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Cosmetic surgery has become common everywhere, especially in U.S. However, the Cosmetic surgery has many problems such as incompetent doctors, unsafe and unsanitary operating conditions, and high risk of serious complications.Cosmetic surgery as a relatively quick, though not often painless, way to improve personal image has become more and more common, especially in the US. Higher living standards and rapid development of medical technologies have made these operations more accessible and affordable to more people.

The death rate from cosmetic surgery is actually higher than any other branch of surgery this form of surgery is deemed elective and not often perceived with the same seriousness and consideration as other surgical procedures. Because there is no requirement for a physician to have specialized postgraduate education and training in cosmetic surgery to perform cosmetic procedures. Undoubtedly, patients' safety is severely compromised when they are placed in the hands of physicians without satisfactory training. Ruskin, died after she underwent a facelift and laser resurfacing performed by an unqualified doctor. Compounding the problem, these uncertified surgeons further jeopardize patients' safety by operating in inadequate facilities

The greatest risk arises from poor-sanitary conditions and lack of adequately maintained or updated equipments.There is strong support for more adequate regulations in the cosmetic surgery industry, there are still individuals who feel that more regulations do not necessarily mean better protection for patients. They argue that the addition of new laws would actually be a disadvantage to patients because that would incur financial drawbacks and limit their choice of physicians, not to mention costing the states millions of dollars in enforcement of facility inspections. Opponents claim that if states require surgeons to carry malpractice insurance, they will pass the cost onto the patients who will then have to pay more for their procedures while having fewer choices of surgeons.

There are also arguments that many other factors contribute to the outcome of surgeries, not just the conditions of outpatients clinics and surgeons training. They point out that the statistical data presented in support of these regulations fail to take into account other factor. The remarkable revenue in the cosmetic surgery industry has turned it into a cash business without the pitfalls of managed care since it is not governed by stringent regulations.Unqualified doctors are able to offer patients more competitive prices because of cost cutting.

Over the last 10 years, office-based procedures have significantly risen due to the efforts of physicians to seek less expensive alternative.In order to reduce the risks and to ensure safer operations for cosmetic surgery patients, immediate action toward establishing medical standards in cosmetic surgery among the forty-one remaining states must be taken. If there were laws mandating that physicians be certified by the American Board of Cosmetic Surgery (ABCS), then many of these issues could be resolved.

The primary proceeding should be to require physicians to successfully complete surgical education and training along with implementing guidelines set by the ABCS.

While certified surgeons are indeed important to the outcome of surgeries, they would not be able to perform to the best of their ability in an unsanitary and ill-equipped facility.

Therefore, the ABCS should establish standards for physicians to follow the ABCS could certify a physician, one additional requirement would be for the surgeons to show proof of malpractice insurance for cosmetic surgery. This is an important issue that should not be overlooked. The ASCB should demand that physician practicing as cosmetic surgeons carry malpractice insurance specifically for that field.

Cosmetic surgeries are elective procedures that carry the same risks as other surgeries. Therefore, the issue must be regarded with the same mindful awareness. The proposed solutions stated above would help to improve health safety in the cosmetic industry because they would increase the number of certified doctor, along with better operating facility conditions, and liability coverage.

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