Plastic, reconstructive and aesthetic surgery is the subject of an official qualification, awarded by the National Council of the Order of Physicians, which certifies the competence of the surgeon. Called DESC II, this specialization is acquired in 3 years by doctors who have already graduated and who follow an internship in general or orthopedic surgery followed by a two-year internship and a two-year clinic in a plastic surgery department. This diploma in reconstructive and restorative plastic surgery marks seven years of specialization.
Specialized surgeons or specialists
However, while more than 3,000 doctors perform acts of cosmetic surgery in France, around 1,000 surgeons have the required qualifications to intervene on any part of the body and for any act of cosmetic surgery via the DESC II.
In addition to these plastic “hyper-surgeons”, you can turn to specialists in a particular field:
- ENT For The Nose,
- eyelid ophthalmologist,
- stomatologist for reconstructive and/or aesthetic procedures (injection of hyaluronic acid around the mouth after placing implants, for example).
Morphologists and anti-aging doctors
A recent interuniversity diploma in morphological and anti-aging medicine has been created. This IUD is taught for over two years in Montpellier, Bordeau, Lyon, Paris, etc.) where around 300 doctors have graduated.
These IUD doctors perform acts that smooth out or reduce the effects of aging through less invasive and generally temporary acts (peeling, laser, wrinkle filling, etc.). They work in the field of cosmetic surgery.
Doctors or dermatologists
They start acts with aesthetic aims after theoretical and practical training which is not necessarily framed by a specialized diploma. Permanent hair removal or treatment of hyperpiloisté, laser for skin stains or treatment of scars, hair transplantation, etc. fall under these acts.
For each of these specialties, the National Council of the Order of Physicians, representative unions, or associations offer exhaustive information on medical practices and graduate members (see Contacts below).
An essential first contact
The first date is essential. It should last a minimum of half an hour to forty-five minutes, or even an hour, depending on the degree of complexity of the operation envisaged.
It is for the doctor to check the motivation of his client and to determine the possible interventions according to his morphology. He must also take the time to answer all the questions put to him.
To be accompanied
It is best to prepare your questions and bring a friend or relative to this consultation. The exchange of points of view that will follow the meeting can help the person to make his decision. In addition, in the event of postoperative complications, this third party can, if necessary, testify to the comments made by the practitioner.
A detailed quote is required
For all acts of cosmetic surgery, a detailed estimate must be submitted before any intervention. The surgeon incurs a fine of € 30,000 if he does not provide an estimate and/or does not respect the period of fifteen days for reflection.
In addition to the contact details of the surgeon (his name, his registration number with the order of physicians, his qualification in a specialty, his professional insurance) and the place where the operation will be performed, this estimate must mention:
- the fees of the surgeon and the anesthetist;
- hospitalization and operating room costs;
- the cost of any implants or injected products;
- the detailed account of the intervention (in quantity and price);
- the number of days off work to be expected (not covered by health insurance);
- the overall sum to be paid;
- the period of validity of the offer.
The surgeon who received the patient must operate
A minimum period of fifteen days must be observed between the delivery of the detailed estimate, dated and signed by the doctor to perform the intervention and the patient, and the operation itself. This period cannot be waived under any circumstances, even at the request of the interested party. No amount of money can be demanded during this time. You will countersign the document with the mention “Estimate accepted after reflection” during a second interview.
Finally, it is the surgeon who received the patient who must operate. If this is not the case, he must warn him that he will not perform all or part of this intervention in person. This information must also appear on the estimate.
The surgeon should not use “jargon”. He must provide simple, fair and complete information in order to allow his client to make his decision with full knowledge of the facts.
The information collected must therefore clearly highlight the positive points and the expected results of the intervention, the usual but also exceptional and serious risks, the drawbacks and the possible complications.
The declaration of informed mutual consent
The practitioner gives his patient with the quote a document called “Declaration of Mutual Informed Consent”, signed jointly by both parties, in order to recapitulate the main information and the progress of the planned intervention. The signing of such a document prevents you subsequently from blaming the practitioner for a lack of information.
On the other hand, it does not prevent the questioning of its responsibility in the event of proven fault, knowing that it is very difficult to prove.
The 5 essential steps to follow
- Choose your surgeon Use “word of mouth”. Take the time to consult two or three surgeons graduated in esthetics in order to cross the opinions. Check their skills with the Council of the College of Physicians.
- Consultation The surgeon must take the time to give you complete information about the procedure and to probe your motivation.
- The estimate and the declaration of mutual consent The surgeon must give you a detailed estimate that he undertakes to respect and a Declaration of informed mutual consent.
- The reflection Before deciding, you must respect a period of at least fifteen days between the submission of the estimate and the intervention.
- Signature If you accept the quote, you must sign and date it.
A light on the postoperative course
Even before the operation, you must be informed of the postoperative consequences. Immobilization, tissue edema or hematoma, healing time, etc. which follow the intervention. The deadlines must be specified to better understand the extent of the work stoppage necessary to recover.
Cosmetic operations are rarely definitive, lThe surgeon should give you the duration of the benefits you can expect from the procedure. You want to gain a more advantageous chest size: breast implant placement is valid for about a dozen years, rarely more.
Finally, he must detail the possible risks inherent to your general state of health, alterations or rework to be carried out if the result is not satisfactory.
National Council of the Order of Physicians(CNOM) and its departmental delegations 180 bd Haussmann 75008 Paris Phone. : 01 53 89 32 00
National Syndicate of Plastic, Reconstructive and Aesthetic Surgery (SNCPRE) 26 rue de Belfort 92400 Courbevoie Phone. : 01 46 67 74 92
SOFCEP (private sector) 12 rue de Nazareth, 31000 Toulouse
Association for Medical Information in Aesthetics (AIME) 49 rue Pajol 75018 Paris Phone. : 01 42 09 41 10
Who to contact in the event of a dispute?
The Health Info Rights telephone platform of the Interassociative Collective on Health
– 0810 004 333 (azur n °)
– 01 53 62 40 30 (from 2 p.m.).