Dr. Vairinho's Consultation Fees
Rates vary depending on the procedure and the patient; an exact estimate is provided only after a consultation.
Price transparency is a key aspect of the aesthetic surgery process. Dr. Alexandre Vairinho ensures that every patient receives clear, accurate information that complies with the recommendations of the French National Authority for Health. The cost of a procedure always depends on the nature of the procedure, its complexity, the duration of the surgery, the technique used, and the location of the hospital. A customized quote is provided for your review in order to enable an informed decision tailored to each situation.
The prices listed are for informational purposes only and are not binding, which is why they are listed as “starting at.” A detailed, personalized estimate, prepared by Dr. Vairinho during your initial consultation, will provide you with the full cost of your surgical procedure.
View the fees for procedures performed by Dr. Vairinho
Breast augmentation, reduction, correction of ptosis or asymmetry: breast surgery addresses a wide range of needs, and even a single goal—lifting or reshaping the breasts—may sometimes be achieved with implants, and other times with a breast lift alone or a fat graft. It is precisely this distinction—often sought in the form of “without prostheses” or “without implants”—that is determined during the consultation. The prices below are indicative and listed as “starting at”; they are always confirmed by a personalized quote prepared by Dr. Vairinho.
Breast Surgery Prices
Aesthetic Surgery Prices, Including Tax*
Reconstructive Surgery Prices (Including Tax)
Breast augmentation with implants + fat grafting prices
6500 €*
4500 €
Breast Implant Replacement prices
4500 €*
3000 €
A significant portion of requests for body contouring surgery follow significant weight loss, when the skin no longer retracts and exercise alone is not enough to correct the sagging. Depending on the area—abdomen, arms, thighs, buttocks—and whether the procedure involves removing skin, fat, or both, the surgical approach will vary, which is why questions such as the difference between liposuction and abdominoplasty are frequently asked. The amounts listed below are approximate; a detailed estimate will be provided after an evaluation by Dr. Vairinho.
Body Surgery Prices
Aesthetic Surgery Prices, Including Tax*
Reconstructive Surgery Prices (Including Tax)
From facelifts to rhinoplasty, including eyelid and profile procedures, facial surgeries are distinguished first and foremost by a distinction that patients often seek to understand: the difference between surgical procedures and aesthetic medicine techniques, which do not address the same conditions or the same degrees of sagging. Pricing reflects this wide variability in the nature of the procedure, the area being treated, and the type of anesthesia. The prices below are provided for informational purposes only and will be specified in a personalized quote following a consultation with Dr. Vairinho.
Facial Surgery Prices
Aesthetic Surgery Prices, Including Tax*
Reconstructive Surgery Prices (Including Tax)
earlobe reconstruction prices
500 €
Intimate surgery is prepared for in an environment where listening and confidentiality are just as important as the technical procedure itself. Whether it involves labiaplasty or penile augmentation, the decision is rarely made on a whim: it stems from a specific, sometimes long-standing, source of discomfort that can be addressed without judgment during the consultation. The cost depends on the exact nature of the procedure and the preliminary evaluation. The amounts listed below are approximate; Dr. Vairinho will provide a personalized quote following an initial consultation.
Intimate Surgery prices
Aesthetic Surgery Prices, Including Tax*
Reconstructive Surgery Prices (Including Tax)
Gender-affirming surgery is not limited to a single procedure: torsoplasty, facial feminization, orchiectomy, or breast augmentation are all part of a transition journey, which may sometimes qualify for coverage under the ALD program. This is an area in which Dr. Vairinho is regularly consulted, and where long-term support takes precedence over the surgical procedure alone. The rates below are for reference only; a personalized estimate, taking into account the patient’s transition journey and potential coverage, is provided during the consultation.
Gender-Affirming Surgery Prices
Aesthetic Surgery Prices, Including Tax*
Reconstructive Surgery Prices (Including Tax)
Unlike surgery, aesthetic medicine does not require an operating room or hospitalization: treatments such as hyaluronic acid, Botox, mesotherapy, and collagen inducers are performed in the doctor’s office, with gradual results and long-lasting effects—a topic that frequently comes up in patients’ questions. It is a common entry point into aesthetic medicine, sometimes sufficient on its own and sometimes used as a complement to surgical procedures. The prices below are provided for informational purposes only; the specific details will be finalized during each consultation with Dr. Vairinho.
Aesthetic Medicine Prices
Aesthetic Surgery Prices, Including Tax*
Reconstructive Surgery Prices (Including Tax)
A commitment to quality, safety, and transparency
Each procedure is performed at partner clinics equipped with state-of-the-art facilities that meet the strictest safety standards: the Clinique des Princes in Boulogne-Billancourt or the Clinique des Martinets in Rueil-Malmaison.
Postoperative follow-up is provided entirely by Dr. Vairinho at his office, ensuring continuity of care, close monitoring, and personalized support.
The purpose of this pricing page is to provide a clear overview of costs while reminding you that every case is unique. A consultation is still essential to determine a treatment plan tailored to your anatomy, your expectations, and your safety.
Consultations: Fees and How It Works
The first consultation for aesthetic or reconstructive surgery with Dr. Alexandre Vairinho is 100 €.
When it comes to a Reconstructive Surgery Consultation, the follow-up visit is billed 60 €, with the possibility of partial reimbursement by Medicare depending on your health insurance plan.
For purely aesthetic procedures, follow-up appointments are included in the service fee.
Dermatology appointments are billed 90 € for your first visit and 60 € for future appointments.
Customized quote and regulatory framework
A detailed estimate is provided following any preoperative consultation, in accordance with legal requirements. It states:
- the surgeon's and anesthesiologist's fees,
- clinic and hospitalization costs,
- the equipment used,
- the devices used,
- the mandatory 15-day cooling-off period required by law prior to any aesthetic surgery.
This document ensures that you have all the necessary information and full transparency before making any decision.
Coverage: Aesthetic vs. Reconstructive
Purely aesthetic procedures are not covered by Social Security or private health insurance.
However, certain reconstructive procedures may be partially covered following a review of your case and prior approval. In such cases, hospitalization costs may be covered by Medicare, while the surgeon’s and anesthesiologist’s fees may be partially or fully reimbursed depending on your private health insurance policy.
Dr. Vairinho systematically assesses eligibility during the consultation.
Patients with ALD ou CMU / CSS
Patients covered by ALD or CMU/CSS are eligible for coverage only if the reason for the visit is medical (reconstructive, dermatological, or skin condition). In this case, the visit is billed at the contracted rate, with no out-of-pocket costs or reduced out-of-pocket costs depending on coverage. Patients with CMU coverage must bring a current, printed proof of coverage and a letter from their referring physician.
If the consultation is for aesthetic reasons, even for patients covered by ALD, CMU/CSS/C2S, no coverage is available : the rates charged are those for aesthetic surgery.
Dr. Vairinho's Patients Return

FAQ
Frequently Asked Questions About aesthetic and Reconstructive Surgery and Aesthetic Medicine
Aesthetic medicine (injections, collagen stimulators, mesotherapy) is performed in a clinic, without hospitalization, and produces gradual, temporary results. Surgery is used in cases that cannot be treated with these techniques. The choice between the two is made during the consultation, based on the diagnosis.
No. These prices are listed as “starting at” and are provided as a guide. The actual price depends on each individual case and is determined only after an in-person consultation, based on a detailed estimate provided by Dr. Vairinho, in accordance with legal requirements.
Purely aesthetic procedures are not covered. However, certain reconstructive procedures, or those performed as part of a gender transition process, may be partially covered upon prior approval. Dr. Vairinho evaluates eligibility on a case-by-case basis.
Depending on the situation, a breast lift alone or a fat graft may sometimes achieve the desired results without the need for implants. This option depends on the patient’s body type and the desired outcome; it is evaluated on a case-by-case basis during the consultation with Dr. Vairinho.
After significant weight loss, the remaining excess skin cannot be corrected through exercise. Depending on the affected areas (abdomen, arms, thighs), a tummy tuck, a body lift, or other procedures may be
Liposuction removes localized excess fat, while a tummy tuck also addresses excess skin and muscle laxity. The two procedures can sometimes be combined. Dr. Vairinho determines the specific treatment plan based on the examination.
The duration varies depending on the product used, the treated area, and the individual patient. These effects are temporary by nature and gradually fade; the frequency of any follow-up treatments will be discussed during the consultation.