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Physician to Physician Discussions > Training in aesthetics

Is there any recognised degree or fellowship for aesthetic medicine ? People talk about the AAAM and being board certified but this program is not recognised by the american board of speciality. As I am a family physician I cannot do a cosmetic dermatology fellowship either. Or is it a matter of doing training course is liposuction etc and carving out your own fellowship, so to speak ? I would like to do liposuction and Dr Klein`s course is quite well known. Any comments helpful, thanks.
PS I am not averse to doing the AAAM courses and becoming "board certified" if that helps in the future.

06.12 | Registered Commenterben pal

It would be a malpractice nightmare for you to do liposuction as a family practioner. Liposuction is much more difficult than you think and is way beyond a weekend course!. When you have your first liposuction complication that you cannot take care of, where will you send that patient? Another family practice colleague? Of course not! You will send it to a very unhappy plastic surgeon. Think about it: Can you take care of surgical complications like a plastic surgeon would? Are you even a surgeon by any training?

This reminds me of an Oprah show episode where a husband was describing how his wife died in a gynecologists office just after having liposuction. Very sad case but I had to agree with the plastic surgeon who listened to the case on the show. He said something like "With all due respects to your wife and you, why would you chose a gynecologist to do your liposuction?". The answer had to do with the trust they had in the gynecologist. Patients trust their doctors to do the right thing within their scope of practice. Doing liposuction as a family practitioner is not doing the right thing.

Organizations use the word "Board" to lead people to believe that they are part of the American Board of Medical Specialties. Among the 23 speicialies certified these include those for plastic surgery, general surgery, thoracic surgery, gynecology and obstetrics, cardiology, internal medicine, pediatrics and, as you know, family practice. These boards have rigorous residency training and testing specific to their specialties. Liposuction is only taught in plastic surgery residency programs approved by the American Board of Medical Specialties.

Don't listen to anything the above post says, it's complete nonsense. I am an internist and I perform liposuction safely and effectively. I took Dr. Klein's course and I would highly recommend it. At his course I trained with family physicians, internists, gynecologists, urologists and ER physicians, among others, and all are welcome. The bad outcomes in lipo were typically due to several factors: An over-aggressive surgeon, IV fluid administration, and general anesthesia. None of these are factors in modern tumescent liposuction, of which Dr. Klein is the inventor. There is no official certification for anything learned outside residency or fellowship programs, but none is necessary. As far as malpractice coverage is concerned, I have had no issues. There are companies that specialize in insuring medspa businesses and procedures. Feel free to contact me with any other questions.

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