The Distinction Between Cosmetic Surgeons and Plastic Surgeons: A Comprehensive Guide

As a board-certified plastic surgeon with over 20 years of experience, I have encountered many patients who are confused about the difference between cosmetic surgeons and plastic surgeons. It's a common misconception that these two terms are interchangeable, but in reality, they refer to distinct specialties within the field of surgery. Plastic surgery is a broad discipline that encompasses both cosmetic (aesthetic) procedures and reconstructive procedures. Reconstructive surgery focuses on repairing or reconstructing problems caused by congenital deformities, the removal of tumors such as cancer, trauma, or other reasons. Some lesser-known plastic surgery procedures include carpal tunnel surgery, microsurgery, rhinoplasty, and surgery of the peripheral nerves. Cosmetic surgery, on the other hand, is solely focused on aesthetic procedures.

This means that cosmetic surgeons are trained to enhance the appearance of a patient's body or face through surgical techniques. These procedures are elective and are not medically necessary. So why do these terms often get confused? The main reason is that many plastic surgeons also offer cosmetic procedures in their offices. This can lead to the misconception that all plastic surgeons are also cosmetic surgeons. However, this is not technically correct. According to Dr.

Alan Matarasso, president of the American Society of Plastic Surgeons (ASPS), "A big problem for many people is that a cosmetic surgeon and a plastic surgeon can be confused." While both specialties may offer similar procedures, their training and certification processes are different. Cosmetic surgeons are certified by the American Board of Cosmetic Surgery, while plastic surgeons are accredited by the American Board of Plastic Surgery. However, it's important to note that the American Board of Medical Specialists only recognizes the American Board of Plastic Surgery. This means that anyone can refer to themselves as a cosmetic surgeon, regardless of their medical background or training. For patients, it's crucial to understand the distinction between these two specialties when seeking out a surgeon for a specific procedure. While both cosmetic and plastic surgeons may offer similar procedures, their training and expertise may differ. For example, if you are looking to have a breast reconstruction after a mastectomy, it's essential to seek out a plastic surgeon.

This is because reconstructive surgery is a complex procedure that requires specialized training and experience. On the other hand, if you are interested in an elective cosmetic procedure such as a breast augmentation, both a plastic surgeon and a cosmetic surgeon may be able to perform the surgery. It's also important to note that while plastic surgeons may choose to complete additional training in cosmetic surgery, the foundation of their surgical training remains reconstructive plastic surgery. This means that they are equipped to handle both reconstructive and cosmetic procedures. When it comes to elective cosmetic procedures, they can be performed by doctors from various medical fields, including plastic surgeons. In fact, in 1999, the American Society of Plastic and Reconstructive Surgeons changed its name to the American Society of Plastic Surgeons to more firmly convey the message that "plastic and reconstructive surgeons are the same."The American Society of Plastic Surgeons (ASPS) is the other major society that certifies plastic surgeons.

This organization is dedicated to promoting excellence in plastic surgery through education, research, and advocacy. When choosing a plastic surgeon, it's essential to ensure that they are certified by either the American Board of Plastic Surgery or the American Society of Plastic Surgeons. One final consideration when deciding between a cosmetic surgeon and a plastic surgeon is insurance coverage. Reconstructive plastic surgery may be covered by insurance, while cosmetic plastic surgery is elective and usually isn't. This means that if you are seeking a procedure for medical reasons, it's crucial to choose a plastic surgeon who is trained and experienced in reconstructive surgery. In conclusion, while cosmetic surgery and plastic surgery are closely related specialties, they are not the same thing.

Cosmetic surgeons are trained to perform aesthetic procedures, while plastic surgeons are equipped to handle both reconstructive and cosmetic procedures. When choosing a surgeon for a specific procedure, it's essential to understand the distinction between these two specialties and ensure that the surgeon is certified and experienced in the type of surgery you require.