But there are challenges unique to each discipline within anaplastology, just as you might expect there would be within plastic surgery. Just as you would seek out an oculoplastic (eye) surgeon, facial/cosmetic surgeon, breast reconstructive surgeon or hand surgeon for the unique skill set each surgeon has developed in treating a specific part of the body, so too should you seek out specialists in any prosthetic or anaplastology discipline. For example; the fitting of an enucleated eye socket with a prosthetic eye to achieve maximum accuracy, comfort and motility is completely different than that of fabricating and fitting a durable silicone restoration of the hand. Likewise, the considerations for fabricating breast prostheses are quite different than those involved in creating silicone craniofacial prostheses, yet all these services might be considered “anaplastology”.
Certification in anaplastology indicates that an acceptable level of competence in fabricating and providing a sampling of prosthetic devices in a safe manner has been demonstrated through a multiple choice test and a series of finished cases documented through photographs and descriptions. The BCCA certification program; structured according to a job task analysis has captured a very diverse cross section of individuals involved in prosthetics that fall within the definition of anaplastology. As a result, many current certified clinical anaplastologists may not practice facial prosthetics on a daily basis. Many anaplastologists teach, publish or focus on other types of prosthetics with the result that facial prosthetics becomes a smaller or non-existent component of their service.
Conversely, our certified clinical anaplastologists have sought to distinguish facial anaplastology not as an ancillary service, but as a flagship service; a service honed through daily practice in dedicated facilities for over 3 decades. This accomplishment is unique in the United States.