How do you become a plastic surgeon? Where do plastic surgeons make the most money? What is the highest degree in plastic surgery?

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A surgeon is standing near the patient in a modern operating room, ready to perform an operation

Plastic surgery is a highly specialized and rewarding medical field that combines precision, artistry, and a deep understanding of human anatomy. If you’re considering a career in plastic surgery, you’re likely motivated by a passion for helping people improve their appearance, restore function after injury, or correct congenital conditions.

This article explores the steps required to become a plastic surgeon, where plastic surgeons make the most money, and what the highest degree in plastic surgery is.


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What Does a Plastic Surgeon Do?

Dr. Kamol Pansritum M.D.

Dr. Kamol Pansritum M.D.

Plastic surgery is divided into two main categories: reconstructive and cosmetic.

  • Reconstructive surgery focuses on repairing defects or damage from injuries, birth defects, or diseases such as cancer. Procedures might include skin grafts, reconstructive surgery after mastectomies, or cleft lip and palate repairs.
  • Cosmetic surgery, on the other hand, is about enhancing appearance and includes procedures like rhinoplasty, facelifts, liposuction, and breast augmentation.

Many plastic surgeons, like Dr. Kamol Pansritum M.D., specialize in niche fields such as gender reassignment surgery, offering transformative procedures to transgender individuals.

Educational Path to Becoming a Plastic Surgeon

Becoming a plastic surgeon is a rigorous process that involves years of study and training. The educational path includes:

Bachelor’s Degree

The first step toward becoming a plastic surgeon is to complete a bachelor’s degree. Although pre-medical courses like biology, chemistry, or physics are common, a specific major isn’t required. The focus should be on meeting the prerequisites for medical school, which often include:

  • Biology
  • Chemistry (both general and organic)
  • Physics
  • Mathematics

Medical School (MD or DO Degree)

After earning a bachelor’s degree, the next step is to complete medical school, either as a Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO). Admission to medical school is highly competitive and typically requires passing the Medical College Admission Test (MCAT), strong undergraduate grades, and relevant extracurricular activities like research or medical volunteering.

Medical school typically lasts four years, during which students undergo both classroom learning and clinical rotations in various specialities. During these years, students will begin focusing on areas of interest, such as surgery.

Residency in General Surgery

Following medical school, aspiring plastic surgeons must complete a residency in general surgery, which typically lasts five to seven years. During this time, surgeons gain hands-on experience in surgical procedures under the supervision of experienced surgeons. They learn about various types of surgery, including vascular, abdominal, and trauma surgery.

Some medical professionals, such as Dr. Kamol Pansritum M.D., use this time to further hone their skills in specific surgical areas of interest. Dr. Pansritum, for instance, pursued training that would support his later work in gender-affirming surgery.

Plastic Surgery Residency

After completing a general surgery residency, the next step is to undergo specialized training in plastic surgery. A plastic surgery residency typically lasts two to three years, and it focuses on reconstructive and cosmetic procedures. This training involves:

  • Skin grafting
  • Microsurgery
  • Burn treatment
  • Craniofacial surgery
  • Breast and body contouring procedures

Residency programs often require surgeons to complete research projects, present their work at conferences, and develop both technical skills and an aesthetic eye.

Woman sitting in chair of plastic surgeon getting her face marked

Certification and Licensure

After completing the necessary residency training, plastic surgeons must obtain licensure to practice medicine. In most countries, this involves passing a licensing examination such as the United States Medical Licensing Examination (USMLE) or the Comprehensive Osteopathic Medical Licensing Examination (COMLEX).

In addition to licensure, plastic surgeons can seek board certification by the American Board of Plastic Surgery (ABPS) in the U.S. or equivalent boards in other countries. This certification is a mark of excellence and professionalism, demonstrating that a surgeon has met rigorous standards for education, training, and experience.

Subspecialization and Fellowships

Some plastic surgeons pursue further specialization through fellowships in specific areas such as:

  • Craniofacial surgery
  • Hand surgery
  • Gender reassignment surgery
  • Burn surgery

For instance, Dr. Kamol Pansritum M.D. has become renowned for his work in gender reassignment surgery, a subspecialty that requires extensive knowledge of both reconstructive and cosmetic surgical techniques.

Where Do Plastic Surgeons Make the Most Money?

Plastic surgery is one of the most lucrative medical specialities. However, the income of a plastic surgeon can vary significantly depending on factors like location, experience, and the type of procedures performed.

Geographical Location

Plastic surgeons tend to earn higher salaries in regions with a strong demand for cosmetic procedures and a higher cost of living. In the United States, for example, the states where plastic surgeons make the most money include:

  • California: The high demand for cosmetic procedures in areas like Los Angeles and Beverly Hills makes this state one of the most lucrative for plastic surgeons.
  • New York: With a large population and a culture that emphasizes appearance, New York offers high salaries for plastic surgeons, particularly in Manhattan.
  • Texas: Plastic surgeons in Houston and Dallas also earn substantial incomes, with a growing market for both cosmetic and reconstructive surgery.

Internationally, plastic surgeons can also earn significant salaries in countries like the United Arab Emirates, Switzerland, and Australia due to the demand for high-quality medical services and cosmetic procedures.

Type of Procedures

Cosmetic surgery tends to be more lucrative than reconstructive surgery because most cosmetic procedures are elective and paid for out-of-pocket. Surgeons specializing in procedures like breast augmentations, facelifts, and body contouring often earn higher salaries than those focusing solely on reconstructive work.

Experience

As with most professions, plastic surgeons with more experience generally earn higher incomes. Surgeons who are well-established and have built a strong reputation, like Dr. Kamol Pansritum M.D., often command premium fees for their services due to their expertise and track record of successful procedures.

Team of surgeon in uniform perform operation on a patient at plastic surgery clinic

What is the Highest Degree in Plastic Surgery?

The highest degree a plastic surgeon can obtain is typically a Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO). However, in some countries, a Doctor of Philosophy (PhD) in a related field, such as medical science or surgical research, may also be pursued to complement clinical expertise with advanced research capabilities.

Board Certification

While the MD or DO degree is the highest formal academic degree, obtaining board certification is equally important for a plastic surgeon’s career. This certification demonstrates that the surgeon has met the highest standards of education, training, and ethical practice.

Dr. Kamol Pansritum M.D., for example, is a board-certified plastic surgeon with extensive specialized training. His commitment to continuous learning and refinement of his craft has made him a leading figure in gender reassignment surgery.

Fellowships and Additional Training

Many plastic surgeons pursue fellowships and additional certifications to further specialize. For instance, fellowships in microsurgery, craniofacial surgery, or aesthetic surgery provide additional training and skills beyond the basic plastic surgery residency.

Some plastic surgeons may also pursue leadership roles in academic settings, contributing to the development of the field through research, teaching, and innovation. These surgeons often hold academic titles such as Professor of Surgery and may lead plastic surgery departments at universities or research institutions.

Conclusion

Becoming a plastic surgeon requires years of dedication, rigorous training, and a passion for both science and artistry. From obtaining an MD or DO degree to completing a specialized residency and pursuing board certification, the journey is long but offers significant rewards.

Plastic surgeons who have distinguished themselves in specialized areas such as gender reassignment surgery, serve as examples of how focused expertise can lead to a fulfilling and successful career. For those willing to commit to the lengthy and challenging process, plastic surgery offers the opportunity to transform lives and achieve financial success, especially in regions with high demand for cosmetic procedures.

The career path to becoming a plastic surgeon is undoubtedly rigorous, but it is one of the most fulfilling and lucrative medical specialities available. With expertise, continuous learning, and the right opportunities, plastic surgeons can enjoy a long and prosperous career, making a significant impact on patients’ lives worldwide.