Negotiating for Rhinoplasty Price Possible?

Is it possible in this economy to negotiate a bit for Rhinoplasty surgery? I have received two quotes from Board Certified Plastic Surgens and they differ by about a thousand dollars. I don't want to offend anyone, but is it okay to ask for some help on the costs? Thanks.

Doctor Answers 20

Negotiating for plastic surgery is possible

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Good question and I really respect your tone and your attitude. Some patients come in "demanding" discounts or feel entitled to discounts but your attitude is very admirable and honest. :)

The fact is that unlike shopping for products, services vary in quality. For example, Obagi skin care is the same no matter where you get it from so getting the lowest price makes sense. 

Take it a step further: Whether you are planning on buying a Honda Civic or a BMW 750i, you can "shop around" and find the exact same car with the same features at several dealerships and you can then base your decision purely on price if you want to.  (I would argue that the way the dealership treats you should also be a part of the decision making). 

However, with a Rhinoplasty or any other "skilled service" whether it be a painter or a carpenter, you cannot always compare apples to apples. Each surgeon (or painter or carpenter) is different with different skill sets, etc.

No two Rhinoplasties are the same and Rhinoplasty is THE most complex of all cosmetic surgeries. Revision Rhinoplasty is also much more costly than a primary so you hope to get it done well the first time. Also find a surgeon who will take care of  minor revisions or "touch-ups" which may be needed, down the line, due to unpredictable healing. While bargain shopping for elective surgery on your face is not wise, paying very high prices does not always guarantee great outcomes either. You have to do your research and find the best surgeon and then see if his/her prices fit your budget. It also does not hurt to wait and do the surgery when your finances are more in your favor and not place any financial stress or strain on yourself.

But it does not hurt to ask your surgeon your honest question. Good luck.

Washington DC Facial Plastic Surgeon
4.9 out of 5 stars 119 reviews

Negotiating fees and prices for cosmetic elective or aesthetic plastic surgery

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Comparison shopping for surgery is an impossible feat. It is not as if you are purchasing identical products such as when buying a car from different dealers. The surgeon does make a difference. Generally speaking, reputable surgeons charge fees that they believe are reasonable knowing that patients can and do shop around. Therefore, they realize that they must be competitive and that patients can "walk" if their prices are too high. Therefore, it is unlikely there is a lot of wiggle room. Having said that, I would call the patient coordinator and state that you have another quote. You can ask if they are willing to match it. They will likely ask you for a copy. Several possiblilites do exist:

  1. There is no negotiating
  2. They will explain why their fees are higher or ask if comparable services are being offered (anesthesia, facilities, personnel, etc.)
  3. They will negotiate.

Do not be offended if they are not willing to negotiate. However, you must understand that a surgeon must put a value on the service and the experience.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

Negotiating for the price of a rhinoplasty.

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Sure you can negotiate. It is only your face! Most good surgeons do not negotiate price since they have fixed costs and charge also according to their skill level. I have been doing rhinoplasty and revision rhinoplasty for more than 30 years and I'm sure that there are surgeons who have practiced for a few years that charge less. Look at the surgeon's work and decide if you wish to gamble.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 38 reviews

Negotiating for plastic surgery

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Rhinoplasty costs can differ by thousands of dollars even in the same city depending on the surgeon's credentials, experience, and judgement of what needs to be done.  Probably not a good idea to negotiate with the surgeon who will work on your face. 

Mike Majmundar, MD
Atlanta Facial Plastic Surgeon
4.5 out of 5 stars 50 reviews

Negotiating fees with cosmetic surgery

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If you advise the surgeon of your circumstances during your consultation, you may receive a professional courtesy.  School teachers, soldiers, policemen, nurses give greatly to their communities yet may not have high incomes, and the surgeon may unprompted adjust his fee schedule accordingly.

In this day of recessionary pricing, it is not wise to negotiate too much.  Most surgeons have already adjusted their fees to the recession. 

While inexperienced surgeons may give large discounts, they have not yet calculated the actual costs of staying in business and having enough in reserve to handle the expenses of running a high end business.  We all know such surgeons in our community who seem to work long hours but never get ahead.  Usually their work is not known for excellence.

Poor surgeon-businessmen tend to cut corners just to survive, undercutting fees, etc.  If I were a patient seeking plastic surgery, this is a practice I wouldn't want to find myself in.

Brent Moelleken, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 194 reviews

Price flexibility for quoted procedures

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It is absolutely OK to ask for some price break. Especially if you have two doctors with wildly different prices. What would help is if you show the price quote to the doctor so he sees it is for the same procedure. We do get asked that a lot from patients. The worst that will happen is the doctor will say no. But I don't believe any doctor would get offended just because you asked.

Robert B. Pollack, MD
San Diego Plastic Surgeon

Negotiating Fees for Rhinoplasty Surgery

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A patient can try to negotiate fees for any surgery but experienced, established surgeons rarely modify their charges. Do not make your decision based soley on price. If you do not achieve a satisfactory result, revision surgery is more expensive.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 reviews

Negotiating cost of rhinoplasty

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Most facial plastic surgeons that specialize in rhinoplasty do not discount their services. Rhinoplasty is still in the top three procedures being performed nationally in plastic surgical procedures and is very popular. It is extremely important to go to a surgeon who has performed thousands of rhinoplasties since your best shot is to have it done right the first time. Revision rhinoplasty can get quite expensive and difficult if not done properly. Do not cut corners and make sure you have gone to somebody who is very experienced in all the nuances of rhinoplasty.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 157 reviews

Rhinoplasty bargin shopping

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Many patients in these tight economic times are shopping for the lowest price, however, all things are not equal. The skill and training of the surgeon with this type of surgery is paramount. The lowest price may be equal to unskilled surgery that requires many revisions. The total cost maybe quite high. More than going to the certified surgeon in the first place. Be a wise consumer do not select by price alone.

Looking better for less

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My practice is solely cosmetic surgery and it has suffered like every other business that is based on discretionary income. So, I have reduced my prices dramatically and up to 40% off, yes, 40%-my own economic recovery package. This has my patients extremely satisfied and me happy being able to do what I love best!

Edward J. Domanskis, MD
Newport Beach Plastic Surgeon
4.5 out of 5 stars 28 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.