The Plastic Surgery Blog

There are literally hundreds of companies developing, manufacturing, and selling laser systems to treat a wide variety of ailments. Some of these laser platforms actually work, but for the most part they never live-up to the expectations created by their marketing campaigns. There are many companies that sell the exact same technology as others but offer new “bells and whistles” as well as more attractive packaging. Doctors have a bewildering number of choices with conflicting claims of “remarkable” results. Complicating the marketplace even further is that the companies market their laser and other “do-dads” directly to the patient hoping that patient inquiries to their doctors will drive the marketplace rather than scientific studies which determine the efficacy of a specific laser treatment.

Concomitant with the latest marketing schemes a lexicon has evolved to describe the wondrous things these lasers can do. Certain words reappear frequently such as: powerful, pain-free, immediate…

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Breast Implant Revision Surgery on the Rise

Breast augmentation has been one of the most popular cosmetic procedures for almost 50 years.  This plastic surgery procedure has had some low moments with the controversy surrounding the silicone implants.  Saline breast implants stepped up for the spotlight, but have presented their own cosmetic complications such as deflation and rippling.  Despite the pros and cons of both types of implants, women haven’t been deterred from having the surgery to improve their figures and overall self-esteem.

In 2006, the FDA re-approved the use of silicone get breast implants.  Patients and their surgeons now have an array of breast implants to choose from to achieve the desired result.  The internet has a vast amount of information to help women make an informed decision regarding their choice of breast implants, but many patients fail to choose their surgeons for credentials and expertise.  Many consumers are lured by fancy marketing and cheap prices, not to mention deception of the physicians’ true board certification.  As a result, many women fall prey and become victims of bad plastic surgery.  Thus, a big boom of breast implant revision surgery is occurring among the real board certified plastic surgeons.  Top Beverly Hills Plastic Surgeon, Dr. John Anastasatos devotes a large portion of his practice to these unfortunate patients.  “I see hundreds of women every year who have very bad breast augmentation results by physicians who are not board certified plastic surgeons, but advertise themselves as cosmetic or plastic surgeons,”  says Dr. Anastasatos.   This growing problem of phony plastic surgeons prompted Dr. Anastasatos to create a specialty web site focused on the different scenarios of breast revision surgery.  “Most women with bad breast implant surgical results become very depressed, feeling hopeless, and embarrassed to admit they didn’t verify the physician’s credentials,” he continues.  Dr. Anastasatos proudly displays numerous before and after surgical photos proving to these patients surgical correction is not hopeless, but very possible.

Although the financial investment increases significantly when a patient requires a surgical revision, the rewards are priceless.  Obviously, consumers should not only take the time to choose the type of implant best for them, but place more emphasis on the plastic surgeon performing the procedure.   Dr. Anastasatos notes “breast augmentation surgery can be the most rewarding cosmetic surgery procedure when performed by a qualified surgeon.”  Consumers are encouraged to do their own research and seek a Plastic Surgeon who is board certified by the American Board of Plastic Surgery.

Pamela Howard is a Plastic Surgery Consultant and Cosmetic Surgery industry spokes model.  To learn more, please visit her web site:

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No Difference Between Cosmetic Surgery and Plastic Surgery by Pamela Howard


There is no difference between Cosmetic Surgery & Plastic Surgery.  The difference is between Cosmetic/Plastic AND Reconstructive Surgery.  A REAL Plastic Surgeon is trained in  both: Cosmetic and Reconstructive Plastic Surgery. Reconstructive Plastic Surgery is the foundation for Cosmetic Surgery.  A Plastic Surgeon cannot truly master Cosmetic Surgery without first understanding and learning Reconstructive Plastic Surgery.

A Real Plastic Surgeon, one who is Board Certified by the American Board of Plastic Surgery, has extensive General Surgery Training prior to entering a formal Plastic Surgery Residency training  program.  This is critical for them to learn Reconstructive & Cosmetic Surgery of the face and body.  A Plastic Surgeon’s foundation of Reconstructive Plastic Surgery is key for Cosmetic Surgery to reconstruct the signs of aging.  It is this intense training background that makes their board Certification the creme-de-la-creme and the only one recognized by the American Board of Medical Specialties.

When considering Cosmetic or Reconstructive Surgery,  one can usually parse out the real Plastic Surgeons from the phony ones by how they title themselves.  If they title themselves as “cosmetic surgeons,” this is usually a red flag and indicator they do not have the proper credentials for this specialty.  This group of rogue plastic surgeons attempts to deceive the cosmetic consumer with word-play.  They even go as far as to claim “plastic surgeons are not trained in cosmetic surgery” (insert laugh here!).  When in fact, they are exposing themselves as not legitimate for they do not have formal plastic surgery training at all.  This group of rogue plastic surgeons are physicians of other medical backgrounds such as OBG-YN, Family Practice, ENT, Urology, Dermatology, and General Surgery.  They usually claim to be “board certified,” but hardly ever state the name of their board certification for obviously reasons: deception.  If they claim to be “board certified” in an area of plastic or cosmetic surgery, it is because they have obtained an un-recognized board certification such as the American Board of Cosmetic Surgery, which obviously does not require formal plastic surgery training as a qualification, or even require the physician have a surgical background at all.  This group of rogue plastic/cosmetic surgeons treats Plastic Surgery with an “anyone can do it” mentality.  This is why there are so many “plastic surgery gone wrong” stories plastered in our media.  Almost all of them are due to the physician not being board certified by the American Board of Plastic Surgery (such as Donda West’s fatal experience in Hollywood and the tragic outcome of Dr. Rey’s brother, performed Dr. Rey).


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Board Certification for Plastic Surgeons

Did you know that any licensed medical doctor can claim to be a “cosmetic” or “plastic” surgeon regardless of their training?  Yes, it is true and it is legal!  Plastic Surgeons are highly trained for their specialty just as neurosurgeons are trained for their specialty.  State medical licensure is not granted according to specialty but merely the primary medical license upon completion of general medical school.  If a physician wishes to continue their medical training to become a specialist, they continue on for surgical residencies usually followed by a fellowship (like an internship). 

To become a real plastic surgeon, they must complete a General Surgery Residency (3 Years of formal training), then complete a Plastic Surgery Residency (2 Years of formal training), then complete a Fellowship (6months to one year).  Upon completion of these requirements, the surgeon may “sit for their boards.”  The American Board of Plastic Surgery is the only recognized board certification by the American Board of Medical Specialities which oversees all board certifications for the various specialities.  In order for a surgeon to become “board certified,” they must complete a written exam followed by oral exams.  There are other board certifications that pertain to cosmetic/plastic surgery, but they are not recognized board certifications due to their lack of formal training requirements.  There is one SUB-specialty board certification for FACIAL plastic surgery that can be obtained by physicians whom are already board certified by the American Board of Otolaryngology(Ear, Nose, & Throat).  They offer a Sub-specialty board certification if the physician completes a ONE year Fellowship in FACIAL plastic surgery.  This board certification does not require a formal plastic surgery residency as a requirement to sit for their board exam, nor does it pertain to ANY surgery of the body.

Having worked in my husband’s Plastic Surgery practice for over 10 years, I have witnessed some astonishing marketing efforts by physicians whom are not qualitified due to lack of proper training, yet advertise they are “board certified” when in fact they truly are not.  One of these board certifications that is not recognized by the American Board of Medical Specialties is the American Board of COSMETIC Surgery.  See the difference?  This is a group of OB-GYNS, Urologists, family practice physicians, general surgeons, and so on who do not have formal plastic surgery training.  Their requirements for this board certification are very lenient, but look on the bright side: they do require the physician be drug tested. 

I have personally witnessed the devastation created by these phony plastic surgeons.  Patients are sold a Fairy Tale, unrealistic expectations, and lured by cheap prices, but ended up with botched results requiring reconstructive surgery to correct their new deformities. 

Don’t let this be you!  If you needed a neurosurgeon, you would check referrals, training background, history, and credentials, right?  Do the same when seeking cosmetic or reconstructive plastic surgery.

There are  Three GOLDEN Resources to help you find a REAL plastic surgeon:

The American Board of Plastic Surgery:

The American Society of Plastic Surgeons:

The American Society for Aesthetic Plastic Surgeons:

The latter two are the creme-de-la-creme of Plastic Surgery professional organizations.  They adhere to a strict codes of ethics, continuing medical education requirements, and also require them to be board certified by the first resource: the American Board of Plastic Surgery.   All three of these resources can help you find the right Plastic Surgeon for you.

Good Luck!

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