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A New Frontier
Plastic Surgery Products, October 1, 2002
Dr. Copeland expands the role of women in plastic surgery with her involvement in research, education, and women's health.
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by Renee Dilulio
The best advice Michelle Copeland, D.M.D., M.D., F.A.C.S., P.C., ever
received came from her parents. "Study and learn as much as you can,"
they advised, and Copeland went with it.
She decided on her career early in life. "For as long as I can
remember, I have always wanted to be a doctor," Copeland says. She
graduated magna cum laude from Harvard University with a degree in
dentistry in 1977. Three years later, she obtained a Harvard medical
degree and became the first woman plastic surgeon to obtain a dual
degree in the United States. Downplaying her trailblazing, Copeland
notes that there were not many women in medicine when she completed her
schooling. "When I started training, women were not supposed to go into
medicine. The long training period was seen to conflict with
childbearing," she says.
At 12 years, Copeland's chosen specialty required a particularly long
training period and was, therefore, a very male-dominated discipline.
Even today, only about 4% of all board-certified plastic surgeons in
the United States are women.
Yet, Copeland's unique background made her well-suited to a career in
plastic surgery, particularly her dual degree and the research she had
undertaken in biochemistry and connective tissue during her medical
training. "Reconstruction is intimately related to tissues," says
Copeland. "When this knowledge is applied to cosmetic surgery, the
discipline can be approached in a new way."
She decided to subspecialize in oral and maxillofacial surgery and
trained at Massachusetts General Hospital in Boston. She then returned
to her native New York City for training in general surgery at the New
York Hospital-Cornell Medical Center.
In 1985, after her plastic fellowship, Copeland was asked to join the
staff at the Division of Plastic Surgery for the Mount Sinai Medical
Center, New York City. She later served as Chief of the Division of
Plastic Surgery for the Mount Sinai Services at the City Hospital
Center in Elmhurst. She is now an assistant professor of surgery and an
attending surgeon at the Mount Sinai School of Medicine, and an
attending surgeon at the Manhattan, Eye, Ear, and Throat Hospital.
In these capacities, she is able to teach and practice—responsibilities
that require her to remain knowledgeable about the latest developments
in techniques and technology. The process is time-consuming, but
enjoyable. "The exciting thing about plastic surgery is that it is
always improving," says Copeland. "We are constantly seeking better
ways to do things and creating new technology and products. Methods are
better today than even 5 years ago."
To learn about the latest developments, she attends conferences
regularly, reads constantly, and stays networked. She is certified by
the American Board of Plastic Surgery, a fellow of the American College
of Surgeons, and a member of a number of professional societies,
including the American Society of Aesthetic Plastic Surgery, the
American Society of Plastic Surgery and Reconstructive Surgery, the
American College of Maxillofacial Surgeons, the American Society for
Laser Medicine and Surgery, the American Medical Association (AMA), and
the American Women's Medical Association.
Empowering Women
Despite the demands of this full schedule, Copeland finds time for
issues close to her heart. She is a member of the Medical Health
Advisory Boards for the Society for the Advancement of Women's Health
Research, and, as such, advises Congress on health issues affecting
women. "I noticed how women were approached within the discipline.
Typically, we were ignored in research," she says.
The council meets several times a year. "Initially, we were concerned
with planning, developing the concept of gender-based biology, setting
goals, and determining the knowledge offered by the different
specialties. We focused on the uniqueness and similarities of women
compared to men," says Copeland.
Once the foundation was established, issues could then be considered
within this concept, resulting in research that looks at subjects such
as the relation of hormones to the body, the effects of smoking, body
image, sun worship, cancer, fetal alcohol syndrome, and aging. "We
bring the issues to Congress and help set the agenda for women's
research," says Copeland. The effort requires the input of other
professionals, whose involvement can occur at a local level, by raising
awareness within the hospital and community, or at a national level, by
submitting abstracts and presenting updates at conferences.
In addition to influencing agendas, Copeland is also trying to
influence those within the medical system. Her specialty in
maxillofacial surgery brought her into contact with many women facial
trauma patients. Frequently, their injuries are due to domestic
violence. The impact of their experiences motivated Copeland to
advocacy and she joined the AMA's National Advisory Council on Violence
and Abuse. The group had developed initiatives to train residents to
recognize victims of domestic violence in the emergency room. "The
purpose is to get doctors to treat domestic violence and raise it to
the level of being a condition that needs to be recognized," says
Copeland. The council advised the AMA and other member organizations on
effective strategies and programs for the elimination of family
violence, and promotes and coordinates these activities within member
organizations as well as the National Coalition of Physicians Against
Family Violence.
Copeland also extends her time to women physicians. She is involved
with the American Women's Medical Association and its financial
assistance fund, created to help women medical students who need
financial assistance. The association's website states that, as of
1994, 19% of practicing physicians were women. By 2010, it is expected
that 30% of all physicians and 50% or more of all medical students will
be women. Copeland says that she believes women are more accepted by
both schools and patients today than when she first started.
Art, Science, and Humanity
Yet even with all these responsibilities on her plate, Copeland is
still not done studying and learning. In addition to her teaching
position, Copeland has authored numerous scientific articles and has
become a reliable source for periodicals such as The New York Times,
Town & Country, Allure, Women's Health, Parade, Lear's, and
Cosmopolitan. She has also been featured on NBC's Today Show and ABC's Good Morning America.
Based on her early research in biochemistry and connective tissues,
Copeland developed her own line of skin care, Dr. Copeland's Skin Care
Programs. She has also found time to write Change Your Looks, Change
Your Life: Quick Fixes and Cosmetic Surgery Solutions for Looking
Younger, Feeling Healthier, and Living Better, due early next year.
Written with Alexandra S. Postman, a senior edition at Elle magazine,
the book combines Copeland's perspective with facts about plastic
surgery, including how to get through the process, the actual
procedures, and patient experiences. "I interviewed some patients who
were very forthcoming," says Copeland. "We are at a frontier in plastic
surgery. Procedures are readily available, and millions of Americans
are considering permanent changes. This book empowers them to change
their looks and their lives by showing them how to be a partner in the
process and understand their options, both surgical and nonsurgical,"
says Copeland.
Plastic surgery is no longer just about surgery, according to Copeland.
Rather, it now incorporates the concept of cosmetic wellness. "Plastic
surgeons not only change people's looks surgically, but they help
maintain those looks as their patients age, and so a more holistic
approach is necessary," she says.
Copeland points to quick fixes, a major trend in the field today.
"People are busy and do not have time for major procedures. They want
to look better and live longer, without looking like a different
person. The discipline requires a blend of art, science, and humanity,"
she says.
Finding Balance
Copeland applies a similar well-rounded approach to her life. Despite
delaying childbirth to complete her training, she is married and has
two children, a balance that may seem difficult. However, Copeland says
that raising children and the responsibilities of family life are, in
essence, no different for a plastic surgeon than any busy
mother—except, perhaps, she can approach cuts and bruises with a bit
more confidence. "I try to teach our children that it is possible to be
both a responsible parent and to have a productive professional life,"
she says.
When asked how she finds time to fit in a personal life alongside her
many other obligations, Copeland offers her own advice: "You cannot do
everything by yourself and you cannot do it all at once. Organize,
delegate, schedule. Find the right timing and support." Copeland
credits her family and staff with helping her achieve her goals of
studying and learning as much as she can.
References
1. Kuczynski A. Why are so few plastic surgeons women? New York Times. July 12, 1998; sect 9.
2. History of AMWA. American Medical Women's Association. Available at:
www.amwa-doc.org/abouta.html. Accessed September 4, 2002. |
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