Even the most simple cosmetic surgery procedures are far from cheap.  A simple Botox touchup can easily run $300 to $500.  More complicated procedures, like a face lift or revision rhinoplasty, can cost as much as $20,000 or more after you add in the costs of the operating room and anesthesia.

Before the recession, Beverly Hills used to be the hotspot for plastic surgery. Now that people are more budget conscious, more Los Angeles residents are heading to the San Fernando Valley to get their nips and tucks.

Tracy Goodman, a volunteer moderator for PlasticSurgerySpot.com (which is a plastic surgery message board) says that she sees more and more people heading to the suburbs to save money. “For relatively simple procedures like Botox and laser treatments, it just doesn’t make sense to pay the 90210 premium price, when there are qualified plastic surgeons just ten miles away that will do it for 30% less” she says.

However when it comes to more complicated procedures, like revision rhinoplasty, Tracy stresses the importance of going with the best, wherever they may be. “I hear about so many nose job horror stories on the rhinoplasty forum. Because it’s such a challenging surgery, I think that’s one procedure to definitely not price-shop.  Unfortunately most of the top rhinoplasty surgeons in Los Angeles do tend to be based in Beverly Hills. That being said,  I do know a good one in the Glendale area, too.”