Should Primary Care Physicians Do Cosmetic Procedures?

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2 responses to “Should Primary Care Physicians Do Cosmetic Procedures?”

July 17, 2025

Ed Zimmerman

Hi Charles!

Sage advice that many (but sadly, not enough primary care docs) have learned through the school of hard knocks.
Too old too soon and too late smart.

Perhaps you might next address the thorny conundrum of the competition between physicians and “extenders” who now function autonomously in many states?

Statistically, it seems that more of them have followed your advice to offer aesthetic procedures, which allows them to practice “real” medicine if they choose (or not). So they now compete directly with doctors, both with stethoscopes and syringes in hand, as well as with dermatologists and plastic surgeons.

Furthermore, we are diligently educating our competition, who can often provide adequate aesthetic services with less overhead and bureaucracy.
Or, as Pogo stated, “We have met the enemy and he is us!”

Your article was eloquently presented and an enjoyable read.
Your writing style keeps improving over the years!
Encore!

Appreciatively and best to you and yours, Ed

Edward M. Zimmerman, MD
AACS 2025 Webster Lecture Award
Medical Director | Aesthetic Revolution Las Vegas
9130 W Post Road, Suite 100
Las Vegas, NV 89148
AAAHC Accredited Surgical Facility
http://www.aestheticrevolutionlv.com

July 20, 2025

runels

Hello Ed,

I have always considered your encouragement to be one of the best gifts ever. I agree that more needs to be written about what’s happening to quality of care. Fifteen states, the last I researched it, where an NP can practice without any oversight of an MD–none required at all. Rather than fight the flow, I am trying to watch the flow and redirect the stream rather than become broken by trying to damn it. We will see. It’s something to do. Beats watching late-night TV.

Your development and innovation in medicine continues to inspire me.

All the best,

Charles

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Should Primary Care Physicians Do Cosmetic Procedures?

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