Plastic surgery can be broadly categorized into two main types: reconstructive and cosmetic. Reconstructive plastic surgery focuses on restoring function and a natural appearance in cases involving congenital abnormalities, trauma, or medical conditions such as cancer. Common examples include cleft lip and palate repair, breast reconstruction after mastectomy, and burn reconstruction. These procedures are typically deemed medically necessary and are often covered by health insurance. On the other hand, cosmetic plastic surgery aims to improve aesthetic appearance by reshaping or enhancing normal anatomy. Procedures like breast augmentation, tummy tucks, facelifts, and liposuction fall under this category and are generally elective, meaning they are not covered by insurance. While both forms share surgical techniques, their purposes and insurance considerations differ significantly.
In reality, there is often significant overlap between reconstructive and cosmetic plastic surgery since they share many of the same underlying surgical principles. No matter the type of plastic surgery that is being performed, the end goal should always include maximizing the cosmetic result as much as possible. Regardless of the plastic surgery procedure being planned, it is very important for patients to discuss the anticipated cosmetic result with their surgeon ahead of time to ensure appropriate expectations are met.
The lines between reconstructive and cosmetic surgery are further blurred when it comes to insurance coverage. Certain conditions can be deemed either "reconstructive" or "cosmetic" depending on the patient's specific situation. A perfect example is rhinoplasty (nose surgery) which is often performed to enhance the appearance of the nose but may also be required to restore normal nasal breathing and normal appearance after a bad nasal fracture.
When I first published The 7 Critical Questions to Ask Before Letting Any Surgeon Touch You, I had no idea that it would be so popularly received. Since its publication, this brief guide has helped thousands like you to more safely navigate the world of cosmetic surgery. The 7 Questions have been updated and a bonus section, Applying the 7 Questions, has just been added. Be my guest to read, learn and share.
