The terms and fields of plastic and cosmetic surgery can confuse even the most informed patient, and though both kinds of surgeons may perform similar procedures, their backgrounds and training are very different. In order to specialize in plastic surgery, the prospective board certified plastic surgeon completes anywhere from seven (7) to nine (9) years of rigorous training, and some elect to do more through additional fellowships. Doctors wanting to specialize in cosmetic surgery do not require that level of training, and focus on more superficial or purely aesthetic procedures rather than perhaps rebuilding a person’s face after a horrible accident or reconstructing a woman’s breasts after she was ravaged with cancer. The realms of aesthetic and reconstructive surgery belong to the plastic surgeon. Some people think that cosmetic surgeons are the ones who make patients “pretty,” but that would be wrong. Just like Italian Renaissance master Michael Angelo wielded a hammer and chisel to craft the magnificent David, a plastic surgeon’s tools are scalpels, cannula, and sutures. The Texas Medical Center is home to hundreds of plastic and cosmetic surgeons. Michael Eisemann, M.D. is a triple board certified plastic surgeon with over 30 years of experience in the practice of plastic surgery.