There is an article in today's Toronto Star about cosmetic surgery being performed by apparently untrained general practitioners, resulting in a death following liposuction Toronto Star Article . The clinic at which this occurred also features a RN as their injectable-filler specialist" injectable-filler-specialist " for fillers and Botox. On their web site they discuss choosing a cosmetic surgeon "choosing a cosmetic surgeon" , and they make no distinctions between family physicians and specialties that have cosmetic procedure training as part of their core curriculum (plastic surgery, dermatology, opthalmology).
The physician whose patient died, and who is mentioned in the
article as having no specialties or hospital privileges listed, is
mentioned on the site as an example of someone with an excellent
In my talks I tell patients that it is a jungle out there. There are no guarantees. A family physician may do excellent cosmetic procedures. I have seen bad results produced by plastic surgeons. Nevertheless, all things being equal, for invasive procedures, even fillers and Botox, your odds are better with a physician than with a nurse, your odds are better with a physician trained in one of the core cosmetic specialties, and your odds are better if there is a physician on site when any procedure is performed. A physician who has been in practice for a period of years and has an established track record, and a physician who is respected by other physicians is a good starting point.
Gerald N. Bock MD
California Skin Laser Home Page