Resources and Legislation — For Patients and Professionals

Important: Upcoming Cosmetic Surgery Tax

Board Certification

ASPS Statistics

Choosing a Surgeon

Continuing Education

CSPS Legislative Alert

Cosmetic Tax Proposed: Vote Expected Shortly

Governor Malloy has proposed a new Cosmetic
Surgery Tax within his tax proposal bill-SB 1007.

The actual language included in the bill is:
(NEW) (OO) Services in connection with a cosmetic medical procedure. For purposes of this subparagraph, "cosmetic medical procedure" means any medical procedure performed on an individual that is directed at improving the individual's appearance and that does not meaningfully promote the proper function of the body or prevent or treat illness or disease. "Cosmetic medical procedure" includes, but is not limited, to cosmetic surgery, hair ransplants, cosmetic injections, cosmetic soft tissue fillers, dermabrasion and chemical peel, laser hair removal, laser skin resurfacing, laser treatment of leg veins, and sclerotherapy. "Cosmetic medical procedure" does not include reconstructive surgery. "Reconstructive surgery" includes any surgery performed on abnormal structures caused by or related to congenital defects, developmental abnormalities, trauma, infection, tumors or disease, including procedures to improve function or give a more normal appearance.

Cosmetic Tax Fact Sheet
Patient Flyer on Cosmetic Tax

CSPS testifies against Cosmetic Tax
Drs. Beam and Felcie testified against the proposal before the
Finance, Revenue and Bonding Committee. Both doctors did an excellent job representing the interests of the society and the patients of CT.  Their testimony outlined several strong arguments against the bill, including HIPAA concerns, surgical flight and the failure in New Jersey to raise the needed tax revenue.  Please see their testimony below.

Testimony of Dr. Harold Beam
Testimony of Dr. Patrick Felice

Dr. Beam’s Op-Ed on CT News Junkie

Dr. Felice’s Op-Ed on the CT Mirror
Former NJ Tax Auditor Op-Ed

When contacting legislators:

Let them know that:

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Call your own Senator and Representative today at:

House Democrats: 1-800-842-1902

Senate Democrats: 1-800-842-1420

House Republicans: 1-800-842-8267

Senate Republicans: 1-800-842-1421

You can also go to the state website at, click Legislative at the top and then House and Senate on the left to find your legislator.

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Board Certification

The American Board of Plastic Surgery is one of the 24 specialty boards recognized by the American Board of Medical Specialties (ABMS). It is the only ABMS Board that certifies physicians in the entire specialty of plastic surgery.

By choosing a plastic surgeon certified by the American Board of Plastic Surgery, patients can rest assured that their surgeon has graduated from an accredited medical school and has completed at least five years of additional training as a resident surgeon. This includes a minimum three-year residency in an accredited general surgery program and a minimum two-year residency in plastic surgery. To become certified, the doctor must then successfully complete comprehensive written and oral exams. Board certification is a voluntary process.

Certification by a specialty board attests to 1) completion of a prescribed set of education and training requirements in a specialty of medicine beyond the minimum requirements for licensure, and 2) passage of a series of examinations that test the fund of knowledge in that specialty. Most specialties now also call for periodic recertification, which generally requires completion of specified continuing education and successful completion of a further examination testing the applicant’s fund of knowledge in that specialty. Many health care organizations and health plans now demand certification in order to provide services in the relevant specialty area. Board-certified physicians govern boards in the relevant specialty.

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Plastic/Reconstructive Surgery Statistics




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Choosing a Plastic/Reconstructive Surgeon

The most important stage of the plastic surgery process is choosing the right surgeon. When patients choose surgeons they are comfortable with, they are much more likely to be happy with the results of their procedure. Choosing a surgeon should be an involved process with several important steps.

An excellent way to start is by asking for recommendations from friends, relatives, or co-workers who have undergone a similar procedure. Another good option is to ask for a referral from a medical health professional – either a personal acquaintance or a primary care physician.

Any high-quality surgeon should be happy to provide detailed information on their past performance, including before-and-after pictures and testimonials. Patients should consult a number of surgeons before selecting the one they think is best for their case.

The most important indicator of a surgeon’s ability is his or her level of experience and past performance. The more successful procedures of a given type that a doctor has performed, the better he or she will be able to deal with the particulars of a new case. Board certification by the American Society of Plastic Surgeons or another similar organization is a good indicator of the quality of care a surgeon will provide. It is important to remember, however, that practical experience and procedure-specific expertise are the qualities that truly distinguish the best surgeons.

Another key to achieving satisfactory results is to be active in the decision-making process. A good surgeon should ask patients what they want, and should clearly and confidently answer questions. He or she should provide all the relevant information, including risks, alternatives, and fees, and then leave the final decision to the patient. Ultimately, the right surgeon will make the patient feel comfortable, confident, and well-informed. If patients know what to expect, they are much more likely to be satisfied with the results of plastic surgery.

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Continuing Education

Connecticut state law now requires that all licensed physicians and surgeons undergo a minimum of 50 hours of continuing medical education every two years. This policy is in effect for all license renewals beginning on October 1, 2007.

Qualifying continuing medical education (CME) courses include those offered or approved by the American Medical Association, the American Osteopathic Association, the Connecticut Hospital Association, the Connecticut State Medical Society, county medical societies or equivalent organizations in other jurisdictions, educational offerings sponsored by a health care institution, and courses offered either by a regionally accredited academic institution or a state or local health department.

For more detailed information, visit the Physician Licensure page at the Connecticut Department of Public Health website or contact CSPS.

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The Connecticut Society of Plastic Surgeons
22 Avalon Drive
Avon, Connecticut 06001

phone: 860.404.0035