Kudos to USA today for a series of published articles on the new trend in “fast food” delivery of plastic surgery on September 14, 15 2011. The message was clear. The economics of medicine has enticed many in the medical field who have no formal training to “practice” plastic surgical procedures on patients. This includes non board certified doctors in fields such as denistry (dentists doing facelifts), opthalmologists doing facial surgery, and OBY/ GYN doctors doing tummy tucks and liposuction.
My advice to the consumer is buyer BEWARE!! In Pittsburgh , PA where I practice the “abuse” is not as rampant, but nonetheless exists. In the high profile communities such as New York, Miami, LA the abuse is rampant. Non board certified plastic surgeons spend considerable money advertising their questionable skills, with even more questionable credentials. The patient consumer takes the posture that if its on TV and they say its safe…….its safe!
Bills are being introduced across the country that are trying to control this type of abuse. They are scrutinizing this type of advertising and requiring physicians to reveal what area of medicine they are boarded, rather then a general “Board Certified” disclaimer.
There is a temendous difference between a plastic surgeon, and cosmetic surgeon based on the stringent requirements for board eligability and training. Oral surgeons, Oby’s, General Surgeons, Dermatologist , are flocking to recieve these “cosmetic” certification’s and in many cases are not well proctored or exposed to high quality cosmetic surgery practices. Real plastic surgery is so competitive that it has the luxury of choosing the best of the best for its training programs, producing highly trained residents that can manage complications and critical care issues. At the University of Pittsburgh, where I am a Clinical Associate Professor of Plastic Surgery, we have over 200 applications for 5 eligable spots to train!
The abuse occurs in the outpatient surgery/office settings where there is little peer review scrutiny. Complications go unnoticed. In our Pittsburgh Hospital complications are reported and letters by the hospital are sent to patients as follow up to make them aware and see to it they get followed. The questions to ask your plastic (cosmetic surgeon), is what is their training background; are they board certified in plastic surgery; and do they have privledges to perform the operations they propose at a “real” hospital in your community. Cosmetic surgery can be very satisfying, and can be a positive life changing event. It is real surgery with all the risks that go along with operations. I have no problem with someone offering reasonable cost effective plastic surgery as long as the credentials and track record support their “claims”. Do your homework! If its to quick, to fast , to cheap….buyer beware.
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