Thank you for your question regarding the safety of having VASER liposuction performed by a non- board-certified plastic surgeon in a Med Spa. My simple answer is "No, I would not have VASER liposuction done by a regular doctor in a med spa". Many years ago, some wise person decided to have doctors spend additional training in dedicated fields. This resulted in fellowships and subspecialties. Over time, this led to the establishment of board certification in subspecialties, like plastic surgery. It should make sense to most people that patients should seek procedures done by people who are board-certified in that appropriate field. I certainly would not go to a plastic surgeon for the treatment of high blood pressure. In comparison, I would not go for an internist to have plastic surgery. Plastic surgeons spend a considerable amount of time in terms of training. Most board certified plastic surgeons have 7 or more years of training in Plastic Surgery. Their training includes appropriate patient selection, training in performing the actual procedure, postoperative care, and recognizing complications early. After 7 or more years of rigorous training, they are allowed to take a extensive, comprehensive written examination. After one year of practice, they are allowed to take an even more rigorous oral examination. If they pass these examinations, most plastic surgeons are granted board certification by the American Board of Plastic Surgery. Being board-certified in plastic surgery allows a plastic surgeon to approach a hospital for admitting privileges. If granted, the plastic surgeon can admit you to the hospital and treat you for all aspects of plastic surgery complications. In contrast, a regular doctor may spend a weekend course training in VASER liposuction. This course may be 4 to 8 hours, as opposed to 5 to 7 years for plastic surgery training. Some regular doctors don't even do this weekend course training. In my opinion, this weekend course does not make them qualified to perform VASER liposuction, especially in a Med spa setting. Additionally, if anything were to go wrong, they would have to admit you to the hospital and have a plastic surgeon on staff at the hospital take care of your complications. Additionally, you must realize that liposuction is not a completely risk-free surgery. Patients have had severe and even fatal complications. To minimize your risk, go with an experienced board-certified plastic surgeon. In conclusion, don't do it. Go to a well respected, well-trained board-certified plastic surgeon for your VASER liposuction. Have VASER liposuction either in a surgicenter or a hospital, not in a Med spa. I hope this answers your question regarding having your VASER liposuction performed by a regular doctor in a med spa. If you have any other questions regarding VASER liposuction, please contact my office. Sincerely, Dr.Katzen.