What Is The Difference Between Plastic And Cosmetic Surgery?
Difference Between Plastic And Cosmetic Surgery
The terms “cosmetic surgery” and “plastic surgery” are often used interchangeably. Although both of these disciplines aim to improve a person’s body, the training, qualifications, and outcomes are very different.
So if you are considering a physical improvement for either medical or aesthetic reasons, what is the difference between plastic and cosmetic surgery?
Why are the procedures confused?
There are many misunderstandings about plastic surgeons and cosmetic surgeons and their roles, with many patients mistakenly believing they are equivalent when they are not. Many plastic surgeons choose to focus on cosmetic surgery, which has led to the terms often being used interchangeably, but this is technically incorrect.
What is plastic surgery?
Plastic surgery is a broad speciality field that consists of several sub-specialties. Essentially, this surgical specialty deals with the reconstruction and/or repair of facial and body damage or defects due to injuries, skin cancer, birth disorders, diseases, burns and other physical issues. Plastic surgery may be performed for:
- Hand repairs
- Burn repairs
- Cleft palate or lip repairs
- Mastectomy (breast removal surgery) or scar repairs
- Breast reconstruction or reduction to alleviate chronic back or neck pain
- Scar revision surgery—to minimise scars, so they are less visible and blend in with the surrounding skin tone and texture
- Reconstruction of the lower limbs—the legs, thighs, toes or feet
- Trauma surgery
What is cosmetic surgery?
Also known as “aesthetic surgery”, cosmetic surgery is dedicated to enhancing an individual’s appearance through various medical and surgical techniques. It can be performed anywhere on the body, including the neck, face, chest and abdomen, and the area to be treated is not typically dysfunctional. Instead, it may need to be aesthetically enhanced according to the patient. Cosmetic procedures include:
- Meloplasty (facelift)
- Breast reduction or
- Abdominoplasty (tummy tuck)
- Rhinoplasty (nose
- Blepharoplasty (eyelid surgery)
- Otoplasty (external ear surgery)
- Cheek or chin replacement
- Facial implants
- Cheek fillers
- Neck lift
- Brow lift
- Hair transplant
- Lip augmentation
- Chemical peel
- Wrinkle reduction
Are procedures emergency or elective?
Plastic surgery can be done as either an elective or emergency surgery. Emergency surgery usually means there is an urgent threat to an individual’s life, limb, organ or another part of their body. Examples include nasal injuries, facial lacerations and deep scalp wounds.
Cosmetic surgery is always an elective procedure as the area to be treated is not dysfunctional and needs to be treated aesthetically according to the patient.
What training and certifications are required?
Surgical procedures always come with the risk of complications. You can reduce this risk by selecting a surgeon who is appropriately qualified, trained and accredited to perform the highest level of procedures and surgeries.
A cosmetic surgeon differs significantly from a plastic surgeon. However, although health groups and government health departments are lobbying to change the rules, currently, it is not illegal for anyone in Australia with a basic medical degree to perform a cosmetic procedure. This is despite them having minimal to no surgical training and no formal qualifications.
They could be a GP, general surgeon, or dermatologist who has decided they want to perform cosmetic procedures. The training they have undertaken could be as basic as short weekend courses or a cosmetic surgery training in topics ranging from using injectables, placing breast implants or performing liposuction.
Many surgeons who offer cosmetic surgery also don’t have the appropriate:
Surgical qualifications and recognition by medical boards
Surgery specialities (skills, expertise and surgical study)
Technical expertise (ongoing education and
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advanced surgical technique conferences with leading plastic surgery experts)
Essentially, a cosmetic surgeon without the proper qualifications or registrations is not authorised to call themselves a plastic surgeon.
Plastic surgeons have earned a specialist degree through extensive training and surgical education. This includes a minimum of 12 years of additional surgical training in cosmetic and reconstructive plastic surgery procedures.
What types of doctors are qualified to do cosmetic surgery?
There are many different types of doctors who are qualified to perform cosmetic surgery and do cosmetic treatments. These include:
Specialist Plastic Surgeons
Ear, Nose and Throat Surgeons (ENT Surgeons) or “Facial Plastic Surgeons”, primarily for nose surgery
Oral and Maxillofacial Surgeons primary operate within the head, neck, face, and oral regions
Bariatric Surgeons, Obesity Surgeons or Gastro Intestinal GI Surgeons
Breast Surgeons or “OncoPlastic Surgeons”, primarily for Breast Cancer Surgery and Reconstruction
General Surgeons who are trained as RACS surgeons
Oculoplastic Surgeons or Ophthalmologists
However, again, it’s vital you choose an experienced specialist who has the training and qualifications listed above.
What are the risks of choosing an unqualified surgeon?
Any form of invasive surgery involves an element of risk. This is significantly increased if your surgeon — particularly your cosmetic surgeon — doesn’t have the necessary training and qualifications. Risks and side effects include:
Minor side effects such as redness, swelling, bruising through to severe infections or scarring.
Complications related to anaesthetics, including nausea, post-surgery vomiting, blood clots and pneumonia.
Bleeding, infections, scarring, fluid collection, skin breakdown and numbness from nerve damage.
With breast procedures, a loss of nipple sensation, asymmetry and difficulty breastfeeding.
With body lifts and tummy tucks, wound breakdown and delayed healing.
With non-surgical procedures like fillers and Botox, drooping eyelids and skin necrosis (“skin death”).
What questions should I ask before considering cosmetic surgery?
After speaking with your GP, you should consider asking your surgeon some general questions about what’s involved and the risks, both of the surgery and the anaesthetic. These can include:
What are your qualifications?
How many times have you performed this procedure, and how often do you do it?
What are the risks of this procedure?
How many people have experienced complications when you have performed this procedure, and what were they?
Are there any alternative options to this procedure?
What kind of anaesthetic will I be given, and who will provide it? What qualifications do they have?
What care will I need after the procedure, and who will provide it?
What will it cost, and what do those costs cover?
Does health insurance cover the procedures?
Plastic or reconstructive surgery is often considered medically necessary and, as such, may be covered by private health insurance. Some procedures like abdominoplasty, breast reductions, post weight loss surgery and blepharoplasty (eyelid surgery) may cover the areas of both plastic and cosmetic surgery. In these instances, Medicare and/or private health cover may be available dependent on your individual policy.
Because cosmetic surgery deals with aesthetic enhancement in the absence of medical indications, it is typically not covered by Medicare or private health insurance.
Attention: *For informational purposes only, please consult your doctor for diagnosis and treatment.