The term “plastic surgery” is general and refers to various types of procedures to fix numerous issues. However, “plastic surgery” can be broken down even further. This overarching phrase consists of two types: cosmetic and reconstructive. These types of plastic surgery are very different. Patients seeking cosmetic surgery vs reconstructive surgery usually have very different goals for their procedures. To find out which type of plastic surgery is right for your goals, speak to your doctor. Before your conversation, it can help to learn a little bit more about plastic surgery and your options. This way, you can make an informed medical decision. It is also important to understand the difference for insurance purposes. Most insurance carriers will not cover cosmetic surgery but are willing to cover reconstructive surgery. Learn more about the differences and similarities below.

What is cosmetic surgery?

Cosmetic or aesthetic plastic surgery is performed to change body shape or appearance. The main difference is that this usually takes place when no medical condition is present. It is important to note, however, that sometimes the surgery treats conditions resulting from another medical condition. This medical condition is normally no longer an issue. Examples include the following.

  • Changes after massive weight loss
  • Scarring from abdominal surgery

Most often, insurance companies will consider such conditions cosmetic.

What is reconstructive surgery?

Reconstructive plastic surgery generally involves the treatment of conditions that cause abnormal change in body shape or appearance. It also includes conditions that require body changes for effective treatment.Examples include the following.

  • Reconstruction after a mastectomy or various cancers
  • Reconstruction to correct birth defects or abnormal scars
  • Breast reduction surgery to treat chronic back and neck pain.

Insurance companies cover most of these types of procedures.

Cosmetic vs reconstructive surgery: similarities

In reality, there is often significant overlap between reconstructive and cosmetic plastic surgery. This is because while the purpose of each type may vary, they share since the same underlying surgical principles. In other words, the techniques that a surgeon uses for cosmetic and reconstructive procedures are often similar. In addition, most plastic surgeons will also say that no matter the type of surgery, the end goal should always include maximizing the cosmetic result. Regardless of the plastic surgery procedure, it is very important for patients and surgeons to agree upon the finished cosmetic result ahead of time. This guarantees that the patient’s expectations are realistic and that the surgeon can meet them.

When it comes to insurance coverage, the stark differences between reconstructive and cosmetic surgery becomes even muddier. According to the main insurance carriers in the United States, there are certain conditions that fall into both categories. In other words, people can deem certain medical conditions either “reconstructive” or “cosmetic” depending on the patient’s specific circumstances. A perfect example is nose surgery, also known as rhinoplasty, which patients often request to enhance the appearance of the nose. However, the patient may also require the surgery to restore normal nasal breathing as well as normal appearance after a bad nasal fracture.

Dr. Anthony Berlet Can Answer Your Questions

If you are looking to have cosmetic surgery to fix any aesthetics concerns or reconstructive surgery to address functional issues, finding the right surgeon is crucial. The best doctor for you will have experience with the procedure you are looking for and he or she will be able to answer all of your questions. Dr. Anthony Berlet serves the northern New Jersey and New York City area, helping patients with both all types of plastic surgery procedures. For over 20 years, he has helped patients achieve their goals. Reach out to our team to learn more!