The first thing you notice about Ed Lack is his energy. His enthusiasm is infectious. "I find that helping my patient's to improve their appearance makes my job very exciting" said Dr. Edward Lack, a dermatologic Cosmetic Surgeon and director for Metropolitan MD. "Surgical procedures are becoming shorter as we learn to work in a less invasive way." Cosmetic Surgery is rapidly emerging as the new game in town, encompassing many surgical disciplines from Facial Plastic Surgery to Cosmetic Dermatology. What these surgeons share in common is that they use their skill primarily for the enhancement of their patients appearance. Because little training is offered in residency programs, many take the fellowships to get the expertise required, working under the supervision of the leading experts in their field. Now the best surgeons are highly specialized, doing cosmetic procedures that relate to their subspecialty. "Dermatologist's were in the forefront of the development of Liposculpture as we know it today. We took a difficult procedure, difficult in terms of predictable results and healing, and refined it into a very precise medium for aesthetic body contouring. Healing times are very rapid now and most of our patients are back at work and play in just days," said Lack. "I specialize in Liposculpture and Laser Skin Rejuvenation because they best fit with my training. I don't offer a laundry list of procedures. I intentionally decided to limit the kinds of procedures I do, because I wanted to strive for excellence. If I was going to give advice to prospective patients about how to approach choosing a cosmetic surgeon, I would say to make sure that he or she is highly qualified". Double boarded himself, he continues, "Ask what kind of training they have had and make sure that they are board certified in the kind of surgery you are interested in. Ask how many of these procedures they have perform in a month, and look carefully at their "before and after" photos.