The practice of modern facial plastic surgery began more than 100 years ago.1 Otolaryngologists who believed in treating physical defects that caused patients psychological distress, social, and/or economic disadvantages pioneered the creation of facial plastic surgery as a subspecialty of otolaryngology. In the beginning, aesthetic surgery was outside mainstream medicine, but Jacques Joseph first promoted the value of cosmetic surgery as a specialized field.1,2 Jacques Joseph is considered the founding father of modern facial plastic surgery, and he pioneered many of the earliest surgical aesthetic techniques that were later adopted and modified by fellow surgeons.2 Another seminal contributor was Sir Harold Gillies, a New Zealand otolaryngologist by training who first standardized rhinoplasty, skin grafts, and facial reconstruction as described in his 1920 book Plastic Surgery of the Face. 3 He is often considered the founding father of plastic surgery.3–5 The creation of the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) in 1964 officially marked the beginning of modern facial plastic surgery as a subspecialty of otolaryngology.6 Since then, facial plastic surgery societies have expanded globally to include the European Academy of Facial Plastic Surgery and the International Federation of Facial Plastic Societies, among others.7 As a clinical specialty, facial plastic surgery is generally divided into cosmetic and reconstructive procedures, although many surgeons have broad practices encompassing both. In general, the scopes of practice for the majority of facial plastic surgeons in the United States are focused on cosmetic procedures (e.g., rhinoplasty, browlifts, blepharoplasty, facelifts) and reconstruction of defects in the face after skin cancer resection. Most facial plastic surgeons also use injectable fillers, neural modulators, lasers, and other devices aimed at rejuvenating skin. Facial plastic surgeons who focus on skull base and craniomaxillofacial trauma or microvascular reconstruction usually practice in tertiary centers such as university hospitals. Facial plastic surgery is technically considered a subspecialty of otolaryngology head and neck surgery, and surgeons are diplomats of the AAFPRS. Facial plastic surgeons complete American Board of Medical Specialties–accredited residency training in otolaryngology as well as a 1- to 2-year facial plastic surgery fellowship. In contrast to general plastic surgeons, facial plastic surgeons focus on procedures and operations involving anatomy from the neck up. In reality, the specialty has significant overlap and crossover with general plastic surgery, oral maxillofacial surgery, ophthalmology, and dermatology.