{"id":1117241,"date":"2025-12-17T14:00:00","date_gmt":"2025-12-17T11:00:00","guid":{"rendered":"https:\/\/analyse.optim.biz\/?p=1117241"},"modified":"2025-12-17T14:00:00","modified_gmt":"2025-12-17T11:00:00","slug":"you-could-get-a-50000-facelift-for-less-than-half-price","status":"publish","type":"post","link":"https:\/\/analyse.optim.biz\/?p=1117241","title":{"rendered":"You Could Get a $50,000 Facelift for Less Than Half-Price"},"content":{"rendered":"<article class=\"article main-content\" lang=\"en-US\">\n<div class=\"AIContentWrapper-gOOlQO jDkjfm\">\n<div class=\"ArticlePageLedeBackground-JMVDp bIwRjk\">\n<header class=\"ContentHeaderWrapper-cqMZiN hWsVgb content-header article__content-header inset\">\n<div data-testid=\"ContentHeaderContainer\" class=\"ContentHeaderContainer-cMdHiZ fxttZl\">\n<div class=\"ContentHeaderHedAccreditationWrapper-WaWBW fTkfBu\">\n<div data-testid=\"ContentHeaderTitleBlockWrapper\" class=\"ContentHeaderTitleBlockWrapper-cyIGwg dMceKV\">\n<div data-testid=\"ContentHeaderRubric\" class=\"ContentHeaderRubricBlock-aIcNK eDSQnM\">\n<div data-testid=\"ContentHeaderRubricDateBlock\" class=\"ContentHeaderRubricDateBlock-kvxmSu jVyBWg\">\n<div class=\"RubricWrapper-dZIqzO ghbJG ContentHeaderRubricContainer-fiPRfk fRUoUz\"><span class=\"RubricName-gkORYq fCauaT rubric__name rubric\"><span>COST CUTTING<\/span><\/span><\/div>\n<\/div>\n<\/div>\n<h1 data-testid=\"ContentHeaderHed\" class=\"BaseWrap-sc-gzmcOU BaseText-eqOrNE ContentHeaderHed-SVoJX deqABF iHBUaf dyRzMH\">You Could Get a $50,000 Facelift for Less Than Half-Price<\/h1>\n<\/div>\n<div class=\"ContentHeaderAccreditation-fcyiw bhgqZY content-header__accreditation\" data-testid=\"ContentHeaderAccreditation\">\n<div class=\"ContentHeaderDek-bCXPyE hNoQnF\">The catch is that a plastic surgery resident or fellow will be holding the scalpel. Could it still be worth it?<\/div>\n<div class=\"ContentHeaderByline-jXtKQj jgXynP\">\n<div class=\"ContentHeaderBylineContent-dkwwFS fRKSvg\">\n<div data-testid=\"BylinesWrapper\" class=\"BylinesWrapper-vmGrt cZzmZD bylines ContentHeaderBylines-cTXqro ljGzhW\"><span class=\"BylineWrapper-jRoBEm dflWou byline bylines__byline\" data-testid=\"BylineWrapper\"><span class=\"BylineNamesWrapper-jrdaOa fXeqQN\"><span data-testid=\"BylineName\" class=\"BylineName-kqTBDS dDLLkB byline__name\"><span class=\"BaseWrap-sc-gzmcOU BaseText-eqOrNE BylinePreamble-itSxDZ deqABF cFJkIM jcgMlx byline__preamble\">By <\/span>Jolene Edgar<\/span><\/span><\/span><\/div>\n<p><time data-testid=\"ContentHeaderPublishDate\" datetime=\"2025-12-17T09:00:00-05:00\" class=\"BaseWrap-sc-gzmcOU BaseText-eqOrNE ContentHeaderPublishDate-eNTYkb deqABF lnzeTN eFanim\">December 17, 2025<\/time><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"ContentHeaderLeadAsset-hVxhYG cWpFgv lead-asset ContentHeaderLeadAssetWrapper-gQBTSl HTnib lead-asset--width-small\" data-testid=\"ContentHeaderLeadAsset\">\n<figure class=\"ContentHeaderLeadAssetContent-kyKlgP eGZaQl\">\n<div class=\"ContentHeaderLeadAssetContentMedia-bwiUDr keSRCn lead-asset__content__photo\"><span class=\"SpanWrapper-zEXFr koTknX responsive-asset ContentHeaderResponsiveAsset-cgZUtS eHMjwb\"><\/p>\n<div data-testid=\"aspect-ratio-container\" class=\"AspectRatioContainer-bEozCe gBbeIJ\">\n<div class=\"aspect-ratio--overlay-container\"><source media=\"(max-width: 767px)\" srcset=\"https:\/\/media.allure.com\/photos\/694017f36fcdfaa034c875cf\/1:1\/w_120,c_limit\/Lede4.jpg 120w, https:\/\/media.allure.com\/photos\/694017f36fcdfaa034c875cf\/1:1\/w_240,c_limit\/Lede4.jpg 240w, https:\/\/media.allure.com\/photos\/694017f36fcdfaa034c875cf\/1:1\/w_320,c_limit\/Lede4.jpg 320w, https:\/\/media.allure.com\/photos\/694017f36fcdfaa034c875cf\/1:1\/w_640,c_limit\/Lede4.jpg 640w, https:\/\/media.allure.com\/photos\/694017f36fcdfaa034c875cf\/1:1\/w_960,c_limit\/Lede4.jpg 960w\" sizes=\"100vw\" \/><\/div>\n<\/div>\n<p><\/span><\/p>\n<div class=\"CaptionWrapper-jYrTxZ gVBkjw caption ContentHeaderLeadAssetCaption-ifsaEE cSYNPH\" data-testid=\"caption-wrapper\"><span class=\"BaseWrap-sc-gzmcOU BaseText-eqOrNE CaptionCredit-eowWKH deqABF lnzeTN gxwcqg caption__credit\">Getty Images\/ Ingrid Fowler<\/span><\/div>\n<\/div>\n<\/figure>\n<\/div>\n<\/div>\n<\/header>\n<\/div>\n<\/div>\n<div data-attribute-verso-pattern=\"article-body\" class=\"ArticlePageContentBackGround-dcEtzE kUtTlG article-body__content\">\n<div class=\"ArticlePageChunksContent-enJWmu ilcJfn\">\n<div data-testid=\"ArticlePageChunks\" class=\"ArticlePageChunks-fwcPjP cAlDKu\">\n<div class=\"GridWrapper-cFSKbf cxzKYj grid grid-margins grid-items-2 ArticlePageChunksGrid-hkPQhP lnoYVP grid-layout--adrail narrow wide-adrail\" data-journey-hook=\"grid-wrapper\">\n<div class=\"GridItem-beYvyV kCPYUp grid--item grid-layout__content\">\n<div class=\"BodyWrapper-kzyFNv HDJd body body__container article__body\" data-journey-hook=\"client-content\" data-testid=\"BodyWrapper\">\n<div class=\"body__inner-container\">\n<p class=\"has-dropcap\">Everyone loves a deal. But there are certain products and services in life where it could be, let\u2019s say, less than optimal to shop for the deepest discount. Engagement rings come to mind. Criminal defense attorneys. Shellfish. And most people would probably add plastic surgery to the list. The old adage, \u201cyou get what you pay for,\u201d carries a particular sting when it comes to your face or your body. And yet you may have noticed some social feeds recently touting a specific kind of aesthetic bargain, for example this TiKTok about influencers getting discounted plastic surgery from surgical fellows at Lenox Hill Hospital in New York City.<\/p>\n<p>After talking to plastic surgeons at every level\u2014from residents and fellows to board-certified surgeons\u2014I can confirm that this is a legitimate and longstanding medical practice occurring not just at Lenox Hill, but at teaching hospitals and academic institutions all over the country. Plastic surgery fellows routinely operate at discounted rates in the process of advancing their training and honing their aesthetic skills. Patients of all stripes can take advantage\u2014the opportunity isn\u2019t exclusive to social-media somebodies\u2014and there\u2019s nothing unsavory about it.<\/p>\n<p>Historically, though, \u201cfellows\u2019 clinics\u201d were something of an insider\u2019s secret, my sources say. \u201cIt was known within the hospital community that there was this program where you can have surgery done at a lesser cost, but a fellow does the procedure,\u201d explains J. Madison Clark, MD, chief of the division of facial plastic and reconstructive surgery at UNC Chapel Hill, director of the department\u2019s fellowship program, and chair of the fellowship committee for the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS). \u201cThe nurses would talk amongst themselves to find out which fellows had good hands, and then a nurse who might be ready for a facelift would schedule with that fellow.\u201d But recently, thanks largely to social media, word has spread beyond hospital walls. On the heels of the aforementioned TikTok, Dr. Clark\u2019s office fielded multiple calls from people asking how much his fellows charge for a facelift. In the 10-year history of the fellowship, this is the first time he\u2019s ever received such inquiries.<\/p>\n<p>While many fellowships do offer substantial price cuts\u2014on the order of 50% or less of the particular surgery\u2019s going rate\u2014\u201cI don\u2019t want to give the impression that it\u2019s dirt cheap,\u201d says Mark G. Albert, MD, program director for the Aesthetic Surgery Fellowship at Manhattan Eye, Ear, and Throat Hospital (MEETH), a division of Lenox Hill Hospital. In light of the attention his program has received of late, he says, \u201cI think it&#8217;s important to set the record straight\u201d about both the costs involved and the quality of care at these clinics. But first\u2026<\/p>\n<div role=\"heading\" class=\"heading-h3\">What exactly is a \u201cfellows\u2019 clinic\u201d?<\/div>\n<p>For starters, \u201cthese are not medical students experimenting on you,\u201d says Dr. Clark. Fellows are full-fledged, licensed plastic surgeons who\u2019ve graduated from accredited residency programs and thus have completed their formal training. But instead of going straight into practice, they\u2019ve chosen to devote an extra year to learning the nuances of aesthetic surgery, specifically. \u201cThey&#8217;d otherwise be out in the community operating, but they&#8217;re seeking the highest level of training possible,\u201d says Dr. Albert.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"GridWrapper-cFSKbf cxzKYj grid grid-margins grid-items-2 ArticlePageChunksGrid-hkPQhP lnoYVP grid-layout--adrail narrow wide-adrail\" data-journey-hook=\"grid-wrapper\">\n<div class=\"GridItem-beYvyV kCPYUp grid--item grid-layout__content\">\n<div class=\"BodyWrapper-kzyFNv HDJd body body__container article__body\" data-journey-hook=\"client-content\" data-testid=\"BodyWrapper\">\n<div class=\"body__inner-container\">\n<p>While each fellowship has its own flavor (MEETH emphasizes facial surgery, for example, where other programs may focus on breast and body), they\u2019re all designed to offer an intensive deep dive into aesthetic surgery under the mentorship of some of the biggest names in the field. A surgeon who scores a top fellowship \u201ccan get, like, a 15-year head start on anyone who goes straight into practice out of residency,\u201d says Faryan Jalalabadi, MD, a fellowship-trained, board-certified plastic surgeon in Beverly Hills.<\/p>\n<p>Surgeons generally play a dual role in fellowship. In the early months, they\u2019re observing in the operating room and helping to care for their program directors\u2019 patients. When they scrub in on a senior surgeon\u2019s case, they\u2019re assisting\u2014holding the retractor, cutting sutures\u2014but they\u2019re not typically doing any portion of the procedure unless the patient has consented to it, which is pretty rare. \u201cIf a plastic surgeon is charging $100,000 for a facelift, the person having it done is going to expect that surgeon to be their [only] surgeon,\u201d notes Dr. Clark. \u201cThey don\u2019t want to have the quote-unquote medical student doing any part of that.\u201d<\/p>\n<aside aria-hidden=\"true\" class=\"PullQuoteEmbedWrapper-sc-TKIUW kKNLCl\" data-testid=\"pullquote-embed-center\">\n<div class=\"PullQuoteEmbedContent-sc-lixSTo cQciWx\">\n<p>\u201cThese are not medical students experimenting on you.\u201d<\/p>\n<\/div>\n<\/aside>\n<p>Once fellows have proven themselves to be safe and competent, they\u2019ll usually be given \u201cthe green light to start seeing their own patients in the fellows\u2019 clinic,\u201d says board-certified plastic surgeon Bob Basu, MD, who is a fellowship director and the president of the American Society of Plastic Surgeons (ASPS). \u201cBy the time someone is six months into my fellowship, they\u2019ve probably seen at least 200 breast augmentations, just to give an example, and that\u2019s in addition to everything they saw and did in their six to nine years of residency.\u201d In other words: \u201cThis is not a newbie dabbling in surgery,\u201d he says.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"GridWrapper-cFSKbf cxzKYj grid grid-margins grid-items-2 ArticlePageChunksGrid-hkPQhP lnoYVP grid-layout--adrail narrow wide-adrail\" data-journey-hook=\"grid-wrapper\">\n<div class=\"GridItem-beYvyV kCPYUp grid--item grid-layout__content\">\n<div class=\"BodyWrapper-kzyFNv HDJd body body__container article__body\" data-journey-hook=\"client-content\" data-testid=\"BodyWrapper\">\n<div class=\"body__inner-container\">\n<p>Fellowships may introduce surgeons to specific techniques they haven\u2019t seen before, though. \u201cI saw zero deep plane facelifts in my residency, and I operated in the biggest medical center in the world,\u201d says Dr. Jalalabadi. The deep plane (an advanced technique that releases and repositions the tissues in a lasting and natural-looking way) was a focus of his fellowship, however, and is now, four years later, a mainstay of his practice. \u201cMy fellowship program had a strong clinic built in, where I could book my own cases and I had supervision,\u201d he says. \u201cIt\u2019s crazy, the amount of learning that happens when you actually do a technique for the first time.\u201d<\/p>\n<p>Which is precisely the point of a fellows\u2019 clinic: Instead of merely watching or assisting, fellows can devise surgical plans and operate autonomously, but with the safety net of having a mentor nearby. In the clinic, \u201cthe co-surgeon model is flipped,\u201d says Tyler Safran, MD, a dual fellowship-trained plastic and reconstructive surgeon in Montreal. \u201cThe fellow becomes the primary surgeon of record, and the senior surgeon is assisting or at least available to help.\u201d When Jason Bloom, MD, a double board-certified facial plastic surgeon and co-director of the Facial Plastic &amp; Reconstructive Surgery Fellowship program at the University of Pennsylvania, allows fellows to do aesthetic cases in his private surgery center, he\u2019s \u201calways around in case they have questions,\u201d he says. \u201cI could be in the other room operating, or I could be across the parking lot at my office, but I\u2019m nearby to assist if needed.\u201d<\/p>\n<p>Some residency programs offer similar experiences\u2014what\u2019s known as resident aesthetic clinics or chief cosmetic clinics\u2014enabling plastic surgery residents in their final years of training to perform injectable treatments or surgical procedures on patients for a nominal fee. (Residents\u2019 clinics have been around since the late \u201980s; today, upwards of 75% of plastic surgery programs have them.) A critical difference between residents\u2019 clinics and fellows\u2019 clinics is the degree of oversight. Residents require direct supervision, as in a senior surgeon (a.k.a., an attending) in the room with them. When a fellow is operating, however, \u201cthere\u2019s not necessarily going to be an experienced surgeon looking over their shoulder,\u201d says Dr. Clark. \u201cSome fellowship directors may do that, but that&#8217;s largely going to be the exception rather than the rule.\u201d<\/p>\n<div role=\"heading\" class=\"heading-h3\">How much experience do these surgeons actually have?<\/div>\n<p>Every plastic surgery resident must log a certain number of surgeries across the breadth of the specialty, including a minimum of 150 aesthetic cases. \u201cBy your final years of residency, you\u2019re functioning as a surgeon,\u201d says Matthew Farajzadeh, MD, a plastic and reconstructive surgery chief resident at UC Davis. \u201cYou still have supervision, and you still have to answer to the attendings, but you\u2019re fully working as a surgeon in the hospital.\u201d Otolaryngology (ENT) residents, who may be training to become facial plastic surgeons, have their own case requirements. In both fields, each five- to eight-year residency affords its own mix of cases and its own unique ratio of reconstructive to cosmetic procedures.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"GridWrapper-cFSKbf cxzKYj grid grid-margins grid-items-2 ArticlePageChunksGrid-hkPQhP lnoYVP grid-layout--adrail narrow wide-adrail\" data-journey-hook=\"grid-wrapper\">\n<div class=\"GridItem-beYvyV kCPYUp grid--item grid-layout__content\">\n<div class=\"BodyWrapper-kzyFNv HDJd body body__container article__body\" data-journey-hook=\"client-content\" data-testid=\"BodyWrapper\">\n<div class=\"body__inner-container\">\n<p>With certain exceptions, dedicated \u201caesthetic training is probably the weak point of the majority of plastic surgery residency training programs,\u201d says Jacob M. Marks, MD, a fellowship-trained plastic surgeon in Gilbert, Arizona. Training tends to focus more heavily on the reconstructive side of surgery. Dr. Clark says the same for otolaryngology: \u201cMost residencies don\u2019t have a lot of cosmetic exposure.\u201d Studies have even shown that graduating plastic surgery residents feel \u201cdeficient in performing aesthetic procedures, particularly those of the face.\u201d This is partly due to the fact that patients paying out-of-pocket for elective cosmetic surgery generally prefer to see surgeons in private practice rather than in the hospital setting where residents work.<\/p>\n<p>Addressing the gap in hands-on aesthetic training are resident cosmetic clinics. Here, senior residents take the lead on cases, consulting with patients, planning and executing operations, and handling follow-up care. \u201cI know in the outside world, people are like, \u2018Why would anyone go and get something done by a resident?\u2019\u201d says Milind Kachare, MD, a fellowship-trained plastic surgeon in St. Louis. \u201cBut you\u2019re not <em>only<\/em> being taken care of by that resident. They\u2019re fully monitored by an attending surgeon.\u201d As a rule, residents can\u2019t fly solo in the OR because they\u2019re not yet licensed plastic surgeons. \u201cAny procedure they perform is under the supervision of an attending surgeon\u2014a professor, program director, or faculty member,\u201d says double board-certified facial plastic surgeon Babak Azizzadeh, MD, who is a fellowship director and the president-elect of the AAFPRS. \u201cBut that supervision can be light or severe\u201d\u2014meaning the attending may observe from the sidelines or be actively involved from start to finish.<\/p>\n<aside aria-hidden=\"true\" class=\"PullQuoteEmbedWrapper-sc-TKIUW kKNLCl\" data-testid=\"pullquote-embed-center\">\n<div class=\"PullQuoteEmbedContent-sc-lixSTo cQciWx\">\n<p>\u201cYou\u2019re not <em>only<\/em> being taken care of by that resident. They\u2019re fully monitored by an attending surgeon.\u201d<\/p>\n<\/div>\n<\/aside>\n<p>For residents aiming to specialize in aesthetics after graduation, these clinics can supercharge their training. As a chief resident in plastic and reconstructive surgery at UCLA Health, Kyle Luvisa, MD, says he\u2019s participated in \u201cwell over 1,000 cases\u2014everything from cosmetics to reconstructive to cleft lips and palettes.\u201d These were mostly his attendings\u2019 cases. But Dr. Luvisa also sees patients in UCLA\u2019s residents\u2019 clinic, where he performs facelifts, tummy tucks, nose jobs, liposuction, and the like. These procedures are overseen by volunteer clinical faculty (plastic surgeons with practices of their own in Beverly Hills), who review his plan ahead of time and are in the operating room during surgery.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"GridWrapper-cFSKbf cxzKYj grid grid-margins grid-items-2 ArticlePageChunksGrid-hkPQhP lnoYVP grid-layout--adrail narrow wide-adrail\" data-journey-hook=\"grid-wrapper\">\n<div class=\"GridItem-beYvyV kCPYUp grid--item grid-layout__content\">\n<div class=\"BodyWrapper-kzyFNv HDJd body body__container article__body\" data-journey-hook=\"client-content\" data-testid=\"BodyWrapper\">\n<div class=\"body__inner-container\">\n<p>But not every residency offers the same opportunities. Dr. Marks did his residency at the University of Wisconsin in Madison, which, unlike LA, \u201cisn\u2019t a heavily saturated cosmetic surgery market,\u201d he says. And his program didn\u2019t have an operative clinic for residents (though it did have a nonsurgical residents\u2019 clinic). \u201cHad I just left residency and never done a fellowship [at MEETH], my comfort level with facelifts would have been very low,\u201d he says. Immersing himself in the Manhattan plastic surgery scene was an essential next step on his path to private practice.<\/p>\n<div role=\"heading\" class=\"heading-h3\">What do we know about the safety of these clinics?<\/div>\n<p>While research on fellows\u2019 clinics is scant, many studies have been published on residents\u2019 cosmetic clinics\u2014and they\u2019re mostly reassuring. In 2019, researchers at Baylor College of Medicine in Houston reviewed the existing literature and found that, overall, residents\u2019 clinics in the US \u201cprovide safe and successful surgical results\u201d and produce \u201csurgical outcomes that closely resemble results seen in the community setting.\u201d<\/p>\n<p>A separate 2022 study looked at a year\u2019s worth of data from the Resident Aesthetic Surgery Clinic at NYU Langone Health. The majority of procedures involved the head and neck, with blepharoplasty being number one. Lipo and tummy tucks were the most common body procedures; breast lifts made up half of all breast surgeries. The authors reported a \u201clow complication rate of 5.5%, with no major complications among the 420 procedures.\u201d Complications were mostly minor and solved nonsurgically. The 1% rate of \u201cmoderate\u201d complications\u2014those requiring \u201csmall interventions\u201d but not reoperation\u2014was comparable to national benchmarks.<\/p>\n<p>Other studies reveal similar findings. A 10-year review of surgical outcomes from the residents\u2019 aesthetic clinic at Johns Hopkins and the University of Maryland found their rates of major complications to be comparable to those reported by board-certified plastic surgeons. A 2025 study from the University of Pittsburgh Medical Center compared tummy tuck cases led by attending physicians to those led by supervised residents and saw no statistically significant difference in the overall complication rates between the two groups. The surgeries performed by the residents did take longer, however. Other studies have also linked residents&#8217; involvement in certain cosmetic surgeries with longer operative times.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"GridWrapper-cFSKbf cxzKYj grid grid-margins grid-items-2 ArticlePageChunksGrid-hkPQhP lnoYVP grid-layout--adrail narrow wide-adrail\" data-journey-hook=\"grid-wrapper\">\n<div class=\"GridItem-beYvyV kCPYUp grid--item grid-layout__content\">\n<div class=\"BodyWrapper-kzyFNv HDJd body body__container article__body\" data-journey-hook=\"client-content\" data-testid=\"BodyWrapper\">\n<div class=\"body__inner-container\">\n<p>Not every paper casts residents\u2019 clinics in a positive light, though. A 2024 study published in <em>Plastic and Reconstructive Surgery Global Open<\/em> found that revision rates were \u201cmuch higher\u201d when third-year otolaryngology residents participated in the operations. According to the study authors, \u201c10% of revisions were for functional concerns\u2026while the rest were driven by cosmetic or patient satisfaction demands.\u201d In response to the findings, clinic privileges for this particular program were deferred to the fifth year of residency rather than the third.<\/p>\n<div role=\"heading\" class=\"heading-h3\">What sort of discounts are we talking about?<\/div>\n<p>The first thing to know about plastic surgery pricing: Whether you\u2019re seeing a resident in a hospital-based clinic or a veteran surgeon in a Park Avenue practice, the bottom-line cost always includes certain itemized fees. There\u2019s the anesthesia fee (an hourly rate paid to the anesthesiologist), the facility fee (the cost of the operating room, staff, and supplies), and then there\u2019s the surgeon\u2019s fee, which is the number that tends to make headlines. Depending on the procedure, charges for materials may also apply: If you\u2019re having a breast augmentation, for example, you\u2019ll have to pay for the implants. But the biggest variable in all of this is usually the surgeon\u2019s fee, which typically climbs as doctors gain experience and esteem.<\/p>\n<p>This holds true even in the minor leagues: Residents typically charge less than fellows. While every hospital has its own pricing policies, the surgeons I spoke to used words like \u201cmassive\u201d and \u201csteep\u201d to describe the discounts offered in residents\u2019 clinics. In the aforementioned study of NYU\u2019s residents\u2019 clinic, the authors state that the surgeon\u2019s fees for all procedures were discounted 60% or more compared with the 2020 ASPS and 2021 Aesthetic Society national averages. Which is pretty remarkable since these averages, published by the plastic surgery societies, are already on the shockingly low side (think: $11,000 for a facelift and $8,000 for a tummy tuck).<\/p>\n<aside aria-hidden=\"true\" class=\"PullQuoteEmbedWrapper-sc-TKIUW kKNLCl\" data-testid=\"pullquote-embed-center\">\n<div class=\"PullQuoteEmbedContent-sc-lixSTo cQciWx\">\n<p>Surgeons used words like \u201cmassive\u201d and \u201csteep\u201d to describe the discounts.<\/p>\n<\/div>\n<\/aside>\n<p>At UCLA\u2019s residents\u2019 clinic, injectable treatments, like neuromodulators and fillers, are \u201ccompletely free,\u201d Dr. Luvisa says. For surgery, patients pay anesthesia ($574\/hour) and facility costs (high end: $6,000), plus a $500 flat fee, which keeps the clinic running and covers post-op visits, but the typical surgeon\u2019s fee is waived, he says. There are sometimes out-of-pocket expenses related to safety, however. For example, patients having bigger procedures, like facelifts and tummy tucks, have to pay to stay overnight in the hospital\u2019s surgery center, where they can be monitored by nurses (in accordance with UCLA\u2019s standard of care). Dr. Luvisa estimates this cost to be about $1,500, for a likely grand total of somewhere around $11,500 for a longer, more involved surgery like a facelift.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"GridWrapper-cFSKbf cxzKYj grid grid-margins grid-items-2 ArticlePageChunksGrid-hkPQhP lnoYVP grid-layout--adrail narrow wide-adrail\" data-journey-hook=\"grid-wrapper\">\n<div class=\"GridItem-beYvyV kCPYUp grid--item grid-layout__content\">\n<div class=\"BodyWrapper-kzyFNv HDJd body body__container article__body\" data-journey-hook=\"client-content\" data-testid=\"BodyWrapper\">\n<div class=\"body__inner-container\">\n<p>In fellows\u2019 clinics, pricing is more variable. \u201cSome fellows are just charging for the operating room and anesthesia fees,\u201d says Dr. Azizzadeh. \u201cOthers are charging a percentage of what their fellowship director is charging.\u201d Even so, he adds, \u201cthe costs can still be significant,\u201d especially in cities like Beverly Hills, where \u201coperating room and anesthesia costs on their own can run between $10,000 and $15,000.\u201d<\/p>\n<p>Dr. Basu tells me his fellow\u2019s fee is \u201ca little bit lower\u201d than his own, but he makes it very clear: \u201cWe don\u2019t deeply discount.\u201d After all, he reminds me, \u201cthis is someone who is already a fully trained plastic surgeon.\u201d And at UNC Chapel Hill, facial plastic surgery fellows charge roughly half of what the fellowship faculty would charge for surgery. They administer Botox and filler for a flat fee of $500.<\/p>\n<p>In the fellows\u2019 clinic at MEETH, the subject of the TikTok that sparked our investigation, \u201cpatients who have surgery are not charged procedure fees, but they are responsible for an anesthesia fee and for the standard facility fees that all other patients pay,\u201d Dr. Albert says. Those having a facelift or tummy tuck also incur the cost of a mandatory overnight hotel stay with a private-duty nurse. Additionally, \u201cwe have every patient go to a professional photographer for before and after pictures, and there are fees associated with that,\u201d he says.<\/p>\n<p>Dr. Marks tells me that when he did his fellowship at MEETH in 2023, \u201cfacelift prices were a steal compared to anywhere else in New York.\u201d Patients were paying around $5,000 or $6,000 for a facelift with blepharoplasty, and that included anesthesia and facility fees.<\/p>\n<p>At Dr. Safran\u2019s fellows\u2019 clinic (with the Aesthetic Surgery Fellowship of Los Angeles), \u201cthe prices were much more than you\u2019d pay in a residents\u2019 clinic, but much less than what senior surgeons were charging for pretty much the same treatment\u2014probably 25% of that or less,\u201d he says. When Dr. Jalalabadi was a fellow in the same program in 2021, he says patients paid for the OR and anesthesia, \u201cbut it was up to the surgeon if they wanted to charge a surgeon\u2019s fee.\u201d He\u2019d typically waive that fee, but in return, ask patients for photo consent\u2014permission to share their before-and-after pictures online or in the office.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"GridWrapper-cFSKbf cxzKYj grid grid-margins grid-items-2 ArticlePageChunksGrid-hkPQhP lnoYVP grid-layout--adrail narrow wide-adrail\" data-journey-hook=\"grid-wrapper\">\n<div class=\"GridItem-beYvyV kCPYUp grid--item grid-layout__content\">\n<div class=\"BodyWrapper-kzyFNv HDJd body body__container article__body\" data-journey-hook=\"client-content\" data-testid=\"BodyWrapper\">\n<div class=\"body__inner-container\">\n<p>This is a common ask among younger surgeons aiming to build their portfolios and advertise their work. \u201cI\u2019m going into private practice after I graduate [from fellowship], and one of the biggest things on my mind is collecting good before-and-afters,\u201d says Victor Hsue, MD, a facial plastic and reconstructive surgery fellow in Beverly Hills. Dr. Hsue\u2019s fee for a deep plane facelift (including the OR and anesthesia) is $30,000. His mentors charge at least five times that. In exchange for the discount, patients must be willing to share their photos.<\/p>\n<p>Another need-to-know about trainee clinics: Generally speaking, if you\u2019re unhappy with your results, there are no free revisions. \u201cIt may sound harsh,\u201d says Dr. Marks. \u201cBut, at the same time, when you look at the fellow\u2019s price versus that of the surgeon down the street, you could do the whole operation multiple times and still be saving money.\u201d Dr. Clark makes the point that plastic surgery results aren\u2019t considered final until one year post-op, and since most fellowships only last one year, the surgeon who performed the initial operation likely won\u2019t be around to do the revision. In such cases, the responsibility falls to another fellow or the program director.<\/p>\n<div role=\"heading\" class=\"heading-h3\">How can I find a clinic offering discounted surgery?<\/div>\n<p>Most plastic surgery training clinics are sustained by word-of-mouth referrals. Some programs, like the Aesthetic Surgery Fellowship of Los Angeles and UT Southwestern Aesthetic Fellowship, promote fellows on their websites and social media, while others rely more heavily on buzz in the community. As one of the oldest programs in the country, the MEETH Aesthetic Surgery Fellowship \u201cis well-known in Manhattan as an option for affordable surgery,\u201d says Dr. Marks. Still, it plugs its fellows on Instagram. Many fellows will advertise on their own social media pages, too (residents generally aren\u2019t allowed to do so while in training).<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"GridWrapper-cFSKbf cxzKYj grid grid-margins grid-items-2 ArticlePageChunksGrid-hkPQhP lnoYVP grid-layout--adrail narrow wide-adrail\" data-journey-hook=\"grid-wrapper\">\n<div class=\"GridItem-beYvyV kCPYUp grid--item grid-layout__content\">\n<div class=\"BodyWrapper-kzyFNv HDJd body body__container article__body\" data-journey-hook=\"client-content\" data-testid=\"BodyWrapper\">\n<div class=\"body__inner-container\">\n<p>Another way patients learn about clinics is through the program directors. If a senior surgeon meets with someone who can\u2019t afford their fees or wants to skip the waitlist, they\u2019ll commonly refer them to a resident or fellow. Which isn\u2019t a bad deal, since \u201cyou may be getting a resident under the guidance of that same surgeon you wanted to have surgery with in the first place,\u201d says Keon Parsa, MD, a fellowship-trained facial plastic surgeon in Beverly Hills.<\/p>\n<p>If you\u2019re not lucky enough to stumble across one of these clinics, there are ways to seek them out. First, \u201cmost major cities have an academic medical center,\u201d says Dr. Farajzadeh. If you live near one, call the plastic surgery department directly to ask about their residents\u2019 and fellows\u2019 clinics. Alternatively, you can browse fellowship programs on the Aesthetic Society and the AAFPRS websites. The societies list all the aesthetic fellowships they endorse, along with their respective directors and contact info. If you see that a surgeon in your area has a fellow on staff, set a time to meet with both doctors as part of your vetting process. The supervising surgeon is going to be the \u201cbest judge\u201d of that fellow, says Dr. Azizzadeh.<\/p>\n<p>The bottom line: Ordinarily, we\u2019d never recommend price-shopping for plastic surgery. But as escalating costs continue to push procedures out of reach, driving some patients to explore dicey workarounds like medical tourism, residents\u2019 and fellows&#8217; clinics are making cosmetic surgery more affordable without compromising quality or safety. We still highly recommend you avoid steep discounts on criminal defense attorneys and shellfish, though.<\/p>\n<hr>\n<p><strong>To read more about plastic surgery:<\/strong><\/p>\n<ul>\n<li>These Will Be the Biggest Plastic Surgery Trends of 2026<\/li>\n<li>17 People Get Real About Their Mommy Makeovers<\/li>\n<li>I\u2019m 96 and I\u2019ve Had 3 Facelifts\u2014Here\u2019s What I Learned<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/article>\n<p> Source URL: https:\/\/www.allure.com\/story\/plastic-surgery-resident-fellow-clinics-discount<\/p>\n","protected":false},"excerpt":{"rendered":"<p>COST CUTTING You Could Get a $50,000 Facelift for Less Than Half-Price The catch is that a plastic surgery resident or fellow will be holding the scalpel. Could it still be worth it? By Jolene Edgar December 17, 2025 Getty Images\/ Ingrid Fowler Everyone loves a deal. But there are certain products and services in [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1117242,"comment_status":"open","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[52],"class_list":["post-1117241","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-politics","tag-allure-com"],"_links":{"self":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/posts\/1117241","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1117241"}],"version-history":[{"count":0,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/posts\/1117241\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/media\/1117242"}],"wp:attachment":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1117241"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1117241"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1117241"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}