The Internet, newspapers and television are often filled with a variety of good and bad advertisements. How can you find a real plastic and cosmetic surgeon? You first need to find out about the training process of a qualified plastic and cosmetic surgeon. Of course, education and work experience will give you a glimpse of the basic qualities of this doctor. Graduating from a prestigious school, having trained in a good regular hospital surgery, or even having trained in a foreign hospital, but these only show that the doctor is not stupid and has a good level of intelligence, this information is only the beginning of your selection of a good cosmetic plastic surgeon. The process of growing up as a plastic and cosmetic surgeon is long, arduous and competitive. Only the best medical students and the most colorful surgical residents are likely to receive cosmetic surgery training. Take the United States for example. After graduating from medical school with an MD or DO, a physician must enter a full five- or six-year plastic surgery residency. The five-year system includes three years of general surgery training followed by two years of plastic surgery training, and the six-year system includes three years of training in otolaryngology or orthopedic surgery or neurosurgery or urology or oral surgery followed by three years of plastic surgery training. At universities such as Duke, there is even a more classic eight-year residency in plastic surgery: five years of general surgery training before applying to three years of plastic surgery training, and doctors who go through this eight-year system are often qualified to practice both general surgery and plastic surgery. This “marathon” plastic surgery residency system is a step-by-step process. The first-year resident learns how to observe and care for patients before, during and after surgery, and he begins to learn basic surgical skills such as suturing, ligation and hemostasis. Gradually, based on animal surgery and under the supervision of the attending physician, he is able to perform some of the surgical operations. In the following years, he had to rotate to ear, nose and throat, orthopedic surgery, neurosurgery, urology, oral surgery, and even dermatology. The fourth year resident begins to specialize in plastic surgery, and he must attend a large number of plastic surgery procedures and be able to perform small, simple procedures under the supervision of an attending surgeon. The fifth and sixth year residents begin to have the opportunity to complete plastic surgery procedures, under the supervision of an attending physician, at which time they may participate in cosmetic surgery, performing simple, inexpensive cosmetic surgery procedures for low-income candidates. After completing this rigorous plastic surgery residency, they can find positions as plastic and cosmetic surgeons in various hospital plastic surgery departments in the United States or open their own private cosmetic surgery clinics. Some may also undergo another year or two of more specialized training (fellowship) in hand or microsurgery, craniomaxillofacial surgery, head and neck surgery, or cosmetic surgery. Doctors who receive this latter training tend to have a higher level of expertise. Next, they await a three-section nationally standardized exam for plastic surgeons in the United States called “boards. In the first year of practice, they can take a written exam that tests their knowledge of plastic surgery, and in the second year of practice, they can take an oral exam that tests their clinical and verbal communication skills with patients in plastic surgery. To summarize, how long does it take to become a cosmetic surgery surgeon in the United States? Four years of regular college, four years of medical school, and at least five years of plastic surgery residency training, for a total of over eleven years. On top of that, about 20% of people fail the “boards” exam each year, and only after passing the “boards” exam can they officially practice medicine in the U.S. So those who fail have to work hard for the rest of their lives. So those who do not pass will have to work hard for the next few years until they pass. Each year, only 200 new plastic surgeons pass the “boards” exam, and since the system was implemented in 1937, there have only been about 7,000 qualified plastic surgeons in the United States. Now look at the growth process of Chinese plastic and cosmetic surgeons. Due to the own characteristics of China’s social development, plastic surgery is only available in large hospitals and on a smaller scale, and many small and medium-sized hospitals do not have plastic surgery. The growth process of Chinese plastic and cosmetic surgeons is not like the United States as there is a relatively basic unified training system and process. People often take it for granted that plastic surgery is cosmetic surgery, and even many medical staff do not know that restoration and reconstruction is the basis of plastic surgery, and do not know that cosmetic surgery is only an important branch of plastic surgery. After graduating from high school, high school graduates go directly to five, six, seven and eight-year medical universities where they can obtain different degrees. After graduation, they enter hospitals of different sizes to practice (medical graduates since 1997 must pass the medical licensing exam) and undergo residency training in different hospitals for three to five years, during which they choose to enter different medical disciplines (e.g., internal medicine, surgery During this period they choose to work in different medical specialties (e.g., internal medicine, surgery, etc.), and roughly six to ten years after graduation they choose to work in different medical specialties (e.g., cardiology, respiratory medicine, gastroenterology, etc., in internal medicine, and general surgery, orthopedics, or plastic surgery, etc., in surgery) and become specialists. At this time, most of them often choose their own medical tertiary disciplines (such as hepatic surgery in general surgery, joint surgery in orthopedics, microsurgery in plastic surgery) by pursuing postgraduate studies for more than three years under their own supervision, and another part of doctors can also become subspecialists by completing one year of specialist training in medical tertiary disciplines in large hospitals (such as hand or microsurgery, craniomaxillofacial surgery, head and neck surgery or cosmetic surgery, etc.) to become a subspecialist. How long does it take to become a plastic and cosmetic surgeon in China? At least five years of medical school, at least three years of residency training, at least three years of work experience as a second-level medical specialist, and at least one year of specialized study in plastic and cosmetic surgery. That’s a total of twelve years or more. When you understand the above training process of a plastic and cosmetic surgeon, you will know that the doctor you find is a real plastic and cosmetic surgeon, not a doctor of other disciplines, or even a charlatan or a foot doctor. In countries around the world, including China, some ophthalmologists, ophthalmologists, dermatologists are also doing plastic surgery, and even some nurses are injecting people with “fillers” (collagen, hyaluronic acid) or botulinum toxin (Bot0x) or doing laser cosmetic surgery, and they call themselves plastic and cosmetic surgeons, but they have not received They have not undergone the specialized surgical training process described earlier. Perhaps despite not having a formal plastic surgery residency, some surgeons are able to perform some cosmetic procedures within the scope of their specialty; an ophthalmologist can legally perform cosmetic eyelid surgery, or a pentatologist can legally perform rhinoplasty, but how can they perform breast augmentation, or master liposuction? They cannot be true cosmetic plastic surgeons. Dermatologists are trained in a fundamentally different way than surgeons by not receiving basic surgical skills as part of their training process. They are internists of skin tissue, so how can they perform surgical procedures that require a high degree of skill? It is even more illegal for a nurse to do the work of a doctor. Many cosmetic surgeons in China now have “Ph.D” printed on their business cards, and many cosmetic surgeons in the U.S. have “M.S” “M.P.H” after their names. “”M.B.A” “M.A”, these only indicate what kind of degree they have, indicating the level of education they have received, and does not express the level of their cosmetic surgery. Many cosmetic surgeons in the United States are members of different associations, such as AAPS (American Association of Plastic Surgeons), ASPS (American Society of Plastic Surgeons), ASAPS (American Society for Aesthetic Plastic Surgeons), ACS ((American Society of Surgeons), etc. Except for AAPS, the requirements to become a member of most of these associations are not very high, so it does not represent their high or low level of beauty. In China there are now different governmental or private associations of plastic and cosmetic surgeons too. These superficial words should not be an important basis for you to find a cosmetic surgeon. In China, the technical title can be your basic basis for judging a doctor’s clinical competence. Since the requirements for assessing technical titles vary from region to region, the higher the level and size of the hospital, the higher the requirements for setting the technical title, so the level and size of the hospital can also be another basic basis for you to judge a doctor’s level. Generally speaking, after the residency training is finished, you will be qualified to become an attending doctor, and only after five years of competently working as an attending doctor, you will be qualified to be promoted to deputy chief doctor, and only after five years of competently working as a deputy chief doctor, you will be qualified to be promoted to chief doctor, five years is often the minimum number of years that each title position must work, many doctors may need to spend a long number of years to reach promotion, and some doctors may Many physicians may take a long time to reach promotion, and some physicians may not be able to be an associate chief physician or chief physician in their lifetime, and these are all possible scenarios. Both associate chief physicians and chief physicians have a high level of expertise and are often what is known as specialists with specific expertise. Associate professor and professor are academic titles, which are different from technical titles. They reflect the scientific research ability of doctors, and perhaps the research ability (theoretical level) and clinical ability (practical ability) of doctors are complementary, but obviously research ability cannot be used to replace clinical ability. The dean, vice president, department head or department head is an administrative position in each department and is the manager and organizer of the group of physicians. It reflects the management ability, a designation not related to clinical competence, and cannot be used to judge the level of their surgical skills. Likewise perhaps a doctor’s managerial ability and clinical ability go hand in hand. Once you understand the background of researching a plastic and cosmetic surgeon’s upbringing, you are ready to see him in the clinic. When you see your doctor, you must inform him of your basic physical condition, previous medications and surgical treatments, and never hide any information. I have met candidates in the clinic who asked for a facial wrinkle lift, they denied having a related surgery before, and when I found their surgery scars, I felt it was difficult to build a trusting relationship with such candidates. The candidate must trust and respect the doctor in order for the doctor to determine the best surgical plan based on their specific medical history. During the visit, the doctor will take the patient’s medical history, answer any relevant questions they mention, and ask them directly about the purpose of the visit. A responsible, ethical doctor will answer your questions confidently and patiently, without leading or hinting at what procedure you are going to have. The doctor is only providing the surgical services you need, and they should not be a salesman for cosmetic surgery. They just want to know the problems you are experiencing and answer directly how they can solve your problems either surgically or non-surgically or not at all.