Laser Clinic MD

21 Nov, 2009

Botax: New Taxes on Botox + Plastic Surgery?

Posted by: Laser Clinic MD In: Laser Clinic ()

Welcome to Skin Clinic MD! Trusted information about laser clinic or med spa treatments for taking care of your skin.


Botax: Medical Spa MD

The medical spa and plastic surgery community is in an uproar over some proposed legislation that could make a trip to the plastic surgeon or a Botox injection at the medical spa more expensive.

People are calling it the Botax. It’s a 5 percent tax on elective procedures such as Botox, Juvederm, Restylane, laser hair removal, facelifts, breast augmentation and other nips and tucks that lawmakers are hoping will help fund the nearly $1 trillion health care plan.

The bill says the tax would not apply to surgeries to fix a deformity either from birth, accident, or disease. It would apply to procedures like face lifts, liposuction, cosmetic implants and teeth whitening.

But as Dr. Paula Hicks points out sometimes cosmetic surgeries have very medical purposes.

“Certainly breast reduction surgery is a very good surgery for a lot of women and a lot of them will get denied by the insurance company as cosmetic surgery,” said Dr. Hicks of the Ave Medical Laser Spa and Laser Clinic.

Under the proposal, Dr. Hicks says an eyelid tuck, which can help with vision, would cost an extra $100 in taxes on top of the $2,000 price tag for the procedure.

She says that could be a big hit to her business since most of her clients are not wealthy.

“Most of these procedures are not done on people that are rich and have endless amounts of money, it’s middle class working women that would be targeted with this tax and it’s really not fair.”

According to the American Society of Plastic Surgeons 86 percent of cosmetic surgery patients are women. Sixty percent of them have annual incomes between $30,000 and $90,000.

The tax, if approved, would raise $6 billion over 10 years.

Allergan, which sells Botox, took a civil rights angle: The tax “discriminates against women,” the company said in a statement. Some 86% of cosmetic surgery patients are working women ages 35-50, with an average annual income of $55,000 per year, according to Allergan.

“What’s next? Are we going to tax people who color their hair?” the CEO of Medicis, a drug company that sells fillers, told Dow Jones Newswires.

The American Academy of Cosmetic Surgery, which is fighting the provision, says “a large portion of those being taxed would be the baby-boomer generation. And as this age group continues to age, the more interest will be generated in cosmetic procedures.”

A spokesman for the 2,500-member group said they were surprised to see the provision in the Senate bill this week, because it had already surfaced and sank in July. The tax is not in the House bill.

The tax is on elective procedures, and would not apply to any procedure to correct birth defects or issues arising from disease, accidents or trauma. The CBO says it would raise about $5 billion over the next decade.

No Responses to "Botax: New Taxes on Botox + Plastic Surgery?"

Comment Form

Laser Clinic MD?

Laser Clinic MD is published by and part of the Medical Spa MD network, a medical community of plastic surgeons, cosmetic dermatologists and med spas with more than 5,000 physician members.

IPL & Laser Training for Skin Clincs & Medical Spas.



This Site A Medical Spa MD Member

The Medical Spa MD Network

Laser Treatment MD is part of the Medical Spa MD network. Med Spa MD is a medical community of plastic surgeons, cosmetic dermatologists, laser clinics and med spas.

RSS New Posts From Med Spa MD

  • Dr. James Wharton - Louisville Dermatology Clinic In Kentucky
    Dr. James Wharton uncovers insights that could lead to better business decisions. Name: James R. Wharton, MDClinic: The Aesthetics Center of Louisville/ Louisville  Dermatology ClinicLocation: Louisville, KYWebsite: aestheticscenter.org and louisvilledermatology.org Tell us about your clinic? What treatments do you provide? We have separated our practice int […]
  • Fee-splitting Botox & Restylane In Medical Spas
    Have you ever paid a commission for Botox and laser treatments? Although it’s very common ... it’s also very illegal. During the past several years, a very troubling trend has developed in the medical spa industry. Nurses, nurse practitioners, physician assistants and laser technicians are being paid by commission in order to incentivize them to bring new bu […]
  • Diane Howlin, MD, FACP of Chelsea Medicine and Laser in Michigan
    Name: Dr. Diane HowlinClinic: Chelsea Medicine and LaserLocation: Chelsea, MIWebsite: chelsealaser.com That's interesting: In 2001, Dr. Howlin founded Chelsea Hope Clinic, a free Saturday clinic for uninsured patients.  In 2008, she was named the “Howard S. Holmes Humanitarian of the Year” by Faith in Action for this charity work. In 2009, she launched […]
  • My breasts are cold!!
    “My breasts are cold!!” said a patient of mine in her last postop visit. We did a breast augmentation with saline implants just a few weeks ago, and her postop recovery has been smooth and uneventful. It’s been an unusually cold winter this year, with Arctic blasts and heavy snowstorms, so this kind of complaint shouldn’t be surprising. I guess my southern c […]
  • Dr. Richard Moore - The Lifestyle Center In St. Louis Missouri
    Name: Richard Moore, M.D.Clinic: The Lifestyle CenterLocation: St Louis, MOWebsite: TheLifestyleCenter.com Can you tell us your background and exactly how did you get to where you are now? I have always had a strong interest in business with an entrepreneurial spirit. Prior to medical school, I obtained a masters of international management and worked in the […]
  • Why I Quit Medical School
    Why would you not want to become a physician in America? Jeremy was familiar with life as a doctor. His father's a maxillofacial surgeon. So is his brother who's just a year or two older. Here's Jeremy's post on why he quit medical school and decided not to become a doctor. Jeremy blogs at Never Eat Soggy Waffles It hit me. Sometime aroun […]
  • What Should You Do If A Patient Wants To Record A Consultation?
    Patients are now equipted with the technology to record their consultation, whether you know it or not. With the proliferation of smartphones, many patients now have the ability to record a consultation at their fingertips by installing a simple, and free, app. Recording a consultation has some advantages for doctors and patients. It can help the patient to […]
  • Yes, I Sometimes Google Patients. Is That Weird?
    There's no doubt about it. Typing your name (or your clinics name) into Google or Yahoo and seeing what pops up is something that the majority of your patients are now doing. So, we ask the question, is it fair to do the same? Humans are curious creatures. Our curiosity has us doing utterly unproductive things like reading news about people we will neve […]
  • We've Now Made $1,200 In Kiva Loans
    The Medical Spa MD community has now made $1,200 in loans to entrepreneurs in third world countries! If you haven't heard of Kiva, it's a nonprofit who empowers small business in the third world in order to help people start businesses to grow their local economy. Kiva is an online platform that lets individuals extend very small loans (as little a […]
  • Why We Only Accept 30% Of Applicants To Our LinkedIn Group
    Getting in to the Medical Spa MD LinkedIn Group might be harder than you think. We only approve about 30% of the people who want to join. We're not trying to be exclusionary, but we are wanting to make sure that we don't get overrun with salespeople and vendors, who are always trying to spam everyone. We're also active in taking down shameless […]
  • Dr. Robert E. Bowen - The Center for Positive Aging In West Virginia
    Dr. Robert E. Bowen is truly a role model as he promotes the essence of positive aging by maintaining an active lifestyle.  Name: Robert E. Bowen, M.D.Clinic: The Center for Positive AgingLocation: Martinsburg, WVWebsite: RobertBowenMD.com That's interesting: Dr. Bowen has actively used positive aging principles in his career as a sprinter and track coa […]
  • Managing Patient Expectations
    Are you making patients more attractive, or just making them think that they are? In a recent small study, 50 people were asked to rate the appearance of people who had undergone facial surgery. The bottom-line: Surgical intervention shaved a few years off perceived age but did almost nothing to boost patients’ overall attractiveness.   What’s at issue is pa […]
  • More Army Recruits to Seek Laser Tattoo Removal
    Tougher standards for tattoos in the Army. Those of you who perform laser tattoo removal will want to be aware of recent changes to tattoo restrictions in the Department of the Army. Eminent changes to AR 670-1 will now PROHIBIT TATTOOS: Below the elbow Below the knee Above uniform neckline The uniform neckline is Class A but also includes the physical fitne […]
  • Non-conformists, Dissenters & Rebels
    “Talent, I believe, is most likely to be found among non-conformists, dissenters, and rebels. Think different—the best thinkers often do.” --David Ogilvy If you're seen by your market as an also-ran, your clinic is going to be among those that are fighting for the scraps left over by the market leaders and you'll be forced to compete on price... no […]
  • Dr. Douglas J. Key - Key Laser Institute for Aesthetic Medicine
    Dr. Key's passion for research began at an early age, when he earned the opportunity to work with a Nobel Prize winning professor as a freshman at the University of California, Berkeley. Throughout his undergraduate education, Dr. Key travelled the country to take part in research opportunities in various aspects of biological sciences. Through this res […]

Laser Clinc MD: Medical Blogs

List of Physician Blogs:

In alphabetical order:

Laser Clinic MD Podcast