Who can perform cosmetic procedures other than a certified plastic surgeon?

According to David Goldberg, M.D., dermatologist and director of Mount Sinai Medical School's dermatologic laser research, nurses and physician's assistants should be able to perform cosmetic procedures under the direct supervision of physicians. This means that the doctors are "on site and immediately available," he says. Problems occur when there is no physician in sight.

Dr. Goldberg's patients indicated in a survey that they would rather be treated by a physician at a higher fee than by a nonphysician at a lower fee. Another problem occurs, he says, when physicians such as gynecologists, family practitioners, or even dentists take advantage of their licenses and perform procedures they are not properly trained to do.

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