Physician Assistant (PA-C) - Plastic Surgery OR

Adoreal is a fast-growing vertical SaaS company that partners with cosmetic surgery clinics nationwide to expand and grow their practices. We provide the operational, marketing, and growth infrastructure that empowers surgeons to focus on what they do best: delivering exceptional patient care and outcomes. By combining innovative business strategies with world-class clinical talent, Adoreal enables clinics and surgeons to thrive in today’s competitive elective medicine landscape.

Belcara Health is seeking an experienced and highly skilled Physician Assistant (PA-C) to join our Plastic Surgery team in a full-time, primarily operating room-based role.

This position is designed for a PA who is comfortable in the OR, has strong surgical first-assist skills, and can function with a high degree of independence as part of an experienced surgical team.

The ideal candidate is someone who understands the rhythm of the operating room—anticipates the surgeon's needs, is technically proficient, works efficiently, and is confident with suturing and surgical closure.

While plastic surgery experience is highly desirable, we welcome candidates from other surgical specialties who have significant first-assist and closure experience and are interested in transitioning their skills to plastic and aesthetic surgery.

Primary Responsibilities

The majority of this position will be spent in the operating room, working directly alongside our plastic surgeons.

Responsibilities will include:

Serve as surgical first assist during plastic and cosmetic surgery procedures

Provide skilled intraoperative assistance throughout surgical cases

Assist with patient positioning, prepping, draping, and other operative preparation

Provide exposure and retraction throughout procedures

Assist with tissue handling and dissection as appropriate to training and scope of practice

Assist with achieving and maintaining hemostasis

Perform suturing and surgical wound closure under surgeon direction and in accordance with training, privileges, and scope of practice

Demonstrate proficiency with various closure techniques and suture materials

Assist with placement and management of surgical drains when appropriate

Apply dressings and assist with immediate postoperative wound management

Anticipate the surgeon's needs and help maintain an efficient operative workflow

Collaborate closely with surgeons, anesthesia providers, circulating nurses, surgical technologists, and recovery staff

Participate in surgical counts, safety protocols, time-outs, and infection-control procedures as appropriate

Assist with postoperative orders, documentation, and immediate postoperative patient management

Help ensure smooth transitions between cases and efficient utilization of operating room time

Surgical Skill & Independence

We are specifically looking for a PA who can become a highly capable and dependable extension of the surgeon in the operating room.

The successful candidate should be comfortable taking responsibility for their role during a procedure without requiring continuous instruction. Once familiar with our surgeons, procedures, and protocols, the PA should be able to anticipate operative needs, understand the progression of the procedure, and perform assigned portions of the case efficiently and confidently.

Strong suturing and surgical closure skills are an important requirement for this position. Candidates should have hands-on experience performing surgical closures and be comfortable demonstrating their technical abilities.

Plastic surgery requires meticulous attention to tissue handling and wound closure. We are therefore looking for someone who takes pride in surgical technique and is interested in continuing to refine these skills.

Additional Clinical Responsibilities

Although this is primarily an OR position, the PA may also participate in surgical patient care outside of the operating room, including:

Preoperative patient evaluation and preparation

Histories and physical examinations

Postoperative patient assessment

Wound and incision evaluation

Dressing changes and drain management

Suture and staple removal

Patient education regarding postoperative care and recovery

Identification and appropriate escalation of postoperative concerns

Clinical documentation and postoperative orders