Cosmetic procedures tax (Botax)

A recent proposal for the health care reform was to introduce  a  5% tax on elective cosmetic procedures.  Lawmakers that proposed this tax believe that it will allow to generate 5.8 billion dollars over the next ten years.  However,  the plastic surgery societies oppose this tax as discriminatory, arbitrary and ineffective.

First,  this tax is discriminatory against women as 86 percent of plastic surgery patients are female, of which 91 percent are between the working ages of 19-64 according to the current ASPS President. He further added that cosmetic surgery is no longer an exclusive luxury afforded by the very wealthy, but rather a mainstream and reasonable option most common amongst the working middle-class.

According to the  plastic surgery societies, such a tax has been proven ineffective in the past.  New Jersey is the  only state that passed a similar 6% tax on elective medical procedures in 2004. However, the NJ Department of Taxation has experienced a 59% shortfall compared to the projected revenue estimates.  Eight other states have considered similar tax legislation– and they all wisely rejected them.

Finally, though the bill claims that the only procedures that would be taxed are those that are “not necessary to ameliorate a deformity arising from, or directly related to, a congenital abnormality, a personal injury resulting from an accident or trauma, or a disfiguring disease,” The Plastic Surgery Societies contend that such distinctions aren’t always obvious. Because the line between ‘cosmetic’ and ‘reconstructive’ surgery is not always clear, such a tax would leave the determination of medical necessity up to state tax auditors – a completely inappropriate proposition.

Information source www.earthtimes.org

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Breast Augmentation Los Angeles – is probably the most commonly performed procedure by many Los Angeles plastic surgeons.  Silicone breast implants have become very popular and provide a more natural feel than saline implants.  The satisfaction rate of women with silicone implants appears to be higher than among those who underwent augmentation using saline implants.

Rhinoplasty -  is a procedure which reshapes the nose.  Closed and open nose reshaping techniques exist.   Rhinoplasty Los Angeles and  Rhinoplasty Beverly Hills experts will agree that this is one of the most challenging plastic surgical procedures as each person has a different nose.

Tummy tuck  Los Angeles- is  a very commonly performed procedure.  Many mothers and patients who lost weight turn to plastic surgeon to remove excess skin, excess fat, and tighten loose abdominal muscles. This procedure is frequently combined with liposuction.

A number of patients combine rhinoplasty with other plastic surgery procedures such as breast augmentation, liposuction, tummy tuck, or lip augmentation.

Before			After
					PATIENT 1 : In this patient nose reshaping- rhinoplasty was performed to remove the nasal bump and raise the tip of the nose. Incisions were placed inside the nose (endonasal rhinoplasty in los angeles).
	Before			After
					PATIENT 2 : Endonasal rhinoplasty beverly hills was performed to remove the dorsal hump, refine the tip, and shorten the projection of the nose-a rhinoplasty beverly hills patient.
	Before			After
					PATIENT 3: Endonasal rhinoplasty was performed to reduce the dorsal hump and refine the tip. Septal deviation (crooked nose) was straightened. All incisions are placed inside the nose (no external scars present).
	Before			After
					PATIENT 4 : This patient has a low nasal bridge dorsal (radix), hump, and weak tip. Rhinoplasty – Nose reshaping was performed using a closed (endonasal) approach The dorsal hump was reduced, cartilage grafts were placed in the bridge (radix) and tip of the nose, a rhinoplasty los angeles patient.

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