How Much Does a Nayak Plastic Surgery Cost?

Published on May 18, 2026 | Written by Alec Pow
This article was researched using 9 sources. See our methodology and corrections policy.

Menu-listed amounts run from $500 add-ons to $300,000 combined face and neck work, with surgeon choice and bundled add-ons driving the spread.

Dr. Mike Nayak and Dr. Milind D. Kachare run a St. Louis cosmetic surgery practice that draws local patients and fly-in patients for face, neck, breast, and body procedures, plus in-office add-ons that can be scheduled around a single operative date.

The published menu-listed amounts include small add-ons like a VI Peel at $500 and higher-ticket face work such as a deep plane extended facelift that includes a deep necklift at $300,000, plus other listed examples that include a deep neck lift at $150,000 and rhinoplasty at $40,000, along with Dr. Kachare ranges such as breast augmentation at $7,500 to $10,000 and a tummy tuck at $20,000 to $40,000.

The menu is not the same thing as a final quote. Your plan can change at consultation based on surgical complexity, whether you combine add-ons during the same operative session, whether a hospital setting is needed for monitoring, and how travel and follow-up visits fit your schedule.

Nayak Plastic Surgery bills are framed per procedure, with totals that can move when add-ons are layered into the same surgical day and when an out-of-town plan requires extra days in St. Louis for follow-up care.

How Much Does a Nayak Plastic Surgery Cost?

Jump to sections

• Menu low end add-on $500 (equivalent to 2.1 workdays at $30 per hour, or about $200 in 1990 dollars) and high end face package $300,000
• Deep neck lift $150,000 and rhinoplasty $40,000
• CO2 laser resurfacing add-on $10,000 and fillers from $1,000 per syringe
• Dr. Kachare breast augmentation $7,500 to $10,000 and tummy tuck $20,000 to $40,000
• Deposit and timing rules can shift the cash schedule before surgery

What you’re actually buying

This is different from medspa-only treatment that never includes an operating room day, and it is also different from surgeon-fee-only quotes where facility and anesthesia billing arrive as separate invoices.

Nayak vs national benchmarks

Comparisons only work if you match what is being counted. National benchmarks from professional groups often track surgeon fees, not a bundled total that also includes anesthesia, a surgical suite, or recovery services. Using the clinic’s posted rhinoplasty price of $40,000 (about $16,000 in 1990 dollars) on its rhinoplasty listed at and the surgeon-fee rhinoplasty range of $7,500 to $12,500 in the surgeon-fee PDF, the gap versus the top end is $27,500 because 40,000 minus 12,500 equals 27,500.

Lower-cost paths exist, but the tradeoffs are real. Some surgeons quote a surgeon fee and then bill facility and anesthesia separately, which can make the first number look smaller. Training programs can also offer discounted cosmetic cases with attending oversight, but scheduling, continuity, and the facility setup can differ from a private practice.

What the posted prices cover

Nayak’s menu is unusual because it posts large, specific numbers for Dr. Mike Nayak and also includes separate price bands for Dr. Milind D. Kachare. That matters when you try to budget, because the surgeon choice changes the price ladder before you add anything else to the plan.

The cleanest way to read the menu is to separate three buckets. Bucket one is a core operation, such as rhinoplasty or a face and neck lift plan. Bucket two is finishing work that can be paired in the same operative session, like laser resurfacing, a peel, or fillers. Bucket three is everything outside the clinic quote, including travel, time away from work, and recovery support. A posted menu is a snapshot, and your consult can still change the plan if your case is complex or a revision.

Selected Dr. Nayak menu items from the published procedure prices

Menu item	Posted amount	Menu note
Deep plane extended facelift (includes deep necklift)	$300,000 (about $120,000 in 1990 dollars)	Combined face and neck work
Deep neck lift	$150,000	Core facial surgery line item
Rhinoplasty	$40,000	Menu notes it is not a revision of other surgeons
Browlift	$50,000	Labeled as an add-on option
Lower eyelid blepharoplasty	$30,000	Labeled as an add-on option
Upper eyelid blepharoplasty	$30,000	Labeled as an add-on option
Chin implant	$25,000	Labeled as an add-on option
Buccal fat reduction	$15,000	Labeled as an add-on option
CO2 laser resurfacing	$10,000	Labeled as an add-on option
VI Peel	$500	Labeled as an add-on option

Consultations, deposits

For many patients, the first financial friction point is not the surgical bill. It is the scheduling sequence. Consults come first, then a plan, then a calendar hold, then pre-op steps, then final payment. If you travel, timing becomes its own cost driver because you may need a longer stay, help with daily tasks, and a buffer for follow-up visits before you can fly home comfortably. Travel adds up.

Those rules change how you budget even when you already know the menu item you want. A deposit means a meaningful chunk of money is committed months before the operation date. The non-refundable window can also matter if your work calendar is unpredictable or if you are coordinating a caregiver and travel plans.

Three mini pricing snapshots

Snapshot A is a local patient planning a single surgery with Dr. Kachare that falls inside a posted range. The practical budgeting work is picking where you land in the range and deciding whether you will add anything during the same operative window. Some buyers also build in a cushion for recovery items that are not part of the surgical quote, like compression garments.

Snapshot B is a patient choosing Dr. Nayak for a core facial operation and adding finishing work during the same surgical date, which is where totals can jump without changing the main operation. The menu lists add-ons like CO2 laser resurfacing at $10,000, a VI Peel at $500, and injectable fillers from $1,000 per syringe on the finishing add-on options section. Bundling can reduce repeat facility time, but it also concentrates spending into one surgical event.

Snapshot C is an out-of-town facelift patient who has to budget around follow-up timing, hotel nights, and help at home. If you are weighing face and neck lift options against less invasive work like submental fat reduction, it can help to compare against adjacent procedures such as face liposuction costs to see how the spending profile changes when you switch from operating room care to smaller procedures.

Hidden costs

Two cost categories catch people off guard at private cosmetic practices. The first is payment policy. On the clinic late fee language page, the practice states that cosmetic procedures are not covered by insurance, surgical fees are paid in full prior to surgery, and unpaid nonsurgical balances can trigger a $100 late fee, with final payment completed no less than 2 weeks before surgery.

The second is financing. The practice states that PatientFi interest rates start as low as 6.99 percent and shows an example of paying $2,500 up front versus $100 in monthly increments on its interest rate language page. If you finance a large elective procedure, the monthly payment can help cash flow, but it can also raise the long-run amount you pay compared with paying up front.

Worked example

This worked example uses Dr. Kachare line items because they show fixed prices that are closer to how many cosmetic practices present a quote. It is not a quote. It is a planning example that isolates procedure prices before travel, time off work, and recovery support.

Using the Dr. Kachare facial prices list, lower blepharoplasty is $9,000, chin implant is $9,000, and CO2 laser resurfacing add-on is $3,000, producing a $21,000 subtotal because 9,000 plus 9,000 plus 3,000 equals 21,000.

Who this cost makes sense for

Decision-making is less about hunting for a single number and more about matching your budget to a process that has real calendar and policy constraints. The consultation booking fee language in the new patient paperwork describes a booking fee for consultations with Dr. Nayak that can be applied toward surgery and notes the practice does not accept medical insurance for cosmetic care.

Surgery is self-pay.

Makes sense if

• You want posted menu pricing that supports early budgeting before a consult.
• You can commit to the scheduling sequence, including deposit timing and follow-up visits, without last-minute work conflicts.
• You have a clear reason to choose a specific surgeon’s technique and you can absorb the price ladder that comes with that choice.
• You want to bundle add-ons into one operative session rather than paying for separate facility days.

Doesn’t make sense if

• You need insurance reimbursement to drive the decision or you need an in-network option.
• You cannot risk a non-refundable window tied to scheduling changes.
• You want the lowest possible price and you are comfortable with alternate practice settings, including academic programs.
• You need a quick trip with minimal time in town for follow-up care after larger face or neck work.

Article Highlights

• The published menu spans from $500 add-ons to $300,000 combined face and neck work, so your starting point should be a specific surgeon and a specific procedure.
• Add-ons like laser resurfacing, peels, and fillers can add thousands to a total even when the main surgery stays the same.
• Payment timing and travel follow-ups can be as decisive as the menu line item if you are flying in.
• National benchmarks often describe surgeon fees only, not a bundled facility and anesthesia total.
• Financing can help cash flow, but interest can raise the long-run amount paid.

For more context on comparable pricing logic in facial surgery, see Vertical Restore facelift costs and nose tip-plasty pricing.

Answers to Common Questions

Does the menu price guarantee my final quote?

No. The menu is a public reference point, but a final quote can change based on complexity, bundled work, and where the surgery is performed.

Why do some items get bundled as add-ons?

The menu separates core operations from finishing work that may be paired in the same operative session, which can shift totals without changing the main surgery.

Is financing the same as a discount?

No. Financing changes payment timing, but interest and promotional terms can change the total paid over time.

Can travel costs rival the medical bill?

For large face and neck plans, travel can be a meaningful part of the budget because follow-up timing can require a longer stay and extra help during early recovery.

What is the simplest way to plan without a quote?

Start with the posted menu item, list the add-ons you would realistically bundle, then add a separate line for travel, time off work, and recovery support.