Recently, I completed a rotation at the plastic surgery department of Korle-Bu Teaching Hospital, Ghana. Reflecting on this experience, I realized a few things. My perception of plastic surgery practice was naive and uninformed. This experience has been an eye-opener as it has challenged preconceived notions and revealed the multifaceted nature of this wonderful specialty. However, I recognize that most African students do not have the same opportunity. Only a few of the 54 African countries have more than three plastic surgeons. Access to these plastic surgeons is further limited by the fact that they have to meet the needs of an overwhelming number of people. Their practice regularly covers emergency cases leaving less time for research and mentorship. Fortunately, the continent has made numerous efforts to increase the plastic surgery workforce. For example, regional training programs such as those offered by the College of Surgeons of East, Central, and Southern Africa (COSECSA) and scholarships by their partners have helped increase residency program intake.
Plastic surgery is not as popular a specialty choice as it should be among African medical students. Research on this phenomenon suggests that it is the result of lack of exposure to the specialty. Considering that today’s African medical students are tomorrow’s plastic surgeons, I believe it is time that the global plastic surgery community targets African medical students.
First, I recommend the creation of an Association of Future African Plastic Surgeons (AFAPS) in collaboration with the American Society of Plastic Surgeons (ASPS). I propose leveraging the ASPS’ experience in mentoring and supporting medical students. The AFAPS would be integrated into the Medical Student Forum but would have dedicated activities that target challenges that are specific to Africa.
Secondly, I believe it is essential that the global plastic surgery community changes the narrative around the specialty among African medical students and patients. Based on my recent rotation experience, plastic surgery often conjures images of cosmetic enhancements fueled by media portrayals. However, the reality is far more complex and impactful. During my internship at the National Reconstructive and Plastic Surgery Department at Korle-Bu Teaching Hospital, I witnessed the transformative power of plastic surgery across a spectrum of cases, from congenital anomalies to trauma recovery. Importantly, African plastic surgery has not leveraged social media to its advantage. Social media has perpetuated several myths about plastic surgery, which I aim to dispel based on my observations:
Plastic surgery can offer both functional and aesthetic improvements. Many patients seek plastic surgery for reasons beyond aesthetics, such as restoring functionality after accidents or combating the effects of aging.
Accessibility for all. Contrary to the belief that plastic surgery is reserved for the affluent, plastic surgery is becoming more accessible, with various financing options available.
Impermanence of results. While outcomes can be enduring, they are not immune to changes such as aging or weight fluctuations.
Scarring is a reality. Although the complete absence of scars is unrealistic, skilled surgeons minimize and strategically place incisions to reduce visibility.
Not a weight loss alternative. Procedures like liposuction are not weight loss solutions but rather contouring options that complement a healthy lifestyle.
Individualized results. Expecting to mirror a celebrity’s appearance is impractical; plastic surgery enhances one’s features within the realm of individual uniqueness.
My stint as an intern was revelatory. It showcased plastic surgery as an amalgamation of art and science. Each procedure is a bespoke creation tailored to the patient’s unique needs. The field demands technical precision, an artistic touch, principles that adapt to diverse challenges, and a commitment to life-altering outcomes.
Plastic surgery is a discipline marked by its capacity to profoundly change lives. It is a realm where science meets art, where each surgeon’s work not only reconstructs physical forms but also rebuilds confidence and hope. As I aspire to join this field, I hope to be joined by my colleagues to change the narrative around African plastic surgery and improve care for billions of Africans.
Shirley Sarah Dadson is a medical student in Ghana.
