HI! I was reluctant to respond since I already responded to a rhinoplasty post and now it's out that I've had two procedures, oh well. Anyway, if you are fit underneath, that should be even more of a sign that the skin isn't going anywhere and needs to be removed. I know it depends on the location that you do the surgery, but it's apporximately 5,000. It's worth every penny! The drain is gross, but the end result is wonderful. Good luck!