Difference Between Plastic & Cosmetic Surgeon

For years, a significant regulatory gap in Australia allowed any doctor with a basic medical degree to market themselves as a ‘cosmetic surgeon’ and perform complex cosmetic procedures. Unlike specialist plastic surgeons, these practitioners were not required to undergo specialised surgical training or obtain certification in plastic and reconstructive surgery. As a result, many unqualified individuals performed invasive procedures in substandard facilities, with the potential for serious complications. This lack of oversight not only jeopardised patient safety but also created widespread public confusion regarding the qualifications necessary for cosmetic surgery.

Recognising the urgent need for reform, the Australian Health Practitioner Regulation Agency (AHPRA) and the Medical Board of Australia launched an external review in 2021 to address these concerns. The findings, released in 2022, highlighted the absence of universal standards for training, education, and qualifications in cosmetic surgery. AHPRA clarified that the title ‘cosmetic surgeon’ is not a recognised medical specialty in Australia. Only medical practitioners who have completed extensive postgraduate training in plastic and reconstructive surgery, culminating in a Fellowship from the Royal Australasian College of Surgeons (FRACS), can safely perform invasive cosmetic procedures. Additionally, since 2023, patients seeking cosmetic surgery must obtain a referral from a general practitioner before consulting a surgeon, further ensuring informed decision-making and patient safety.

When considering cosmetic surgery, patients should thoroughly research their chosen practitioner’s credentials and verify their registration with AHPRA to ensure they meet the new regulatory standards. It is crucial to have open discussions with the surgeon regarding surgical risks, recovery expectations, and financial implications before proceeding. By understanding these distinctions, patients can make informed decisions and prioritise their safety when undergoing cosmetic procedures.