Do you save money by combining procedures?

I want to get a chin implant and a nose job, but I'm low on funds. I would split up the procedures because having a nose job now and waiting until I can afford a chin implant would be better than waiting longer for both, but a friend told me that I would probably be paying for the cost of anesthesia twice--is this true? Would the total cost of a nose job and chin implant be cheaper than the cost of an individual nose job and an individual chin implant? If so, how different would the cost be?

Doctor Answers 14

Combining Cosmetic Procedures

When a patient is interested in multiple cosmetic procedures, it can be beneficial to combine the procedures in one operation. As long as the patient is in overall good health and it is safe to perform all the procedures at once, it would be most likely recommended to do so by the surgeon. The patient would be responsible for less in facility and anesthesia fees. The difference in cost depends on the duration of the surgery, the facility in which the procedures are performed, and the anesthesia group. Consult with a board-certified plastic surgeon near you for an accurate comparison of the procedures done alone and together. Good luck in your research!

Los Gatos Plastic Surgeon
5.0 out of 5 stars 1 review

Combination procedures for rhinoplasty chin implant

In most cases, it is less expensive to perform both procedures  under one anesthesia than two different anesthetics. A rhinoplasty and chin implant procedure can be performed together under general anesthesia as an outpatient surgical procedure. A rhinoplasty can be performed as a standalone procedure under general anesthesia, however a chin implant can be performed under local anesthesia. For more information, many examples and our current price list, please see the link and the video below 

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 143 reviews

Combining surgical procedures

Hi there, great question!  Combining surgeries can save you money and recovery time.  Both procedures you are interested in are commonly done together.  The difference in cost is variable though depending on the surgeon, the surgical center as well as your geographical location.  Please find a board certified plastic surgeon for a consultation.  After the consultation, you can request price quotes that combine the procedures as well as individual quotes, this will give you a better idea of cost difference.  Good luck!

Best wishes,

Dr. Michelle Spring

Michelle A. Spring, MD, FACS
Missoula Plastic Surgeon
4.8 out of 5 stars 42 reviews

Cost saving to combine procedures

Having both procedures done simultaneously can certainly be cost effective because you are not paying for two separate facility and anesthesia fees. Additionally, you are not setting aside two separate recoveries. 

Michael T. Somenek, MD
Washington DC Facial Plastic Surgeon
5.0 out of 5 stars 30 reviews

Do you save money by combining procedures?

In general it is possible to save money by combining procedures.  Certain procedures and suppies don't need to be repeated if procedures are combined. That said, there are limits as to how many procedures can be safely combined.  But a rhinoplasty and chin implant are commonly combined and the cost saving could be one to three thousand dollars.  Best wishes, Dr. Lepore.

Vincent D. Lepore, MD
San Jose Plastic Surgeon
4.8 out of 5 stars 56 reviews

Do you save money by combining procedures?

Dear R.nicholas

You are correct that in general, you can save by combining procedures. As long as the surgeries  are approximately less than 5 hours long and don't negatively impact each other, combing procedures can also save you in time for recovery and time off work. Nose and chin are often done together and are an excellent combination of procedures.

Afshin Parhiscar, MD
Bay Area Plastic Surgeon
4.9 out of 5 stars 55 reviews

Combining procedures

Every procedure involves costs for the operating room ( Nurse, technician, supplies) as well as Anesthesia.  If you separate the procedures, you incur these costs twice.  Having procedures performed in two settings, you can duplicate some of these costs.  It is less costly to have the procedures performed at the same time.

Fred Suess, MD (retired)
San Francisco Plastic Surgeon
4.5 out of 5 stars 8 reviews

Cost savings in combined procedures

There are several benefits to combining procedures, if possible.  A primary advantage is cost savings.  There will often be a reduction in anesthesia charge.  The most expensive parts of the procedure are at the beginning and end. While the total length of a combined procedure may be the same, there will be 1 less 'beginning' and 1 less 'end.' In addition, often the surgeon will offer a reduction on the surgeon's fees if the patient schedules more than one procedure. The surgeon has an incentive to do so because it cuts down on unused, unscheduled OR time.

Another advantage to combining procedures is that the recovery periods are combined. By doing both procedures at once, you are able to recover simultaneously from both.  Finally, there is a theoretical advantage to combining surgeries in that you are exposed to anesthesia one time instead of two (or three or four...).  That said, anesthesia is exceptionally safe when performed by qualified professionals.  Therefore, the advantage from minimizing the number of procedures is fairly minimal from that standpoint.

I hope you find this information useful. Good luck!

Andrew Winkler, MD
Lone Tree Facial Plastic Surgeon
4.5 out of 5 stars 9 reviews

Costs of combining procedures

Hello and thank you for your questions. It is true that your total cost will be lower because you won't have to pay for facility fees and anesthesia twice. I would suggest combining procedures if you are looking to save money. Another great benefit is that you will be able to recover all at once instead of two separate times. Please consult with your surgeon. I wish you the best of luck!

Peter Newen, MD
Orange County Plastic Surgeon
4.5 out of 5 stars 31 reviews

Why combining surgeries is cheaper

In general, combining two procedures into one surgery is cheaper.  Consider that when you are paying for anesthesia time, this includes the time that it takes to safely put you to sleep with medication and wake you up after the surgery is over.  This can add an additional 15-45 minutes of time that does not include the time your surgeon is actually working on you.  If you split the nose job and chin implant procedures, you will be paying for this anesthesia time twice.  In addition, a facility fee also exists for each time you go to the OR.  You would also pay for this fee twice.

In addition, your surgeon may give you an overall better fee if you combine certain procedures together.  This is, however, surgeon dependent.

Finally, the biggest benefit is that you only have one recovery period for both procedures if done together.  This minimizes your down time as well as your time away from work and your family and friends.

Talk candidly with your surgeon about your concerns over the cost.  This will help you make the best decision in terms of both your surgery and your wallet.

Best of luck!

Kyle T. Yamamoto, MD
Reno Facial Plastic Surgeon
5.0 out of 5 stars 7 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.