Competition is forcing Cosmetic Surgeons to lower their prices and make smaller profits, while overhead costs continue to climb. As a Cosmetic Surgeon, you have tons of competitors nibbling away at the higher prices you could charge. This forces you to work longer hours, charge lower fees to patients, and earn less when you know your services are worth more. This can be irritating when you know you provide superior service and your skills are top-notch. In recent years there has been a proliferation of Medical Spas opening their doors nationwide. Everyone from entrepreneurs to physicians are seeking to take advantage of this new segment of the spa and retail healthcare industries. Dentists, gynecologists, barely trained spa technicians - it seems like everyone's offering non-invasive treatments these days. Dentists offer a little Botox in between filling cavities. There are weekend workshops offered by the International Society of Cosmetogynecology. An organization that promotes plastic surgery as an extension of gynecology. With social media sites handing out cosmetic-treatment discounts like candy, it's easy to get caught up in bargain-hunting for the protocols you offer. Your only solution is to attract more affluent patients to your practice who don't focus on price as much as they focus on your reputation and quality service.