yellow pages seems like a bad idea for finding plastic surgoen but i am new to my town and have no network of friends to ask. what can i do to find the best plastic surgeon?
How to Find the Best Plastic Surgeon?
Doctor Answers 15
The Best Plastic Surgeon - Questions to find the best plastic surgeon for you
The following are a few things that can distinguish some surgeons from others
1) Graduating from a top tier medical school at the top of their class.
2) Membership in Alpha Omega Alpha. This is the medical honors society. Alpha Omega Alpha is to medicine what Phi Beta Kappa is to letters
3) Formal surgical training from prestigious medical universities. The minimum number of years of surgical training for plastic surgeons to be bord certified in five years. Some physicians have as many as ten years of formal surgical training. There simply is no substitute for stelar academic and practical surgical training.
4) Very experienced surgeons with meticulous surgical technique and natural looking outcomes will have photgraphic evidence of their work. Patients should be able to view many photos of the surgery of interest, photgraphed from three different perspectives all with similar lighting, distance from the camera and cropping
The elite experience extends beyond the surgeon to the facility, and the surgical team. You should be able to see the surgical theater and know who else will be in the OR with you during surgery. The Joint Commission (JCAHO) is an organization that provides certification to hospital OR's. The Joint Commission and AAAASF are two of the organizations that can provide certification to surgical suites. Some plastic surgeons elect to have their surgery centers dually certified.
The anesthesia experience is critical to a safe and comfortable surgical experience. A board certified anesthesiologist can administer general or MAC anesthesia. My preference is to have a board-certified anesthesiologist at the bedside of my patients for the duration of surgery.
Plastic surgeons who cater to high profile individuals who place a high value on privacy will have a private first floor entrance and exit so patients never need to be in a public lobby or elevator for pre-operative or post operative visits.
When choosing a plastic surgeon it is imperative to select a surgeon who is certified by the American Board of Plastic Surgery. Be careful in evaluating physicians whose `Board Certification' is by a `Board' which is not recognized by the American Board of Medical Specialties (ABMS), and who belong to an `Academy' that does not require residency training in plastic surgery. Some will claim that they are `double-' or even `triple-board certified', when only one (and occasionally none) of those `boards' are recognized by the ABMS. Visit the ABMS website to see which specialties have ABMS recognition.
It takes just a few mouse clicks to verify a surgeon's credentials online. Make sure that the surgeon or surgeons that you are considering are certified by the American Board of Plastic Surgery and are active members of the American Society of Plastic Surgeons (ASPS). ASPS members are also eligible for membership in the exclusive American Society of Aesthetic Plastic Surgeons (ASAPS), the premier professional association of board-certified plastic surgeons with a specialty practice in cosmetic surgery
Be confident enough to ask some `difficult' questions. Feel empowered to ask any physician questions like: What are your complication and reoperation rates for this procedure? Has a cosmetic surgery that you performed ever resulted in a lawsuit? Have you had any serious complications and unplanned hospitalizations after cosmetic surgery? Have you ever been disciplined by a state medical board? I am never offended by these kinds of questions, and no competent and qualified surgeon should be. In my opinion it is actually the savvy prospective cosmetic surgery patient who does this kind of `due diligence'.
A Five-Minute Call Can Save You Two Hours and $200
Once you have a list of prospective cosmetic surgeons, make a few two-minute calls. You could save hours and hundreds of dollars. The following checklist will be your outline for a productive, efficient phone inquiry.
Checklist for Telephone Screening Call:
Name of doctor: ________________________________________
Questions to ask:
Is the doctor board certified? If the answer is “yes,” which specialty
board? The American Board of ___________________________.
Did the doctor serve a cosmetic surgery fellowship?
Does the practice conduct cosmetic surgery only?
Time out. If, so far, you don’t have at least two “yes” answers, say: “Thank you, good-bye” and go on to the next doctor on the list. That practice was not for you.
What five procedures does the doctor perform most frequently? If what you’re considering doesn’t make the list, say “Good-bye.”
Where does the doctor perform his surgeries? Office? Outpatient surgery center? Hospital? (circle response).
Is office or outpatient surgery center facility licensed by the state, certified by Medicare and/or accredited by JCAHO, AAAASF or AAAHC?* (circle one ormore).
If none of the above, you are courting danger.
Tell the manager your sink is overflowing and hang up.
Skip the Yellow Pages. Go Straight to the American Society of Plastic Surgeons
It’s a big decision to have plastic surgery. If you are like most people, you have been thinking about this for quite some time. Maybe you’ve been struggling with the concept of doing something that’s just for you. Then, once you’ve gotten to the point that you are ready to go forward, another big decision comes up: How do I find the right plastic surgeon?
This is one of the most important decisions you can make. Your outcome depends greatly on the skill and thoroughness of your surgeon. And your overall experience depends on the quality of your surgeon’s office staff.
First thing's first: make sure any doctor you consult is really a plastic surgeon. This sounds pretty elementary, but it can be confusing. Other physicians and dentists advertise themselves in the Yellow Pages as plastic surgeons, but have no formal training in plastic surgery. Most people are amazed at this fact, and ask, "Isn't there some kind of a law that prevents doctors from performing surgeries they are not trained to perform?" The answer is unfortunately no. The state licenses a physician to practice medicine, but does not limit the doctor to a particular specialty.
Your best bet in finding the right doctor for you, is to make sure he or she is a board-certified plastic surgeon. It is not enough anymore to just ask a doctor if they are "board-certified". As straightforward as this may sound, most doctors are board-certified in some medical specialty. But, board-certified by whom, and in what?
Here are the facts you need to know. There is one overseeing board that regulates the certification of doctors in their specialties: the American Board of Medical Specialists (ABMS). So the American Board of Internal Medicine certifies your internist, and the American Board of Orthopedic Surgery, certifies your orthopedic surgeon and so forth. The only ABMS board that certifies plastic surgeons is the American Board of Plastic Surgery.
Don't be confused by the American Academy of Cosmetic Surgery, or other boards mentioning plastic surgery. Be aware that these are self-appointed boards without strict training requirements. The American Board of Medical Specialties does not recognize them, and their members are not board-certified plastic surgeons.
Becoming a board-certified plastic surgeon is not a short, or easy process as you might imagine. After completing four years of medical school, plastic surgeons will have a residency of between 6 and 8 years of training in surgery, and in plastic surgery specifically. After completing residency a plastic surgeon is considered “board eligible.” For them to become “board certified,” comprehensive written and oral exams must be taken, and actual cases performed by the surgeon must be reviewed. At that point, they are certified by the American Board of Plastic Surgery, and are true plastic surgeons. But what a bunch of boards and initials! There must be an easier way to find out who’s who. And, in fact, there is.
The American Society of Plastic Surgeons, the ASPS, is the foremost authority on plastic surgery in the world. This is all you have to remember, four letters: ASPS. The American Board of Plastic Surgery has certified every ASPS member. These surgeons must adhere to a strict code of ethics, and participate in continuing education throughout their careers.
You, as a patient, benefit from your plastic surgeon’s vast amount of resources, emphasis on patient safety, and networking with the best plastic surgeons in this country, and across the world.
Choosing a plastic surgeon
Cosmetic procedures are now performed by a variety of people. Patients are often shocked to find that their cosmetic surgeon who operated on their breasts was actually primarily trained as an oral surgeon, dermatologist, or even emergency room physician.
Because cosmetic surgery is unregulated there really aren't state or federal laws in place to protect patients to the degree one would expect. This may change in the future.
Make sure they have been trained appropriately by visiting websites like the American Society of Plastic Surgeons, American Academy of Facial Plastic & Reconstructive Surgery, etc.
Choosing plastic surgeon
Finding Your Plastic Surgeon
How can I find a good plastic surgeon? What should I look for?
How to find the best plastic surgeon?
Experience should not be measured solely by the age of the surgeon or how many years s/he has been in practice. Checking the education and training is more valuable - a Board Certified MD plastic surgeon who was accepted to and completed an integrated plastic surgery residency, in today's day and age, are excellent choices. Those are the top students who have superior training at top institutes. Plastic Surgery is NOT a fellowship...it is a residency. Those surgeons who have actually successfully completed additional fellowship training beyond the plastic surgery residency are also passionate about that area and will likely have the most recent, innovative, and up to date techniques. These are usually the younger surgeons, who are still readily willing and competent to continue to strive for the newest material and remain up to date on literature and conferences.
You must decide for yourself who you are most comfortable with and confident with who will meet your goals and expectations. Cost may differ just on expertise and the aforementioned additional training ad what that additional expertise training has afforded to his/her patients. Hope that this helps! Best wishes!
How to find the best plastic surgeon in Beverly Hills
Meeting the doctor and getting the feel for him/her is key, no matter what you read about them in plastic surgery reviews.
How to Pick the Best Facelift Surgeon
The most critical decision to be made in achieving the best plastic surgical result is picking the most experienced and talented, that is the best, plastic surgeon possible. Too often, patients choose a physician based on a catchy ad, the brand name of a technique, the basis of one or two before and after photos, or their web site’s search engine ranking. These criteria will not find the most experienced and talented plastic surgeon.
Dr. Larry Nichter
I have been a practicing plastic surgeon for more than 25 years, having trained scores of plastic surgeons as a tenured professor of plastic surgery at USC, and I have had a private practice in Orange County since 1993. Speaking from all this experience, here is my advice and the criteria I would use to find the best plastic surgeon in Orange County, Los Angeles, California, or anywhere in the United States. These are the criteria I would use to select a plastic surgeon for my friends, my family, or myself.
First, I want to stress some general observations I have found to be true over the years.
Caveat Emptor: Buyer Beware
The longer a surgeon trains at his craft, the finer his skills and the better his judgment become. Board certification in Plastic Surgery (see below) is a bare minimum. Board certification in an additional surgical field recognized by the American Board of Medical Specialties, or for that matter “triple-board certified,” attests to a doctor’s advanced training and skill and judgment. It also means that they have attained Chief Resident Status in more than one field during their training which means they essentially ran a large departmental service and had senior decision-making and independent operating responsibilities. It is this step that is most maturing for a surgeon.
The institution where the surgeon trained is also important. More renowned schools usually attract the best faculty.
You can use the internet to research the background of a prospective plastic surgeon quickly. Please do this prior to making an appointment. “Just because you wear a baseball cap it doesn’t mean you are a good ball player.” The same applies to anyone wearing a white coat—it doesn’t make you a plastic surgeon, much less a great one.
Caveat Emptor in Latin means “Buyer Beware.” In most states, including California, any physician with a medical school diploma and state license is viewed as a doctor and a surgeon—even without any formal surgical training. In some cases even doctors who have completed only the minimal requirements (medical school, licensing examination, and a one-year internship that need not include surgical training) are touting themselves as “cosmetic surgical experts.” They make these claims of expertise despite the fact that they are only formally trained as family practitioners, OB/Gyns, emergency physicians, dermatologists, or ear-nose-throat specialists. Even physician assistants and nurses have made such claims.
7-Step Process for Finding the Best Plastic Surgeon
The following are my screening guidelines and criteria for picking the best plastic/cosmetic surgeon.
1. Board Certified Plastic Surgeon by the American Board of Plastic Surgery
The American Board of Plastic Surgery is the only certifying board in Plastic Surgery that is a member of the American Board of Medical Specialties. Use these links to look up a prospective surgeon’s status.
To become a plastic surgeon certified by the American Board of Plastic Surgery requires a minimum of five years of surgical training with a minimum of two years of training specifically in plastic surgery. Then the applicant must also pass a comprehensive written board exam. If successful, the candidate must present his/her clinical cases for critical review by board examiners (I was one such board examiner) and if accepted will take a series of oral examinations.
Since the 1990s, the American Board of Plastic Surgery Certification is only valid for ten years. To retain your board certified status, a plastic surgeon must complete a Maintenance of Certification including written testing and case review. This means that all who pass are trained and experienced in all plastic surgery procedures including facial procedures, breast, and body; essentially all cosmetic and reconstructive procedures.
If a Plastic Surgeon is additionally board certified by another surgical specialty recognized the American Board of Medical Specialties, then this also marks additional expertise and training at the highest level. The American Board of Facial Plastic Surgery (ABFRS) is not a licensing body nor an educational institution and the certificates it issues are not legal licenses to practice facial plastic and reconstructive surgery. The ABFRS is not recognized by the American Board of Medical Specialties (although it does note additional specialty training/interest in facial aesthetic surgery).
Likewise, beware of physicians armed only with certification from other non-ABMS recognized boards or special society memberships other than those I have recommended (eg. “Cosmetic Surgery Board,” “Lipoplasty Society of North America,” etc.).
2. Fellow of the American College of Surgeons: FACS
The American College of Surgeons is dedicated to improving the care of the patient and to safeguarding standards of care in an optimal and ethical practice environment. Members of the American College of Surgeons are referred to as “Fellows.” The letters FACS (Fellow, American College of Surgeons) after a surgeon’s name mean that the surgeon’s education and training, professional qualifications, surgical competence, and ethical conduct have passed a rigorous evaluation, and have been found to be consistent with the high standards established and demanded by the College.
To be a member you have to:
be board certified in a surgical specialty recognized by the American Board of Medical Specialties
be in practice in one location for a number of years, with a background check, nomination, and interviews which verify that you are an ethical and safe surgeon among other criteria.
Hint: Look for the “FACS” (or “FRCS,” see below) after the “MD” in a doctor’s title or in his/her Curriculum Vitae to see if he/she is a “real surgeon.”
Note for patients in Canada: The equivalent of FACS in Canada is the Royal College of Physicians and Surgeons of Canada, FRCS.
3. Member of the American Society of Plastic Surgeons (ASPS)
The American Society of Plastic Surgeons is the largest organization of plastic surgeons in the United States and one of the largest in the world. ASPS members are uniquely qualified because of the society’s membership requirements:
Members of the American Society of Plastic Surgeons must be Board Certified by The American Board of Plastic Surgery complete at least 5 years of surgical training with a minimum of 2 years of training specifically in plastic surgery. The more years of Plastic Surgical Training the better – this includes fellowships in a plastic surgical field.
American Society of Plastic Surgeons members are required to adhere to a strict code of ethics and must fulfill rigorous Continuing Medical Education (CME) requirements including patient safety issues.
Lastly, ASPS members are required to operate at accredited surgical facilities certified by one of the following USA organizations: American Association for Accreditation of Ambulatory Surgical Facilities, Inc., Accreditation Association for Ambulatory Health Care, Inc., or the Joint Commission on Accreditation of Health Care Organizations.
Beware of physicians without this membership but belonging only to similar-sounding societies as their claim to excellence eg. “American Society of Cosmetic Surgery,” “Lipoplasty Society of North America,” etc.
4. Member of the American Society for Aesthetic Plastic Surgery (ASAPS)
This is the most elite society in the United States and perhaps the world for Aesthetic Plastic Surgery. To be a member means that your career is focused in cosmetic surgery at the highest level. Among the requirements for invitation and election to ASAPS membership, a plastic surgeon must:
Be certified by the American Board of Plastic Surgery (or in plastic surgery by the Royal College of Physicians and Surgeons of Canada);
Be in at least the third year of active practice following board certification;
Participate in accredited Continuing Medical Education (CME) to stay current with developments in the field of cosmetic plastic surgery and patient safety;
Document the performance of a significant number and variety of cosmetic surgical cases to demonstrate wide experience;
Be sponsored by two ASAPS-member plastic surgeons to help ensure that the applicant’s professional reputation meets the high standards required by ASAPS;
Adhere to current ethical standards for professional conduct as outlined in the Code of Ethics observed by all ASAPS-member surgeons;
Operate in accredited surgical facilities; and
Be elected by at least 80% of the Active Membership.
Find an ASPS member online.
5. Hospital privileges to perform the same type of surgery
Hospitals often examine qualifications of doctors applying for hospital staff privileges and restrict privileges to only surgeons best trained and qualified to do certain procedures. For example, in order for surgeons to be granted plastic surgery privileges in most hospitals in Orange County, California, that surgeon must have completed plastic surgery residency training and must be board-eligible or -certified in plastic surgery to be allowed to perform plastic surgical operations in that hospital.
Non-surgeons and other physicians that are not plastic surgeons circumvent this process by performing surgery in their offices or in outpatient surgery centers where the credentialing process is less rigorous or nonexistent. In these settings non-plastic surgeons perform procedures in which they have no formal residency training.
I am not warning against use of outpatient surgery centers or in-office procedures. I am only recommending that you check that your physician has hospital privileges for these same procedures.
6. Surgical Experience in the procedure you are having
Few patients ask how long doctors have been doing a certain procedure or how many they have performed. When you consult with a plastic surgeon:
Ask to see typical “before and after” photos;
discuss the details of the procedure in a manner that is clear to you;
review benefits and potential complications;
get full answers to your questions.
7. Evidence of Excellence, Experience and Commitment to the field of Plastic Surgery
Here are some additional criteria to look for in your plastic surgeon.
Surgical Board Certification in more than one field
Plastic Surgical Fellowships in addition to Plastic Surgical Residency.
Number of years practicing.
Peer Review Honors in their own board certification from groups such as Best Doctors, Top Doctors, Super Doctors.
Current or Prior position denoting excellence in the field or high regard by their peers such as:
Prior or present Professor or Faculty affiliation with a University Plastic surgical program (the higher the rank the better)
Chairman of a Department of plastic surgery at a regional hospital
Honors from surgical societies of which they are members such as Board Examiner, etc.
Published Plastic Surgical papers in peer review journals are also a good sign that they are committed to being on top of their field.
Feel Comfortable with your choice
It is very important that after you have done this screening and met with your potential surgeon that you feel confident in your choice.
Complications are not common in cosmetic surgery, but if one did occur are you confident that this surgeon would take charge and handle just about any problem?
Do you feel that he listens to you and communicates well by answering your questions completely, doesn’t rush you in to a decision but rather makes you part of the decision-making process? You should truly feel that it is a combined effort.
Does the surgeon’s office run smoothly? Do the staff take good care of you? If you answered in the affirmative and have gotten this far in your screening guidelines then I think you have found your “Dr. Right.”
—Larry S. Nichter, MD, FACS
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.