Becoming a plastic surgeon is a highly selective process. Becoming a physician requires 4 years of college followed by 4 years of medical school. Following this, plastic surgeons usually train as general surgeons before applying for a fellowship in plastic surgery. Plastic surgery training is highly competitive with upwards of 50-100 applications for each position at the best training programs. Plastic surgeons may choose to complete an optional sub-specialty fellowship in aesthetics (cosmetic), craniofacial, hand, or microvascular surgery. The application process for a sub-specialty fellowship program can be even more selective. For the best programs, 20-30 plastic surgeons may be competing for 1 position. In total, a plastic surgeon may spend 6-10 years training after medical school! Both Dr. Jerome Liu and Dr. Tom Liu are fully-trained in plastic surgery and have both completed additional fellowship training in aesthetic (cosmetic) surgery. They are also certified by the American Board of Plastic Surgery.