This fellowship provides a unique op-portunity to be able to
critically observe thepractice of other experts, make your own
de-ductions, and adopt tips into your own prac-tice. Such an
experience is best suited for onewho is near the end of his/her
training, akinto a finishing school. At this level, one is ableto
appreciate and understand the finest detailsat a senior level. I
thoroughly recommendthis fellowship to any senior trainee in
Plasticand Reconstructive Surgery.
Derick A. Mendonca, MBBS, MSc,
MRCS, FRCS(Plast)Washington University School of MedicineSt.
Louis, MO
FIGURE 1. Fellowship at a glance.
FIGURE 2. Fellows experience.
CIRCUMSPECTUS MEDICINAE: TEXTS AND CONTEXTS
Annals of Plastic Surgery & Volume 70, Number 6, June 2013
www.annalsplasticsurgery.com 623
Received June 22, 2011, and accepted for publication,after
revision September 6, 2011.
From the Department of Plastic and ReconstructiveSurgery,
Washington University School of Medi-cine, St. Louis Children_s
Hospital/Barnes JewishHospital, Saint Louis, MI.
Conflicts of interest and sources of funding: none
declared.Reprints: Derick A. Mendonca, MBBS, MSc, MRCS,
FRCS(Plast), Department of Plastic and Recon-structive Surgery,
Washington University Schoolof Medicine, Suite 1150, Northwest
Tower, 660South Euclid Ave., Campus box 8238, Saint Louis,MO 63110.
E-mail: [email protected]
Copyright* 2012 by Lippincott Williams & WilkinsISSN:
0148-7043/13/7006-0623DOI: 10.1097/SAP.0b013e3182367c19
