Who is more qualified to do my liposuction: dermatologic surgeon or plastic surgeon?

My patients appreciate our ability to tell them when liposuction is best, and when lifts are best (i.e. tummy tucks).

Since we perform many of each, we have no stake in which procedure is performed other than what is best for the patient.

Patients should always have the confidence when talking to their doctor that he is properly counseling them on the correct options of the procedures, not pushing one procedure or another.

According to the American Board of Medical Specialty the only "plastic surgeons" are those that are Boarded by the American Board of Plastic Surgery. Anyone can call themeslves a plastic surgeon, cosmetic surgeon, or dermatological surgeon but none other than a Board Certified Plastic Surgeon has had the debth of surgical knowledge to perform cosmetic surgery on a patient, other than a Board certified plastic surgeon.

Both specialties have liposuction as a procedure that is in the curriculum for training in residency.  There are many physicians of both specialties that have performed this procedure safely and with great results.  You need to see an experienced physician with whom you have a good rapport and who has a good reputation in your community.

You have asked a loaded question and from your experience, you can see that there are "turf" battles in medicine and surgery.   There is no doubt that your board certified plastic surgeon is more qualified to perform your liposuction.  Why?  Because we know how to operate on the entire human body, from the skeleton, muscle, fat, skin, and just about everything in between.  Plastic surgeons can treat the human body as a 3-dimensional structure and dermatologists treat the skin in 2-dimensions.   The plastic surgeon has the technical know-how and experience to build the "house" from the ground up, not just "paint" it.   Most importantly, it is the plastic surgeon who will know how to "fix" your issues should there be a problem or complication.     

There is a lot of misinformation out there about liposuction but the important thing to keep in mind is that it is surgery. Even though the skin incisions are tiny, the volume of tissue affected can be large, just like any other surgical procedure. When people emphasize the safety of tumescent technique, which is popular among dermatologists, they compare to old data about general anesthesia. However, most procedures are probably done with monitored intravenous sedation and some version of tumescent, so it's a false argument. What's more, there is the potential for lidocaine toxicity when trying to do too much under tumescent so the safety question ultimately comes down to the judgment of the surgeon and whether or not the procedure is being done in anaccredited surgical facility.

Both Dermatologic Surgeons and plastic surgeons are qualified to do liposuction procedures and both can do a good job but who will do a better job for you needs other factors to be considered. Anyone who spends the major part of their practice on liposuctions will as a general rule have more experience and expertise in the latest techniques that give the best results. It is true that Dermatologic Surgeons invented the Tumescent Technique of Liposuction and uses the Micro Canulas to give the smoothest results.  Plastic surgeons who use this method can also be good as well at liposuctions.  Even if someone uses a different method and does that technique alot with good results, they can be good at liposuction.  Both docs are going to be board certified in their basic specialties so saying that only a board certified plastic surgeon or Board Certified Dermatologist are the best for liposuction, doesn't give much credentials for liposuction if that is their ONLY claim to fame or bragging rights. You also need to have a good repoire with your doc, see a lot of great before and after photos, and above all feel comfortable in that your doc will be there for you the whole way through your experience.  Sincerely,

David Hansen,MD

 

Dermatologists are not Plastic Surgeons.  There is nowhere in Dermatology residency where liposuction is properly taught.  Plastic Surgeons are trained surgeons with extensive experience in Plastic Surgery including liposuction.  Perhaps my opinion is biased given that I am a Plastic Surgeon, but I do not think Dermatologists should be performing surgery (including liposuction).  Performing any surgical procedure requires years of training to allow your surgeon to be efficient, safe, and capable of handling any unexpected problems that my occur during or after your surgery.  I don't believe a weekend course in liposuction is sufficient to prepare a doctor to perform liposuctions.

Sincerely,

Martin Jugenburg, MD

The unique advantage that a plastic surgeon has is that they can perform all body contouring procedures and thereof can offer all of the options that a patient could need. If you can only perform liposuction then a dermatologist may try to get all patients to have that procedure when many might be best served by and abdominoplasy

Why bother if both can give you the results you want. I think you need to focus on what you want rather than on a history question. There is no doubt that dermatologist contributed to liposuction procedure. There qualified dermatologist just as much there qualified plastic surgeons.  I say go with whoever you feel comfortable with.

As a plastic surgeon who trained in General Surgery for 5 years and then Plastic Surgery for another 2 years I met many specialists and surgical subspecialists who were part of the Department of Surgery.  ENT, Colorectal, Neurosurgery, even Ob-Gyn.  Funny that I never met a dermatologic surgeon.  Dermatology is a branch of medicine not surgery.  If you want a dermatologist to do your plastic surgery that's fine.  Would you want your cardiologist to do your neurosurgery or even your gall bladder?