Don't deduct plastic surgery, but …
If you simply are following your inner Kardashian, the IRS definitely won't let you deduct the costs of your nips and tucks.
The IRS specifically says you generally cannot include in deductible medical expenses the amount you pay for procedures such as face-lifts, hair transplants, hair removal (electrolysis) and liposuction.
But if a surgery is medically prescribed -- for instance, a nose job to treat respiratory issues -- and you just happen to like the look of your new sniffer, then that's OK. The doctor's decision makes it a medical deduction.
The IRS says: "You can include in medical expenses the amount you pay for cosmetic surgery if it is necessary to improve a deformity arising from, or directly related to, a congenital abnormality, a personal injury resulting from an accident, trauma or a disfiguring disease."
Remember, if you are younger than age 65, all your medical expenses, including any allowable plastic surgeries, now must come to more than 10% of your AGI on your 2015 Schedule A before you can claim them. Older taxpayers can continue to use the 7.5% threshold through 2016.