Hello and thank you for your question. Cost varies based on geographic region and surgeon expertise. However, the most important aspect to decide is if this is an appropriate treatment for you based on your degree of skin laxity. The best advice you can receive is from an in-person consultation. This decision should be based on a detailed discussion with equal input from both you and your surgeon. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results. The most important aspect is to find a surgeon you are comfortable with. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person. Best wishes and good luck. Richard G. Reish, M.D. FACS Harvard-trained plastic surgeon