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Tom Seery of and I had a fairly long discussion a few days ago about both and Medical Spa MD's approaches to the marketplace and strategic directions.

Of course one of the topics we touched on was's decision to remove all physicians from the site that were not board certified plastic surgeons or dermatologists.

Tom didn't get into much detail on this point other than to say it was a long story and that keeping only board ceritified plastic surgeons and derms was the decison they'd made, and they're going to stick to it.

While I don't really have a decision staked out on this I made the point that physicians get good at what the do a lot of. If I were a Botox patient I'd much rather have a non-core doc with a lot of experience shoot me up than a fantastic plastic surgeon who almost never does it. (Truth be told, I can't see the flaw in that logic.)

I can understand's decision on a purely business decision.'s looking for some level of credentials to make sure that the laymen who are the real target market of the site are getting at least some level of 'trained' physician. is great for patients who are researching treatments. The consumer-centric focus differs from our physician-centric community but there's some small overlap.

One of the thoughts I opined to Tom was that I could see it would be challenging for new physicians who were just coming on to the site to be motivated to contribute with the way their ranking system works. If you're answering a lot of questions you get greater visibility and promotion internally on the site. While it stimulates some docs to write a lot of answers, it's hard to see how any new physicians could come up with the number of answers to gain some placement. Tom says they're going to launch some new initiatives that will 'promote' new physicians. (This might anger some docs who have spent endless hours writing answer about Botox or liposuction.)

Anyone here have an opinion about

Reader Comments (4)

Jeff - I enjoyed our conversation and thank you for the kind words.

One point of clarification -- aside from my last name spelling ;) -- is that we indeed are working with newly active surgeons, dermatologists, and dentists to help them get visibility. I wouldn't characterize this as promotion-- rather, we're dedicating personal attention to doctors who are really motivated to connect with prospective patients via our web community.

I plan on staying in touch going forward.

01.20 | Unregistered CommenterTom Seery

Ah Tom,
My apologies for the misspelling. It's been corrected. And of course, you're always welcome in these parts.

Yes I have a comment. It is nice to see the "real" motivations behind the realself website. Countless people do research that site regarding cosmetic procedures, and countless more ask the doctors for help AFTER they have experienced devastating adverse effects and permanent damage. No one has received an answer regarding the damage part, is that because they were mostly non certified Plastic surgeons and Dermatologist? Will the public get honest answers if they are Board Certified? I understand now the motivation for new doctors to get personal attention from you and more visibility to prospective patients. One doctor can suggest a treatment that can damage them and another doctor can offer to fix the damage. That is quite a Marketplace and Strategic Direction to take. Will you please let the public know when you bring on new doctors that will help everyone damaged by Sculptra, Thermage, IPL, Fraxel, DeepFX,and other procedures, as opposed to telling them they are imagining their damage. Thanks to Medicalspamd physician to physician forum, the public is made aware that the damages are real and not imagined. needs to follow suit. Thank you.

I think it is a good idea to have Plastic surgeons and Dermatologists. I think it even more important to hear the voices of nurses. I,for example, am a nurse who does skin care and lasers and peels etc..I see and hear the patients after many treatments and I think the public would be interested in this perspective.

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