Comments on: Why New Botox Tax is Just a Tax on Women http://www.rhinoplastyinbeverlyhills.com/why-new-botox-tax-is-just-a-tax-on-women Expert Advice from Beverly Hills Rhinoplasty Surgery Experts Sat, 21 Jan 2012 00:14:06 -0700 http://wordpress.org/?v=2.8.2 hourly 1 By: Michael C. Pickart, M.D., F.A.C.S. http://www.rhinoplastyinbeverlyhills.com/why-new-botox-tax-is-just-a-tax-on-women/comment-page-1#comment-401 Michael C. Pickart, M.D., F.A.C.S. Thu, 17 Dec 2009 19:49:58 +0000 http://www.rhinoplastyinbeverlyhills.com/?p=807#comment-401 Thank you for your arguments. You both are right on! To highlight how difficult it will be to institute this "Bo-Tax," here are a few examples from my own practice from the past week: * 55-year-old woman receives Botox in her forehead for "vanity" (her own admission). Neverthelss, her migraines disappear! Was the Botox cosmetic? Should she be taxed 5%? Certainly, her very costly anti-migraine medications won't be taxed 5%, so why should Botox? * 27-year-old woman with very large breasts, which cause neck, back, and shoulder pain. Her insurance company refused to cover the procedure, even though cosmesis was a secondary concern. Post-operatively, her pain has resolved, and her insurance company no longer has to pay for physical therapy. Does she pay the 5%? Certainly, her breasts are now cuter, but was this a cosmetic surgery or a reconstructive surgery? The Bo-Tax is too simplistic. It ignores the "gray" in the world of cosmetic surgery. Thank you for your arguments. You both are right on! To highlight how difficult it will be to institute this “Bo-Tax,” here are a few examples from my own practice from the past week:

* 55-year-old woman receives Botox in her forehead for “vanity” (her own admission). Neverthelss, her migraines disappear! Was the Botox cosmetic? Should she be taxed 5%? Certainly, her very costly anti-migraine medications won’t be taxed 5%, so why should Botox?

* 27-year-old woman with very large breasts, which cause neck, back, and shoulder pain. Her insurance company refused to cover the procedure, even though cosmesis was a secondary concern. Post-operatively, her pain has resolved, and her insurance company no longer has to pay for physical therapy. Does she pay the 5%? Certainly, her breasts are now cuter, but was this a cosmetic surgery or a reconstructive surgery?

The Bo-Tax is too simplistic. It ignores the “gray” in the world of cosmetic surgery.

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