Understanding the Difference Between Cosmetic and Plastic Surgeons in Australia
In Australia, the terms cosmetic surgeon and plastic surgeon are often used interchangeably, which can cause confusion. While both may perform procedures aimed at enhancing appearance, there are important differences in their training, qualifications, and scope of practice. It’s essential to consult a suitably qualified medical practitioner to determine the most appropriate and safe approach for your needs.
This article outlines key distinctions between cosmetic and plastic surgeons in the Australian healthcare context and provides guidance on how to make an informed decision when considering aesthetic procedures.
Education and Training Requirements
Plastic Surgeons
Plastic surgeons are medical doctors who have completed specialist surgical training in plastic and reconstructive surgery through the Royal Australasian College of Surgeons (RACS). This involves a minimum of 12 years of total medical and surgical education, including at least 5 years of specialist surgical training. They are recognised by the Australian Medical Council (AMC) as specialist surgeons and are registered as such with the Australian Health Practitioner Regulation Agency (AHPRA).
This training encompasses both reconstructive and aesthetic (cosmetic) procedures and includes rigorous clinical assessments and ongoing professional development requirements.
Cosmetic Surgeons
The title cosmetic surgeon is not a recognised specialty under AHPRA or the AMC. Medical practitioners who use this title may come from various medical backgrounds, such as general practice or other specialties, and may not have completed specialist surgical training accredited by RACS. Training in cosmetic procedures may vary significantly in scope and duration.
Before undergoing a cosmetic procedure, patients are encouraged to check the AHPRA registration of any practitioner to confirm their qualifications, registration type, and endorsements.
Scope of Practice
Plastic Surgeons
Plastic surgeons are trained to perform a wide range of procedures, including reconstructive surgeries such as cleft palate repair, hand surgery, skin cancer reconstruction, and burns treatment, in addition to aesthetic procedures like face, breast and body surgeries. These procedures are typically performed in accredited hospitals or day surgery centres.
Cosmetic Surgeons
Cosmetic procedures focus on enhancing appearance and may include treatments such as liposuction, augmentation mammoplasty, and non-surgical medical aesthetics. The scope of practice for cosmetic surgeons varies based on their individual training and experience. It is important that these procedures are carried out in accredited facilities and by practitioners working within their scope of training and competence.
Certification and Accreditation
RACS-Accredited Plastic Surgeons
Plastic surgeons who have completed their training through the Royal Australasian College of Surgeons may use the title Specialist Plastic Surgeon, as recognised by AHPRA. This title reflects a recognised medical specialty and registration under the specialty of surgery—plastic surgery.
Cosmetic Surgery Practitioners
Some cosmetic surgery practitioners may hold membership in other professional organisations, such as the Australasian College of Cosmetic Surgery and Medicine (ACCSM), but this does not equate to specialist recognition by AHPRA or AMC. Patients are advised to confirm that any practitioner performing surgery holds the appropriate scope of registration.
How to Choose a Surgeon
When considering a surgical or cosmetic procedure, the following steps are recommended:
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Check AHPRA Registration: Confirm the practitioner’s qualifications, registration type, and any endorsements
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Ask About Experience: Ask your practitioner about their training in the specific procedure and how often they perform it.
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Accredited Facilities: Ensure the procedure will take place in an accredited hospital or surgical facility that meets Australian safety standards.
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Understand the Risks: All surgical procedures carry risks. Your practitioner should explain these clearly and provide written information as part of the informed consent process.
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Consult Thoroughly: Schedule a consultation to discuss your goals, ask questions, and assess whether you feel comfortable with the practitioner’s approach and communication.
Final Thoughts
Understanding the differences between cosmetic and plastic surgeons in Australia can help you make informed, safe decisions about your care. Always check the qualifications and registration of any practitioner offering surgical or aesthetic procedures, and seek advice from a suitably qualified medical professional.
If you’re considering a procedure, you can contact Shape Clinic to arrange a consultation with one of our registered practitioners. A full assessment will be carried out to determine your suitability for treatment and ensure your health and safety remain the top priority.
Disclaimer:
This information is general in nature and does not constitute medical advice. Individual suitability for treatment can only be determined following a consultation with a qualified health practitioner. All procedures carry risks, and outcomes may vary.
Shape Clinic: Specialist Plastic Surgery
Understanding the Difference Between Cosmetic and Plastic Surgeons
Both cosmetic and plastic surgeons can be involved in procedures that alter appearance or restore form and function. Whether you’re considering a cosmetic procedure or require reconstructive surgery, understanding the qualifications and scope of practice of your practitioner is important in helping you make an informed decision.
Choosing a registered specialist surgeon with appropriate training and experience is essential for ensuring safe care and appropriate outcomes. Before undergoing any surgical or non-surgical procedure, it’s important to consult a qualified medical practitioner who can assess your individual needs and advise on suitable treatment options.
At Shape Clinic, our Medical Director, Dr Steven Liew, FRACS (MED0001151298), is a Specialist Plastic Surgeon registered with the Australian Health Practitioner Regulation Agency (AHPRA). He holds appointments at St Vincent’s Private Hospital and St Vincent’s Clinic and performs a range of plastic and cosmetic procedures. Dr Ania Smialkowski FRACS (MED0001668109) is also fully qualified Australian Specialist Plastic and Reconstructive Surgeon. Dr Smialkowski undertook over 10 years of surgical and specialist training in Sydney. Her areas of practice include plastic and reconstructive surgery, with a focus on cosmetic and aesthetic procedures.
