After college and four years of medical school a future Oculoplastic Surgeon will complete a one year internship and a three year residency in Ophthalmology, after which time two additional years are spent in advanced fellowship training in Ophthalmic Plastic, Orbit and Reconstructive Surgery. Board certification by the American Board of Ophthalmology is required in order to complete fellowship training. It is worth noting that the majority of general plastic surgeons complete five years of residency training, only two of which are devoted to plastic surgery. During these two years the general plastic surgery resident must acquire skill in cosmetic and reconstructive surgery on all parts of the body. By contrast, Oculoplastic Surgeons spend two years concentrating only on the eyelids, orbit and surrounding areas. This gives the Oculoplastic Surgeon an unparalleled level of training and experience to deal with the complex issues involved in plastic surgery around the eye.