I have known Dr Michael Elam for the last 15 years, he has made such a difference in my life, I feel ten years younger and look fabulous with the procedures he has done for me, which include brow lift, face lift, lipo, and breast aug, of course spaces our in those 15 years. He is a wonderful caring physician, and has a staff of truly caring people, who are so on top of everything, down to the last detail of pre, and post op. I now consider Dr Michael, his wife Shelly and their staff wonderful friends of mine. If you have any doubts, go do it, and you will be completely pleased. Go for it!! You will luv it!!