If you’re considering surgery to improve your appearance, the answer as to what makes a “plastic surgeon” different from a “cosmetic surgeon” has important implications for choosing an appropriately qualified physician, according to a report in Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS).
“Our study shows that the public, and the ultimate consumer, is confused by the titles ‘plastic surgeon’ or ‘cosmetic surgeon,'” according to senior author Rod J. Rohrich, MD, of University of Texas Southwestern Medical Center, Dallas. “The results demonstrate the need to eliminate confusing medical marketing in order to have a transparent system, where informed patients are assured a safe and aesthetically acceptable outcome.” Dr. Rohrich is Editor-in-Chief of Plastic and Reconstructive Surgery.
Some ‘Cosmetic Surgeons’ Aren’t Board-Certified Plastic Surgeons.
The researchers designed an internet survey to assess public perceptions of aesthetic or cosmetic surgery, or “surgery to improve one’s appearance.” A representative sample of 5,135 respondents completed the survey.
The results showed some misperceptions about the qualifications needed to perform cosmetic surgery. Incorrectly, 87 percent of respondents believed that surgeons must have special credentials and training to perform these procedures, or to advertise themselves as aesthetic/cosmetic/plastic surgeons.
More than half of respondents were unsure about the training needed to become a “Board-certified” plastic or cosmetic surgeon. In fact, surgeons need at least six years of residency training to be certified by the American Board of Plastic Surgery (ABPS), compared to just one year for certification by the American Board of Cosmetic Surgery (ABCS). The ABPS certification is recognized by the American Board of Medical Specialties, while ABCS certification is not.
Most respondents stated their discomfort with specialists other than plastic surgeons performing surgery to improve their appearance. Less-educated respondents and those with lower incomes were more likely to believe that surgeons must be Board-certified in plastic surgery in order to perform aesthetic/cosmetic surgery.
The demand for cosmetic surgery and minimally invasive procedures has risen dramatically in recent years, creating a financial motive for physicians to performed aesthetic surgery. Dr. Rohrich and coauthors write, “In fact, a growing number of physicians without training in plastic and reconstructive surgery are performing surgery to improve one’s appearance, often at the expense of patient safety and outcomes.”
The survey identifies several factors contributing to confusion about which doctors are appropriately qualified to perform surgery to improve one’s appearance, including “problematic medical marketing, recognized and unrecognized boards, and varying categorization of surgeons.” The ASPS has developed a “Do Your Homework” campaign to educate the public on how to identify providers who can safely perform aesthetic/cosmetic/plastic surgery procedures.
“With the current system, physicians can capitalize on confusing jargon to convince patients that they are appropriately qualified to perform the procedures they advertise their expertise in,” Dr. Rohrich and colleagues write. They outline an action plan to help patients make a more informed decision about the provider they want to perform their aesthetic/cosmetic surgery, focusing on “increasing patient education, eliminating misconceptions, and, ultimately, improving patient safety.”
A new report from the American Society of Plastic Surgeons (ASPS) reveals that Americans spent more than ever before — $16 billion — on cosmetic plastic surgery and minimally-invasive procedures in 2016. The new report also breaks down the national average cost of surgical and minimally-invasive procedures.
Among the more popular cosmetic surgical procedures and their related costs were:
- Breast augmentation (290,467 procedures): national average cost of $3,719
- Liposuction (235,237 procedures): national average cost of $3,200
- Nose reshaping (223,018 procedures): national average cost of $5,046
- Tummy tuck (127,633 procedures): national average cost of $5,798
- Buttock augmentation (18,489 procedures) national average cost of $4,356
Among the more popular minimally-invasive cosmetic procedures and their related costs were:
- Wrinkle treatment injections (botulinum toxin type-A, such as Botox®, Dysport®) (7 million procedures): national average cost of $385
- Hyaluronic acid fillers (2 million procedures): national average cost of $644
- Chemical peel (1.3 million procedures): national average cost of $673
- Microdermabrasion (775,014 procedures): national average cost of $138
- Laser treatments (Intense Pulsed Light) (656,781 procedures): national average cost of $433
The national average cost of breast augmentation surgery decreased 2.7 percent from 2015. The cost for liposuction increased 6.1 percent and nose reshaping increased 5.6 percent. Botulinum toxin type A injections increased by less than 1 percent from 2015, while hyaluronic acid costs increased 5 percent and chemical peels increased 5.7 percent compared to 2015.
Cost factors for most cosmetic surgeries include the type of surgery chosen, location of surgery, surgeon’s experience and insurance coverage. Fees generally do not include anesthesia, operating room facilities or other related expenses.
“The most important consideration for patients should be choosing a board-certified, ASPS-member surgeon,” said ASPS President Debra Johnson, MD. “Before you undergo any procedure, make sure you’re putting yourself in the hands of only the most qualified and highly trained plastic surgeons. The cost of any procedure is not nearly as important as doing your homework and selecting a surgeon whose primary focus is your safety.”