The best cosmetic surgeon Baltimore has available is not a pipe dream. Yes, every city in the entire country has the best cosmetic surgeon, the person who gains all the accolades and gets a huge chunk of the business. This same person exists in Baltimore too.
The best cosmetic surgeon baltimore offers will have won awards for his work, either through a national association or through a local one. The location does not really matter here, but the specifics of the accolade do matter. They show what the award was for and how the surgeon achieved such high marks for his work.
The best cosmetic surgeon Baltimore has available is pretty busy too. Since people like what he does, they refer their friends and write nice things about him online. So of course, his office will be filled and his clients will be waiting patiently for their turns.