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Becoming a cosmetic dermatologist typically requires a significant amount of education and specialized training. It begins with obtaining a bachelor's degree, which usually takes four years, followed by four years of medical school to earn a medical degree (MD or DO). After medical school, aspiring dermatologists must complete a dermatology residency program, which generally lasts four years and provides in-depth training in skin conditions and treatments. Some may also pursue additional fellowship training in cosmetic dermatology to gain expertise in aesthetic procedures. Overall, the process involves approximately 12 or more years of post-secondary education and training before practicing as a cosmetic dermatologist, ensuring they have the comprehensive knowledge and skills necessary for safe and effective patient care.