Well-trained dermatologists must have a range of skills in pediatric dermatology, medical dermatology, dermatopathology, and dermatologic surgery, including cosmetic dermatology. While residents would learn more if they stayed not for 3 years but 4, 5, or 6, in fact, residency is brief, compressed, and intense. In that cosmetic procedures occupy a small yet significant niche in the typical young dermatologist’s career, so must their place in residency training be correspondingly limited yet adequate.