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Plastic surgery usually isn’t tax deductible

February 25, 2012

Hollywood's biggest night is almost here. For film fans, it's a chance to see not only who takes home an Academy Award, but to check out the annual red carpet parade.

The television commentators focus on the designer duds, but the hubby and I debate which stars got the best and worst plastic surgery jobs. Most years, it's a heated competition for the worst nip and tuck.

MakeMeHeal.com is getting a head start on the annual Oscars facelift (or more) guessing game with speculation on which supporting actress nominees have had a little work done.

Don't worry, ladies. The men don't get a pass. The site also offers suggested improvements for some of the supporting actor nominees.

One Oscar hopeful, however, isn't making any excuses for work she has planned.

"I am going to get my boobs lifted," Octavia Spencer, supporting actress nominee for her role as Minny Jackson in "The Help," told Parade magazine.

"That's going to be my first [post-Oscars] gift. I'm going to do that," said Spencer. "I figured going into my forties I want my boobs where they were when I was 17."

Tricks of the trade: Speculation or revelations aside, many actors and actresses do go under the knife, some with frightening regularity.

It's easy to understand why. In the entertainment business looks count for a lot.

But for most of the patients in Tinseltown, today's Daily Tax Tip is bad news: Cosmetic surgery usually isn't tax deductible.

The IRS will only accept plastic surgery expenses as Schedule A itemized medical deductions if the procedure is medically necessary.

So if while repairing your deviated septum that's been causing respiratory problems your doctor makes your nose look a little better, too, then you're OK tax wise. Remember Bristol Palin's corrective jaw surgery?

But a rhinoplasty simply because you don't like the look of your schnoz can't be counted at tax time.

The IRS spells out its position in Publication 502, Medical and Dental Expenses:

Generally, you cannot include in medical expenses the amount you pay for unnecessary cosmetic surgery. This includes any procedure that is directed at improving the patient's appearance and does not meaningfully promote the proper function of the body or prevent or treat illness or disease. You generally cannot include in medical expenses the amount you pay for procedures such as face lifts, hair transplants, hair removal (electrolysis), and liposuction.  

You can include in medical expenses the amount you pay for cosmetic surgery if it is necessary to improve a deformity arising from, or directly related to, a congenital abnormality, a personal injury resulting from an accident or trauma, or a disfiguring disease.  

Example: An individual undergoes surgery that removes a breast as part of treatment for cancer. She pays a surgeon to reconstruct the breast. The surgery to reconstruct the breast corrects a deformity directly related to the disease. The cost of the surgery is includible in her medical expenses.

Some exceptions: Of course, we are talking taxes, so there are always cases that diverge from the usual rules.

Tax deductions for cosmetic surgery have been allowed in some circumstances where they were found to be related to how a taxpayer does his or her job.

The most famous (infamous?) case here involved an exotic dancer who performed under the stage name Chesty Love. She claimed that her size 56N breasts, enlarged from 56FF, were used as a stage prop to help her make more money and that she gained no personal benefit from them.

The IRS argued that the surgical enhancement's costs should be characterized as nondeductible personal expenses.

The Tax Court sided with Love. Special Trial Judge Joan Seitz Pate said that for someone in Love's line of work, large breasts are business assets and implants are a necessary stage prop.

The judge also found that no personal benefit was derived by Cynthia from the excessive breast implants, which, Pate noted, are not the type usually sought by women seeking to enhance their personal appearance.

As in all Tax Court cases, the ruling noted that the decision applied only to the particular hearing. This is one time where I truly believe that disclaimer.

You also might find these items of interest:

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The More Tax Posts tab at the top of this page will take you to, well, more tax posts. You also can search below for a tax topic. 

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TAX-SAVVY WAYS 
TO WRAP UP 2026

It’s over! With October’s extended filing deadline behind us, it is now time to focus on year-end moves to reduce your 2026 tax bill. 

You’ll find ways to do just that on the Tax Tips page (see the More Tax Posts drop-down menu at the top of the blog), as well as the separate tax tip pages for each month, notably October through December. If you’re on the Tax Tips page, you’ll find a monthly list at the end of this column. If you’re on another blog page, you can head straight to the October tips; at the bottom of that tips page you’ll find links to all the other 11 months’ collections of tax advice.

Not to spoil what you’ll find in that tax advice, but it does cover such things as tax deductions for charitable donations, investment moves that could reduce tax due, and ways to max out your tax-favored retirement savings. 

Finally, as the year winds down, things get hectic. There are lots of other things to occupy our time, like the much more fun upcoming holidays. But don’t lose sight of taxes, since timing is key. To be of use, most tax moves must be made by the end of the tax year. That’s Thursday, Dec. 31, which also is the last business day of the year. 

So that you don’t miss that final tax year deadline, also keep an eye on the countdown clock below. It will keep you on top of just how much time is left to make important, tax-saving moves. (Note: I’m in the Central Time Zone, so adjust accordingly for where you live.)

Comments
  • GREAT REVIEW! I pretty much agree with all your thoughts you said in your post, especially at the end of your article. Thank you, your post is very valuable as always. Keep up the good work! You’ve got +1 more reader of your super blog.

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