The laws governing medical practice vary from state to state!

Manish H. Shah, M.D. answers: Why are oral surgeons allowed to do breast reduction surgery?

In today's Seattle PI there is a story about a woman who is suing an oral surgeon for a botched breast reduction ("Oral Surgeon faces new suit").  The doctor also has a record of a cosmetic facial procedure that led to a death. How does this happen in the first place? The story says the doctor was not trained in plastic surgery.  Why isn't this against the law, or is it?


Manish H. Shah, MD
12 months ago

The issue that you bring up is known as scope of practice. Basically the issue boils down to who is appropriately trained to perform which invasive procedures. Some states are broad in their definition enabling any physician to be licensed to practice medicine and surgery. As a consumer, I would recommend that you use Core physicians as a first line approach to aesthetic interventions (board-certified plastics surgeons/otolaryngologists/facial plastic surgeons/ dermatologists/ophthalmologists.) Non-Core physicians (everyone else) can often deliver good results safely, but you are often taking your chances with them especially in small towns and communities. People shouldn't dabble in my opinion. Go to the best trained people in your community and if you can't do that, travel to find what you need. Do not settle. Buyer beware!!!

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