Specialization in Surgery: The Advantages of an Aesthetically Trained Plastic Surgeon

Choosing a surgeon for your cosmetic or reconstructive needs is a significant decision that requires careful consideration. The distinction between plastic surgeons and cosmetic surgeons is often blurred, yet it is crucial to understand these differences to ensure you receive the best possible care and outcomes.

Plastic surgeons undergo extensive training that equips them with a unique blend of scientific precision and artistic vision. This combination is essential for achieving results that are not only aesthetically pleasing but also safe and long-lasting. Plastic surgeons typically complete a rigorous residency program followed by an optional aesthetic fellowship, which focuses on advanced cosmetic procedures. This additional training helps them hone their skills and stay updated on the latest techniques and technologies.

In contrast, cosmetic surgeons may come from various medical backgrounds and often do not have the same level of surgical training. Their certification, typically from the American Board of Cosmetic Surgery, may involve shorter training periods and fewer procedural requirements compared to the American Board of Plastic Surgery. This difference in training and certification can significantly impact the quality of care and results.

At Gilson Plastic Surgery, Dr. Aaron Gilson exemplifies the benefits of specialized training. With comprehensive education and a focus on individualized care, Dr. Gilson tailors each procedure to meet the unique needs and desires of his patients. This holistic approach not only enhances physical appearance but also boosts confidence and overall well-being.

Understanding these distinctions helps you make an informed decision about your surgical care. By choosing a board-certified plastic surgeon, you can be assured of their extensive training, commitment to patient safety, and ability to deliver high-quality results. This knowledge empowers you to select the best surgeon for your needs, ensuring a positive and satisfying experience.

What Does Aesthetic Fellowship Training Entail?

Aesthetic fellowship training is a crucial component for plastic surgeons who aim to specialize in cosmetic surgery, providing advanced education and hands-on experience beyond the standard residency program. This specialized training focuses on the art and science of aesthetic procedures, ensuring that surgeons are well-equipped to meet the diverse needs of their patients. Below, we explore the core elements of aesthetic fellowship training, drawing on the guidelines and curriculum endorsed by The Aesthetic Society.

Fellowship Design

A typical aesthetic fellowship lasts 12 months and is designed to offer comprehensive exposure to various cosmetic surgery techniques. According to The Aesthetic Society guidelines, an ideal fellowship should:

  • Be directed by a board-certified plastic surgeon who is a member of The American Society for Aesthetic Plastic Surgery.

  • Ideally, have an affiliation with an ACGME-approved plastic surgery training program, ensuring a robust academic and clinical foundation.

  • Require fellows to engage in clinical studies or research projects aimed at submission to national meetings or peer-reviewed journals​​.

Core Curriculum

The core curriculum of an aesthetic fellowship encompasses a wide range of topics and surgical techniques, ensuring a holistic education in aesthetic plastic surgery. The curriculum includes, but is not limited to:

Facial Aesthetic Surgery

  • Facial Anatomy and Analysis: Understanding the intricate anatomy of the face and how to analyze facial features for aesthetic enhancement.

  • Upper and Lower Eyelid Surgery: Techniques for upper blepharoplasty and lower blepharoplasty, including non-invasive and surgical approaches.

  • Facelifts and Neck Lifts: Various techniques for facelifts and neck lifts, focusing on achieving natural-looking results while maintaining patient safety.

  • Rhinoplasty: Comprehensive training in both primary and secondary rhinoplasty, addressing structural and aesthetic considerations​​.

Aesthetic Breast Surgery

  • Breast Augmentation: Techniques for implant-based augmentation, including the choice of implant type, incision placement, and managing complications such as capsular contracture.

  • Breast Reduction and Mastopexy: Surgical methods for breast reduction and lift, with a focus on achieving symmetry and proportion.

  • Revision Surgery: Approaches to address and correct complications or dissatisfaction from previous surgeries​​.

Body Contouring

  • Liposuction: Training in various liposuction techniques, including suction-assisted, power-assisted, and ultrasonic-assisted modalities.

  • Abdominoplasty: Procedures ranging from mini-abdominoplasty to circumferential body lifts, particularly for patients with massive weight loss.

  • Thighplasty and Brachioplasty: Techniques for reshaping the thighs and arms to improve contour and proportion​​.

Clinical and Academic Enrichment

Aesthetic fellowships also emphasize academic enrichment and professional development. Fellows participate in:

  • Lectures and Grand Rounds: Regular educational sessions to discuss clinical cases and new developments in aesthetic surgery.

  • Research and Publication: Opportunities to design and execute research projects, with the goal of contributing to the scientific community through publications and presentations.

  • Autonomous Clinical Responsibility: Graduated clinical responsibilities that allow fellows to manage their own patient cases under supervision, fostering independence and confidence in their surgical skills​​.


Aesthetic fellowship training equips plastic surgeons with advanced knowledge and skills, blending scientific rigor with artistic precision. This specialized training ensures that surgeons like Dr. Aaron Gilson can provide the highest level of care, tailored to the unique aesthetic desires of each patient. By focusing on comprehensive education, hands-on experience, and continuous professional development, aesthetic fellowships help create well-rounded, highly skilled surgeons who excel in the field of cosmetic surgery.

The Art and Science of Aesthetic Plastic Surgery

Aesthetic plastic surgery is a unique field that blends the precision of medical science with the creativity of artistic vision. This dual nature is what makes aesthetic plastic surgery both challenging and rewarding, as it requires surgeons to have a deep understanding of human anatomy and the ability to envision and create beauty. Here, we explore the essential components that make up the art and science of aesthetic plastic surgery.

medical science anatomy

The Scientific Foundation

Comprehensive Understanding of Anatomy

Aesthetic plastic surgery demands a thorough knowledge of human anatomy. Surgeons must understand the intricate structures of the face, breast, and body to perform procedures that enhance natural beauty while preserving function. This includes knowledge of bone structure, muscle dynamics, skin properties, and the vascular and nervous systems. Mastery of these anatomical details is crucial for achieving precise and safe surgical outcomes.

Advanced Surgical Techniques

Surgeons in the field of aesthetic plastic surgery are trained in a variety of advanced surgical techniques. These techniques are constantly evolving, driven by ongoing research and technological advancements. Key areas include:

  • Minimally Invasive Procedures: Techniques that reduce scarring and recovery time, such as endoscopic brow lifts and liposuction.

  • Microvascular Surgery: Essential for procedures like free tissue transfer and reconstruction, allowing for the transplantation of tissue with an intact blood supply.

  • Fat Grafting: A technique that involves harvesting fat from one part of the body and injecting it into another, used in procedures such as natural breast augmentation and facial rejuvenation.

Emphasis on Patient Safety

Patient safety is a paramount concern in aesthetic plastic surgery. Surgeons adhere to strict protocols to minimize risks and ensure the best possible outcomes. This includes meticulous surgical planning, sterile operating environments, and thorough pre- and post-operative care. Understanding the potential complications and how to manage them is a critical aspect of the scientific foundation of aesthetic plastic surgery.

The Artistic Vision

Aesthetic Principles and Proportions

Artistic vision in aesthetic plastic surgery involves an understanding of aesthetic principles and proportions. Surgeons must be able to assess a patient's features and envision the most harmonious enhancements. This requires an eye for beauty and balance, understanding concepts such as the Golden Ratio, which is often used to achieve aesthetically pleasing proportions in the face and body.

Customization and Personalization

Every patient is unique, and effective aesthetic plastic surgery requires a personalized approach. Surgeons must customize each procedure to the individual’s anatomy, preferences, and goals. This involves careful planning and a tailored surgical approach to achieve results that look natural and complement the patient’s overall appearance. The ability to personalize treatments is where the art of plastic surgery truly shines.

Visualizing and Sculpting

Aesthetic plastic surgeons are often compared to sculptors, as they work with the human form to create beauty. This involves not only visualizing the final result but also having the technical skill to bring that vision to life. Whether reshaping the nose, enhancing the breasts, or contouring the body, surgeons use their artistic talents to sculpt and refine, aiming for results that are both aesthetically pleasing and natural-looking.

The Intersection of Art and Science

Integrating Science and Art in Practice

The most successful aesthetic plastic surgeons are those who seamlessly integrate scientific knowledge with artistic vision. This integration is evident in all aspects of their practice, from the initial consultation to the final result. By combining a deep understanding of anatomy with an artistic approach to aesthetics, surgeons can achieve transformative results that enhance both the appearance and confidence of their patients.

Continuous Learning and Innovation

The field of aesthetic plastic surgery is dynamic, with continuous advancements in techniques and technology. Surgeons must commit to lifelong learning, staying updated with the latest research and innovations. This dedication to both the art and science of the field ensures that they can provide the highest level of care and the most advanced treatment options to their patients.


The art and science of aesthetic plastic surgery are intrinsically linked, each complementing and enhancing the other. Surgeons like Dr. Aaron Gilson embody this duality, using their scientific expertise to inform their artistic vision, resulting in procedures that are both safe and beautifully executed. This blend of art and science is what allows aesthetic plastic surgeons to create results that not only meet but exceed their patients’ expectations, enhancing natural beauty and boosting confidence. At Gilson Plastic Surgery, this integrated approach ensures that each patient receives personalized, high-quality care tailored to their unique aesthetic goals.

Comparing Specializations: When to Choose a Plastic Surgeon Over a Cosmetic Surgeon

When considering surgical enhancements, it is crucial to understand the distinctions between plastic surgeons and cosmetic surgeons. Both professionals perform aesthetic procedures, but their training, certification, and scope of practice differ significantly. These differences can impact the quality of care and the results you achieve. Here, we delve into the key factors that distinguish plastic surgeons from cosmetic surgeons, helping you make an informed decision about which specialist to choose for your needs.

Training and Certification

Plastic Surgeons

Plastic surgeons undergo extensive and rigorous training that encompasses both reconstructive and cosmetic surgery. This comprehensive education pathway includes:

  • Medical School: Completion of a medical degree.

  • Residency: At least six years of surgical training, including a minimum of three years dedicated to plastic surgery. This residency covers a broad range of procedures, from trauma surgery and reconstructive techniques to cosmetic enhancements.

  • Board Certification: Plastic surgeons are certified by the American Board of Plastic Surgery (ABPS). This certification process involves passing rigorous oral and written exams, gaining extensive hands-on experience, and fulfilling ongoing continuing education requirements to maintain certification.

Board-certified plastic surgeons are also members of professional organizations like the American Society of Plastic Surgeons (ASPS), which mandates adherence to high standards of safety, ethics, and continuous education​ (American Society of Plastic Surgeons)​ .

Cosmetic Surgeons

Cosmetic surgeons, by contrast, may come from various medical backgrounds such as dermatology, general surgery, or even family medicine. Their training generally includes:

  • Medical School: Completion of a medical degree.

  • Residency: Initial residency training in their primary specialty, which might not focus extensively on cosmetic procedures.

  • Fellowship: Additional fellowship training in cosmetic surgery, which can vary significantly in duration and comprehensiveness.

Cosmetic surgeons can be certified by the American Board of Cosmetic Surgery (ABCS). However, the standards for this certification are less stringent than those for plastic surgery, often requiring fewer documented procedures and less rigorous examination processes​ (American Society of Plastic Surgeons)​ .

Scope of Practice and Expertise

Broad Scope of Plastic Surgery

Plastic surgeons are trained to perform a wide array of procedures that span both reconstructive and cosmetic surgery. This extensive training ensures they are adept at handling complex cases and addressing a variety of patient needs, including:

  • Reconstructive Surgery: Procedures to repair and reconstruct physical defects due to trauma, congenital disorders, or medical conditions like cancer.

  • Cosmetic Surgery: Enhancements such as breast augmentation, facelifts, and body contouring, with an emphasis on achieving natural and aesthetically pleasing results.

The broad scope of practice for plastic surgeons means they have a deep understanding of the anatomical and functional aspects of the body, which is crucial for both safety and aesthetic outcomes​ (American Society of Plastic Surgeons)​ .

Focused Cosmetic Practice

Cosmetic surgeons primarily focus on elective aesthetic procedures aimed at enhancing appearance. While they may excel in specific techniques within the realm of cosmetic surgery, their training may not encompass the comprehensive surgical education and broad experience required for reconstructive surgery. This narrower scope of practice can be limiting when complications arise that require more in-depth surgical expertise .

Patient Safety and Outcomes

Choosing a board-certified plastic surgeon often translates to higher standards of patient safety and better outcomes. The rigorous training and certification process for plastic surgeons ensures they possess the necessary skills and knowledge to perform complex procedures safely and effectively. Additionally, board-certified plastic surgeons are required to operate in accredited facilities, further enhancing patient safety.

In contrast, the variability in training and certification among cosmetic surgeons can pose risks, especially if the surgeon's primary background is not in a surgical discipline. Studies have shown that some cosmetic surgeons may perform procedures outside their formal training, which can lead to increased complications and suboptimal results​ (American Society of Plastic Surgeons)​ .

When to Choose a Plastic Surgeon

  1. Complex Cases: For procedures that require extensive surgical expertise, such as reconstructions after trauma or cancer, or complex aesthetic surgeries, a plastic surgeon's comprehensive training is invaluable.

  2. High-Risk Procedures: For surgeries with higher risks of complications, choosing a plastic surgeon ensures you are in the hands of someone who has been trained to manage and mitigate these risks effectively.

  3. Comprehensive Care: If you require a combination of reconstructive and cosmetic procedures, a plastic surgeon's broad scope of training will be beneficial in achieving holistic and harmonious results.

When considering any aesthetic procedure, prioritizing the qualifications and training of your surgeon is crucial. For comprehensive expertise, broad surgical training, and a strong emphasis on patient safety, choosing a board-certified plastic surgeon is often the best decision. Surgeons like Dr. Aaron Gilson, who have undergone extensive training and are certified by recognized boards, offer a higher assurance of quality care and successful outcomes. Whether for reconstructive needs or cosmetic enhancements, a board-certified plastic surgeon is equipped to provide the highest standard of surgical excellence.

Success Rates and Patient Satisfaction: Analyzing the Data

When it comes to choosing a surgeon for aesthetic procedures, success rates and patient satisfaction are critical metrics to consider. These indicators reflect the surgeon's skill, experience, and ability to meet patient expectations. Comparing the data between plastic surgeons and cosmetic surgeons can provide valuable insights into the benefits of specialized training.

data heart binary

Success Rates

Plastic Surgeons

Plastic surgeons, particularly those who are board-certified, tend to have higher success rates for a variety of reasons. Their extensive training and rigorous certification process ensure they are well-prepared to handle complex procedures and potential complications. Studies have shown that plastic surgeons generally achieve better outcomes in both cosmetic and reconstructive surgeries. For example:

  • Breast Augmentation: According to a study published in the Aesthetic Surgery Journal, patients who underwent breast augmentation by board-certified plastic surgeons reported higher satisfaction rates and fewer complications compared to those treated by non-certified surgeons​ (American Society of Plastic Surgeons)​.

  • Rhinoplasty: Research published in Plastic and Reconstructive Surgery highlighted that rhinoplasty performed by plastic surgeons resulted in more consistent and natural-looking outcomes, with a lower incidence of revision surgeries​ (American Society of Plastic Surgeons)​.

Cosmetic Surgeons

Cosmetic surgeons, while often skilled in specific procedures, may not achieve the same level of success due to differences in training. The variability in their educational backgrounds and the less stringent certification requirements can lead to a broader range of outcomes. While many cosmetic surgeons are highly competent, the overall success rates can be less consistent compared to their plastic surgery counterparts.

Patient Satisfaction

High Satisfaction with Plastic Surgeons

Patient satisfaction is a key measure of a surgeon’s effectiveness and the quality of care provided. Board-certified plastic surgeons typically receive high marks in this area due to their comprehensive approach to patient care, which includes:

  • Detailed Consultations: Plastic surgeons spend significant time understanding patient goals and setting realistic expectations. This thorough planning stage is crucial for achieving desired outcomes.

  • Personalized Care: The ability to tailor procedures to individual needs, combined with extensive follow-up care, enhances overall patient satisfaction.

Data from the American Society of Plastic Surgeons (ASPS) indicates that patients who choose board-certified plastic surgeons report higher satisfaction rates across a range of procedures, including facelifts, liposuction, and tummy tucks​ (American Society of Plastic Surgeons)​.

Variable Satisfaction with Cosmetic Surgeons

Patient satisfaction with cosmetic surgeons can vary more widely. While many patients are pleased with their results, those treated by surgeons with less extensive training may experience higher rates of dissatisfaction. Common issues include unmet expectations, less natural-looking results, and a greater need for revision surgeries.



Analyzing success rates and patient satisfaction data underscores the advantages of choosing a board-certified plastic surgeon for aesthetic procedures. Their rigorous training, comprehensive skill set, and commitment to personalized patient care result in higher success rates and greater patient satisfaction. For individuals considering cosmetic surgery, opting for a plastic surgeon like Dr. Aaron Gilson ensures a higher likelihood of achieving safe, natural, and satisfying results.

Expert Insight: Dr. Gilson on the Importance of Specialized Training

The field of aesthetic plastic surgery demands a unique blend of technical skill, artistic vision, and a deep understanding of patient care. Dr. Aaron Gilson, a board-certified plastic surgeon with specialized training in aesthetics, offers valuable insights into why this advanced education is crucial for achieving exceptional results and ensuring patient safety.

Comprehensive Training and Expertise

Dr. Gilson emphasizes that the rigorous training required to become a board-certified plastic surgeon provides a comprehensive foundation in both reconstructive and cosmetic procedures. This extensive education includes:

  • Residency Training: A minimum of six years of surgical training, including three years specifically focused on plastic surgery. This training covers a broad range of procedures, from trauma and reconstructive surgery to aesthetic enhancements.

  • Aesthetic Fellowship: Additional fellowship training in aesthetic surgery allows surgeons like Dr. Gilson to hone their skills in the latest cosmetic techniques and technologies, ensuring they are at the forefront of the field.

Dr. Gilson explains, "The additional year of focused aesthetic training is invaluable. It allows us to refine our techniques, stay updated with the latest advancements, and develop a keen eye for detail that is essential for achieving natural, beautiful results."

Safety and Patient Outcomes

One of the key benefits of specialized training is the enhanced focus on patient safety. Dr. Gilson notes that board-certified plastic surgeons are trained to handle complex cases and manage potential complications effectively. This training includes:

  • Advanced Surgical Techniques: Learning and mastering a variety of techniques that prioritize patient safety and minimize the risk of complications.

  • Comprehensive Patient Care: Understanding the full spectrum of pre-operative and post-operative care to ensure patients receive thorough and continuous support throughout their surgical journey.

Dr. Gilson states, "Patient safety is paramount. Our training equips us with the knowledge and skills to perform procedures safely, manage any complications, and provide comprehensive care that extends beyond the operating room."

Artistic Vision and Personalized Care

Aesthetic plastic surgery is not just about technical precision; it also requires an artistic vision to achieve results that are harmonious and natural-looking. Dr. Gilson highlights the importance of this dual expertise:

  • Artistic Sensibility: The ability to visualize the desired outcome and make subtle adjustments that enhance the patient's natural beauty.

  • Personalized Approach: Tailoring each procedure to the individual’s unique anatomy and aesthetic goals, ensuring personalized and satisfactory results.

Dr. Gilson shares, "Every patient is unique, and so is every procedure. Specialized training in aesthetics teaches us to see beyond the technical aspects and focus on the artistic elements that make each result look natural and beautiful."

Continuous Learning and Innovation

The field of aesthetic surgery is constantly evolving, with new techniques and technologies emerging regularly. Dr. Gilson underscores the importance of ongoing education and innovation:

  • Staying Current: Regularly attending workshops, conferences, and advanced training sessions to stay updated with the latest advancements.

  • Adopting New Techniques: Being open to incorporating new methods and technologies that enhance patient outcomes and safety.


Dr. Aaron Gilson’s insights underscore the critical importance of specialized training in aesthetic plastic surgery. This advanced education not only enhances surgical skills and patient safety but also fosters the artistic vision and personalized approach necessary for achieving exceptional, natural-looking results. By choosing a board-certified plastic surgeon with specialized training, patients can trust they are in skilled and knowledgeable hands, ensuring a positive and satisfying surgical experience.

Conclusion

The decision to undergo aesthetic plastic surgery is a significant and personal one, requiring careful consideration of various factors, including the qualifications and expertise of the surgeon. This article has explored the critical differences between plastic surgeons and cosmetic surgeons, highlighting the importance of specialized training for achieving superior outcomes.

Board-certified plastic surgeons, like Dr. Aaron Gilson, undergo extensive training that encompasses both reconstructive and cosmetic procedures. This rigorous education ensures they possess the comprehensive knowledge and skills needed to perform complex surgeries safely and effectively. Additionally, their specialized training in aesthetic fellowships allows them to refine their techniques and stay updated with the latest advancements in cosmetic surgery.

The dual focus on scientific precision and artistic vision sets plastic surgeons apart, enabling them to deliver results that are not only aesthetically pleasing but also natural-looking and harmonious. Their commitment to patient safety, thorough consultations, personalized care, and continuous learning further enhances their ability to meet and exceed patient expectations.

Patient satisfaction and success rates are crucial indicators of a surgeon’s expertise. Data consistently shows that procedures performed by board-certified plastic surgeons result in higher satisfaction and lower complication rates compared to those performed by cosmetic surgeons. This underscores the value of choosing a surgeon with specialized training and certification.

Dr. Aaron Gilson’s insights into the importance of specialized training highlight the benefits of selecting a highly qualified and experienced plastic surgeon. By prioritizing patient safety, embracing innovation, and maintaining a personalized approach, Dr. Gilson and other board-certified plastic surgeons ensure that their patients achieve the best possible outcomes.

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