"Beauty Broker": Unethical or Just Brutal?
K. Mathews on 7 Oct 2012 at 9:00am

Melinda Farina will look you up and down, tell you your physical flaws, and then suggest how you could improve your appearance with cosmetic surgery. She’s not a plastic surgeon - not even close - but Farina will refer you to a doctor to do the work for you. In essence, she’s a plastic surgery pimp, though she prefers the term “beauty broker.”
Farina’s unconventional, and ethically questionable, profession was profiled in a New York Magazine article this week. While she accepts no money from the would-be patients she sizes up and slams, Farina earns $10,000 annually from each of the doctors to whom she refers her clients. Since it is illegal for medical professionals to split fees, Farina got around the regulations by establishing a "consulting firm" that includes more than 200 doctor members.
In the article, Dr. Steven Pearlman says that while Farina does refer her clients to doctors, she hardly has the best professionals available like her network touts. “The top guys are in another league,” Pearlman says. “They don’t know her and they don’t need her.”
Farina insists that she enlists doctors who perform surgeries on celebrities and openly rants on people who judge her -- but if she's dishing it out on a daily basis, she should be able to take it. Compared with a site like RealSelf, that is on a mission to foster confident choices, patient safety and helping the those who decide to move forward with procedures to find qualified doctors, it's interesting that someone would choose to be in the business of bringing people down instead of boosting people up.
If a barrage of criticisms from a stranger motivates her "clients" to get surgeries through a secret network, they may want to hit pause for a bit of soul searching.
How do you feel about Farina’s job as a plastic surgeon middle-man? Is it a helpful service or shameless bullying? We'd love to hear your thoughts!
photo credit: valuavitaly

Hi Ms. Matthews, I am happy to answer any questions anyone might have (Email at the bottom of this entry). Many of my doctors write on behalf of Real Self blogs and I felt it was necessary to comment. This is what I am passionate about and I truly do respect the doctors that I work with. I am in the business of referral "networking" and run professional medical corporate networking groups. Yes there is a detailed screening process prior to doctors being signed and I also work with numerous specialties- trained in cosmetic dentistry and plastic surgery for the past 18 years. I have 5 territories thusfar and each territory consists of only 10-12 Plastic Surgeons - one surgeon per niche. Patients find me through social media and/or word of mouth. They find me and come to me looking for specific procedures. I NEVER have someone come to me and tell them what they need...THAT IS TERRIBLE. People come and ask me a million questions- we discuss the procedure what is most important pre/post op, fees, downtime and I connect them with other patients whom have seen my doctors. I have a great relationship w my surgeons and sometimes I will even go with a patient to their consult to make sure they are choc full of information and understand what the doctor is telling them. I am also not a one woman show- I have several territory managers all with 15+ years of experience in the medical industry and 2 assistants to date. We keep ourselves very well educated and up to date with current events withing the industry. I also require most of my patients to see a nutritionist for rapid recovery healing pre/post surgery and make sure that they understand that the body's physical appearance is normally a direct result of what is going on inside - I truly believe that a great plastic surgery result has a lot to do with good health and maintenance...HENCE- the name of my company INTEGRATED AESTHETICS. Having a good professional health/medical team is essential and if I can help direct people to professionals that will help them look and feel their best..then at the end of the day it's a job well done. This network is about connecting people. There is a fee for the membership b/c I also consult/staff and flank a practice's business all around..but there is no way I will do so for a doctor that I don't screen fully and/or believe in. My reputation stands behind who I represent ...no dollar value can sway me to do otherwise. I turn 8 out of 10 doctors away most times. It is a boutique company and hopefully can provide some sound and safe advice for the patients who are window shopping. Not sure if you still feel that is unethical or brutal...but I am proud of what I have built and the doctors who are involved are truly wonderful and skilled professionals. Not sure how what I am doing is different than PlasticSurgery.com PlasticSurgeryReview.com DrOogle.com etc there are may more(lets not even talk about GILT or Groupon- obvious fee splitting sites that many docs have participated in and I look down upon) Unlike those sites I run a LIVE selective exclusive medical corporate networking group. What makes me popular w the patients is that they get a human touch, someone w knowledge and someone who actually listens to them and can understand them (I have been a patient myself and can sympathize w many patients) Hope this sheds some light upon what I do as a professional. Best- Melinda Email: ******************.com
Do you mind me asking which of your doctors are active on RealSelf?
Also, you mentioned a couple times that you have a screening process. What are your specific requirements for the doctors to participate?
There are special lawyers called injury lawyers and it is a serious criminal offense if a patient does a fake promises to his patient or patient is not satisfied with the kind of results he/she is getting after the treatment.
Do you happen to know what her requirements are for doctors to participate in her networking group? Obviously keeping the patient safe should be the utmost concern, so I'm curious if she allows only board certified plastic surgeons?
For those not aware of the difference between a Plastic Surgeon and a Cosmetic Surgeon here is a Q&A to help:
Plastic Surgeon Vs. Cosmetic Surgeon - What's the Difference?
This blog might also be of interest:
Staggering Differences in Satisfaction Between Board vs. Non-Board Certified Doctors
Also, you make a good point that the patients aren't paying her directly, but isn't she more or less running a referral service if she is getting compensated by doctors? The doctors are paid by the patients of course, so although it is a bit of a roundabout way ultimately the patient is paying it seems. Of course there is no harm in that as long as people understand what is going on.
I'm glad that light is being shown on the fact that these doctors she is referring to may not be the safest or most skilled in the profession. Furthermore, since she is not a plastic surgeon and as the old saying goes "beauty is in the eye of the beholder" (or in more modern language its a matter of personal taste) I'm curious what makes people trust her opinion of what will supposedly make them beautiful.
I can only assume that someone going to her knows what they're getting his/herself into, so I don't really see an issue with what she does. I do think what Dr. Pearlman says is worth noting, though. She may not be recommending the best doctors because the best people don't need pimps -- their work speaks for itself.