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Email attachment gets the ball rolling

Dear Dr Gonzalez,
My skin looks very discoloured I don't know why? No makeup! I also have very thin skin and never sat in the sun. I hope these pictures attached to this email help. Thanks, and please get back to me as soon as you can.
Victoria


Dear Victoria
I cut your photos of the main part of your face to help discuss your problems.
1 Nasolabial folds
2 Marioneta lines
3 Jowls
4 Neck: Digastric muscle, submental support, improve neck
definition, mandibular border.
Plan: You need a face and neck lift with deep tissue support
(SMAS-Platisma) to produce a nice, natural look of the face and get long-lasting results.
With the surgery I can also improve the malar projection.
I do not think you need a browlift.
Sincerely
Hector Gonzalez, MD

 VICTORIA'S STORY

CHAPTER 1: Adventures in facelifting
It's 13 days until I board a flight to Guadalajara. I'm 50 and have been looking for more than one year into revising some previous plastic surgery. I spent $10,000 on a result I was unhappy with only to be told later that nothing was wrong. Coupled with this, my face decided to do the unthinkable. As soon as I hit 5-OH my face dropped like it was on a timer. Broke and dismayed, I knew there had to be an answer and I would find it.
With no rainy-day face funds, I realised I had to find an alternative quality way. It was raining and I needed to stop it before the floodgates gave in. I soon resigned myself to accept the only facelift I could have was a third-world one. But even to afford this I have had to work my assets off. I also sold things in an auction. I kept putting money in the bank until I had enough to do it right. I was not going to be cutting corners, except those that can be cut. I have not bought anything but a ticket, two Spanish phrase books and a cheap currency converter.
I was happy about my decision, but I made the mistake of talking about it with others – a huge mistake. Boy, the reactions were made known. People thought my face wasn't "that bad yet – you can wait". Others knew I had health issues that would need factoring into an elective procedure at home, let alone abroad. "Are you completely nuts? A Mexican facelift?"
I went underground and researched quietly. A flicker of hope came when I saw a website with pictures of a woman who had plastic surgery in Guadalajara. A few key words into the search engines, and I eventually came to a private clinic's website. The prices were affordable.
I talked to the owner – a retired registered nurse who ran the clinic – and I received a brochure from her. I also found another company that sets up plastic surgery trips to Mexico, recommending a two-week stay to recover. But anyone who has had a facelift or other plastic surgery knows one recovery time does not fit all. The red flag immediately went up. What about complications? This was not a school trip, and I wasn't a teen. This was plastic surgery, and as personal as it gets – my face. If you don't have the time, than wait until you do – this should be everyone's cosmetic surgery mantra.
One thing the company did make me aware of, though, was that, if I didn't have good lab results, and if I went with this company no matter if I was ready to have surgery, I still would have to take another lab test and pass a physical.
Accommodation was my next issue. Most people opt for B&Bs, which cost about $20 a day. These have nice rooms, home-cooking and a family-type atmosphere. But I am a private creature who likes the quaint and quiet life. After surgery, I plan to curl into a ball while resembling the ghoul from Guadalajara. I chose privacy, air-conditioning and cable. My facelift; my options. I don't like anyone to see me sans makeup, let alone seeing me appear like I had a bad accident.
I know many people choose to combine their holiday and recovery period, making it a mini-vacation. But long, tall tequila cocktails are not part of this gal's facelift plans. The only festive thing I might wear is a sombrero for hiding my facelift from the public and the sun. But having heard you are expected to go to the doctors each day for a check-up – pass that sombrero, por favor.
If all goes according to plan, my next entry will be en route on my no-frills flight.

CHAPTER 1: ADVENTURES IN FACELIFTING
CHAPTER 2: FLIGHT TO A FACELIFT
CHAPTER 3: YOUR FACELIFT IS WAITING FOR YOU
CHAPTER 4: IN THE OPERATING THEATRE
CHAPTER 5: THE HOME STRETCH
CHAPTER 6: SIX MONTHS POST-OP
CHAPTER 7: ONE YEAR LATER

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