Plastic Surgery Northwest

What Plastic Surgery Northwest does

Plastic Surgery Northwest, PLLC is a privately held, physician-owned multi-surgeon plastic surgery practice headquartered in Spokane, Washington, operating as the largest group of board-certified plastic surgeons in the Inland Northwest region. Founded circa 2009 and structured as a Washington PLLC, the practice employs six board-certified plastic surgeons — Derek Fletcher MD, Christopher Pannucci MD MS, Janelle Sousa MD, Emily Williams MD, Chad K. Wheeler MD, and a sixth surgeon referenced in scale commentary — delivering a full spectrum of cosmetic and reconstructive procedures across five service categories: breast procedures (augmentation, lift, reduction, revision, gynecomastia), body procedures (tummy tuck, liposuction, Brazilian butt lift, mommy makeover), face procedures (facelift, brow lift, eyelid surgery, rhinoplasty, migraine surgery), non-surgical procedures (facial fillers, wrinkle relaxers, miraDry, medically assisted weight loss), and reconstructive procedures with high-volume specialization in tissue-based reconstruction (DIEP, TUG, and muscle-sparing TRAM flaps), performing over 300 DIEP flap surgeries per year.

The practice operates an integrated care delivery model centered on a state-licensed, Medicare-certified onsite Ambulatory Surgery Center with two fully equipped operating rooms, supported by private Extended Recovery Suites offering overnight nursing care, meals, and amenities. This vertical integration eliminates hospital scheduling friction and enables procedures priced 45–90% below hospital alternatives while maintaining clinical quality. Supporting sub-brands include Spa Pavone, an in-house medical spa offering non-surgical aesthetic services, and Northwest Breast Center, a specialized breast reconstruction brand. Reconstructive procedures are reimbursed by major insurers including Aetna, Cigna, First Choice, Kaiser Permanente, Medicare, Premera/BCBS/Lifewise, Tricare, United Healthcare, and WA L&I; cash-pay cosmetic and non-surgical services are supported by CareCredit and Cherry financing partnerships.

Revenue is generated through a mix of one-time surgical fees, non-surgical treatment fees, insurance-reimbursed reconstructive procedures, and ancillary recovery suite services. The go-to-market motion is consultation-driven and direct-to-patient, supported by a website with extensive before-and-after galleries, social media presence on Facebook, Instagram, and YouTube, and a medical referral network for reconstructive cases. Lodging partnerships with Ruby River Hotel and HomeSweet extend the practice's effective reach to out-of-town patients. Recent leadership additions — CFO/COO Jackie Luhn (2024) and Director of Clinical and Surgical Services Tracy Love (late 2023) — signal a transition toward a more professionally managed operating model. The practice is physician-owned with no disclosed external investment, private equity, or parent company.

Name

Plastic Surgery Northwest

Legal name

Plastic Surgery Northwest, PLLC

Website

https://plasticsurgerynorthwest.com

Company type

Private

Founded year

2009

Operating status

Operating

Headcount range

11–50 employees

Short description

Plastic Surgery Northwest is a physician-owned multi-surgeon plastic surgery practice in Spokane, Washington, and the largest group of board-certified plastic surgeons in the Inland Northwest, delivering cosmetic, reconstructive, and non-surgical procedures through an onsite Medicare-certified ambulatory surgery center and integrated recovery suites.

Ownership category

akta.pro rank

Product category

Cosmetic and Reconstructive Plastic Surgery

NAICS

Offices of Physicians (except Mental Health Specialists) (621111), Freestanding Ambulatory Surgical and Emergency Centers (621493)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011)

akta.pro primary industry

Plastics / Cosmetic & Dermatologic Surgery Centers (HLAFAIAK)

akta.pro secondary industry

Facial Plastic & Reconstructive Surgery (ENT) (HLAKAMAG)

Keywords

• Cosmetic surgery
• Reconstructive surgery
• Breast reconstruction
• Body contouring
• Medical aesthetics

Headquarters

HQ city

Spokane

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Infrastructure, Operations, Marketing or Sales, Supply Chain

Revenue model

1. Surgical Procedures: Revenue from cosmetic and reconstructive surgical procedures including breast augmentation, tummy tuck, liposuction, mommy makeover, facelifts, and reconstructive surgeries. Pricing varies by procedure complexity.
2. Non-Surgical Treatments: Revenue from non-surgical cosmetic procedures including facial fillers, wrinkle relaxers (Botox), miraDry, and medically assisted weight loss.
3. Insurance-Reimbursed Procedures: Revenue from reconstructive procedures covered by insurance including breast reconstruction after mastectomy, covered by Medicare and major insurance plans.
4. Extended Recovery Suite Services: Additional revenue from overnight nursing care and extended recovery services including meals, snacks, and amenities.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels5 records

Core offering

Plastic Surgery Northwest is a multi-surgeon plastic surgery practice in Spokane, Washington offering cosmetic and reconstructive procedures across breast, body, face, non-surgical, and reconstructive categories. The practice delivers surgical and non-surgical aesthetic services through an onsite Medicare-certified ambulatory surgery center, extended recovery suites, and an integrated medical spa (Spa Pavone).

Product overview

Plastic Surgery Northwest is a multi-surgeon plastic surgery practice offering a comprehensive portfolio of cosmetic and reconstructive surgical services. The practice operates as a single unified healthcare provider consisting of six board-certified plastic surgeons who deliver services across five core procedure categories: Breast Procedures (augmentation, lift, reduction, revision, gynecomastia), Body Procedures (tummy tuck, liposuction, Brazilian butt lift, mommy makeover), Face Procedures (facelift, brow lift, eyelid surgery, rhinoplasty), Non-Surgical Procedures (fillers, wrinkle relaxers, miraDry, weight loss), and Reconstructive Procedures (tissue-based DIEP/TUG reconstruction, implant-based reconstruction, lumpectomy reconstruction). Supporting the surgical services are two distinct facilities: an on-site Medicare-certified Ambulatory Surgery Center with two operating rooms, and luxury Extended Recovery Suites offering private accommodations with nursing care. Additionally, Spa Pavone operates as a medical spa sub-brand offering non-surgical aesthetic treatments. The practice serves the Inland Northwest region from its Spokane, Washington location.

Differentiator

Problem solved

Functional benefit

Brands

• Spa Pavone: Medical spa offering aesthetic services including facials, laser treatments, and other non-surgical cosmetic procedures.
• Northwest Breast Center

Products and services

• Breast Procedures Surgical breast procedures including breast augmentation, breast lift, breast reduction, breast revision, gynecomastia treatment, and combined lift/augmentation for women and men seeking aesthetic breast enhancement.
• Body Procedures Body contouring surgical procedures including tummy tuck, liposuction, thigh lift, Brazilian butt lift, fat injections, and mommy makeover packages for patients seeking body sculpting after pregnancy or weight loss.
• Face Procedures Facial surgical procedures including face lift, forehead and brow lift, eyelid surgery, nose reshaping, chin augmentation, neck procedures, and migraine surgery for patients seeking facial rejuvenation.
• Non-Surgical Procedures Non-invasive cosmetic treatments including facial fillers, wrinkle relaxers (Botox), miraDry for hyperhidrosis, and medically assisted weight loss programs for patients seeking minimally invasive aesthetic enhancements.
• Reconstructive Procedures Breast reconstruction services including tissue-based reconstruction (DIEP flap, TUG flap, muscle-sparing TRAM), implant-based reconstruction, and lumpectomy reconstruction for cancer patients following mastectomy or lumpectomy.
• Ambulatory Surgery Center State-licensed, Medicare-certified outpatient surgery center with two fully equipped operating rooms offering local, monitored, and general anesthesia options for same-day procedures with up to 23-hour observation capability.
• Extended Recovery Suites Luxury private recovery suites with full amenities including Wi-Fi, Smart TV, aromatherapy, adjustable hospital beds, customizable lighting/temperature, sleeper sofa for caregivers, and overnight nursing care for post-surgical patients.
• Spa Pavone Medical spa offering aesthetic services including facials, laser treatments, and non-surgical aesthetic procedures operated as a sub-brand within the Plastic Surgery Northwest network.

Quantifiable outcome

• Over 300 DIEP flap surgeries per year
• +2 more outcomes

Named customers4 records

Segments5 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Three partnerships are on record, tiered minor and core.

• HomeSweetminorOthersPartnership with HomeSweet to offer nearby accommodations for patients and loved ones during recovery. HomeSweet provides lodging that feels like home for out-of-town patients traveling to Spokane for procedures.
• Ruby River HotelminorOthersPartnership with Ruby River Hotel offering discounted PSNW rates for patients: Standard Room $109, Riverview/Poolside $129, Suites $149. Hotel located nearby for patient convenience during recovery.
• Spa PavonecoreStrategic or Co-development PartnerIntegrated medical spa operated within the Plastic Surgery Northwest facility providing non-surgical aesthetic treatments including facials, laser treatments, and aesthetic services.

Scale indicators4 records

Recent moves6 records

Expansion highlights4 records

Regional players

• The Naderi Center for Cosmetic Surgery & Skin Care: Specialty facial plastic surgery practice pairing surgical facial rejuvenation with in-house skin care / medspa. Comparable on the integration of facial cosmetic surgery and adjacent medspa services.
• Galter Medical Center / Galter LifeCenter-affiliated plastic surgery: Multi-specialty physician groups with attached ambulatory plastic surgery offerings in regional markets. Comparable as physician-owned ambulatory surgery + multi-specialty clinic model serving a defined metro region.

Broad incumbents

• Sono Bello: Largest U.S. body-contouring brand operating its own nationwide chain of accredited facilities performing liposuction, abdominoplasty, and facial rejuvenation. Comparable as a competing operator of plastic-surgery-focused ASCs with strong marketing reach and bundled pricing.
• Ideal Image: Large national medspa and aesthetics brand focused on non-surgical treatments (Botox, fillers, body contouring). Comparable overlap in non-surgical cosmetic services and adjacent competition for the same patient dollars.

Direct peers

• Charlotte Plastic Surgery: Multi-surgeon private plastic surgery practice in a single metro offering the same comprehensive cosmetic and reconstructive service mix (breast, body, face, non-surgical) under one brand. Closest direct analog in structure and patient positioning.
• New York Group for Plastic Surgery: Multi-surgeon, multi-location group plastic surgery practice offering cosmetic and reconstructive procedures. Comparable as a referral-driven group practice with multiple specialists operating under one brand.
• San Antonio Cosmetic Surgery: Multi-surgeon private practice offering cosmetic and reconstructive plastic surgery with a dedicated surgery suite. Comparable regional multi-surgeon private practice competing on breadth of services and surgeon credentials.
• Marshall Plastic Surgery / Marshall MedSpa: Regional private practice combining board-certified plastic surgeons with an affiliated medical spa. Directly comparable for the integrated surgical + medspa service stack and physician-owned ambulatory model.

Others

• Allergan Aesthetics (AbbVie): Manufacturer of Botox, fillers, and CoolSculpting — products that PSNW administers in its non-surgical stack. Relevant as the supplier/ecosystem participant whose products feed PSNW's injectables and body-contouring revenue.
• DiGaizo Medical Spa / Aesthetic Practices Group: Network and consultancy serving physician-owned medical spas and aesthetic practices (industry reference). Comparable as a benchmarking/peer ecosystem for medical-spa sub-brand operations like Spa Pavone.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/@plasticsurgerynorthwest5373
• Facebookfacebook.com/plasticsurgerynw
• Instagraminstagram.com/plasticsurgerynorthwest
• LinkedInlinkedin.com/company/plastic-surgery-northwest

Revenue estimate

Valuation estimate

Number of profiles

Profiles7 records

Subsidiaries2 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Plastic Surgery Northwest