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Should I choose an ENT or a plastic surgeon for facial plastic surgery?

Otolaryngologists, also known as ENT (Ear, Nose, and Throat) specialists, and plastic surgeons both have expertise in facial plastic surgery, but their training and focus areas differ.

Training and Focus Areas


  • Training: ENT specialists undergo training that includes a strong emphasis on the anatomy, physiology, and diseases of the head and neck. Their residency typically includes substantial experience in facial plastic surgery, particularly procedures involving the nose, ears, and other parts of the head and neck.
  • Focus Areas: They often specialise in surgeries related to functional aspects of the face, such as rhinoplasty (nose reshaping) and reconstructive surgery following trauma or cancer treatment.

Plastic Surgeons:

  • Training: Plastic surgeons undergo broader training that covers all areas of the body, including the face. Their residency includes a wide range of cosmetic and reconstructive procedures.
  • Focus Areas: They are often more focused on aesthetic procedures and can perform surgeries on any part of the body. Their expertise includes a variety of facial procedures, from facelifts to eyelid surgery.

Who Performs Better?

The answer to whether otolaryngologists or plastic surgeons perform facial plastic surgery better depends on several factors:

  1. Type of Surgery: For procedures related to the nose, ears, and functional aspects of the head and neck, otolaryngologists with a subspecialty in facial plastic surgery might be preferred. For broader aesthetic procedures, plastic surgeons might be more experienced.
  2. Experience: The surgeon’s individual experience and expertise in the specific procedure are crucial. Both ENT specialists and plastic surgeons can have extensive experience and excellent results in facial plastic surgery.
  3. Certifications: Board certification in their respective fields and subspecialties in facial plastic surgery can indicate a high level of training and competence.
  4. Patient Preference: Patients should consider the surgeon’s past work, reviews, and personal comfort with the surgeon.

In summary, both otolaryngologists and plastic surgeons can perform facial plastic surgery well, but the best choice depends on the specific procedure and the surgeon’s experience and expertise.

Dr Jason Roth is an otolaryngology, head and neck surgeon who is an expert in facial plastic surgery. His key interests are rhinoplasty and facelift surgery.



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