cosmetic practice

Started by marcus_aurelius
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marcus_aurelius

marcus_aurelius

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Have any of you heard of f.p's who primarily do cosmetic procedures....ie....brow lifts, hair removal, botox etc?

is there some special certification for this?
 
marcus_aurelius said:
Have any of you heard of f.p's who primarily do cosmetic procedures....ie....brow lifts, hair removal, botox etc?

is there some special certification for this?
Click to expand...
One of the most loaded Dr in town is an FP who does exclusively Botox, collagen fillers, microdermabrasion, and chemical peels. When I say loaded, I mean over 1 mill a year, NET.
Think I'm gonna do a couple cosmetic CME's myself this year! 😉
 
FamilyMD said:
One of the most loaded Dr in town is an FP who does exclusively Botox, collagen fillers, microdermabrasion, and chemical peels. When I say loaded, I mean over 1 mill a year, NET.
Think I'm gonna do a couple cosmetic CME's myself this year! 😉
Click to expand...

I've been looking into this. A lot of docs (not just FP's but internists and even a PM&R) have received "credentials" to do cosmetic procedures. It's called the evolution of the primary care species and I don't blame them. Sure, it prolly pisses off dermatologists, but that's kinda what they need to do to survive nowadays. I think it's neat. I'm actually looking into with Internal Medicine. That's the beauty of doing these primary care specialties with emphasis in wound care, diabetes, cosmetics, derm, etc. It's how medicine is being practiced today.
 
Atlas said:
I've been looking into this. A lot of docs (not just FP's but internists and even a PM&R) have received "credentials" to do cosmetic procedures. It's called the evolution of the primary care species and I don't blame them. Sure, it prolly pisses off dermatologists, but that's kinda what they need to do to survive nowadays. I think it's neat. I'm actually looking into with Internal Medicine. That's the beauty of doing these primary care specialties with emphasis in wound care, diabetes, cosmetics, derm, etc. It's how medicine is being practiced today.
Click to expand...

what kind of certification do you need to do these procedures though....i there some kind of a fellowship...how do these docs learn how to do them well?

it is sad that fp's are f'ed in today's medical marketplace. i am debating between a residency in fp, im or pmr.....i like them all but seems like pmr might have a great lifestyle in the residency itself....of course, i dont see how a pmr could effectively market cosmetic procedures as well as an fp or im. i was under the impression that only fp's could do the derm stuff because i've never heard of an im getting into cosmetics stuff...any of u know of any exceptions to this scenario?

i think its time for fp's to aggresively pursue some of these minimally invasive procedures and possibly add on a couple fellowships to do some of this stuff. it would be a great way to increase the apps to fp residencies and we will finally get some added respect.
 
It's a balance on what you want to offer. Don't get in over your head on what you are performing. You're still liable.

I don't feel much remorse for the FP's taking a piece of the derm pie. I can't get jack into them for three months where I live and then they won't take any insurance attached to public funds while I'm sludging through half medicare and medicaid patients each day.

They need to get a bit more accessible and off their high horse if they think they can keep others out of their piece of pie. That being said, I trained with some great derms (another state) who would take medicaid on a case by case basis and took medicare and most insurances besides.
 
Newdoc2002 said:
It's a balance on what you want to offer. Don't get in over your head on what you are performing. You're still liable.

I don't feel much remorse for the FP's taking a piece of the derm pie. I can't get jack into them for three months where I live and then they won't take any insurance attached to public funds while I'm sludging through half medicare and medicaid patients each day.

They need to get a bit more accessible and off their high horse if they think they can keep others out of their piece of pie. That being said, I trained with some great derms (another state) who would take medicaid on a case by case basis and took medicare and most insurances besides.
Click to expand...

Tell me about. I can't even get my wife into see the dermatologist. The office keeps pawning her off onto the PA b/c the doc is too busy doing procedures to be bothered by such mundane tasks. There is a reason why they keep the number of derms low. No competition = High reimbursement.
 
there's a practice downtown made up 3 female FP docs who do cosmetic derm 80% and 'regualr' FP stuff 20%. it's in a great area of town and looks right up my alley. i would lvoe it if they needed folks [like me] when i finish residency 😛

as long as you do enough CME, you're "ceritified", which is good and bad some would argue, but as long as you know your own limits, i think it's a great idea, which is why i'm ALL OVER IT! 👍
 
We have the NZSCM here in New Zealand. The primary doctor at our clinic is registered and he oversees nurses injecting. However, there's a lot of clinics here that have nurses injecting and no doctor on-site - these nurses are making as much or more than many docs. I'm currently investigating the environment globally to find out if other countries have systems in place for this and I'd appreciate any feedback on this thread.

Thanks,
TC
 
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