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Costs of Cosmetic Surgery: Hidden Costs and More

Cosmetic surgery has become more popular and accessible than ever before. Whether it’s a rhinoplasty, breast augmentation, or a full facelift, many people now see these procedures as investments in their confidence and well-being. 

VELLIS NEWS

18 Aug 2025

By Vellis Team

Vellis Team

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But if you’re seriously considering going under the knife, it’s essential to go beyond just the price tag. Understanding the cost of cosmetic surgery means looking at not only the advertised rates but also the hidden and recurring expenses that often catch people off guard.

In this guide, we’ll break down the average cost of cosmetic surgery, explore what’s included in those flashy ads, uncover the hidden costs, and explain why some procedures aren’t just a one-and-done situation.

The Average Cost of Cosmetic Surgery Today

While prices vary depending on location, surgeon experience, and procedure complexity, here’s a rough estimate of the costs of cosmetic surgery procedures in the U.S. as of recent years:

  • Rhinoplasty (Nose Job): $5,500–$9,000
  • Breast Augmentation: $4,500–$8,000
  • Liposuction: $3,500–$7,500 (per area)
  • Facelift: $8,000–$15,000
  • Tummy Tuck (Abdominoplasty): $6,000–$12,000

These are averages based on data from the American Society of Plastic Surgeons and various aesthetic clinics. Keep in mind that prices can be much higher in cities like New York, Los Angeles, or Miami, and significantly lower in smaller towns or countries with medical tourism options.

What’s Included in the Base Price?

The base price of a cosmetic procedure typically includes:

  • Surgeon’s fee: This is the core charge for performing the operation.
  • Initial consultation: Some clinics waive this fee, others do not.
  • Basic anesthesia: Often included but only for standard sedation, not general anesthesia in every case.

However, don’t assume that everything is bundled in. Many ads show an “all-in” price, but they can exclude essential components like:

  • Facility fees (use of the operating room or surgical suite)
  • Anesthesiologist’s fee (if separate)
  • Post-op garments or medications
  • Follow-up visits

Always confirm with your clinic what’s included so you don’t face sticker shock after the procedure.

Hidden Costs to Consider

Here’s where the surprises start. Even if you’ve been quoted a price, there are several hidden costs of cosmetic surgery that often pop up before or after your procedure:

Pre-surgery Consultations and Lab Work

You may need medical clearance, bloodwork, or imaging before surgery. These aren’t always included and could cost a few hundred dollars out of pocket.

Anesthesia and Surgical Facility Fees

Not all clinics include the full cost of anesthesia or facility use. Some charge a separate fee depending on the anesthesiologist’s credentials or the duration of surgery.

Recovery and Aftercare

From compression garments to pain medication, wound dressings, and antibiotics, post-surgery care can add hundreds to your total bill. Some clinics require you to purchase these items separately.

Time Off Work or Travel

If you’re traveling for surgery or taking time off work, those indirect costs can quickly add up especially if you need accommodations near your clinic.

Long-Term and Maintenance Costs

Cosmetic surgery doesn’t always end once you heal. Some procedures require future touch-ups or even replacement.

  • Injectables and Fillers: Results from Botox or dermal fillers typically last 3–12 months. Maintenance treatments are necessary for long-term results.
  • Breast Implants: These may need to be replaced every 10–15 years, which adds to your total cost.
  • Scar Revisions or Corrections: If healing doesn’t go as planned, follow-up procedures may be required.

When budgeting, consider not just the upfront cost, but whether you’re ready for a long-term commitment financially and physically.

Factors That Influence Pricing

So why do two people pay vastly different amounts for the same procedure? Here are a few reasons:

Location

Surgeries performed in metropolitan cities tend to be more expensive due to higher overhead costs and demand.

Surgeon’s Expertise

A board-certified plastic surgeon with a strong reputation will charge more, but often offers safer, better results.

Procedure Complexity

Combining procedures (e.g. mommy makeovers) or selecting treatments that take longer will naturally raise the price due to more time in the operating room and more staff involvement.

Type of Clinic

Private clinics, surgical centers, and luxury med spas all have different pricing structures. A full-service surgical center might cost more, but also offer premium service and safety.

If you’re planning your first procedure or building your own clinic, having a secure and flexible aesthetics payment processing system enhances the experience for everyone involved. With it, you can offer flexible payment options like buy now pay later Botox that make it easier for people to maintain their treatments. 

Similarly, recurring patients can take advantage of a loyalty program for private aesthetic clinics to earn discounts, rewards, or priority scheduling with regular visits. These programs encourage retention and help patients budget their aesthetic journey more efficiently.

Frequently Asked Questions (FAQs)

What is the average cost of cosmetic surgery in the U.S.?

The average cost ranges from $3,500 to $15,000, depending on the procedure.

Why do prices vary so much between providers?

Costs fluctuate due to surgeon qualifications, geographic location, and the level of care or amenities provided at the clinic or facility.

Are consultations always free?

No. Some clinics charge a fee for consultations, especially when it involves a thorough medical evaluation, 3D imaging, or a personalized treatment plan.

What hidden costs are most common?

Common hidden costs include anesthesia fees, facility or surgical center charges, post-operative care supplies, and recovery essentials like medications and compression garments.

Do cosmetic surgeries require maintenance over time?

Yes. Some procedures like lip fillers, Botox, breast implants, or non-surgical skin tightening need regular touch-ups or replacements.

Can combining procedures save money?

Sometimes. Bundling procedures like a mommy makeover can reduce overall costs, but also increases surgical risks and recovery time, so it’s not always the best option for everyone.

References 

American Society of Plastic Surgeons. (2023). 2022 Plastic Surgery Statistics Report. https://www.plasticsurgery.org/documents/News/Statistics/2022/plastic-surgery-statistics-full-report-2022.pdf 

Cleveland Clinic. (2023). Cosmetic Surgery: Purpose, Preparation & Procedure. https://my.clevelandclinic.org/health/treatments/22360-cosmetic-surgery 

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Vellis Inc. is authorized as a Money Services Business by FINTRAC (Financial Transactions and Reports Analysis Centre of Canada) number M24204235. Vellis Inc. is a company registered in Canada, number 1000610768, headquartered at 30 Eglinton Avenue West, Mississauga, Ontario L5R3E7, Canada.