Cash-pay cosmetic vs. reconstructive insurance mix
Cosmetic cash revenue carries premium margins and consumer-cycle risk; reconstructive carries payer friction and recession durability. The blend defines your risk profile.
Specialty focus · Plastic Surgery
Plastic Surgery Practice Valuation & Brokerage Services in California
The hardest valuation question in medicine: how much of a surgeon's brand transfers to a buyer? We answer it with data, not flattery.
- CVA Certified NACVA Valuation Analyst
- USPAP Compliant Appraisal Reports
- 500+ Valuations 45+ specialties
The Personal Goodwill Problem — Faced Honestly
No specialty concentrates value in the owner's name like plastic surgery. Patients choose you — your results, your reputation, your before-and-afters. That's magnificent for income and treacherous for valuation: the central analytical question is how much of the cash flow survives your departure. Practices answer it differently — some are true institutions with associate surgeons, injector teams, and a brand bigger than any one name; others are a brilliant surgeon with staff. Both are valuable; they're valued very differently, and pretending otherwise is how plastic surgery deals die in diligence. We've valued both kinds, and we tell you which you own before a buyer tells you.
Plastic Surgery Practice Valuation
Certified, USPAP-compliant appraisals for sales, buy-ins, divorce, disputes, SBA loans, and estate planning.
Valuation servicesSell Your Plastic Surgery Practice
Confidential, valuation-led brokerage that puts your practice in front of the buyers active in plastic surgery across California.
Brokerage servicesPlastic Surgery Value Drivers
Brand transferability
Associate surgeons producing revenue, an aesthetic team with its own following, institutional referral patterns, and a practice brand that outranks the surgeon's name — each is measurable, and each moves the multiple.
The non-surgical engine
Injectables, lasers, skincare, med spa operations — recurring aesthetic revenue smooths surgical lumpiness and is the most transferable layer of the practice.
Accredited OR capacity
An accredited in-office surgical suite is a hard asset with real licensing value and site-of-service economics — and a recruitment magnet for associate surgeons.
Consult pipeline economics
Lead sources, conversion rates, and marketing cost per surgical case — buyers underwrite the pipeline, not last year's calendar.
Who Buys Plastic Surgery Practices
Aesthetic platform consolidators (increasingly active in California), fellow surgeons buying established infrastructure and pipeline, and med spa groups acquiring the non-surgical layer. Each buys a different slice of the value; our valuation prices the slices, and our brokerage sells them deliberately.
Common Engagements
Exit valuations and platform-offer reviews; associate buy-in pricing; divorce — cosmetic cash flow plus personal goodwill is the most contested combination in family court; med spa valuation.
A clear, three-step process
- 1
Discovery Call
A confidential conversation about your practice, your timeline, and the purpose of the valuation. We scope the right report tier before you commit to anything.
- 2
Financial Analysis & Interviews
We interview you and normalize your financials. Owner compensation, one-time expenses, and related-party leases all get restated. Typical turnaround: 1–2 weeks.
- 3
Certified Opinion of Value
You receive a defensible, USPAP-compliant conclusion of value, walked through line by line. The report is documented to withstand scrutiny from a buyer, a court, a partner, or a lender.
How much of your brand actually transfers?
It's measurable. We measure it.
Trusted by physicians across California
Real Google reviews from physicians and practice owners we have served. Read them on Google
“As a physician with partnership transaction of medical practice, he was an exceptional to guide me and advise me. He showed not only professionalism but also his eagerness to help and guide me through. Highly recommend him for any business valuation and transaction.”
Dr. Kyong Kim
Partnership transaction
“Fantastic valuation/appraisal specialist. I reached out to Alexey to help me evaluate a medical practice buy-in on short notice. He was able to work me into his schedule and accommodate my timeline despite how busy he was and provided crucial insight into helping me decide my next steps.”
Dr. Xuan Cao
Medical practice buy-in
“They get 5 stars across the board. Alexey was extremely thorough and detailed oriented. He did a deep dive into my practice’s financials, coding and practice history. He was easily approachable and prompt in answering questions and in completing the Appraisal. I am confident in the results and I would highly recommend him to any physician/practice for an appraisal.”
Dr. Robert Sacks
Ophthalmology practice
“I called Nechay as I was navigating the potential of selling my practice, and I had a lot of questions about my various offers for sale. Nechay was so responsive, methodical, and educational. He really allowed me to understand the landscape of selling my practice. He is an effective communicator, very patient on the phone and obviously extremely knowledgeable. I will be hiring him to help complete my transactions!”
Dr. Garima Lal
Evaluating sale offers
“I hired Nechay Appraisals to value my ophthalmology practice last year and couldn’t have been more impressed. From start to finish, Alexey was fantastic to work with. The end result was a highly professional and polished valuation report that provided valuable insights on the current state of my business.”
Dr. David Salvay
Ophthalmology practice valuation
“Alexey has been an excellent asset in evaluating our practice. His experience and practice suggestions have helped us tremendously. His working knowledge of medical practice evaluation and application of these skills is second to none. He is always readily available at a moment’s notice.”
Dr. Elio Vento
Practice evaluation
“Very attentive. Quick to respond. Knowledgeable.”
Dr. Betty Daniels
“Very professional, responsive and creates an excellent report and is accessible. Thank you!”
Dr. Daniel Laroche
“Alexey is very professional and a pleasure to work with. I was under time constraints and he completed his review on time despite those additional pressures.”
Dr. Charles Jackson
“Nechay listened carefully and provided objective feedback tailored to my specific situation. His honest communication and expertise made a complex process much easier. I highly recommend him.”
Dr. Maria Soledad Romero
“Highly recommend! From start to finish, he demonstrated expertise, professionalism, and genuine care. Not only did he deliver a thorough, well-researched valuation report, but he also took the time to explain key findings, offer strategic advice, and answered all our questions — even talked to our accountant and bookkeeper to dig deep into our situation.”
Dr. Alicia Sanchez
Medical practice valuation
“We hired Nechay Appraisals to value our ophthalmology practice the year before last and couldn’t have been more impressed. From start to finish, Alexey was fantastic to work with. He was very organized and very patient with us as we gathered what he needed. Every week he would check in to make sure everything was on track. We are getting ready to utilize his services again and are looking forward to working with him.”
Jenna Keller
Ophthalmology practice valuation
“I greatly appreciate the help from Alexey. The process was easy and the information was invaluable. The data provided was comprehensive and gave me perspective of my company that I was not aware of. I highly recommend Alexey and his company.”
Dr. Linh Ngo
Medical practice valuation
Plastic Surgery questions we hear most
Almost always something — accredited OR, equipment, aesthetic revenue, staff, pipeline infrastructure — but the spread between walk-away value and stay-and-transition value is wider in plastic surgery than any specialty. We quantify both so your exit timeline is a choice, not a surprise.
As pipeline infrastructure — valuable to the extent it generates consults that convert and can be transitioned (account ownership, content systems, team-generated content). A million followers attached to your face alone is income, not equity; we help you tell the difference and build toward the latter.
Frequently yes — for regulatory cleanliness and buyer flexibility. Related-party flows must then be at market rates. If it helps your decision, we can value it both ways — as it’s structured today, and on a pro forma basis as if the med spa were a clean separate entity.
Yes — more like surgical specialty practices: payer contracts, hospital relationships, call coverage. Buyer lists shift toward systems and groups, and the valuation weights transferability differently. The mix drives the playbook.
Build Equity, Not Just Income
Valuation and exit strategy for aesthetic practices.
All inquiries are kept strictly confidential.