Cosmetic Surgery, Plastic Surgery—What’s the Difference?
If you’ve always thought cosmetic surgery and plastic surgery were one in the same, you’re not alone. A significant number of plastic surgeons choose to focus their practice on cosmetic surgery, and as such, the terms are often used interchangeably. But this is not technically correct. Cosmetic surgery and plastic surgery are closely related specialties, but they are not the same.
Overview: Difference Between Cosmetic and Plastic surgery
1. Cosmetic Surgery & Plastic Surgery Have Different Goals
While both cosmetic surgery and plastic surgery deal with improving a patient’s body, the overarching philosophies guiding the training, research, and goals for patient outcomes are different.
What is cosmetic surgery?
Cosmetic Surgery: Focused on Enhancing Appearance
The procedures, techniques, and principles of cosmetic surgery are entirely focused on enhancing a patient’s appearance. Improving aesthetic appeal, symmetry, and proportion are the key goals. An aesthetic surgery can be performed on all areas of the head, neck, and body. Since cosmetic procedures treat areas that function properly, cosmetic surgery is designated as elective. Cosmetic elective procedures are performed by doctors from a variety of medical fields, including plastic surgeons.
Types of Cosmetic Surgery Procedures:
- Breast Enhancement: Augmentation, Lift, Reduction
- Facial Contouring: Rhinoplasty, Chin, or Cheek Enhancement
- Facial Rejuvenation: Facelift, Eyelid Lift, Neck Lift, Brow Lift
- Body Contouring: Tummy Tuck, Liposuction, Gynecomastia Treatment
- Skin Rejuvenation: Laser Resurfacing, Botox®, Filler Treatments
What is plastic surgery?
Plastic Surgery: Focused on Repairing Defects to Reconstruct a Normal Function & Appearance
Plastic surgery is defined as a surgical specialty dedicated to reconstruction of facial and body defects due to birth disorders, trauma, burns, and disease. Plastic surgery is intended to correct dysfunctional areas of the body and is, by definition, reconstructive in nature. While many plastic surgeons choose to complete additional training and perform cosmetic surgery as well, the basis of their surgical training remains reconstructive plastic surgery. In fact, in 1999, the American Society of Plastic and Reconstructive Surgeons changed its name to the American Society of Plastic Surgeons to more strongly communicate the message that “plastic and reconstructive surgeons are one in the same.”¹
Types Plastic Surgery Procedures:
- Breast Reconstruction
- Burn Repair Surgery
- Congenital Defect Repair: Cleft Palate, Extremity Defect Repair
- Lower Extremity Reconstruction
- Hand Surgery
- Scar Revision Surgery
2. Cosmetic Surgery Training is Obtained Separately from Plastic Surgery Training
As cosmetic surgery and plastic surgery each have distinct practice goals built around a specific procedure set, it only follows that the training and certification process for a board certified cosmetic surgeon will look very different from that of a board certified plastic surgeon.
Plastic surgery training is completed through a post-graduate residency program
Physicians who become board certified in plastic surgery are required to complete one of two routes of training:
- An integrated residency training that combines three years of general surgery and three years of plastic surgery or;
- An independent, five-year residency program in general surgery followed by the three-year plastic surgery residency program.
Residency programs in plastic surgery may include cosmetic surgery as a portion of a surgeon’s training, but typically do not include training on every cosmetic procedure.
Therefore the title “board certified plastic surgeon” indicates a certain level training and experience with respect to plastic surgery, but it does not indicate the same thing with respect to cosmetic surgery, as the residency training required to become board certified in plastic surgery may not include training with respect to many common cosmetic procedures.² Nor does it tell you that the doctor has more or less cosmetic surgery training than a physician board certified in another specialty.
Cosmetic surgery training is completed primarily after residency training
There are currently no residency programs in the United States devoted exclusively to cosmetic surgery. Because of this, cosmetic surgeons primarily obtain training and experience after completing their residency training. This is done by completing a post-residency fellowship training program in cosmetic surgery.