Plastic Surgery · Confidential brokerage
Sell Your Plastic Surgery Practice in California
Aesthetic platforms are buying. Surgeon successors are buying in. The practice that sells best is the one positioned before it's shopped.
- CVA Certified NACVA Valuation Analyst
- USPAP Compliant Appraisal Reports
- 500+ Valuations 45+ specialties
Two Very Different Sale Paths
Path one: the aesthetic platform. MedSpa and aesthetic consolidators — now active across California — buy practices with strong non-surgical engines, multi-provider teams, and transferable pipelines. They pay platform multiples on post-reset EBITDA, usually with rollover equity and multi-year surgeon commitments.
Path two: the surgeon successor. A fellowship-trained surgeon buys your accredited OR, your team, your pipeline, and a structured introduction to your patient base — often SBA-financed against our certified valuation, usually with a 1–2 year overlap that converts your personal goodwill into theirs.
The right path depends on your mix, your team, and your willingness to stay. We price both before choosing either.
Positioning Work That Pays
- Transferability evidence. Associate and injector production, practice-channel consult flow, rebooking data — assembled into a data room that answers the brand question before buyers weaponize it.
- Pipeline documentation. Marketing cost per surgical case, conversion rates, lead-source mix. Aesthetic buyers underwrite the machine, not the trophy months.
- Entity hygiene. An aesthetic practice is usually a bundle of businesses — the surgical practice, med spa, skincare retail, surgical suite, sometimes the building — often in separate companies that share accounts and staff. Before any buyer sees it, we sort out which pieces are for sale and get the books in order, so you're offering one clean, well-defined business.
- Transition design. Your post-sale clinical role — scope, schedule, duration, compensation — is the single biggest price lever in aesthetic deals. We negotiate it as deliberately as the multiple.
Confidentiality in a Reputation Business
Nowhere does a leaked sale rumor cost more than in aesthetics, where patients book months ahead on confidence. Blind profiles, NDAs before identity, staged disclosure, confidential marketing — always.
From valuation to close — our three-step process
- 1
Confidential Consultation
A private, no-obligation conversation about your goals, your timeline, and what a successful exit looks like. We share an informed perspective on the current market for practices like yours, and you decide whether to move forward.
- 2
Valuation & Positioning
We perform a valuation of your practice, normalizing earnings and weighing real transaction data, to arrive at an asking price that reflects its fair market value. We then position the practice for the buyer types that fit your goals.
- 3
Confidential Marketing & Sale
We market the practice confidentially, under NDA, through our buyer network and targeted outreach to physician groups, hospital systems, and private equity platforms. We negotiate competing offers and structure the sale to protect your net proceeds.
Platform exit or surgeon succession?
Price both paths before you pick one.
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
Frequently asked questions
They're negotiating. Some dependence is real and priced; much of it is answerable with transferability evidence and transition structure. Our valuation quantifies the genuine dependence so you concede only what's true.
Yes — partial sales of the non-surgical engine to aesthetic groups are increasingly common. We help you value the carve-out and weigh the trade-offs so you can decide with a clear picture.
Typically 12–24 months of introductions, co-consulting, and staged handoff — compensated, defined, and shrinking on a schedule. Long enough to transfer trust; bounded enough to actually end.
Exit Aesthetics With the Brand Intact
And the premium captured.
All inquiries are kept strictly confidential.