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I would ask all plastic surgeons, facial plastic surgeons, and most importantly….past, present, and future cosmetic patients to call their respective senators and demand the repeal of the 5% cosmetic tax. This tax frivolously and unfairly taxes all cosmetic patients and their procedures, some of which are in the middle class. If you remember President Obama campained against this tax increase. This tax increase was attempted in New Yersey and was a complete failure. It did not generate the amount first anticipated and administrative costs made it unaffective. In many instances, the lines between cosmetic and reconstructive surgeries are blurred and our patients could be unfairly taxed for a cosmetic procedure (breast reduction or breast lift) when in fact, reconstruction was performed.