Name: 整形外科醫生與美容外科醫生 💥 職業之爭 (Plastic Surgeon vs Cosmetic Surgeon 💥 Career Battle)
Uploaded: 2025-09-28T18:54:45.000Z
Duration: 12 min 6 s

Cosmetic Surgeon, welcome to our career battle series where we compare two different medical career options to help you decide which is the best path for you.

美容外科醫生，歡迎來到我們的職業之戰系列，我們將比較兩種不同的醫療職業選擇，幫助您決定哪種職業最適合您。

We'll break down training requirements, compensation, lifestyle, and the pros and cons of pursuing each career path.

我們將對培訓要求、薪酬、生活方式以及從事每種職業的利弊進行分析。

In our previous videos, we covered doctor vs. surgeon, diagnostic vs. interventional radiologist, and neurologist vs. psychiatrist.

在之前的視頻中，我們介紹了醫生與外科醫生、診斷放射科醫生與介入放射科醫生，以及神經科醫生與精神科醫生。

Next up in the battle arena is Plastic Surgeon vs.

接下來的競技場是整形外科醫生對決。

First, let's clarify a common misconception.

首先，讓我們澄清一個常見的誤解。

Plastic surgeons and cosmetic surgeons are quite different, although the terminology makes things confusing.

整形外科醫生和美容外科醫生是完全不同的，儘管術語讓人感到困惑。

You can generally use aesthetic or cosmetic surgery interchangeably, however a cosmetic surgeon is not the same as a plastic surgeon.

一般來說，您可以交替使用美容或整容手術，但整容外科醫生與整形外科醫生並不相同。

People often confuse these two because cosmetic surgeons perform similar procedures to aesthetic plastic surgeons.

人們經常將這兩者混淆，因為整容外科醫生和美容整形外科醫生的手術類似。

And far too often, cosmetic surgeons are seen in the same light as plastic surgeons despite a significant difference in training.

儘管美容外科醫生與整形外科醫生在培訓方面存在顯著差異，但人們往往對他們的看法卻大相徑庭。

Both plastic surgeons and cosmetic surgeons provide various cosmetic procedures, both surgical and non-surgical.

整形外科醫生和美容外科醫生都提供各種美容手術，包括手術和非手術治療。

However, plastic surgeons complete 6-8 years of focused surgical training.

不過，整形外科醫生需要完成 6-8 年的集中外科培訓。

And this training is recognized by the ABMS, the American Board of Medical Specialties, and the ACGME as well.

這種培訓得到了美國醫學專科委員會 ABMS 和 ACGME 的認可。

Cosmetic surgeon, on the other hand, is a loosely defined term that's certified by the ABCS, the American Board of Cosmetic Surgery, which is not recognized by the ACGME or the ABMS.

另一方面，美容外科醫生是一個定義寬泛的術語，由美國美容外科委員會（American Board of Cosmetic Surgery，ABCS）認證，而 ACGME 或 ABMS 並不承認該委員會。

Not being recognized by these accrediting bodies means the standards and training both vary widely and are not rigorous.

不被這些認證機構認可，意味著標準和培訓差異很大，也不嚴格。

When people unfamiliar with medicine think of plastic surgery and cosmetic surgery, they think of aesthetics.

不熟悉醫學的人一提到整形外科和美容外科，就會想到美學。

But plastic surgery is focused on both aesthetics and reconstructive surgery, and the principles that allow you to become a great cosmetic surgeon are very similar to those of reconstructive surgery.

但是，整形外科既注重美學，也注重整形外科，而讓你成為一名出色的美容外科醫生的原則與整形外科的原則非常相似。

And far too often, cosmetic surgeons are misleading or outright dishonest about their training.

整容外科醫生往往在培訓方面存在誤導或不誠實的情況。

They are completely fine with being seen by the public as equal to plastic surgeons.

在公眾眼中，他們完全可以與整形外科醫生平起平坐。

Many of the plastic surgery friends and colleagues I trained with, who are now attendings in Southern California, are oftentimes fixing horrific complications after cosmetic surgeons, without adequate training, butcher their patients.

與我一起接受培訓的許多整形外科朋友和同事，現在都是南加州的主治醫師，他們經常在整容外科醫生沒有經過充分培訓的情況下，對病人進行屠宰，從而導致可怕的併發症。

Let's dig a little deeper into training differences.

讓我們來深入探討一下訓練的不同之處。

The training paths for these two careers differ dramatically.

這兩種職業的培訓途徑大不相同。

To understand the training paths, you must start by understanding why cosmetic surgeons exist in the first place.

要了解培訓途徑，首先必須瞭解整容外科醫生存在的原因。

Plastic surgeons can perform the aesthetic procedures performed by cosmetic surgeons, so why are there two different paths?

整形外科醫生可以實施美容外科醫生實施的美容程序，那麼為什麼會有兩種不同的途徑呢？

As with many things, if you follow the money, you'll find the answer.

就像很多事情一樣，只要跟著錢走，就能找到答案。

Aesthetics is a booming and lucrative field, one that many people want to get in on.

美學是一個蓬勃發展、利潤豐厚的領域，許多人都想加入其中。

Cosmetic surgery training paths predominantly exist so that types of physicians can get a piece of the action.

整形外科培訓途徑的存在主要是為了讓各類醫生都能從中分一杯羹。

It's fundamentally driven by greed and the American public's need for a quick fix, especially when it comes to their appearance.

其根本原因在於貪婪和美國公眾對速效療法的需求，尤其是在外貌方面。

To become a board certified plastic surgeon, you must complete medical school, which is at least 4 years, followed by extensive residency training.

要成為一名經委員會認證的整形外科醫生，您必須完成至少 4 年的醫學院學業，然後接受廣泛的住院醫師培訓。

The integrated path, which is 6 years of plastic surgery residency after medical school, or the independent path, which is 5 years of general surgery residency, then 3 years of plastic surgery residency.

綜合路徑，即醫學院畢業後 6 年整形外科住院實習；或獨立路徑，即 5 年普通外科住院實習，然後 3 年整形外科住院實習。

And not only that, plastic surgery is consistently ranked as one of the most competitive specialties to match into, only recently falling behind dermatology and neurosurgery.

不僅如此，整形外科一直是競爭最激烈的專業之一，僅次於皮膚科和神經外科。

Check out our video of the most competitive medical specialties linked in the description.

請觀看我們在說明中鏈接的關於競爭最激烈的醫學專業的視頻。

For a complete breakdown of specialty competitiveness across 22 doctor specialties, download our free specialty competitiveness index link in the description.

有關 22 個醫生專科競爭力的完整分類，請下載描述中的免費專科競爭力指數鏈接。

After residency, plastic surgeons can further sub-specialize with 1 to 2 year fellowships in areas like breast reconstruction surgery, craniofacial surgery, microsurgery, hand surgery, burn surgery, and aesthetic surgery.

在完成住院醫師培訓後，整形外科醫生還可以在乳房重建手術、顱面外科、顯微外科、手外科、燒傷外科和美容外科等領域進行 1 到 2 年的研究。

On the other hand, the requirements to call yourself a cosmetic surgeon are minimal, the training is far less structured, and it's not recognized as a real specialty of medicine.

另一方面，自稱為整容外科醫生的要求很低，培訓也遠非那麼有條理，而且它並不被承認為真正的醫學專科。

A cosmetic surgeon is a physician, however, they could be trained in any specialty, usually a non-surgical field like family medicine, emergency medicine, or dermatology.

整容外科醫生是一名內科醫生，但他們可以接受任何專業的培訓，通常是家庭醫學、急診醫學或皮膚病學等非外科領域。

In many cases, additional training may only include weekend courses or short training programs in specific cosmetic procedures, like Botox injections, liposuction, or even surgical procedures like breast augmentation.

在許多情況下，額外的培訓可能只包括週末課程或特定美容程序的短期培訓課程，如肉毒桿菌毒素注射、抽脂，甚至是隆胸等外科手術。

This lack of rigorous and standardized training is the critical distinction between the two Dermatology, for example, is currently the most competitive specialty and comes with a 4 year residency.

例如，皮膚科是目前競爭最激烈的專科，需要 4 年的住院醫師培訓。

Although competitive, a dermatologist doesn't train in surgical procedures past medical school apart from a very small amount of Mohs skin cancer surgery in residency if they're lucky, which is generally reserved for a Mohs fellowship.

雖然競爭激烈，但皮膚科醫生在醫學院畢業後並不會接受外科手術培訓，如果幸運的話，他們只能在住院醫師培訓期間接受極少量的莫氏皮膚癌手術培訓，而這種培訓一般是為莫氏研究員培訓保留的。

A one weekend course on a specific cosmetic procedure or even a one year cosmetic surgery fellowship doesn't nearly compare to 6-8 years of dedicated surgical training.

一個週末的特定整容手術課程，甚至一年的整容手術獎學金，都比不上 6-8 年的專門外科培訓。

But remember, any physician can add on minimal cosmetic surgery training and then market themselves as a cosmetic surgeon.

但請記住，任何醫生都可以接受最低限度的整容手術培訓，然後將自己推銷為整容外科醫生。

Family medicine is consistently the least competitive specialty with the shortest residency training at 3 years.

全科醫學一直是競爭最不激烈的專業，住院醫師培訓時間最短，僅為 3 年。

The competitiveness and training gap between family medicine and plastic surgery is massive.

全科醫學和整形外科之間的競爭力和培訓差距巨大。

This isn't to say that family medicine doctors aren't as good or aren't trained enough, it's that they are trained for what's required of them in family medicine.

這並不是說家庭醫生的水準不高或訓練不夠，而是說他們接受的訓練符合家庭醫生的要求。

Tacking on a cosmetic surgery course or even one year fellowship doesn't make them qualified for aesthetic procedures.

他們只是參加了美容外科課程，甚至是一年的獎學金，但這並不能使他們有資格進行美容手術。

In the best cases, with the most rigorous residency and closest possible overlap in subject matter, a cosmetic surgeon will complete a surgical residency first, something like general surgery or oral surgery, followed by a one year cosmetic surgery fellowship via the American Academy of Cosmetic Surgery.

在最好的情況下，美容外科醫生會先完成外科住院醫師培訓，比如普外科或口腔外科，然後通過美國美容外科學會完成為期一年的美容外科研究。

Even in this best case scenario, training in one type of surgery is not the same as plastic surgery training.

即使在這種最好的情況下，一種手術的培訓也不等同於整形外科培訓。

Would you want an oral surgeon operating on your foot or a plastic surgeon operating on your heart?

你希望口腔外科醫生給你的腳做手術，還是整形外科醫生給你的心臟做手術？

Other types of surgeons don't perform surgery directly related to aesthetic procedures until they take a cosmetics course or a one year fellowship, which isn't nearly enough time to master these skills.

其他類型的外科醫生在參加美容課程或一年的研究員培訓之前，不會直接進行與美容手術相關的手術，而這還遠遠不夠他們掌握這些技能。

But on the other hand, a plastic surgeon has been honing their soft tissue and wound healing skills for at least 6 years of residency.

但另一方面，整形外科醫生在至少 6 年的住院實習期間，一直在磨練自己的軟組織和傷口癒合技能。

Even when not focusing on aesthetics, the skills taught in reconstructive surgery are directly connected and invaluable to aesthetic procedures.

即使不以美學為重點，整形外科所教授的技能也與美學程序直接相關，而且非常寶貴。

When it comes to compensation, both careers can be lucrative, but they vary significantly based on practice type, location, and training.

就報酬而言，這兩種職業都可以獲得豐厚的報酬，但根據業務類型、地點和培訓的不同，報酬也有很大差異。

Board certified plastic surgeons can earn over $600,000 annually, but this number includes surgeons who focus on reconstructive procedures, which isn't nearly as lucrative as aesthetic surgery.

獲得醫師資格認證的整形外科醫生年收入可超過 60 萬美元，但這一數字包括那些專注於整形手術的外科醫生，因為整形手術的利潤遠不及美容手術。

Those who focus on reconstructive procedures, particularly in academic settings, typically earn less but still command salaries well above the average physician, which is $355,000.

那些專注於整形手術的醫生，尤其是在學術機構工作的醫生，通常收入較低，但薪水仍遠高於 35.5 萬美元的平均水平。

Plastic surgeons with successful aesthetic practices can easily clear over a million dollars a year.

成功的整形外科醫生每年可以輕鬆獲得超過一百萬美元的收入。

The incomes of cosmetic surgeons vary widely due to the lack of structure and the original specialty of the physician, which can range from family medicine to ENT to OBGYN and anything in between.

整容外科醫生的收入差別很大，原因是缺乏結構性和醫生的原有專業，從家庭醫學、耳鼻喉科到婦產科，以及介於兩者之間的任何專業。

Some cosmetic surgeons in major metropolitan areas with high-end practices and the marketing skills to match can earn comparable or even higher incomes than plastic surgeons.

一些大都市地區的整容外科醫生擁有高端診所和與之相匹配的營銷技能，他們的收入可以與整形外科醫生相媲美，甚至更高。

How do plastic and cosmetic surgery compare in terms of lifestyle?

整形外科和美容外科在生活方式方面如何比較？

Plastic surgeons have demanding schedules during their 6-8 years of residency training.

整形外科醫生在 6-8 年的住院醫師培訓期間工作繁忙。

Once in practice, surgeons focusing on aesthetic procedures often have more predictable hours, as most surgeries are elective.

由於大多數手術都是選擇性的，是以專注於美容手術的外科醫生的工作時間通常更容易預測。

However, plastic surgeons who handle reconstructive cases or work with trauma centers may have longer surgeries, less predictable schedules, and more emergency call.

不過，處理重建病例或與創傷中心合作的整形外科醫生可能需要進行更長時間的手術，日程安排不那麼容易預測，而且需要更多的緊急呼叫。

Cosmetic surgeons have a similar lifestyle to aesthetic plastic surgeons.

美容外科醫生的生活方式與美容整形外科醫生相似。

However, a cosmetic surgeon's lifestyle may also be dependent on the specialty they originally trained in if they opt for a hybrid model or are only completing cosmetic procedures on the side.

不過，如果整容外科醫生選擇混合模式或只是兼職完成整容手術，那麼他們的生活方式也可能取決於他們最初接受培訓的專業。

For example, the lifestyle of an emergency medicine doctor is intense and chaotic, putting these physicians at risk of burnout.

例如，急診科醫生的生活方式緊張而混亂，使這些醫生面臨職業倦怠的風險。

On the other hand, dermatology is known for its work-life balance.

另一方面，皮膚科以工作與生活的平衡而聞名。

What are the pros and cons of becoming a plastic surgeon?

成為整形外科醫生有哪些利弊？

One of the greatest advantages to becoming a plastic surgeon is the comprehensive training that allows you to perform both reconstructive and cosmetic procedures.

成為整形外科醫生的最大優勢之一是接受過全面的培訓，可以同時進行整形和美容手術。

The diversity and variety you'll experience in plastic surgery are second to none, and it's arguably one of the most innovative fields in medicine with procedures that seem out of science fiction.

整形外科的多樣性和多樣性是首屈一指的，它可以說是醫學中最具創新性的領域之一，其手術過程似乎就像是科幻小說中的情節。

Plastic surgeons have the unique ability to transform patients' lives through reconstruction after trauma, cancer, or congenital issues.

整形外科醫生具有獨特的能力，可以通過創傷、癌症或先天性問題後的重建來改變患者的生活。

Plus, plastic surgeons have the option to transition to a cash-based aesthetic practice, which provides immunity to potential decreases in insurance reimbursements.

此外，整形外科醫生還可以選擇過渡到以現金為基礎的美容實踐，從而避免保險報帳可能出現的減少。

However, this path isn't without its challenges.

然而，這條道路並非沒有挑戰。

Plastic surgery is a hyper-competitive Tier 1 specialty, requiring stellar academic performance, a massive research requirement, and the clinical skills to match.

整形外科是競爭異常激烈的一級專科，需要出色的學術表現、大量的研究要求以及與之相匹配的臨床技能。

The training pathway is lengthy, requiring a minimum of 6 to 8 years of residency after medical school.

培訓途徑漫長，醫學院畢業後至少需要 6 到 8 年的住院實習。

It's also a specialty that demands precision and meticulousness.

這也是一項要求精確細緻的專業。

It's not for those who dislike obsessive attention to detail.

它不適合那些不喜歡執著於細節的人。

The pay can also vary more than in other specialties, especially for those who focus on reconstructive practices rather than aesthetic work.

與其他專業相比，薪酬差異也會更大，尤其是那些專注於整形而非美容工作的人。

Now, what are the pros and cons of becoming a cosmetic surgeon?

那麼，成為一名整容外科醫生有哪些利弊呢？

Most cosmetic surgeons enjoy flexible practice models and the ability to add cosmetic procedures to an existing practice.

大多數整容外科醫生都喜歡靈活的執業模式，並能在現有的業務基礎上增加整容手術。

For physicians already established in another specialty, the cosmetic surgery path is a much shorter training pathway, there's no doubt about that.

對於已經在其他專業有所建樹的醫生來說，整容手術無疑是一條更短的培訓途徑。

In the right location and with strategic but often tricky marketing, cosmetic surgeons have the potential to rake in the same 7-figure salary without spending years training.

在合適的地點，通過策略性但往往棘手的市場營銷，整容外科醫生有可能在不花費數年培訓的情況下，同樣獲得 7 位數的薪水。

But this lack of adequate training can result in significant consequences for physicians and their patients.

但是，缺乏足夠的培訓會給醫生及其病人帶來嚴重後果。

Without comprehensive plastic surgery training, you won't have the foundational skills that board-certified plastic surgeons do.

如果沒有接受過全面的整形外科培訓，您就無法像獲得委員會認證的整形外科醫生那樣掌握基本技能。

There's a higher risk of complications and suboptimal outcomes, which can harm the patient and expose you to malpractice claims.

出現併發症和不理想結果的風險較高，這可能會對病人造成傷害，並使你面臨瀆職索賠。

那麼，哪種職業道路最適合你呢？

If you can handle the rigorous training and have the technical skills to match, becoming a board-certified plastic surgeon is the gold standard.

如果您能接受嚴格的培訓並具備相應的技術技能，那麼成為一名獲得醫學委員會認證的整形外科醫生就是金標準。

This path offers comprehensive training, respect among colleagues and patients, and the widest range of practice options.

這條道路提供了全面的培訓、同事和患者的尊重以及最廣泛的執業選擇。

Unfortunately, not everyone is cut out for this path.

遺憾的是，並不是每個人都適合走這條路。

Plastic surgery is one of the most competitive specialties, it's one of the longest residency programs, and it requires a level of precision and attention to detail that few possess.

整形外科是競爭最激烈的專科之一，也是住院醫師培訓時間最長的專科之一，它所要求的精確度和對細節的關注是很少有人具備的。

But not having the time, or not being cut out for plastic surgery, isn't a reason to take shortcuts on your training.

但是，沒有時間或不適合做整形手術，並不是在訓練上走捷徑的理由。

What medical career paths would you like us to cover next?

您希望我們接下來介紹哪些醫學職業道路？