Selecting the Right Plastic Surgeon

May 30, 2024 - By Dr. Jules Feledy

Making the decision to undergo plastic surgery is significant and requires careful consideration. Whether you have been contemplating it for a while or recently made the choice, selecting the right plastic surgeon is crucial. Whether you are opting for a breast augmentation, face lift, tummy tuck, or any other cosmetic procedure, your surgeon plays a pivotal role in determining the outcome.

How do you find a good a good plastic surgeon?

The importance of choosing a board-certified plastic surgeon cannot be overstated. Board certification from the American Board of Plastic Surgery ensures that your surgeon has undergone rigorous training, including three to five years in general surgery and a minimum of two to three years in plastic surgery. Additionally, they must pass written and oral exams and maintain continuing medical education throughout their career. This certification provides assurance of their expertise and commitment to high standards of care.

Verifying a surgeon's credentials is easy with online resources such as the American Board of Medical Specialties' website or the American Society of Plastic Surgeons. By confirming their certification, you can trust in their qualifications and expertise

Examining the surgeon's record, reviews, and examples of their work is essential. Reviewing before-and-after photos of procedures like what you're considering can give you insight into their skill and aesthetic approach. Look for natural-looking outcomes and consistency in their results. Additionally, reading testimonials from past patients can provide valuable insight into their experience and satisfaction with the surgeon's care.

During your consultation, do not hesitate to ask questions. Inquire about the surgical process, anesthesia options, the surgical team, and the facilities. Asking about complication and reoperation rates, as well as any disciplinary history, is also important. A reputable surgeon will welcome these inquiries and provide transparent answers to ensure you feel informed and confident in your decision.

Thorough research and asking the right questions are essential steps in choosing the right plastic surgeon for your needs. By prioritizing board certification, reviewing examples of their work, and asking informed questions, you can feel confident in your decision and achieve the best possible outcomes from your plastic surgery journey.

When considering cosmetic plastic surgery, prioritize quality over cost. Ensure the surgeon is top-rated, board-certified, and experienced in the procedure you seek. Trust your vision and appearance only to reputable professionals.

What is the difference between a plastic surgeon and cosmetic surgeon?

The terms "plastic surgeon" and "cosmetic surgeon" are often used interchangeably, but there are distinctions in their training, qualifications, and areas of expertise.

1. Plastic Surgeon:

- Training: Plastic surgeons undergo extensive training in both reconstructive and cosmetic surgery during their residency program, which typically lasts five to six years after medical school. They are trained to perform a wide range of surgical procedures, including reconstructive surgeries to repair birth defects, trauma injuries, and medical conditions like breast reconstruction after mastectomy.

- Board Certification: Plastic surgeons are certified by the American Board of Plastic Surgery (ABPS) or equivalent boards in other countries. This certification demonstrates their expertise and specialization in plastic surgery.

- Scope of Practice: Plastic surgeons are skilled in both reconstructive and cosmetic procedures, allowing them to address a broad spectrum of patient needs.

2. Cosmetic Surgeon:

- Training: Cosmetic surgeons may come from various medical specialties, such as dermatology, otolaryngology (ENT), general surgery, or even family medicine. They typically pursue additional training or fellowships in cosmetic procedures.

- Board Certification: Cosmetic surgeons may or may not be certified by specific boards in cosmetic surgery. However, board certification alone does not guarantee expertise in plastic or cosmetic surgery.

- Focus: While cosmetic surgeons primarily focus on elective aesthetic procedures aimed at enhancing the appearance of the face, body, or skin, they may not have the same depth of training in reconstructive surgery or complex procedures as plastic surgeons.

While both plastic surgeons and cosmetic surgeons may perform cosmetic procedures, plastic surgeons have comprehensive training in both reconstructive and cosmetic surgery and are board-certified in plastic surgery, whereas cosmetic surgeons may come from various medical backgrounds and may have different levels of training and expertise in cosmetic procedures. When considering cosmetic surgery, it's essential for patients to research their surgeon's qualifications, experience, and board certification to ensure they are receiving care from a skilled and appropriately trained professional.

Who is a good candidate for plastic surgery?

A good candidate for plastic surgery typically:

1. Has realistic expectations: They understand the limitations and potential outcomes of the procedure.

2. Is in good overall health: They don't have medical conditions that could increase surgical risks.

3. Maintains a stable weight: Fluctuations in weight can affect the results of the surgery.

4. Has specific concerns: Plastic surgery is best suited for addressing aesthetic concerns rather than a general desire for perfection.

5. Is mentally prepared: They are emotionally stable and have a positive outlook on the surgical process and potential outcomes.

6. Is a non-smoker: Smoking can interfere with healing and increase the risk of complications.

7. Is well-informed: They have thoroughly researched the procedure, including potential risks and recovery process.

8. Has realistic motivations: They are seeking surgery for personal reasons, not to fulfill someone else's desires or expectations.

Who shouldn’t get plastic surgery?

Plastic surgery may not be suitable for individuals who:

1. Have unrealistic expectations: Unrealistic goals or desires that cannot be achieved through surgery may lead to dissatisfaction.

2. Have unstable mental health: Individuals with untreated psychological issues may not be emotionally prepared to undergo surgery.

3. Have serious medical conditions: Certain health conditions may increase the risk of complications during or after surgery.

4. Are smokers: Smoking can impair healing and increase the risk of complications.

5. Have unrealistic motivations: Seeking surgery to fulfill someone else's desires or to address deep-seated emotional issues may not lead to satisfactory outcomes.

6. Are undergoing significant life changes: Major life events, such as divorce or loss of a loved one, can impact decision-making and recovery.

7. Are unable to follow post-operative instructions: Proper post-operative care is crucial for successful outcomes, and individuals who cannot adhere to these instructions may not be suitable candidates.

8. Are too young: Some procedures may not be appropriate for individuals who are still amid physical or emotional development.

It's essential for individuals considering plastic surgery to thoroughly discuss their medical history, motivations, and expectations with a qualified plastic surgeon to determine if they are suitable candidates.

Will plastic surgeons negotiate their prices?

The extent to which plastic surgeons negotiate their prices can vary depending on several factors, including the surgeon's policies, the complexity of the procedure, and the local market dynamics. In some cases, there may be room for negotiation, particularly for elective procedures or for patients undergoing multiple treatments. However, it's important to approach such discussions respectfully and realistically. Additionally, some surgeons may offer financing options or package deals that can help make the procedure more affordable. Ultimately, it's advisable to discuss pricing and payment options directly their administrative staff to understand what options may be available.

Why isn't cosmetic surgery covered by insurance?

Cosmetic surgery is typically not covered by insurance because it is considered elective and aimed at enhancing or altering one's appearance rather than treating a medical condition or improving function. Insurance companies typically cover medical procedures that are deemed necessary for the patient's health or well-being, such as reconstructive surgeries to repair congenital defects, injuries, or medical conditions like breast reconstruction after mastectomy.

Cosmetic surgery, on the other hand, is often considered optional and is primarily focused on aesthetic improvement rather than medical necessity. As a result, insurance companies generally do not provide coverage for cosmetic procedures, and patients are expected to pay for these treatments out of pocket.

There are exceptions where certain cosmetic procedures may be covered by insurance if they are deemed medically necessary. For example, eyelid surgery (blepharoplasty) may be covered if it is performed to correct vision problems caused by drooping eyelids. However, coverage for such procedures varies depending on the specific circumstances and the policies of individual insurance companies.

Ultimately, insurance coverage for cosmetic surgery is determined by whether the procedure is considered medically necessary for the patient's health or well-being, rather than purely for aesthetic reasons.