Indian Journal of Plastic Surgery
An open access publication of Association of Plastic Surgeons of India
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Year : 2003  |  Volume : 36  |  Issue : 2  |  Page : 65

Strategy and other things------

167-F, Dr. Ambedkar Road, Dadar, Mumbai-400014

Correspondence Address:
167-F, Dr. Ambedkar Road, Dadar, Mumbai-400014

How to cite this article:
Thatte M. Strategy and other things------. Indian J Plast Surg 2003;36:65

How to cite this URL:
Thatte M. Strategy and other things------. Indian J Plast Surg [serial online] 2003 [cited 2019 May 22];36:65. Available from:

Dear Readers,

The December issue is being put before you with hope and enthusiasm. We have added the history column with specific objectives outlined elsewhere in the issue. The CME goes on with an international contribution this time. The web based manuscript management is proving to be very successful and has significantly increased international participation in the journal. Our panel of reviewers now has a good mix of national and international scholars in various subspecialties and we continue to get more international papers, as the next issue will also show. The editorial board hopes to make this a truly international journal with free access to all scholars studying the art and science of Plastic Surgery by continuing to make full text available on the web. With constant support from you we will carry on upgrading the quality by enforcing a full peer review process, which is transparent to authors.

So much for strategy and direction, but what about 'other things--'. Formally trained plastic surgeons are increasingly feeling that they are being denied their due in the sphere of Aesthetic Surgery especially in private practice. There is a general lament about non-qualified people merrily going around doing large numbers of aesthetic plastic surgical procedures, helped by advertising and not so subtle access to the media where they are extolled as 'Cosmetic Surgeons' If thought out in some depth this was always going to be a grey area. Regional specialities will always claim 'ownership' of their 'region' and everything to do with it including aesthetic procedures. The law in this country in any case does not prescribe who should do what once you have passed MBBS from a recognised university.

However this does not detract from the argument that formally trained plastic surgeons are best suited to perform these procedures. It has more to do with the detail. We are trained to think in terms of tissues and blood supply, to handle tissues with much greater care, to study reconstruction and restoration in terms of anatomy and its ramifications including which tissue is causing the problem and how to replace/ repair it. Plastic surgeons are also uniquely suited to deal with scarring: minimising it and its treatment especially in the Indian context.

We are thus perhaps in a position to give the best and most optimal results. What needs to be done is to educate the public that their best interests will be best served by ensuring that they are going to a formally trained plastic surgeon-say a full member of APSI. We on our part need to train our residents in aesthetic surgery, formally and in a much more rigorous fashion so that they go forth in the world with confidence. Eventually the results will speak for themselves. The true 'free market' is after all the greatest leveller. 


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