To be very transparent, the price ranges I had listed below are approximate, which means that you shouldn't solely rely on my word and actually go out of your way to verify directly with each clinic.
Now these are obviously really different due to the fact that they can be based on case complexity, additional procedures, anesthesia fees, facility costs, and geographic market conditions.
Any quoted prices I had provided in this guide should be treated as ballpark orientation and not really a binding estimate.
Now these are obviously really different due to the fact that they can be based on case complexity, additional procedures, anesthesia fees, facility costs, and geographic market conditions.
Any quoted prices I had provided in this guide should be treated as ballpark orientation and not really a binding estimate.
TABLE OF CONTENTS
BIMAX / ORTHOGNATHIC | GENIOPLASTY / CHIN | RHINOPLASTY | HAIR TRANSPLANT | FACIAL IMPLANTS | EYE AREA / ORBITAL | BUCCAL FAT | FAT GRAFTING | SKELETAL HEIGHT & STRUCTURE | GLOBAL PRICING TABLE |
BIMAXILLARY / ORTHOGNATHIC SURGERY
LeFort I + BSSO, Trimax, CCW Rotation
WHAT TO DEMAND FROM A BIMAX SURGEON |
Board certification in OMFS or anything equivalent | VSP (Virtual Surgical Planning) with 3D CT data | Experience with surgery-first protocols (if indicated) |
Has published cases or peer-reviewed work in orthognathic outcomes | Has some form of familiarity with CCW rotation and not just straight advancements | Has a coordinated orthodontic team or referral network |
Has some willingness to talk about relapse rates and fixation approaches | Has experience combining with rhinoplasty or genioplasty simultaneously | |
1. Prof. Mirco Raffaini, MD, DDS, PhD Face Surgery Center · Parma, Italy |
ESTIMATE €12–18K |
CREDENTIALS & TRAINING - MD + Dental Surgery degree, University of Parma - Masters in Maxillofacial Surgery (Nantes) - Masters in Plastic Surgery (Nancy) - Associate Professor, University of Florence - Postgraduate professor in orthodontics, FACE/Roth-Williams Center - Author of 150+ published articles - Speaker at international conferences |
2. Dr. Ramin Zarrinbal, MD, Dr. med. dent. Private Practice · Berlin, Germany |
ESTIMATE €13–16K |
CREDENTIALS & TRAINING - Specialist in Oral and Maxillofacial Surgery, trained in Germany - Known for cosmetically-aware bimax approach - Frequently compared directly with Raffaini in the orthognathic patient community for aesthetic outcomes - Particular reputation for chin wing procedures combined with CCW bimax. |
BEST FOR - CCW rotation w/ aesthetic goals - Chin wing cases - Patients who don't have a formal functional indication but need skeletal repositioning |
CLINIC & CONTACT Consult via private practice - search Dr. Ramin Zarrinbal Berlin for current contact |
3. Dr. Albino Triaca Clinic Pyramides / Zurich · Switzerland |
ESTIMATE CHF 20-30K |
CREDENTIALS - Swiss-trained oral and maxillofacial surgeon - Long-standing reputation in the European aesthetic bimax community - Known for working on cosmetic cases and a clean surgical approach |
4. Prof. Federico Hernández Alfaro Instituto Maxilofacial · Barcelona, Spain |
ESTIMATE €10–16K |
CREDENTIALS - Professor of Oral and Maxillofacial Surgery at La Universidad Internacional de Cataluña - Certified by the European Board of Oro-Maxillo-Facial Surgery - Author of 120+ peer-reviewed papers and 4 books on maxillofacial surgery - Former president of the Catalan-Balearic Society of OMFS (2003–2007) - Member of IAOMS |
1. Dr. Michael J. Gunson, DDS, MD Arnett | Gunson · Santa Barbara, California |
ESTIMATE $35–70K |
CREDENTIALS & TRAINING - DDS + MD - Limits his practice exclusively to orthognathic jaw surgery and facial reconstruction and does no other procedures, which is in and of itself significant - Has university affiliations, publishes in journals, and lectures nationally and internationally - Trained with and practices alongside Dr. G.W. Arnett, who is one of the foundational names in cephalometric-based orthognathic planning |
2. Dr. Derek Steinbacher, MD, DMD, FACS, FRCS Private Practice · Guilford, Connecticut |
ESTIMATE $40–80K |
CREDENTIALS & TRAINING - MD from Harvard Medical School - DMD from the University of Pennsylvania - Double board-certified: Plastic and Reconstructive Surgery + OMFS - Fellowship-trained - Former Full Professor of Plastic Surgery, Director of Cleft and Craniofacial Program, and Chief of OMFS at Yale (until 2022) - Fellow of the American College of Surgeons, Royal College of Surgeons (Edinburgh) - 250+ peer-reviewed papers published - Author of the textbook Aesthetic Orthognathic Surgery and Rhinoplasty. |
RELEVANT FOR - Difficult cases combined. E.g., bimax + rhinoplasty + implants in one stage - Also relevant under Facial Implants and Rhinoplasty sections |
Because European bimax pricing (€10–18K) usually comes from lower overhead and not having to deal with the shitty mess of insurance admin.
Whereas, on the other hand, the US ($35–80K) has to deal with higher facility costs, malpractice premiums, and surgeon fee structures.
No.
GENIOPLASTY & CHIN SURGERY
Sliding Genioplasty, Chin Implants, Chin Wing
1. Dr. Barry L. Eppley, MD, DMD Eppley Plastic Surgery · Carmel, Indiana |
CHIN SURGERY $5–15K |
CREDENTIALS - MD from Washington University in St. Louis. DMD from the University of Pennsylvania - Double board-certified: Plastic and Reconstructive Surgery + OMFS - Trained in craniofacial and cleft surgery at Indiana University. 25+ years of experience - Patients from 68 countries - Considered the world's foremost authority on custom facial implants - Also does genioplasties, chin implant revision, and complex chin contouring |
RELEVANT PUBLISHED WORK Chin Reshaping in Profileplasty: Augmentative and Reductive Strategies Mandibular Angle Implants |
CONTACT eppleyplasticsurgery.com 12188-A North Meridian St., Suite 310, Carmel, IN 46032 Virtual consultations available |
2. All Bimax Surgeons Listed in Section 01 Cross-Reference |
STANDALONE GENIOPLASTY €3–8K |
CONTEXT - Raffaini - Zarrinbal (one of the clearest names in EU for chin wing procedures) - Steinbacher - Gunson These are the same surgeons that I listed before who also perform sliding genioplasty routinely as part of or alongside bimax. If you're already consulting with them for bimax, the genioplasty is part of the planning conversation instead of a separate referral. Standalone genioplasty is straightforward enough that any credentialed OMFS surgeon with bimax experience can perform it well. |
RHINOPLASTY
Primary, Revision, Structural, Ethnic, Preservation
1. Dr. Rod J. Rohrich, MD, FACS Dallas Plastic Surgery Institute · Dallas, Texas |
RHINOPLASTY $15–25K |
CREDENTIALS - Board-certified, American Board of Plastic Surgery - Clinical Professor, Baylor College of Medicine - Former Distinguished Teaching Professor and Chair, Department of Plastic Surgery, UT Southwestern - Former Editor-in-Chief (18 years) of Plastic and Reconstructive Surgery, the field's top peer-reviewed journal - 1,000+ peer-reviewed articles - 8 textbooks including co-authored Dallas Rhinoplasty: Nasal Surgery by the Masters - Past President, American Society of Plastic Surgeons |
RECOGNITION - Ranked #1 rhinoplasty surgeon in the United States by Newsweek for five consecutive years (2021–2025), via independent national peer survey with 8,400+ votes - Chair of the Dallas Rhinoplasty Meeting for 40 years - Has trained 15,000+ rhinoplasty surgeons |
STRONG AT - Primary and revision rhinoplasty, open approach - Particularly strong for revision cases where previous surgery has complicated the anatomy |
CONTACT drrohrich.com Dallas Plastic Surgery Institute, Dallas, TX +1 214-821-9114 Virtual consults available |
2. Dr. Dean M. Toriumi, MD Private Practice · Chicago, Illinois |
RHINOPLASTY $18–30K |
CREDENTIALS - Board certified Otolaryngology and Facial Plastic Surgery - Formerly Professor, University of Illinois at Chicago - 700+ lectures delivered internationally - Author of the three-volume Structure Rhinoplasty: Lessons Learned in 30 Years - The "Toriumi Technique" is a named structural approach to rhinoplasty taught and referenced globally - 125+ peer-reviewed publications |
CONTACT Search: Dr. Dean Toriumi Chicago rhinoplasty Private practice, downtown Chicago. |
3. Dr. Rollin K. Daniel, MD Private Practice · Newport Beach, California |
RHINOPLASTY $20–35K |
CREDENTIALS & SIGNIFICANCE - Board-certified plastic surgeon - Consistently listed among America's top rhinoplasty surgeons in peer surveys - Author of the book Rhinoplasty: An Analysis of Major Revisions - Known for preserving rhinoplasty and for difficult aesthetic cases - Trained generations of surgeons at international workshops |
4. Dr. Derek Steinbacher, MD, DMD Private Practice · Guilford, Connecticut |
RHINOPLASTY $15–25K |
1. Prof. Mirco Raffaini (cross-reference) Face Surgery Center · Parma, Italy |
SIMULTANEOUS RHINO + BIMAX €15–22K |
CONTEXT - Has documented 250 consecutive simultaneous rhinoseptoplasty + orthognathic procedures using a modified LeFort I technique in Aesthetic Plastic Surgery (2018) - Has been placed in a very small group of surgeons who routinely combine both operations in a single anesthesia |
HAIR TRANSPLANT
FUE, DHI, Sapphire FUE · Istanbul, Europe, North America
NON-NEGOTIABLE VERIFICATIONS FOR A HAIR TRANSPLANT SURGEON |
Surgeon personally performs extraction AND implantation | Ministry of Health accredited facility (Turkey) | Hairline design done by the surgeon themselves and not a coordinator |
Gives you a detailed digital scalp analysis before commitment | Is willing to talk about future hair loss pattern and donor preservation | Graft count backed by density measurements and does not guess |
1. Dr. Koray Erdogan ASMED Surgical Center · Ataşehir, Istanbul |
PER GRAFT €3/graft |
CREDENTIALS & INNOVATION - Founded ASMED in 2001 - By 2004 had developed his own "Sequential Technique" in FUE, recognized in international publications - Developed the KE-Bot robotic scanning system for real-time graft coverage calculation, and the K.E.E.P. embedding placer for precision implantation - Presents at European and American conferences - Widely referenced in academic and professional circles for methodological FUE contributions |
CONTACT hairtransplantfue.org Atatürk Mah. Sedef Caddesi No: 1/1, Ataşehir, Istanbul +90 216 464 11 11 |
2. Dr. Mehmet Erdoğan & Dr. Gökay Bilgin Smile Hair Clinic · Istanbul |
FULL PROCEDURE $3,500–4,200 |
CREDENTIALS & APPROACH - Both founding surgeons are internationally known for natural hairline geometry and surgeon-only procedures. No, they do not do any technician delegation - They specialize in FUE, Sapphire FUE, and DHI - Both are actively involved from consultation through surgery day including hairline design, extraction strategy, and implantation planning |
CONTACT Search: Smile Hair Clinic Istanbul Well-documented online presence with strong international patient base |
3. Dr. Muttalip Keser Keser Clinic · Ankara, Turkey |
2,500 GRAFTS FROM €8,750 |
CREDENTIALS - One of the pioneers of FUE in Turkey - Developed his own patented FUE technique, the "Keser Punch" - Performs procedures himself, so he limits operations to 1-2/day - Known for artistic hairline design and minimizing follicular trauma - Publishes scientific papers and presents at conferences internationally |
1. Dr. Serkan Aygın Serkan Aygın Clinic · Şişli, Istanbul |
FULL PROCEDURE €2,500–5,000 |
CREDENTIALS - 25+ years experience - 10,000+ procedures performed - Named Europe's Best Hair Transplant Surgeon by the European Awards in Medicine (2019) - Ministry of Health accredited - Offers FUE, Sapphire FUE, and DHI - Has a strong documentation of results and international patient base |
1. If a clinic is pitching 3,000+ grafts for way under €2,000, 8-9 times out of 10, they're running a tech-heavy setup with little surgeon actually involved |
2. Non-stop social-media marketing |
3. Pressuring you to book immediately |
4. They're unable to actually tell you the name of the exact surgeon who will do your surgery |
I would say these are a few clear warning signs to look out for.
By law, a licensed surgeon should be supervising and actually performing the procedure.
Unfortunately, cheaper clinics usually don't give a fuck about that rule, so they ignore it.
FACIAL IMPLANTS
Jaw Angle · Wraparound Jaw · Zygomatic/Malar · Infraorbital Rim · Supraorbital/Brow · Custom PEEK/Silicone
1. Dr. Barry L. Eppley, MD, DMD Eppley Plastic Surgery · Carmel, Indiana |
CUSTOM IMPLANT SETS $15–40K+ |
REASONING FOR BEING THE PRIMARY REFERENCE - Eppley is double board-certified (Plastic Surgery + OMFS), trained in craniofacial surgery - He developed the field of aesthetic skull reshaping and is considered the world's foremost authority on custom facial implant design and implantation - Patients from 68 countries - He designs implants personally using CT scan data and performs every surgery himself - The range of implant types he works with is broader than any other surgeon in the US: jawline (wraparound), infraorbital-malar, supraorbital/brow bone, zygomatic arch, temporal, skull, nasal, and body implants. |
SCOPE OF CUSTOM WORK - Jaw angle implants (standard and vertical) - Wraparound 3-piece jawline implants - Infraorbital-malar with maxillary extension - Zygomatic arch (side-of-face width) - Supraorbital/brow bone augmentation and reduction - Forehead contouring - Temporal implants - He also performs skull reshaping which is a procedure which basically no one else offers at scale - Featured as an educator in Implantech's Masters Series for teaching implant techniques. |
CONTACT & PROCESS eppleyplasticsurgery.com eppleycustomfacialimplants.com 12188-A North Meridian St., Suite 310, Carmel, IN 46032 Virtual consultations available as first step |
2. Dr. Derek Steinbacher, MD, DMD (cross-reference) Private Practice · Guilford, Connecticut |
CUSTOM IMPLANTS $12–35K |
1. Prof. Mirco Raffaini (cross-reference) Parma, Italy |
COMBINED W/ BIMAX €15–25K |
BLEPHAROPLASTY · CANTHOPLASTY
Eye Area & Orbital Work
Before I continue, I want to talk about the difference of each eye area procedure so that people know about them before consulting anyone.
Eye Area & Orbital Work
Before I continue, I want to talk about the difference of each eye area procedure so that people know about them before consulting anyone.
BLEPHAROPLASTY (Removes or repositions excess skin and/or fat from upper or lower eyelids) Low risk when performed by a qualified surgeon. It's a well-understood, common procedure. | SAFE / COMMON |
CANTHOPLASTY (Alters lateral canthal tendon to change eye shape, tilt, or position) Moderate risk. Requires experienced surgeon. Can be combined with canthopexy (tightening). | CAUTION / EXPERIENCED SURGEON NEEDED |
ORBITAL DECOMPRESSION (Removes bone or fat from behind the eye, mainly for Graves’ disease) High risk. Usually medically necessary. I don't recommend doing this for cosmetic/aesthetic reasons. | RARE |
ORBITAL BOX OSTEOTOMY (OBO) (Detaches and moves eye sockets, craniofacial surgery for wide-set eyes) EXTREME RISK. This can cause blindness if you're using it for cosmetic reasons. Performed almost exclusively for medical reasons. | DO NOT DO THIS / PROCEED WITH CAUTION |
1. UCLA Oculoplastic & Orbital Surgery Drs. Cynthia Boxrud, Robert Goldberg, Daniel Rootman · Los Angeles, CA |
BLEPHAROPLASTY $6–15K |
2. Dr. Barry Eppley (cross-reference) For Infraorbital Rim Implants / Supraorbital Work |
ORBITAL RIM IMPLANTS $8–20K |
BUCCAL FAT REMOVAL
Midface contouring
Buccal face removal is one of the technically easiest procedures in facial surgery. But it's recommended too much. Theoretically speaking, if you have it removed when you’re under 35, there’s a good chance you’ll start looking gaunt or hollow by the time you hit 45.
With that being said, I won't really go deep on it.
Almost ANY board-certified plastic surgeon or oral surgeon who has experience with facial work can handle the technical part just fine. They have to be straight with you about whether you actually need it, or if they’re just pushing it because it brings them money.
(1) They should be able to show you computer imaging of the estimated result |
(2) Talk about your skeletal proportions and how much of your facial fullness is actually buccal fat VS lateral cheek fat, masseter size, or subcutaneous fat, which are basically the places that buccal removal won't touch |
(3) Can address whether your face will age well with the fat removed over a 10–15 year window |
I highly recommend that you consult another surgeon if they're not even able to address all three.
FAT GRAFTING / FACIAL FAT TRANSFER
Autologous fat as a volumizer, structural support, and healing adjunct
1. Prof. Mirco Raffaini (cross-reference) Parma, Italy |
LIPOFILLING (W/ BIMAX) INCLUDED |
2. Dr. Derek Steinbacher (cross-reference) Guilford, Connecticut |
FAT GRAFTING (STANDALONE) $5–12K |
SKELETAL HEIGHT & STRUCTURE
Limb Lengthening, Clavicle Lengthening , Shoulder Widening
NON-NEGOTIABLE CRITERIA FOR LIMB LENGTHENING |
Has personally published case volumes and outcomes | On-site physical therapy program (essential for functional recovery) | PRECICE or PRECICE Max nail (internal, weight-bearing) preferred |
Is not afraid to talk about nerve and joint complications at YOUR target length | Is fully transparent on timeline for recover (typically would be 12-18 months) | Facility accreditation and surgical center quality |
1. Dr. Dror Paley, MD, FRCSC Paley Orthopedic & Spine Institute · West Palm Beach, Florida |
STATURE LENGTHENING $75–150K+ |
CREDENTIALS - MD from University of Toronto (1979) - Orthopedic residency at University of Toronto - Subspecialty fellowship in Pediatric Orthopedics, Hand Surgery, Trauma, and Limb Lengthening - Trained personally under Prof. Gavril Ilizarov in Kurgan, Soviet Union (multiple visits) - Introduced the Ilizarov method to the US and Canada in 1987 - Founded the Limb Lengthening and Reconstruction Society (LLRS) in 1989, the first president - Former president of the International Limb Lengthening and Reconstruction Society - Former Orthopedic Surgeon to the White House (2017–2021) - 25,000+ limb lengthening surgeries performed - 150+ peer-reviewed papers, 5 books, 60 book chapters - Designer of the PRECICE and STRYDE nails |
CLINIC & CONTACT paleyinstitute.org limblengthening.org (Stature Center specifically) 901 45th St., Kimmel Building, West Palm Beach, FL 33407 Also: Warsaw, Poland and Abu Dhabi, UAE locations Instituto Paley LatinoAmerica in Medellín, Colombia (opened July 2024) |
2. Dr. Craig Robbins, MD Paley Institute · West Palm Beach, Florida |
STATURE LENGTHENING $65–130K+ |
3. Dr. Kevin Debiparshad, MD LimbplastX Institute · Las Vegas, Nevada |
STATURE LENGTHENING $70–120K |
CREDENTIALS - Harvard-trained orthopedic surgeon - Completed fellowship in complex limb lengthening and deformity reconstruction at the Paley Advanced Limb Lengthening Institute (Paley-trained) - Second fellowship at Harvard - Member, Royal College of Physicians and Surgeons of Canada - Strong focus on adult cosmetic limb lengthening and the only surgeon in North America offering this outside of the Paley Institute at significant volume |
1. Dr. Barry Eppley, MD, DMD (cross-reference) Carmel, Indiana |
CLAVICLE SURGERY $20–35K |
GLOBAL PRICING REFERECE
This is entirely based on surgeon fees + facility, pre-anesthesia. Do not solely follow this. It is also your job to verify directly.
This is entirely based on surgeon fees + facility, pre-anesthesia. Do not solely follow this. It is also your job to verify directly.
| Procedure | Region | Approximate Range | |
|---|---|---|---|
| Bimax (LeFort I + BSSO) | Italy / Spain | €10-18K | Raffaini, Hernández Alfaro. Does not include orthodontics. |
| Bimax (LeFort I + BSSO) | Germany / Switzerland | €13-30K | Zarrinbal (Germany), Triaca (Switzerland). Swiss end is highest. |
| Bimax (LeFort I + BSSO) | United States | $35-80K | Gunson, Steinbacher. Facility fees significant factor. |
| Bimax (LeFort I + BSSO) | Turkey | €5-12K | Verify surgeon involvement carefully. |
| Genioplasty (sliding) | Europe | €3-8K | Often combined with bimax — not always priced separately. |
| Genioplasty (sliding) | United States | $7-15K | Eppley and bimax surgeons. Standalone or combined. |
| Rhinoplasty (primary) | United States | $15-30K | Rohrich, Toriumi, Daniel, Steinbacher. |
| Rhinoplasty (revision) | United States | $20-40K | Significantly more complex — expect higher surgeon fees. |
| Rhinoplasty (simultaneous with bimax) | Italy | €15-22K | Raffaini. Efficiency of one anesthesia session. |
| Hair Transplant (FUE / 2,000–3,000 grafts) | Turkey | €2,500-6,000 | Full range from high-volume to boutique surgeon-led. |
| Hair Transplant (FUE / 2,000–3,000 grafts) | UK / Europe | £5,000-15,000 | Harley Street clinics, European specialists. |
| Hair Transplant (FUE / 2,000–3,000 grafts) | United States | $10,000-25,000 | Much higher due to overhead. ROI for Turkey travel is strong. |
| Custom Wraparound Jaw Implant | United States | $15-30K | Eppley. Includes design, custom fabrication, surgery. |
| Custom Infraorbital-Malar Implants | United States | $10-20K/set | Eppley, Steinbacher. |
| Supraorbital / Brow Ridge Implants | United States | $12-22K | Eppley. Very few surgeons offer this at scale. |
| Blepharoplasty (upper + lower) | United States | $5-15K | Wide range depending on complexity. |
| Canthoplasty | United States | $4-10K | Often combined with blepharoplasty. |
| Orbital Box Osteotomy (OBO) | Turkey / Istanbul | $60-100K+ | Ercin. Custom guides + fixation + implants included. |
| Orbital Box Osteotomy (OBO) | United States | $80-120K+ | Very few centers. Steinbacher, Eppley aware. Price quoted in one case was over $100K for custom system. |
| Buccal Fat Removal | United States | $3-7K | Technically simple. Surgeon selection matters for the recommendation instead of the procedure itself. |
| Fat Grafting (facial) | United States | $5-15K | Variable based on volume and areas treated. |
| Fat Grafting (with bimax) | Italy | Included in Raffaini's pricing | Part of the 3-phase approach, not billed separately. |
| Stature Lengthening (femur bilateral) | United States | $75-150K+ | Paley Institute. Includes surgery + PT + follow-up. |
| Stature Lengthening (femur bilateral) | Eastern Europe / Russia | €20-50K | Lower cost, higher variance in outcomes. Research specific surgeon's documented complication management. |
| Stature Lengthening (femur bilateral) | South Korea | $30-60K | Dr. Lee Dong Hoon, Seoul. PRECICE nail, 3,000+ procedures. |
| Clavicle Lengthening | United States | $20-35K | Eppley only known at scale globally. Very limited data. |
