Cosmetic vs Plastic Surgeon: Why This Distinction Matters (Updated 2025)

Parker Center for Plastic Surgery

Many patients are unaware that there’s a real difference between doctors who call themselves cosmetic surgeons and those who are trained and board certified as plastic surgeons. Understanding this distinction when considering an aesthetic procedure can help you make safer, more informed choices about your care. Learn more about the differences between a cosmetic vs plastic surgeon below.

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Brow Lift Case 2 Before & After View #1 | Paramus, New Jersey | Parker Center for Plastic Surgery
Before and After Plastic Surgery in Paramus, New Jersey, by Dr. Paul M. Parker
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Facelift Case 30 Before & After View #1 | Paramus, New Jersey | Parker Center for Plastic Surgery
Before and After Plastic Surgery in Paramus, New Jersey, by Dr. Paul M. Parker
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Breast Augmentation Case 346 Before & After View #1 | Paramus, New Jersey | Parker Center for Plastic Surgery
Before and After Plastic Surgery in Paramus, New Jersey, by Dr. Paul M. Parker
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Breast Augmentation Case 351 Before & After View #1 | Paramus, New Jersey | Parker Center for Plastic Surgery
Before and After Plastic Surgery in Paramus, New Jersey, by Dr. Paul M. Parker
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Tummy Tuck Case 1164 Before & After Front | Paramus, New Jersey | Parker Center for Plastic Surgery
Before and After Plastic Surgery in Paramus, New Jersey, by Dr. Paul M. Parker
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Tummy Tuck Case 688 Before & After View #1 | Paramus, New Jersey | Parker Center for Plastic Surgery
Before and After Plastic Surgery in Paramus, New Jersey, by Dr. Paul M. Parker
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What Sets Board-Certified Plastic Surgeons Apart

Plastic surgeons who are certified by the American Board of Plastic Surgery (ABPS) undergo years of rigorous, specialized training. Their path typically includes:

  • Medical School Graduation: From an accredited medical school.
  • Surgical Residency: At least 3 years of general surgical training.
  • Plastic Surgery Residency: An additional 3 years devoted entirely to reconstructive and aesthetic surgery.
  • Optional Fellowship Training: One or more years in advanced fields such as microsurgery, craniofacial surgery, or aesthetic surgery.
  • Board Certification Exams: Comprehensive written and oral examinations that assess the surgeon’s knowledge, judgment, ethics, and patient safety.

This extensive training ensures that board-certified plastic surgeons are highly qualified and vetted to perform a wide range of cosmetic procedures safely and skillfully.

How Cosmetic Surgeons Differ

In contrast, cosmetic surgeons often begin their careers in other areas of medicine—such as gynecology, dermatology, otolaryngology (ENT), ophthalmology, internal medicine, or even family practice. Later, they may add cosmetic surgery to their services, sometimes with limited formal surgical training specific to plastic surgery.

While some cosmetic surgeons can achieve satisfactory results, they typically do not undergo the same dedicated, years-long residency and board certification process required of plastic surgeons.

“If you take 10 plastic surgeons and 10 cosmetic surgeons and compare results, I’m sure the plastic surgeons will win every time. Plastic surgery is what we were trained to do and what we do every day.”

– Dr. Paul M. Parker

Why Board Certification Matters

Choosing a board-certified plastic surgeon provides reassurance that your surgeon has:

  • Comprehensive surgical training in both reconstructive and cosmetic procedures.
  • A demonstrable commitment to ethical standards and patient safety.
  • The judgment and experience needed to handle complex cases or complications.

These safeguards translate into greater confidence that your care is in the safest and most capable hands possible.

Questions To Ask Your Surgeon

Patients are always encouraged to ask questions and do their homework before agreeing to any surgery (or any provider!). To help you get started, we recommend having a helpful consultation checklist covering:

  • Surgeon’s Training and Credentials
  • Board Certification Status (you can check using the ABMS’ online tool)
  • Practice and Staff Qualifications
  • Credentials and Qualifications of the Operating Facility
  • Experience With the Procedure You’re Considering
  • How Surgery and Recovery Are Managed

This checklist is designed to help you choose a plastic surgeon to ensure you are making a safe, informed decision.

What To Expect at the Parker Center

I take great pride in providing thorough and patient-focused consultations. Each 45- to 60-minute visit includes:

This process reflects the Parker Center’s philosophy of combining advanced medical expertise with compassionate, personalized care.

A Legacy of Excellence

For more than 30 years, the Parker Center for Plastic Surgery has been dedicated to delivering natural-looking results in a warm, professional environment. Patients appreciate not only the high-quality surgical outcomes but also the supportive, attentive care that makes their entire experience positive.

Start Your Journey

Explore your cosmetic surgery options with a top board-certified plastic surgeon. Request a consultation online or call our office at (201) 967-1212 to get started today.

This blog post was originally published in July 2013 and has been updated for 2025.

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