The certificate issued by the American Board of Facial Plastic and Reconstructive Surgery (ABFPRS) is a mark of quality and credibility for a plastic surgeon. If a plastic surgeon is ABFPRS-certified, then: The plastic surgeon subscribes to the high standards of practice and the Code of Ethics of ABFPRS and is properly licensed. They have passed the ABFPRS two-day examination. They have completed the entire tenure of an approved residency in at least one of the two surgical specialties that include the minimum prescribed training for all kinds of facial plastic surgery (these specialties typically being head-and-neck surgery/otolaryngology and plastic surgery). They are double boarded, and one of these certifications has come from either the American Board of Medical Specialties or The Royal College of Physicians and Surgeons in Canada. They possess an acceptable record of no less than two years of clinical experience (featuring operative reports of at least 100 facial plastic surgeries), and this record has been submitted for validation by peer review.