Defining faces, defying borders: authority conflicts between medical specialties through cosmetic interventions

Abstract

At first glance, medical specializations seem to be delineated according to well-defined scientific criteria; the apparently-functional division of labor generates a general hierarchy of specialized knowledge and practice. However, this unequal apportionment of professional power and authority also depends on capitalistic organization. While the medical rationale has always been market-related, starting in the 1980s—with the initiation of its neoliberal agenda—Turkey has enacted progressively aggressive policies, privatizing healthcare service and reconceptualizing it as a dynamic market, thereby forming a medical ethos entangled with neoliberal motifs. In this article, we analyzed how unregulated market conditions give rise to a chaotic scientific field, and how this apparent disorder serves to reproduce an underlying capitalistic logic. Of the multitude of human body parts, we choose the face, because it has become a hot zone in medicine as cosmetic demands from patients have skyrocketed, and because it is an area generating conflict between medical specialties seeking more authority and power. To this end, we interviewed thirty-three specialists from dermatology, otorhinolaryngology, and plastic surgery about their experiences on authority conflicts and their motivations for entering into an unregulated market. Our research highlights how actors in the medical field constitute a relational social context within which boundaries are fiercely negotiated through a market logic. Thereafter, we argue how the ambiguities of pathology, aesthetics, body, and norms that underlie cosmetic procedures are fluidized and become instruments of power, such that this ambiguity has become the very defining characteristic of the scientific field.