Dermatologists and Plastic Surgeons: Wealth Beyond Private Practice

Dermatologists and plastic surgeons share a model of practice that's unusual in medicine: much of their work is private, paid directly and driven by demand rather than a waiting list. In the Dominican Republic, many also see patients from abroad. That model brings opportunities, and a clear reason to build wealth outside the practice.

Income that depends on demand

In aesthetic dermatology and plastic surgery, a significant part of income depends on patients choosing to be treated. That usually means:

• Strong months and slow months, depending on season, economy or trends.
• Dependence on your reputation and presence: patients come for you.
• Little income that keeps arriving if you cut back.

So it makes sense to hold an asset that doesn't depend on demand for your practice or on your presence in it.

Patients from abroad, an asset in dollars

If you see international patients who pay in US dollars, you already know the value of income in that currency. A property on the Dominican Republic's east coast, priced in US dollars, can be a way to store part of that value in an asset in the same currency, instead of leaving it all in the practice's account.

And if your patients come mainly from the US, you probably know that buyer well: the same profile that rents a villa or apartment in Cap Cana or Bávaro on vacation.

A visible schedule: delegating is a must

A private practice in these specialties demands much more than clinical time: image, social media, personal attention to patients and often a team to manage. There's no room to manage a property. So it makes sense to choose:

• Pre-construction paid in stages, with no renovations or errands during the build. We explain it in pre-construction: a due diligence checklist.
• Delegated management from day one: bookings, cleaning, maintenance and accounts. We detail it in renting out your Cap Cana property.
• A professionally managed condominium with clear rental rules.

Protecting what you've built

Plastic surgeons, like other surgical specialties, carry greater professional exposure. The first protection is malpractice insurance, and no ownership structure guarantees anything on its own. Even so, whose name the property is bought in is a decision to make with a lawyer, calmly and before any claim. We cover it in real estate investing for physicians and, in more detail for surgical specialties, in real estate investing for surgeons.

Thinking about afterwards

Many dermatologists and plastic surgeons build a practice closely tied to their name. When they decide to cut back, that practice can't always be sold or handed over for what it's worth. Having wealth outside it is part of the retirement plan. We cover it in how to plan a physician's retirement.

How we support you

At Mercanus we help you choose area and project, coordinate the review with our legal partner and support the purchase via our real estate investment practice. Afterwards, we manage it for you.

Browse the projects in our portfolio or write to us. If your specialty is different, we have guides for surgeons, anesthesiologists and radiologists and dentists.