Why Plastic Surgery Is Expensive

13 Jan 2026 23 min read No comments Blog

The Factors Influencing the High Costs of Plastic Surgery

When contemplating plastic surgery, many people are surprised by the substantial costs involved. Understanding why plastic surgery is expensive can help you make informed decisions regarding your options. Several key factors contribute to the overall pricing, each reflecting the complexities of the procedures and the expertise required.

1. Surgeon Expertise and Credentials

The skill and experience of the surgeon play a significant role in determining costs. Board-certified plastic surgeons command higher fees due to their advanced training and proven track record in performing successful surgeries. You can find qualified professionals through platforms such as American Society of Plastic Surgeons, which emphasize the importance of choosing a reputable surgeon.

2. Type of Procedure

Different procedures vary in complexity and associated costs. For instance:

  • Rhinoplasty (nose surgery): A delicate procedure often requiring advanced artistic skill.
  • Breast Augmentation: This involves not just the surgery but also the costs of implants.
  • Facelifts: A more extensive operation that generally requires longer recovery time and more resources.

The more intricate the procedure, the higher the costs may be. Additionally, the effects of surgeries can vary, impacting the approach required for each patient.

3. Anesthesia Fees

Anesthesia is a critical element in ensuring that the patient remains comfortable during surgery. Anesthesia costs depend on the type used and the length of the procedure. For example:

  • General Anesthesia: Typically more expensive due to the need for an anesthesiologist’s involvement.
  • Local Anesthesia: Generally lower costs since it requires less monitoring.

Choosing general anesthesia can be necessary for more extensive operations but will add to the overall expense.

4. Facility and Equipment Costs

The environment in which the surgery takes place also influences expenses. Surgeons often perform procedures in accredited surgical centers or hospitals, which require a higher standard of care. Key expenses include:

  • Operational costs of the facility, including maintenance and staffing.
  • High-tech equipment that guarantees the best results.

Investing in quality facilities helps ensure patient safety and superior outcomes, reflecting in the overall cost.

5. Recovery and Post-operative Care

Recovery timelines vary among different surgeries. Extended recovery periods may lead to additional costs, such as:

  • Follow-up appointments with the surgeon during healing.
  • Medications for pain management and recovery.
  • Specialized care or therapists for rehabilitation purposes.

These expenses into the total cost is crucial when planning for surgery.

6. Geographic Location

The geographic area where you choose to undergo surgery greatly influences costs. Urban centers often have higher prices due to the cost of living, whereas rural areas may offer more affordable options. To gauge the costs in different locations, consult resources such as RealSelf to read patient reviews and get insights into pricing.

7. Patient-Specific Factors

Your personal health status also affects the procedure’s complexity and duration. Factors include:

  • Age: Older patients may have higher risks that necessitate more extensive care.
  • Health Conditions: Pre-existing conditions could complicate surgery, increasing costs.

It’s essential to communicate openly with your surgeon about your specific circumstances to get an accurate estimate of your plastic surgery costs.

Understanding the multifaceted reasons behind the high costs of plastic surgery enables you to prepare better financially and emotionally. By considering these factors, you can ensure that you choose the right procedure while prioritizing safety and effectiveness. Researching credible sources and consulting with trusted surgeons will guide you along your journey towards your desired aesthetic goals.

Understanding the Role of Surgeons’ Expertise and Experience

When considering plastic surgery, one of the most significant factors that come into play is the expertise and experience of the surgeon. Their qualifications and skill set can influence not only the safety of the procedure but also the final results. Understanding how a surgeon’s expertise impacts the overall process can help you make informed decisions.

Why Surgeon’s Experience Matters

Surgeons undergo extensive training to perform complex procedures. The level of training and the number of years they have practiced can substantially affect your surgery experience. Here are some considerations to keep in mind:

  • Years of Practice: Surgeons who have spent more time in the field often have honed their skills through numerous cases. They encounter a variety of situations that refine their techniques.
  • Specialization: Some surgeons focus on specific types of procedures, such as rhinoplasty or breast augmentation. These specialists often keep up with the latest advancements, ensuring you receive high-quality care.
  • Reputation: An experienced surgeon will usually have a track record of successful surgeries, leading to positive reviews and recommendations. Check online platforms or ask for referrals to gauge their reputation.

The Role of Continuous Education

Even after completing formal education, surgeons engage in continuous learning. This ongoing education can manifest in several ways:

  • Conferences and Workshops: Many surgeons attend industry conferences and workshops to learn about the latest techniques and technologies. This helps them stay current in their practice.
  • Research Participation: Participating in or conducting research projects allows surgeons to contribute to the field while also learning from fellow experts.
  • Certifications: Extra certifications provide surgeons with advanced knowledge. These credentials are often an indicator of a surgeon’s commitment to their craft.

Safety and Procedure Success

Your safety and the success of the procedure are top priorities. A well-experienced surgeon knows how to manage risks effectively. Here are some ways that experience enhances safety:

  • Problem Solving: An experienced surgeon can anticipate complications and address them promptly, which can often mean the difference between a successful surgery and one that presents challenges.
  • Patient Assessment: Skilled surgeons conduct thorough assessments of their patients, ensuring they are suitable candidates for surgery. This minimizes risks and ensures higher satisfaction rates.
  • Post-Operative Care: The follow-up care provided by an experienced surgeon plays a crucial role in recovery. They can better address any concerns that arise in the healing process.

Understanding Costs Related to Expertise

While you may be tempted to choose the cheapest option, it is crucial to realize that a surgeon’s experience comes at a cost. Here’s how expertise factors into pricing:

Factor Impact on Cost
Years of Experience Surgeons with more years in practice generally charge higher fees due to their knowledge and reputation.
Advanced Specializations Surgeons who are specialists may charge more for their expertise in specific procedures.
Facility Quality Being associated with top-tier surgical centers can increase costs, but it often means better care and safety.

Finding the Right Surgeon

The process of selecting the right surgeon for your procedure can be overwhelming yet essential. Consider these tips:

  • Research Credentials: Always check the surgeon’s educational background and certifications. Look for board-certified plastic surgeons.
  • Read Reviews: Online reviews can give you insights into other patients’ experiences. Websites like RealSelf provide honest feedback.
  • Consultation: Schedule consultations with a few surgeons to discuss your goals. Compare their communication styles, approach, and costs.

The surgeon’s expertise and experience are crucial factors in your plastic surgery journey. The investment in a seasoned professional can lead to better outcomes, higher safety standards, and a more satisfying experience overall. To learn more about your options, check resources like the American Society of Plastic Surgeons for reliable information and guidelines.

The Impact of Facility Fees on Plastic Surgery Prices

When considering plastic surgery, many people focus primarily on the surgeon’s fees and the cost of the procedure itself. However, the impact of facility fees is an essential aspect that significantly influences the overall price of plastic surgery. Understanding these fees can help you make more informed decisions during your cosmetic journey.

Facility fees refer to the charges imposed by the surgical facility or hospital where the procedure takes place. These costs cover various services and amenities provided during your visit. Below are several factors contributing to the facility fees associated with plastic surgery:

  • Location of the Facility: Urban centers tend to have higher facility fees due to increased operational costs, including rent and utilities.
  • Type of Surgical Center: Accredited surgical centers often charge more for their services compared to outpatient facilities. The added amenities and higher safety standards contribute to this difference.
  • Staffing Levels: Facilities with more medical personnel, such as nurses and anesthetists, typically have higher fees. The presence of specialized and trained staff ensures better patient safety and comfort during surgery.
  • Equipment Quality: State-of-the-art equipment and technology often lead to higher facility fees. High-quality tools are required for both safety and effectiveness during surgical procedures.

An essential aspect of facility fees is that they can vary significantly from one provider to another. Patients must do their research to find a facility that balances quality care with reasonable pricing. It’s crucial to get a detailed breakdown of costs before moving forward. Here’s a rundown of common facility fees that could be included in your total surgery costs:

Fee Type Description
Operating Room Fee Charges for the time spent in the operating room, including use of surgical instruments and equipment.
Anesthesia Fee Covers the costs related to anesthesia administration and monitoring during the procedure.
Recovery Room Fee Costs associated with post-operative care in the recovery area where patients are monitored.
Supplies and Medications Includes surgical supplies like dressings and medications provided during and post-surgery.

In addition to these specific fees, obtaining a plastic surgery consultation can also incur initial costs tied to facility fees. Even preliminary appointments at some surgical centers may require payment for the services rendered during those meetings. This is sometimes misleading for potential patients unfamiliar with how costs accumulate in the plastic surgery field.

Many people might find it challenging to compare plastic surgery prices because individual facility fees are rarely listed upfront. When researching various clinics and hospitals, you should consider reaching out directly for quotes. Some reputable resources, such as the American Society of Plastic Surgeons, provide tools and information that can guide you through understanding the associated costs of various procedures.

When assessing the costs linked to “why plastic surgery is expensive,” never forget to factor in the facility fees. These fees are essential for ensuring that patients receive high-quality, safe, and effective care during their procedures. Understanding each component of your surgical quote can aid you in budgeting correctly and making the best choice for your needs.

Ultimately, while the up-front cost may seem intimidating, facility fees reflect the priority given to patient safety, care, and satisfaction. Researching and asking questions about facility fees is vital to feeling informed and confident about your plastic surgery choices.

For more detailed information on plastic surgery finances, you can explore the financing options offered by the American Society of Plastic Surgeons. Remember, being well-informed is key to having a successful and satisfying surgical experience.

Examining the Costs of Anesthesia in Surgical Procedures

Surgical procedures often involve significant preparation and costs, and one of the key elements in this process is anesthesia. Understanding the costs associated with anesthesia can help patients better navigate their surgical experience and financial planning. The price of anesthesia can vary widely based on several factors, and being informed about these can empower you to make educated decisions.

Several key factors influence the costs of anesthesia during surgical procedures:

  • Type of Anesthesia: There are various types of anesthesia, including local, regional, and general anesthesia. Each type has different uses and costs associated with it. For instance, general anesthesia, which requires monitoring and more extensive preparation, tends to be more expensive than local anesthesia used for minor procedures.
  • Complexity of the Procedure: The more complex the surgical procedure, the more specialized the anesthesia may need to be. Complex surgeries typically require anesthesia professionals to carefully monitor the patient, which can increase costs.
  • Duration of the Procedure: Anesthesia costs often correlate with the length of the surgical procedure. Longer surgeries require more anesthetic medications and extended monitoring time, impacting the total cost.
  • Geographic Location: The cost of healthcare varies dramatically across different regions. Urban areas often have higher costs associated with anesthesia compared to rural areas. Researching local anesthesia pricing can provide a clearer understanding of expected costs.
  • Provider Expertise: The skill level and experience of anesthesia providers play a significant role in cost. Highly qualified anesthesiologists or nurse anesthetists may charge higher fees for their services, reflecting their training and expertise.

Additionally, it’s essential to consider the types of medications used. Some medications used in anesthesia are more expensive than others. For example, newer anesthetic agents may provide certain benefits but at a higher cost. These medications can impact your overall anesthesia expenses significantly.

Insurance coverage is another vital aspect of understanding anesthesia costs. Coverage for anesthesia services can vary based on your insurance plan. It’s essential to check with your insurance provider for specific details regarding what is covered and any out-of-pocket costs you may incur. Be sure to discuss these issues with your surgical team as many hospitals have financial counselors to assist with plans and payment options.

Factor Influence on Cost
Type of Anesthesia Varies by complexity and use
Complexity of Procedure Higher complexity increases costs
Duration of Procedure Longer procedures typically cost more
Geographic Location Costs are often higher in urban settings
Provider Expertise Experienced providers may charge more

When it comes to pricing transparency, many healthcare facilities are now required to provide cost estimates for procedures, including anesthesia. You should take advantage of this and ask for an estimated breakdown of costs before undergoing surgery. This knowledge can aid you in financial planning and help avoid unexpected expenses.

It’s also worth noting that pre-anesthetic consultations can incur additional costs. These are crucial as they allow the anesthesia provider to assess your medical history and any risk factors. The pre-anesthesia visit is vital to ensuring your safety during surgery but is an essential step that can add to overall expenses.

Many patients may be concerned about managing their anesthesia costs. Here are some potential strategies:

  • Shop Around: If possible, compare prices at different facilities. Costs can vary significantly for similar procedures.
  • Communicate with Providers: Don’t hesitate to ask your healthcare providers about the cost of anesthesia and available financing options.
  • Check Insurance Coverage: Before scheduling surgery, confirm your insurance policy regarding anesthesia services to gauge your financial responsibility.

It’s clear that anesthesia is a significant aspect of surgical procedures with various factors affecting its cost. Seeking information, asking questions, and understanding your situation can help you better manage your overall expenses. If you’re looking for more information on the costs related to anesthesia, you can visit resources like American Society of Anesthesiologists or National Institutes of Health for detailed insights.

The Importance of Pre and Post-Operative Care in Overall Expenses

When considering the overall costs associated with plastic surgery, it is crucial to take into account both pre-operative and post-operative care. These stages are pivotal not only for the patient’s health and recovery but also for the final expenses incurred. Understanding the importance of these two phases can help in planning better and managing expectations about the total costs.

Before a surgical procedure, a detailed pre-operative assessment is performed. This evaluation is essential to ensure that the patient is suitable for surgery and to identify any possible risks involved. The expenses associated with this phase include:

  • Comprehensive physical examinations
  • Diagnostic tests (blood work, imaging studies)
  • Consultation fees with the surgeon
  • Visits to other specialists if necessary (cardiologists, anesthesiologists)

The financial burden of these preliminary tests can add significantly to the overall cost of the surgery. For example, blood tests and imaging can each range from $100 to $500, depending on the complexity and location.

Moreover, a patient’s full medical history must be taken into account during the pre-operative phase. If a patient has chronic conditions, extra precautions and tests will be required, further increasing the costs.

Now, let’s explore the post-operative phase. Proper post-operative care is equally vital as it directly influences the healing process. Costs incurred here can also vary widely based on the complexity of the procedure. Key expenses during this phase may include:

  • Post-operative consultations
  • Medications
  • Additional treatments for complications (if they arise)
  • Possible follow-up surgeries if required for correction or improvement

Post-operative care often involves multiple follow-up appointments with the surgeon. These can range in cost from $100 to $300 per visit. It’s important to ensure that you monitor your healing and follow the surgeon’s advice meticulously, as any negligence can result in complications that could add to recovery time and financial obligations.

In some instances, patients may require rehabilitation services, like physical therapy, especially for extensive surgeries. The average cost for physical therapy can be anywhere from $50 to $150 per session, which may be necessary multiple times per week for several weeks.

Furthermore, it is imperative to recognize the role of a supportive care system during both pre and post-operative phases. Having a travel companion and a caregiver can sometimes be necessary, incurring additional costs for accommodations, meals, and transportation. This can couple with the overall expenses associated with your surgery.

Insurance can play a role in alleviating some of the financial burdens related to pre and post-operative care; however, coverage varies widely. Patients should consult with their insurance providers beforehand to understand what is included and which services require out-of-pocket payment. This proactive step helps to avoid any financial surprises after the procedure.

To sum up, the costs associated with pre and post-operative care are fundamentally linked to the success of the surgical experience and the overall satisfaction level of the patient. By acknowledging these expenses, you can prepare financially and ensure that you prioritize your health. To gain more insights and support in planning your plastic surgery journey, you could visit resources such as the American Society of Plastic Surgeons or Plastic Surgery Canada. These platforms offer valuable guidance on navigating the various facets of plastic surgery costs.

Taking well-planned steps in both the pre-operative and post-operative phases can make a significant difference. It’s essential to educate yourself and seek professional advice to understand the full financial spectrum and enhance your surgical experience.

Insurance Coverage: What to Expect with Plastic Surgery Costs

When considering plastic surgery, one of the most important aspects to look into is understanding insurance coverage. This is vital because plastic surgery costs can vary widely, and insurance companies often have specific guidelines about what procedures they cover. Below is an overview of what to expect regarding insurance coverage for plastic surgery, which can help you plan your finances wisely.

Types of Plastic Surgery

Plastic surgery falls into two main categories: reconstructive and aesthetic (cosmetic). Understanding these types can help clarify insurance implications.

  • Reconstructive Surgery: This includes procedures aimed at restoring function or a normal appearance. Examples are breast reconstruction after mastectomy or surgeries to repair congenital defects. Most insurance plans typically cover these procedures if they are medically necessary.
  • Aesthetic Surgery: This includes surgeries performed for cosmetic reasons, such as facelifts, liposuction, and rhinoplasty. Generally, insurance does not cover these procedures since they are not deemed medically necessary.

Factors Affecting Insurance Coverage

Several factors affect whether your insurance will cover plastic surgery costs. Knowing these can help you prepare for your consultation with your surgeon:

  • Medical Necessity: Your insurance provider may require documentation proving that the procedure is medically essential. This could be based on physical health issues, psychological well-being, or functional impairments.
  • Policy Exclusions: Each insurance policy has its exclusions. Be sure to review your plan carefully. It’s crucial to know what procedures or conditions your policy does not cover.
  • Pre-authorization: Some insurance companies require pre-authorization before undergoing surgery. This process involves submitting medical records and potentially undergoing additional evaluations.

Documentation for Insurance Approval

Filing insurance claims for plastic surgery often requires specific documentation. Here’s a list of what might be needed:

  • Letter from your primary care physician
  • Detailed medical records that justify the need for the procedure
  • Photographic documentation to illustrate the medical issue
  • Cost estimates from your surgeon, if applicable

Commonly Covered Procedures

While each insurance plan can differ significantly, some commonly covered reconstructive surgeries include:

Procedure Coverage Details
Breast Reconstruction Typically covered if following mastectomy due to cancer
Rhinoplasty Covered if there are breathing issues or trauma involved
Skin Cancer Removal Usually covered, especially when reconstruction follows

These examples highlight that while aesthetic procedures usually aren’t covered, many reconstructive surgeries often receive coverage when documented properly. It is always best to speak directly with your insurance provider for detailed information on your specific plan.

Estimates of Plastic Surgery Costs

The costs of plastic surgery can be quite high, and understanding the average prices can help in budgeting. Here is a general idea of what surgeries may cost:

Procedure Approximate Cost
Facelift $7,000 – $15,000
Breast Augmentation $3,000 – $10,000
Liposuction $3,000 – $8,000

These costs reflect out-of-pocket expenses when surgeries are not covered by insurance. It is also important to consider additional costs such as anesthesia, facility fees, and post-operative care, which could increase the total expense.

To learn more about navigating insurance coverage and plastic surgery costs, you can visit The American Society of Plastic Surgeons or RealSelf. Both provide valuable resources for understanding your options and what to expect financially.

Evaluating Trends in Plastic Surgery Pricing Over the Years

Over the years, the pricing of plastic surgery has evolved significantly. Various factors contribute to the rising costs, including advancements in technology, quality of care, and patient safety standards. Understanding these trends can provide insights into why plastic surgery can be a considerable financial investment.

Technological Advancements

One of the primary drivers of increasing plastic surgery costs is the rapid advancement in medical technology. New techniques and equipment often require substantial investment from surgical facilities, which can lead to higher surgery prices for the patient. Some key advancements that have impacted pricing over the years include:

  • Minimally invasive procedures
  • Enhanced imaging technology
  • Improved anesthesia techniques
  • High-quality implants and materials

These innovations tend to improve safety and results, thus attracting more patients willing to pay a premium for quality care.

Surgeon Expertise and Credentials

The experience and credentials of the surgeon play an essential role in determining the cost of plastic surgery. Highly qualified and reputable surgeons usually charge more for their services. The benefits of choosing an experienced surgeon include:

  • Higher success rates
  • Lower complication rates
  • Better overall patient satisfaction

Investing in a skilled professional can seem expensive, but it often results in better outcomes, mitigating the need for corrective procedures later.

Facility Fees

The surgical environment can significantly influence the total cost of surgery. Procedures performed in accredited surgical facilities or hospitals often come with higher facility fees. The reasons behind this include:

  • State-of-the-art equipment and technology
  • Highly trained nursing and support staff
  • Stringent safety and cleanliness protocols

Choosing a top-tier facility ensures not only quality care but also reinforces the investment in the patient’s health and safety.

Geographic Variations

The cost of plastic surgery can vary widely depending on geographic location. Urban areas generally see higher prices due to the increased cost of living, while rural areas may offer more competitive pricing. For instance, according to the American Society of Plastic Surgeons, here are average costs for common procedures in major cities:

Procedure New York Los Angeles Chicago
Breast Augmentation $7,000 $6,500 $5,600
Rhinoplasty $10,000 $9,000 $8,200
Liposuction $8,500 $7,800 $6,900

This table illustrates how prices fluctuate based on location, emphasizing the importance of researching various options in different regions.

Demand and Market Trends

As societal acceptance of plastic surgery grows, so does the demand for various procedures. This increase in demand can lead to higher prices, especially for trending surgeries. Popular procedures that have gained traction include:

  • Brazilian Butt Lift (BBL)
  • Facelifts
  • Non-surgical treatments like Botox and fillers

With more people seeking enhancement, the cost of these procedures can rise as clinics and surgeons adapt to meet the demand.

Insurance and Financing Options

While many plastic surgeries are considered elective and are not covered by insurance, some financing options are available to assist patients. Understanding these options can help you manage costs more effectively. Some notable financing methods include:

  • Medical credit cards
  • Personal loans
  • Payment plans offered by clinics

It is crucial to thoroughly research and understand all financial implications before undergoing any procedure.

The evaluation of plastic surgery pricing trends is complex, influenced by multiple factors ranging from technological innovations to geographic differences. By staying informed and understanding these variables, you can better navigate the costs associated with your desired procedures. For further information on this topic, visit American Society of Plastic Surgeons or RealSelf.

Key Takeaway:

When considering plastic surgery, it’s essential to understand why these procedures often come with a hefty price tag. Several factors contribute to the high costs associated with plastic surgery, and being informed can help you make better decisions.

First, the expertise and experience of surgeons play a crucial role in determining costs. Highly skilled surgeons, who have undergone extensive training and have established successful track records, generally charge more. Their experience can lead to safer procedures and better results, which is a significant factor for many patients when choosing a physician.

Next, facility fees are another major contributor to the overall cost. Whether the procedure is done in a hospital or an outpatient surgical center, the pricing can vary widely. Facilities that are well-equipped with the latest technology and maintain higher safety standards typically charge more. It’s important to factor in the quality of the facility when assessing the total cost of surgery.

Anesthesia costs are also significant, as they encompass the services of certified anesthesiologists or nurse anesthetists. The type and duration of anesthesia can vary by procedure, impacting the final billing. Patients often overlook these costs, but they can add a substantial amount to the overall expense.

Pre-operative and post-operative care should not be overlooked. These essential components provide added safety and enhance recovery, but they also contribute to the final tally. Follow-up visits, medications, and any necessary adjustments during recovery will all affect how much your procedure ultimately costs.

Insurance coverage can play a variable role in plastic surgery pricing. Many elective procedures are not covered by insurance, while some reconstructive surgeries may qualify. It is vital to understand your insurance policy and what it covers before committing to surgery.

Evaluating trends in plastic surgery pricing over the years can also provide insights into your expenses. Prices may rise due to advancements in techniques, materials, and safety measures. Understanding these factors helps paint a clearer picture of why plastic surgery is expensive and allows prospective patients to make informed choices about their desired procedures.

A variety of factors such as surgeon expertise, facility fees, anesthesia costs, and necessary care contribute to the overall expense of plastic surgery. By comprehensively evaluating these aspects, you can better understand the financial commitment involved in these transformative procedures.

Conclusion

Understanding why plastic surgery is expensive involves examining various factors that contribute to the overall cost. First and foremost, the surgeon’s expertise and experience play a significant role. Highly skilled surgeons with extensive training often command higher fees, reflecting their ability to deliver successful and safe procedures. Additionally, facility fees at top-rated clinics can add substantially to your total costs. These facilities are usually equipped with the latest technology and ensure a safe, sterile environment, justifying their higher prices.

Anesthesia expenses also factor significantly into the cost of surgeries. The type of anesthesia used – whether general or local – along with the anesthesiologist’s experience, can influence how much you end up paying. Moreover, the importance of pre and post-operative care cannot be overstated. Quality care before and after surgery is crucial for a smooth recovery, but it can also lead to increased overall expenses.

Insurance coverage adds another layer of complexity to understanding these costs. Many procedures are considered elective, which means they might not be covered, leaving patients to foot the entire bill. Being informed about what your insurance might cover can prepare you for potential out-of-pocket costs.

It’s helpful to note the trends in plastic surgery pricing over the years. As the demand for cosmetic procedures continues to grow, so do the costs. Staying educated on these trends can empower you as a consumer, allowing you to make informed decisions about your plastic surgery journey. By considering all these elements, you’ll gain a clearer perspective on why plastic surgery can be quite costly but ultimately valuable for many individuals seeking enhancement and confidence.

Disclaimer: This blog is for general information only. Always consult a licensed plastic surgeon for medical advice.

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