Alberto Arguello, MD

I have purposely waited 6 months to write this review in order to ensure continued healing and satisfactory results. I had a full face life, with upper and lower eyes, neck, and a slight eyebrow lift. I am more than happy with Drs. Arguello and Arce. They were attentive, realistic, responsive and honest.

OK. Here we go! I've been thinking about this for a couple of years and after months of research decided on Costa Rica and Dr. Arguello. His impeccable qualifications and excellent reviews on RS paved the way. I chose Verdeza for my recovery and traveled alone to CR. Traveling alone was no new to me. I have been all over the world and am somewhat comfortable in Spanish but I have to admit it was still a daunting decision. Fortunately, the team of Arguello/Arce and the fantastic staff at Verdeza have taken such good care of me that I can HIGHLY and without hesitation recommend both if you are ready to take the leap. I am 12 days post surgery and recovering very well and am very glad I planned 3 weeks post-surgical recovery as I actually need it. I am just starting to see the improvements. I warned the doctors that I bruise and swell like a b**** and, brother, did I ever. Even today I look like I've gone a few rounds with Muhammad Ali but every day brings improvement. My photos are not for the faint of heart but please understand that I expected it and that there has been little to no pain, just a bit of discomfort and tightness. Totally manageable! I had a hard time with nausea from the pain medications but started feeling better after stopping them and taking my own Advil and Tylenol with some Gravol for nausea. Again, expected for me due to my super-sensitive stomach. Not fun, though. I'll find some before pictures and post them soon. OK steel yourself...remember very little discomfort. It just looks bad! Updated on 27 Sep 2016: Face, neck, brow, and lip lifts, upper and lower bleph plus chemical peel down center of face. Dr Arguello's fees for all above were $7100. Clinica Unibe was $2950 (and well worth it. I was very comfortable and well cared for there and so much less expensive than Cima Hospital). I'll do a separate update on Verdeza recovery center. We were going to add fat transfer because I had lost so much volume in my temples but Dr Arguello decided against it during surgery due to the effect he was able to get with the slight brow and eye lift. That was a good call! I continue to improve. Bruising is falling and swelling retreating. The therapy at the spa is well worth it to me. They usually start this on day two to help prevent bruising and swelling but I was too nauseous and didn't start until a week later. It has truly accelerated my healing and is relaxing, if a bit odd feeling in the numb areas next to my ears. Oh yes, almost all stitches between days 6-12. Crazy skin peeling off in sheets and gone by day 9. No pain! Only odd tight feeling in places that now are tight! ???? Updated on 28 Sep 2016: Updated on 28 Sep 2016: I also don't look quite like my cheerful typical self yet either. I feel good but still tight around the eyes and mouth so smiling is odd at this point. I'm happy though. Really like that neck again. Lol Updated on 15 Oct 2016: I am back home again after 3-1/2 weeks at Verdeza. Feeling great and bruises and swelling are slowly going away if you bruise after surgery, be sure to ask Dr Arce for a heparin sodium cream like men's en (I used this) or liontin1000 You put it just on the bruises and is made a huge difference for me. Be sure to keep on using the calendula cream in the incisions as it will keep them moist and will heal faster. Still numb at the sides of my face, right ear,and along chin scar but no big deal. Slowly diminishing but I think it will be a couple of months before all swelling (especially upper lips which get more natural looking every day but not quite there yet) and numbness will go away. No makeup in any of my pics so you'll see the unvarnished results. I'm going back to work on Monday 10/17 so makeup is in my future. Updated on 22 Oct 2016: So, I'm back in the daily routine and all is going very well. The incision under my nose is looking better but my upper lip is still swollen from the lip lift. Getting better every day. All my other incisions are looking really, really good. My reentry was uneventful despite quite a few double takes and lots of comments wow you look great, so relaxed! I mean, I am 66 and the difference is noticeable. People are definitely respecting my boundaries. I didn't tell anybody about it before I left. As I told another RSer, One guy I work with a lot is on to me. The second day he came into my office smiling and said I don't know what you spent but it was totally worth it! Too funny Updated on 13 Nov 2016: Feeling great overall. Incisions are healing very well. I still have a bit of stiffness under my nose from the lip lift and numbness in front of ears and all of my right ear. There is some tightness still in a few places under my chin and neck but not troublesome at all. Things are really settling down. Also including some pics Dr Arguello took in the operating room before surgery. Funny! Updated on 14 Nov 2016: A side by side for fun. Lighting is not perfect an improvement, no? Updated on 16 Nov 2016: Thinking about a chemical peel on the lower face. What do you think? Updated on 22 Nov 2016: L. My daughter says I look like a cartoon character. Leave it to kids to tell the truth. Lol Updated on 18 Jan 2017: Feeling great. Still have some numb spots in front of both ears and on top of my right ear. Lip lift is settling down nicely. Very happy with the work of Drs Arguello and Arce. Not bad for 67, eh? Updated on 18 Jan 2017: Updated on 18 Feb 2017: Just checking in at 5 months. Very happy with the way my face is settling out. Looking like myself of several years ago. Photos are in bright side light with no makeup at all just moisturizer. Brave, no? Lol

Am waiting to see Dr. Arguello for final consult before surgery tomorrow. Cost includes facelift necklift, upper & lower blephoplasty. If we agree on a short scar armlift procedure, that adds $3,000. Hospital costs will be $4000 approx. Misc tests and meds total approx $400. I will stay 7 days at CheTica Recovery Ranch starting today and then to a hotel with a friend joining me for the second week stay required post surgery.. Have stayed, at a little hotel near doc's office to get in sightseeing between appointments presurgery. Updated on 4 Sep 2016: I had the described surgery on morning of Wednesday, Aug. 31. Was staying at a very reasonably priced, nice but not fancy hotel called El Maragato a 7 minute walk to Drs offices at Hospital Clinica Biblia and close to all the San Jose sights and street entertainment. The afternoon prior to surgery I had the appt with Dr. Arguello, having met with Dr. Arce his asst physician the day before. We decided against arm lift bc I did not want the long scar surgery due to the kind of improvements I sought. He felt I would not achieve the improvement with a short scar procedure and so we agreed not to try it. My arms are not big and while I have some hanging underneath, I was more hoping to tighten just the front lax and dimply skin. So it's longer sleeves from no own, I guess. The driver from CheTica picked us up ( my husband is here til Monday) and we got settled into our room, had dinner and met the amazing Frances who has been the most attentive and kind nurse ever since. The place is about 30 minute drive from downtown, and transportation to and from surgery and all dr apps is provided at no extra cost. This is important-the surgery was at a different location from the hospital where I met with Drs., but the driver took me to this location. While the name was on the admission paper, there was no address, and I assumed that the staff and doctors office had communicated where I was to go. The driver, Ruben, escorted us up, told the admission clerk I was there for surgery and left. That's when the guy looked at the paper and said this is not the correct location cation. I speak pretty good Spanish, which was a good thing, but here's what I failed to do that I want to make sure no one else goes through. I took no papers with addresses or phone numbers of CheTica with me because I didn't have local calls set up on my cellphone. Have the drivers phone # with you and don't let them leave until you know you are in the right place.. And double check the location of surgery with your doctor.and driver before you go! It worked out but I was panicking because I couldn't reach dr office that early to advise them of the mixup. Dr. Arce had set me up with a great app called WhatsApp that allows you to contact each other like texting without the cost of mobile phone out of country. I was able to reach him and the CheTica and get transported to the right clinic in time. Be sure to carry a copy of your passport if you don't want to risk having the original with you. So, after that, all has been uphill! Surgery went well, recovery relatively painless due to the pain patch Dr. Arguello uses. I will add more details soon about costs, things to be sure to know about or bring, but bc my eyes have been so inflamed and uncomfortable from the stitches, I have not felt up to writing til today. Per Doctors instructions, I have kept the eyes covered as much as possible with gauze soaked in chamomile teabags (bring several with you) and now ice to ease swelling and irritation. Bring a soft ice pack or old fashioned ice bag with you as well as natural tear drops like Systane. You will see from my photos that I bruise very easily due to thin skin and look worse than most people here at my stage of healing. But nurse says I am healing, with no signs of infection. I hope to get eyelid stitches out The meals, fresh and healthy, are brought to the room unless you feel up to eating in the common dining area, the Buena Vista Social Club. I spent the night at the Clinic Updated on 4 Sep 2016: More before pictures Updated on 10 Sep 2016: Today marks 10 days post op. I have had extensive and slow to heal bruising in areas not expected and my eyes were very irritated and one strated swelling more earlier this week. Dr. Arguello was frankly stunned at the extent of bruising, but said he found my skin extremely thin(fragile.) He put me on a course of prednisone and Lioton (heparin a) gel along with continuing arnica drops, Chamomile soaks and Calendula First aid cream. Ice packs and lymphatic drainage massages aid in reducing swelling also. If you use Dr. Arguello, do discuss their massage package with his asst. Dr. Arce before you sign up for 10 @$55 each! They are provided in a swanky Spa in upscale Escazu and a $30-35 cab ride each way. I could not possibly go 10 times in 13 days and felt the total cost with transp way too high. I used an excellent massagepe tgerapist trained for years in Univ in Spain who came to my room at the CheTica ranch and charged $35 each. I did go back 1 more time to their Spa after I moved into town for my last week and used Uber for a cost of $9 one way and if you can, navigate the public bus (ask at your hotel) for less than a $1.00. Finally, always ask street addresses AND the closest landmark if you are arranging your own transportation. Many places, like the hospital or the Spa did not addresses shown or could not be located on Google maps. In San Jose addresses are best found by having the street or avenue address and what streets or avenues it is between, like Avenida Central, Calles 1-3. Updated on 18 Sep 2016: Arrived home Sept. 14 after final appt Sept 13 to get rest of stitches out and some hyaluronic filler in upper lip to smooth old vertical lines from smoking 45 years ago and frown lines between eyes. My eyes were very dry and red next day and have been since surgery on eyelids. My opthomolgist here tsaw me and explained this is a typical result of blephoplasty that improves with time and natural tear eye drops and gel. I had a black tie event last night and was disappointed that a couple of deep bruises on my cheek linger but I bought some heavy duty makeup I normally would not wear and hid the worst. Today improved except my eyes were very swollen and red, probably from the makeup, but despite that several people at church today commented on how great I with my new hairstyle looked! So, that speaks to how natural the results are. Updated on 8 Oct 2016: Still healing behind one ear and a couple of small bruises remain on my face but progress each day. The bleph caused dry eyes but my optomotrist says all looks good and they are better. I still use natural eye drops several x a day. Updated on 22 Aug 2019: After the neck swelling went down, I began to notice that while my neck looked beautiful below midway down, the area above midway to chin began to look baggy and puckered. Over time it worsened and I called the doctor’s office in CR and sent photos. In a phone consult, Dr. Arguellosaid it was hard to determine if this was due to large salivary glands or something else. I was pretty sure due to the texture and appearance this was not due to salivary glands. When unable to coordinate a return trip with them, I consulted with a local plastic surgeon who thought it was due to skin adhesion to the muscle midway ( It felt like a rope was tight around my neck there.in part due to too much fat removed (I had very little there to start.) He tried Botox shots to that area where puckering starts but that did not help much if any. I tried massage the area and also paid $1800.00 to try Venus Legacy radio frequency treatments. Minor temporary improvement but not close to tightening my skin. It is worse than ever and I am in process of getting consults and costs. Here, seems no one charges or quotes less than $10-$12k, which is what the entire face lift and necklift plus hospital overnight cost in CR. I would like the ugly skin gone but that is too much to pay fora revision.

Well I have been on RealSelf for about a year now. I started checking it out when I got a gastric bypass because I knew I would need some plastics done. Iv lost about 100 lbs and still have another 30 or so to go, hence the Nov date. I have chosen Dr Arguello in Costa Rica. He has fantasic reviews and pictures and great credentials Dr. Argüello´s credentials including being a member of the: American Society of Plastic Surgeons (ASPS), American Society of Aesthetic Plastic Surgery (ASAPS), International Society of Aesthetic Plastic Surgery (ISAPS). I am getting a facelift, necklift, eyelift and probably an eyebrow lift. I am also getting an armlift in the same surgery unless the facelift takes longer than expected and then it will be a few days after my facelift ( the quote for face, neck, brow, eye and arm lift includes everything except my recovery stay of 14 days ) broken down the cost is as follows: face neck eyes $5,300 eyebrows $2,000 arms $3000 surgical clinic $3000 about $4,500 if you want your surgery done at the hospital 10 therapy sessions $500 face garment $60 medications and pre op tests $500 14 days at Che Tica Recovery ranch @ $125 a day ( my husband will be with me ) its $85 a day for one and around $1000 for airfare. Thanks for all of you out there that do reviews and show your pictures. I will add more photos soon this is a cash price the 14 day stay at Che Tica is $125 a day because my husband is coming with me, its $85 for 1 person and I figure airfare will be around $1000 for both of us. Updated on 1 Sep 2016: so very exciting it is seeming more real now that I have purchase flight tickets and paid my deposit for Dec 8 surgery. I still have to lose 20 more lbs to have a low enough bmi for surgery. I'm trying to get and keep myself motivated be very strict on my diet by starting to buy stuff for the trip, so far iv gotten 2 night gowns that are loose and snap button up the front and also got new robe, someone suggested a floppy hat for when I'm outside and I got that. I don't want to take a bunch of stuff I don't need but I would love some suggestions from all of you realselfers out there that have flown out of the county to costa rica for surgery, Im getting a full face lift, eyes top and bottom, eyebrow lift and neck lift along with a chemical peel and possible some fat injections to my face. I'm also getting an arm lift. I would like to stay and Che Tica but Iv had a few people discourage me from that, I will have my husband with me he is very good at caring for me and will be fully involved in this whole thing. The cost of Verdeza is much more than Che Tica $125 a day for both of us ( especially because there are two of us and I think I would love the scenery and quiet along with the fact that I can get a two bedroom cottage at Che Tica which would allow for my husband to do other things while I'm sleeping or resting. Any suggestions would be helpful and I promise to pay it forward by posting my before and after pictures and giving a rundown of the whole thing for others. Updated on 20 Sep 2016: Updated on 20 Sep 2016: Updated on 18 May 2017: I'm now 8 days post op, every thing has gone well with no complications and I'm happy with the outcome so far, I will post a few pictures now and add more about my experience later. Updated on 19 May 2017: Updated on 19 May 2017: Day 5, one of my eyes swells more than the other one and makes it look asymmetrical, it does even out after day 10 but who knows the swelling changes back and forth day by day it changes. Updated on 19 May 2017: 7days post op Updated on 22 May 2017: Every day things get better this experience has lived up to every expectation I've had in a positive way Updated on 23 May 2017: Very pleased, even through the swelling I can see I'm going to love the results Updated on 23 May 2017: Updated on 23 May 2017: Updated on 27 May 2017: Updated on 27 May 2017: Updated on 27 May 2017: Updated on 28 May 2017: Our time there was wonderful, Very Good home made healthy and oh so tasty meals and always with generous servings of several kinds of fresh locally grown fruits Papaya, Pinneapple, Mango, Bannanas, etc. brought to your casita or you can eat at the dinning room and visit with other recovering patients and swap stories. All of the staff had one thing on there mind and that was to make your stay amazing in every way they can. Francis the main nurse was very sweet and attentive, she knew what medicines,shots or treatments were prescribed by your Dr and was there promptly to administer, help with showering and dressing and changing bandages. You can have as much or as little help as you feel comfortable with. There was great communication between your Dr and Che Tica, without you telling Che Tica about Dr appointments they already knew when the appointments were and already had arrangements for your transportation there and back and when your appointment was done the Dr office had already spoken with Che Tica and your ride was either waiting for you or on its way. It is very beautiful with many walking trails and different areas with swings to sit back and read a good book or just enjoy the breeze and the views. We were there in May which is the rainy season and that did worry me because I knew I wanted to enjoy the views and strolling outside but it was no problem the weather was quite similar each day. Most days were sunny with cool breezes the first half of the day then around 3 - 5 in the afternoon we got heavy rainstorms with lightening and cracking thunder (which I so love) then it would clear up and start all over the next day. Anything we wanted was quickly arranged, we had mentioned we wanted to go on a tour the second week we were there and the owner described many of the tours and when we decided which ones we wanted he quickly made arrangements for us, he made sure the tour guide he selected was English speaking with a comfortable air conditioned van. We first went to one of the many coffee plantations for a tour, explaing from beginning to end the production of coffee, very interesting but the trip to the water falls was really amazing, in the middle of the rain forest many huge waterfalls seen up close, monkeys, birds, butterfly's, amazing plant life and beauty beauty beauty. I found it very doable after the first week of recovery. If there is something that you are not happy with just a call to the owner Rueben and it is fixed, I had one issue and when I told him it was taken care of right away. This is not an upscale place and you may see an occasional ant or fly and the rooms aren't the Ritz Carlton more like quaint cabins in the rain forest , which they are! I am thinking if you have a lot of serious medical issues or are used to upscale living this may not be the place for you, but what I got was just what I wanted a recovery home to care and feed you and meet your needs and the beauty of a setting in the rain forest and yet not So very far out of town. All $152 a day for 2 people with medical care and three tasty home cooked meals a day, clean casitas and beautiful surroundings plus transportation to and from Drs apps and the airport, and most importantly to me memories that I will have for a life time, how can you go wrong! Updated on 2 Jul 2017: This first picture is the day before surgery The second picture is 6 weeks after surgery

I have been looking through all of the before and after pictures for months now and have made my decision! I figure if I'm going to get work done (facelift, CO2 laser treatment for lines and wrinkles, blasphemy, and a breast lift/revisions), I might as well do it in a lovely country and travel to another country to do so! Dr. Arguello has 5 star ratings and his work is phenomenal based on the pictures on Real Self. Believe it or not, I used to be and feel attractive...now I just feel old, saggy and VERY UNATTRACTIVE!!! I used to turn men's heads but now they don't even look or if they do, they immediately turn away. I have been wanting to do this for years now and now that I'm retired and have all of the time in the world to do something like this...I'M GOING FOR IT AND SO EXCITED!!! Updated on 28 May 2016: Well Dr. Arce and I finally decided on a date that works for all of us ???? I all be arriving in Costa Rica on 7/24, appt with Drs. Arguello and Arce on 7/25 and 1st surgery on 7/27! I ABSOLUTELY CANNOT WAIT!!! TWO MONTHS WILL FEEL LIKE A LIFETIME...Will keep you updated where I'll be staying and hopefully I can meet those of you having surgery at the same time???? Updated on 28 May 2016: Can anyone refer me to a great Dr. to perform regular CO2 laser resurfacing in San Jose or nearby? Updated on 28 May 2016: I just wanted to let everyone know that my estimated costs includes: face lift, neck lift, blepharoplasty(eyes), breast lift w/implant replacement and revisions, associated cost with surgeries, airfare and lodging. Updated on 31 May 2016: I now have everything in line for my procedures and my stay in Costa Rica! I know I should not be as excited as I am because I'll be in some pain, but I still can't wait to start the rest of my life as the new improved me!!! Updated on 8 Jun 2016: I have contacted Dr. Arce to get prices for a mini tummy tuck and liposuction. I don't think I'll have money to have both procedures done in addition to the other surgeries I want done. For those of you who have had these procedures done...which one do you think is most beneficial? The costs are comparable for both surgeries...please help...I don't know which one to choose ???? Updated on 8 Jun 2016: I asked for your advice on which procedure to go for (mini tummy tuck or liposuction) but I did want to share pics...but realized I need to for opinions. SO HERE GOES...AUGH!!!! Updated on 15 Jul 2016: Well I started looking for a good plastic surgeon about six months ago and found GREAT ONEs in Costa Rica, Drs. Arguello and Arce. Many things have changed since I first began my search; the number of procedures I want done, where I am staying to recover, retirement, and how I feel about my appearance. With regard to the procedures, I've decided to get as much done as possible! I was originally going to just get a fl, nl, upper and lower bleph, breast lift, new smaller implants and breast revision. Now I have decided to go for an eyebrow lift, with cutting the corrugator muscle (forms the 11s on the forehead), mini tt, and lipo in addition to everything else. Of course it will depend on my face to face meeting with the good Drs, and what they recommend. Unlike most ps patients, I want to look somewhat different and want them to make improvements wherever possible! I don't care who realizes what I have done once I return! I decided to change my recovery facility because I have Multiple Sclerosis. I felt in addition to having both a chronic disease and having ps, I need to recover in the best medical recovery facility available and not take any chances with my health or life. I am now retired on disability due to my MS. My job requires me to know, advises and apply federal laws and regulations every working day. My MS has progressed from remitting relapsing to secondary. I no longer have relapses and luckily all of my symptoms have remitted (gone away) with the exception of my brain. Oddly, MS first attacked my brain in 5/90 and it is the only body part left severely affected. I have lost both my long term and short ter memory and have to be given everything in writing and write myself reminders for important things. I thank God everyday that I am not physically disabled and am able to lead a somewhat normal life. Finally, upon posting my pictures on RS, I have gone back and looked at them MANY TIME and am disgusted by what I see. I don't wear makeup unless I am going out someplace special and had no makeup on in the photos. Now I understand why I no longer was turning any heads and no one flirted with me anymore! I have let my appearance go so much. I used to be a size 4 and somewhat attractive in my 30's, but I have let everything go to hell!!! Now I feel this is my time for myself! I have raised two sons (27 and 24) as a single mother as I got divorced in 1994 and never remarried. I feel as if I have earned and deserve this experience. It is a shame I am just realizing this now! I will be for Costa Rica in 12 short days (7/24) and will have my surgery in just 15 days (7/27). I CANNOT BELIEVE I will be having sugery in just 15 days at this very moment (9 am)! I am both excited and nervous but I understand that is normal after reading everyone's posts here on RS. I just want to thank everyone for posting their pictures and journeys on this site...you don't realize how nice it is to learn from others who have or are going through what I'm about to. A VERY SPECIAL thank you to those of you who have private messaged me with invaluable information, advice and encouragement!!! I would be lost without the advice and guidance of those on this site I have followed and emailed. Updated on 15 Jul 2016: I changed my mind on where I was starting for post surgical care. I read a comment about where I was staying versus the credentials, amenities, and attentive medical care you receive at Verdeza so I switched facilities. A huge thank you to the RS member who posted the comment that directed me to Verdeza! Updated on 25 Jul 2016: I touched Dow in Costa Rica at last. When I first started this journey, I felt like it was years away but I'm actually here now in Costa Rica! It is a beautiful place and the locals are so friendly! Carlos, the driver from Verdeza picked me up from the airport and brought me to theQuality Inn, where I'll be staying until after my surgery. The rooms are large, extremely clean and have everything in them one could possibly need. The staff is extremely friendly and some already know me by name. I went this morning for my bloodwork and chest X-Ray. I will go tomorrow for and meet with the cardiologist for an electrocardiograph just to make sure my ticker is fine for surgery. Then it's off to meet with Drs. and Arguello to find out what procedures I will actually have based on their evaluations and recommendations. I can't wait to meet them in person!!! Updated on 28 Jul 2016: Well friends, I made it through my 1st surgery yesterday with flying colors. My first surgery included the following: face lift, neck lift, brow lift, blepharoplasty, platysmalplasty and chemical peel. I have had NO PAIN and very minimal bruising so far! The only thing I have experienced some swelling which is being treated with cold compresses of chamomile teabags. This Saturday I will go to UNIBE Clinic for my 2nd surgery which includes: breast lift, replacement of implants, mini tummy tuck some fat transfer/injection into my face and liposuction. Drs. Arguello and Arce are not only ABSOLUTELY AMAZING SURGEONS but also kind and caring ones. I am not able to see my results yet, but I have every confidence in them. I just hope my second surgery is as easy as my first even though I'm sure it won't be as it will be messing with many parts of my body! I will post pictures once I feel like taking some--probably tomorrow... Updated on 31 Jul 2016: Below are the before and after pics oh my face 4 days after my face/neck lift, brow lift, platy and a chemical peel. The black marker marks are from yesterday's fat transfer as Dr. Arguello marked where he would transfer some during surgery. I am still quite swollen and my face is red where skin came off--but to my amazement, the chemical peel did/does not hurt AT ALL. Even though you probably can't really see much of a difference, I can certainly see a HUGE difference although I am red and swollen!!! I AM ONE HAPPY CAMPER right now :) Updated on 31 Jul 2016: Upper and lower blepharoplasty done too... Updated on 2 Aug 2016: A few pictures as it is not that easy to take pics of yourself These pictures are not that good but I'll try to get copies that my doctor takes. I am very pleased! My nipples are smaller now. My breast actually look like I wanted them to look from my teenage years:) I hope these pictures help to show the amazing work Dr. Arguello does! Updated on 9 Aug 2016: Ola from Costa Rica and Verdeza!!! I just wanted to pass along some information about some dental work I had done at America Dental which is only about 2 blocks from Verdeza and is PHENOMENAL! MANY Americans travel to CR for dental work and now I understand why. I had not seen my dentist in the states for over a year so a cleaning was definitely needed! The assistant cleaned and scaled my teeth thoroughly and for the first time ever, I had NO BLEEDING OF MY GUMS! Her thorough cleaning cost only $50. I originally went in for a cleaning and teeth whitening but they found 5 small cavities. I was a HEAVY smoker until about 2 months ago so I fully expected to have some cavities--especially since I hadn't seen my dentist in a long time:( Each filling was only $60. The dental consult for the whitening was $50.00 The teeth whitening cost was $350 for 1 hour of laser whitening. Since I had liked and trusted them so much I decided to have them make a replacement moth guard for night (I grind my teeth). In the states, the same mouth guard costs around $900. At America Dental it cost $200. They used the same material to prepare the mold and I expect it will be of similar quality as the one I purchased in the states--if not better! I HIGHLY RECOMMEND AMERICA DENTAL in ESCAZU. I plan to come back to sight see, get a cleaning and have my amalgam fillings replaced with white ones! Updated on 11 Aug 2016: I met with Drs. Arce and Aguello today for my final check up before going home! He calmed my nerves when he reminded me that I am still swollen and it may take 3-6 months before I am able to tell if there truly is an issue or not. He believes everything will be fine but if for some reason it is not he will correct any issues when I return in 6 months. I am so glad I chose Dr. Arguello as my plastic surgeon! He truly is concerned about his patients and wants to make sure you are pleased with his work as he always strives for the best result for the individual. As I have a problem keeping my hands off of things (I have to touch absolutely everything) he contually reminds me no to touch my incisions for fear they will get infected . I know he'll be glad I'm returning to the states tomorrow as I am an impatient, Type A Nervous Nelly! I think I will give him a 6-month break from my unrelenting worrying and questions! lol I DO LOVE THAT MAN!!! Updated on 16 Aug 2016: I arrived home last Friday, August 12 at 7 pm. and I am so happy to see my family, friends and furbabies! However, as I departed my airplane, I was immediately hit in the face with temperatures in the high 80s and extreme humidity! Sweat immediately pouring from every pore and dripping down my body! I wanted to hop right back on a flight to go back to beautiful and temperate Costa Rica! I can definitely see Costa Rica as my second home. I apologize for not updating my post lately but I have been extremely busy since I've been home. I am finding that my face, eyelids and neck are swelling much more than before and I am trying to reduce most of the swelling before I post pictures--hopefully later today. I have been careful with my salt intake but decided yesterday to eat only fresh fruits, vegetables and meats as much as possible! We'll see you if it works/helps! Fingers crossed! Any other tips anyone else has would be greatly appreciated. Thank you! Updated on 17 Aug 2016: I tried to take some new pics as I've hit my 3 week post-op date :) The pictures seem a little fuzzy but at least it gives you a good idea of my results! Remember, it is a work in progress for about 12 months but I'm ecstatic with my results now. Updated on 17 Aug 2016: Here are a few things I learned during my transformation journey: If you get a blepharoplasty done, be sure that you DO NOT put the ice pack (frozen bag with water/gel) directly on your eyelids to soothe them or reduce swelling. You will end up burning your eyelids and it hurts VERY BAD! The best thing to use is cold chamomile teabags. I found it is best to ask for a bowl of ice and pour the cup of tea and tea bags in the ice. Then put the cold teabags on top of your eyelids. I suggest taking a box of 20 or so teabags with you as not everyone has them when you need them! If you are getting facial work done, I found that there was no need to take pajamas with you to the clinic. When I arrived, they had me change into a hospital gown and the nurses put compression socks on me. It is best to take a button up shirt (you don't want to have to put clothing over your head/face) and either pants or a long skirt with you for after surgery unless you feel comfortable walking around in shorts with your full length compression socks :) Be sure you have a wide brimmed hat with a string to avoid the sun. A string on your hat is helpful for windy days. Be sure to take sunscreen with the highest SPF you can find. If you are getting a tummy tuck and/or liposuction done, there is no need to take your many pairs of underwear as the compression garment they put on you after surgery, has a hole for easy access when you need to go to the bathroom. Again, I found that loose maxi dresses were my best friend as not only do you have to wear the compression garment (girdle) and compression socks but you also need to wear cotton under your garment for added compression and to avoid indentations or irritation from the garment. I took three times more clothes than I needed or wore. I did not wear pajamas at all while I was there. I found that as long as I had a robe to wear over my compression garments, I was comfortable and fine. If you are having a breast lift or augmentation surgery, I would recommend buying extra surgical bras and taking them with you. You need to wear a clean bra each day in order to avoid infection. If you bring at least one additional bra, you can wear that one while washing the other. As I think of any other words of wisdom, I will add them under this post. Updated on 19 Aug 2016: Just took some clearer head shots. I will post other pics once breast infection is totally gone. Please ignore the dark circles under my eyes as I was up until about 3 a.m. watching the Olympics! Updated on 21 Aug 2016: A while back I had posted an estimated cost. I have totaled all of my surgery related expenses below: Surgeries--Facelift, Neck lift, Blepharoplasty, Platy (neck banding repair), Eyebrow lift, Chemical peel, Fat transfer, Liposuction, Mini tummy tuck, Breast lift, Breast augmentation, and Juviderm injections. Cost : $19,960 Verdeza--Post Surgical aftercare facility for 15 days. Included room, board (meals), transportation to and from the airport, to and from surgeries, and follow up appointments. Cost: $2,250 UNIBE University Hospital/Clinic--2 night's stay (1 night per surgery). Cost: $5,757 TOTAL COST: $27,967 TOTALLY WORTH IT!!! Updated on 15 Nov 2016: Latest picture of face lift results in the attached photo. Dr. Arguello is the absolute best plastic surgeon alive!!!

I promised myself I would never look my age. They say " just grow old gracefully". grow old GRACEFULLY! ....how can I do that? No one grows old gracefully...you just grow old! Well I've decided to make an adventure out of going to Costa Rica to get some years back. I've always looked pretty young for my age.....I'm 65! I can pass for 50-55. I can't believe that one because last week I was 30! My skin is still in pretty good shape. It's the underlying muscle sagging that is getting me down. I've been told the outcomes of plastic surgery are better if you start the process of fixing things before everything sags to you knees. So that's what I'm doing. I've had contact with such wonderful people on Realself, did my homework and due diligence and have committed to Dr.Alberto Arguello! Let's the adventure begin! Updated on 20 Feb 2016: I guess it's time to put up some uglies. Now that I've started this blog, I owe it to everyone to show what my doctor has to contend with. Work your magic, Dr. Arguello. So excited for Costa Rican adventure. Updated on 20 Feb 2016: I'm sure some of you seeing the price tag for this thing is off putting but I haven't yet mentioned all I have planned for my improvement. I will have two separate surgeries. A neck lift, face lift, upper and lower blepharoplasties, then breast augmentation revision and revision of previous tummy tuck scar with some additional skin excision. Possibly some lipo as well. This of course will be up to the discretion of Dr. Arguello when we have our in person consultation. Some surgeries may change or be eliminated or added as he sees fit. I trust he will aesthetically make the right recommendations for the best outcome. Updated on 26 Feb 2016: Today I got the most amazing phone call from Dr. Arguello. What a delightful and enjoyable man! He is everything his past and present patients have said he is. He's funny, articulate and instills a sense of comfort with his demeanor. I like that he is so safety conscious and takes a holistic approach in addition to the standard/ best medical practices approach to his treatment and technique. I've been walking in the clouds all day after speaking with him. I'm now assured that my decision to go to Costa Rica and Dr. Arguello is a sound one. I'm looking so forward to meeting him in person and letting him transform me into the best version of myself. This is the bravest or craziest thing I have ever done but I am determined to bring as much insight and information to this journey so that others can feel they could take this journey to Costa Rica with confidence. Updated on 27 Feb 2016: Well today I did what others have mentioned doing as they await their surgery date....I packed and re-packed my suitcase! How crazy is that? I have been accumulating all necessary items (and some not so necessary items) to take along. I've printed up instructions from the doctor's website of pre surgical information in addition to do's and dont's. Ive also got instructions regarding arriving at the airport in Costa Rica. I think I'm all set. I'm sure I'll unpack several more times before departure just to remember everything I'm taking! I haven't yet purchased scar gel, but have been looking at NewGel+. Anyone had good results with it? I've also purchased Vitamedica's pre/post surgical recovery supplement regimen. I want every available advantage when it comes to healing and wellness. I'm determined to be a good patient and do everything right! Updated on 27 Feb 2016: Updated on 2 Mar 2016: There are so many wonderful people on this site that are so supportive and non judgmental. So many people really understand what most of us are striving to achieve. Even though generally those we encounter on a daily basis would not condone publicly what we at RealSelf talk about daily, I have found that if those same people were given a choice to change themselves for the better without peer judgement they would go for it. I'm tired of political correctness and hypocracy. I have made my decision to do something about my looks...the parts of me that are not aging so well. I'm not trying to be someone I'm not. I want to be me only better. If by improving myself I'm able to give more of myself to others then that is my mission. Don't be deterred by those who are not supportive. You have enough support on this site to carry you through...thank you , each one of you for making this community so special. The wait for my time in Costa Rica is driving me nuts. Just because I'm looking so forward to this, time is dragging....lol Updated on 6 Mar 2016: Well another week closer to my destiny. Just waiting it out. I so appreciate Realselfers' feedback and support. I find I'm anxiously awaiting comments from you all day long! Thanks everybody! Updated on 10 Mar 2016: I just wrote a very long monolog of my thoughts about this journey I'm about to embark on and accidentally deleted it...ugh. I'm gonna try to recapture the mood but I'm afraid the gist won't have the same feeling. I'm convinced that the length of time that elapses between thinking about having plastic surgery and actually having it is the time necessary for us to reconcile what we are actually about to do. When I first started thinking about this, it was only mild interest. This site and others opened up my eyes to the possibilites. I have been very lucky to have maintained myself for 65 years but the inevitable was bound to happen...those signs of aging we can no longer hide behind makeup and hairstyle. It has been more of a challenge when i have a girlfriend who is contantly engaging strangers in the game of "guess how old my friend is" Most guess between 40-55 and are amazed I'm 65. Actually I'm amazed too because just a couple of years ago I was 30! Its wonderful, don't get me wrong. I'm grateful, but when i look in the mirror im forced to see the real me, warts and all. I've vacillated between dismissing this whole thing to booking my surgery for tomorrow. I have to seriously contemplate what I'm about to do. Everything in life has tradeoffs. Some more acceptable than others. As far as having a facelift, I have to consider what I will gain and what I might lose. The biggest issue for me is the obvious scars that announce what I've had done. Your face is always out there for scrutiny. Is the judgement of others something I can live with? It has to be considered. Most of the time the tradeoffs are acceptable and manageable. For instance, a few years ago I had a Tummy Tuck. That is something I had wanted for 40 plus years. The tradeoff? A large abdominal scar and numbness for flat smooth tummy and narrow waist. Worth it? You bet ! I had breast augmentation many years ago. I had capsular contracture and numbness. The tradeoff? I've had a "great rack" for 35 years..... Now that my surgery date is set, my deposits paid, airline booked. The only thing I now need to focus on is me. My mental and physical health and wellbeing. The full equation includes the skill and ability of my plastic surgeon, Dr. Arguello. I have decided not to worry about what ifs...what if there are complications? What if my results are not desirable? What if.....there are a million of them. I can only do what I can do. Stay mentally engaged and upbeat. Keep my body in the best possible shape so healing will be optimal. I have to say it is empowering to not have to put Dr. Arguello so much into the equation as I trust his skill and expertise to keep up his end of this bargain by utilizing his training and experience to create and improve upon what nature is determined to tear down. I know how lucky I am to be able to do this and am humble and grateful for everything. I know firsthand how fleeting things in life can be. Embrace the good, downplay the bad. Ok enough preaching....lol. I'm working on the mental health thing here.. is it working? I haven't a clue! !! Updated on 6 Apr 2016: He knows I'm going for plastic surgery but still thinks it will be a vacation! Say what? How can having my body and face filleted open be a vacation? He has the mindset that because I'm going to a beautiful exotic country that somehow equates to "vacation". He's so silly. I, on the other hand am much more pragmatic about the whole thing in that I know what lies ahead as far as recovery and discomfort and pain and swelling and all the post surgical demons waiting to cause me grief! I'm ready, I think to take on the challenge. This is by far the bravest thing I've ever done. The fact that I'm making this journey alone is really what makes this brave. I could have plastic surgery anywhere but feel so compelled to follow my heart to Costa Rica. There is this draw I feel to the doctor and to the recovery facility. The credit for that draw has to be given to those other brave beauties that pioneered before me and provided so much vital information on this site about their experiences. Thanks to all the rest of you thinking about doing this or just want to give words of encouragement. I can't tell you how important your feedback has been and continues to be. My first surgery is scheduled for 3 weeks from today. In a few days it will be 2 weeks before my departure. I started exploring the idea of going to Costa Rica almost 6 months ago. That was a lifetime ago now. Soon it will be my turn.....I am nervous and excited. Bring it on, I'm so ready! Updated on 17 Apr 2016: I absolutely cannot believe my trip to Costa Rica is around the corner. Saturday I leave on the greatest adventure of my life! I have paid for everything now so it is up to Dr. Arguello what kind of magic he can perform on me. I have a decision to make on size and manufacturer of Silicone implants. I'm hoping he can do under the muscle this time. My skin quality is not what it used to be so not sure if lipo will be possible or not. My TT revision will be skin only excision of stretch marks ( I had a set of twins, love them, hate what they did to my body!) Then there is the face...well actually the neck is the biggest problem area then eyes.....this list goes on. I never ever thought I would have surgery on my face but one day I woke up and realized I was no longer happy with how thingsy were changing. I'm so very fortunate to be able to make this trip and improve those things I'm no longer happy with. This is a dream come true for me. Wish me luck. Updated on 19 Apr 2016: Today, out of the blue I received a call from Dr. Arguello. He wanted to reassure me that he and Dr. Arce were all set for my arrival in Costa Rica and see if I had any questions or concerns. He basically said just because I get my surgery done and go home he's not thru with me yet...I can get rid of him that easy...he'll be there for me! I told him how impressed I was with his follow up with Vee1028 by seeing her when he came to Las Vegas for a Plastic Surgery conference. He told me he-will be coming near me in September and wants to follow up with me too. Wow. What a great man. He is so happy and confident and upbeat. He promises the royal treatment. I can't wait to meet him and Dr. Arce. I got all the medical consent forms emailed to me that I printed out and have to sign. There is a ton of info. I think I'll be packing 10 extra pounds of paperwork, lol Updated on 22 Apr 2016: Tomorrow's the day i make my way to Costa Rica. Still isn't real. I'm gonna wake up and find I was in the Twilight Zone this whole time......deep sigh! Everybody has been so kind and sweet about my upcoming transformation. You gals on this site make the best cheerleaders! I need you all.. The preparation for this has been so much fun. The planning, the buying of stuff to take along, the packing and unpacking and re-packing. The countdown of the days. What an amazing experience so far and I haven't even taken off yet. This is truly a journey of a lifetime and a bucket list item for sure! Updated on 23 Apr 2016: Well, I made it. Carlos was at the airport to meet me and I'm all checked in to Verdeza, the aftercare facility. Because it is so late there is minimal staff here tonight but I got a quick tour and had some documents to sign. Tomorrow Carlos is taking me on a tour of the surrounding tourist attractions. So this is real. I'm actually here! Monday and Tuesday I have doctor's appointments and surgery on Wednesday. It's been a long day. Updated on 24 Apr 2016: Well I didn't sleep very well last night. I think I was just over stimulated with everything. I got up early today to a great breakfast and then Carlos took me on a tour of the Poas Volcano and the LA Paz gardens with butterflies and exotic animals and the most lush beautiful rain forest and waterfalls. It's not for the weak tho. It's about a 3 mile hike up and down steps. My legs really got a workout but so worth it. Tonight I'm beat. Tomorrow Carlos will pick me up in the morning for a visit with the cardiologist then to Dr. Arce. Goodnight all! Updated on 25 Apr 2016: Well this morning I was up early as I still didn't sleep well. I'm used to a very soft mattress and the bed is firm so that may be it. Carlos was early as usual but I beat him to the lobby! Yay...minor victory! It's funny how stupid little things make for entertainment, lol. The food here is soooo good!. You sit in a large dining room with separate tables just like a small restaurant and you order from a menu. Your food is made to order and is so fresh and wonderful. Why does food always taste so much better when you're away from home? I met with Dr. Deliyore as my first appointmet of the day. He did a complete cardiac workup and EKG. He was funny and we had a good time. And the best part is he cleared me for surgery! He said I was in great health. Then I walked a half a block to the Omega Medical building, 7th floor ( I even took the stairs the whole way) to Dr. Arce's office. He spent a great deal of time with me explaining everything and writing medical instructions for the Clinica Unibe, where the surgeries will be performed and wrote out instructions for me to follow post op. Then I got a prescription and it was time for the dreaded pre-op pictures. We went into a room where I stripped and posed for god-awful pics of my "trouble" spots....basically my whole body!! lol. Ladies if you are modest you better leave it at the door because you stand there in your naked glory while the camera flashes from all sides. Actually at this point knowing I'm going to have some improvements in my body, I don't mind walking around naked...lol. tomorrow is my consult with Dr. Arguello. That is the final step before surgery on Wednesday morning. Drinking lots of water and eating pineapple and papaya! Yummy. Updated on 26 Apr 2016: Dr. Arguello is everything everyone has said about him and more!. He is so incredibly handsome, I think I just stared at him the whole time I was in his office! He has such an aesthetic eye and just by letting me sit a ramble on talking to him he was able to suggest reasonable changes he could make to my face to make such great improvements. I'm so confident in his abilities. When he looked at my body he made recommendations that exceeded what I thought I needed. Not more...just better ways of improving. Well my lovely RS friends. I bid you good night....I'll see you on the other side. I'll post when I'm coherent enough to see to type and make sense . Here's to the new old me! Updated on 28 Apr 2016: Omg....had breast implant revision..340cc Natrelle inspira. He couldn't go under the muscle because it was too tight against chest wall. They are a completely different shape than before so don't know what to expect with healing and settling. Had extensive lipo to hips back, abdomen , thighs. My butt looks really good and round. I'm not gonna whitewash it....it hurts like a mother. I also got my upper and lower eyes done so can't see very well. Crusty with blood. Saturday I go in for face lift and neck lift. This is grueling and difficult. After saturday the true healing g begins. I stayed in the hospital over night and the care was excellent. I'm really tired now so I'll post tomorrow. Thanks everybody for your well wishes. Updated on 1 May 2016: The past few days have been horrible to say the least. I'll try to touch on the high points. Wednesday April 27 I was taken by my driver, Carlos and his other employee, Pricilla at 6:15 in the morning to be admitted to Clinica Unibe. There was a ton of paperwork to be done and of course it was all in Spanish and had to be methodically translated verbally into to English for me. It's funny how the same kind of admitting paperwork is filled out in this country as is in the US. Once I was admitted I was greeted by very sweet nurses who had me change into a hospital gown and an IV was started with an infusion of antibiotics. So my doctor and the anesthesiologist came to talk to me giving assurances they would treat me well and with great care. Dr. Arguello marked up my body .....his surgery roadmap. I was placed under the most comfortable inflatable warm air blanket and was wheeled into the OR. The very next minute, I was in my hospital room fully awake with the surgery over. What the?.......yes it seemed that quick but it was actually 4 hours long. So what did he do to me to take 4 hours? Well I actually blamed him for running me over with a bulldozer but he assured me he had not! He did extensive lipo, breast implant revision. He removed my 35 year old 300cc over the muscle implants with the intention of going under the muscle with 340 cc Natrelle high profile but when he got inside, my pectoral muscles were torn and atrophied so badly from the old implants even with trying to do a muscle repair he couldn't place them under so he did a complete capsulectomy on both sides with pocket repair and put them over the muscle again. He excised several very large stretch marks I had on my flanks and still had time to do upper and lower blepharoplasties. I stayed overnight in the Clinica Unibe with a great medical staff and was released the next morning back to the aftercare facility, Verdeza. Three days later I was back at Clinica Unibe for round two, facelift and Necklift. Now I'm done with surgeries and is time to heal. I am very tired now and want to sleep so I will cut this short and continue tomorrow. Good night lovely ladies and gentlemen.... Updated on 2 May 2016: Did long update but when I tried to add pic I lost post. Damn. Very hard night. Everything you hear bad, I had. ....pain, bruising, swelling, contipation, bloat. It's hard being here alone. Was anxious and depressed. Percocet is the drug of the devil, lol. Makes me crazy. On good note...very constipated but have been taking Miralax and stool softener so it was just a matter of time.....then Kaboom! I think I lost 20 lbs in one go a round. Almost better than sex! Almost lol. Much easier to poop than get lipo....hehe. I got a shower and wounds cleaned...heaven. so good. Now I'm resting. Have a spa treatments in one hour then lunch.....not hungry but have to eat. Thank you everyone on RS. Couldn't do this without your support. Means everything to me. XOXO Updated on 2 May 2016: I think I may have turned the corner...I hope so. The spa treatment made me feel human again. Can't believe what a difference. It's radio frequencies at different wavelengths that produce different massages./ vibrations. So soothing. Did my face, neck , breasts and abdomen . Hour long piece of heaven. Great lunch waiting in my room. Spaghetti with meat sauce, mashed sweet potato and chocolate mousse and watermelon juice. Yummy. Rained like crazy for abt 2 hours. I guess it's officially Costa Rican wet season! Pura Vida! Again to everyone...I will try to answer each of you but if I don't keep sending happy thoughts...... you're all sweet.:^) Updated on 3 May 2016: Just exactly like everyone says...each day improves. Walked to spa treatment today. Such a nice area. Have some very sore spots on back and abdomen from lipo and very bruised but eye swelling is resolving. Side of my face on both sides is numb as is part of neck. He didn't do platysmaplasty as I didn't need it but he undermined cheek skin and removed about 1 1/2 in. of skin on each side. He sent me pics....so cool....I know you think I'm crazy but I like gore even if it's my own, lol. The breast revision was the most invasive as he had to rebuild the pocket after capsulectomy. My pectoral muscles were in shreds and too thin to reconstruct even tho he tried and he had to revise the pockets. He put in 340 cc Natrelle high profiles. They look good He did recommend a lift but I didn't want additional cutting. I'm just hoping I don't get CC again but he did everything he knows how to prevent it again including textured implants. He didn't have to use any drains anywhere. He said I didn't bleed at all. He was very pleased with himself. On my right breast he noticed a slight pucker due to to suturing the pocket and it looked a bit smaller so he went back in during my second surgery and cut that suture and breast straightened out beautifully. But That means extended pain on that side. Hey what's a little more torture among friends? I love you all. Keep sending happy vibes! Updated on 3 May 2016: Something that I've not seen anybody mention....during surgery you are given a cocktail of drugs for sedation, anti nausea/vomiting, probably a paralytic so you can be intubated...who knows what else. We'll when you wake up and try to pee for the first few times it's agony...you feel your bladder is full but seems to take forever to get the urine stream to start. For 4 or 5 times after the first surgery it was a real struggle. I think I sat there for 1/2 hour each time just trying to go. After my 2nd surgery the urinary retention was so bad I needed to be catheterized just to get it empty. After that I went ok. But that hurts! Tubes are not supposed to go up there! Not recommended however not being able to pee is pure torture...I guess the lesser of the evils, hehehe Updated on 4 May 2016: It's so funny, it's seems for a lot of women bowel habits are just a necessary evil....not like men who make farting a national past time and I'm surprised there isn't a bowel movement Olympic event for men. We women just do our business quietly with no fanfare. I'm just mentioning this because now all the bad drugs are out of my system and I'm eating regular healthy meals, my intestines are very happy and regular...you could set your watch by it, lol and I have never in my life been that regular..so it just amuses me! On a more serious note. I have been having increased pain in my low back. Saw Dr. Arce today for suture removal around my eyes....they are still so swollen that REALLY HURT. I know most say suture removal isn't painful but mine were. Then he checked my back and guess what?...... the dreaded seroma! My whole back from waist to flanks to Crack of butt all fluid filled. He had to inject lidocaine. Reopen lipo incision and basically "milk" the serosanguinous fluid out...and there was alot!. It was mostly blood.....man that really hurt but much better now it's drained. Now I have to manually massage that area to keep the fluid flowing for the next few dsys. I feel like I'm having a period. ....so much liquid. Now I'm getting ready to walk over for my spa treatment. Check in later. XOXO Updated on 5 May 2016: I'm not sure of my days...my crazy husband just called to wish me Happy Cinco de Mayo...I had to remind the fool I'm in Costa Rica not Mexico! He was just giving me a hard time! Well the seroma comtinues to plague me..by seroma it's just not a small pocket of fluid, it is mostly my entire torso. Went for one hour spa treatment that turned into 3 hours as Dr. Arce met me there and did a second torture session on me by milking and massaging the fluid out again. Much more fluid than yesterday. Then his wonderful Mary, who works at the spa did intense ultrasound treatments on parts of my body I forgot existed...then it was Dr. Arce's turn again at the torture..again more fluid. And as I write this my backside.continues to leak all over. Feels like I'm on my period...boy now I remember why I hated that time of the month so much! So sorry to you gals still experiencing that....it sucks. I was a bit concerned...no, scratch that, I was very concerned my left breast has started to feel hard again. I had capsular contracture so bad before, I just will do about anything to prevent it again. Dr. Arce could see (feel) my concern but I'm so early on and have such fluid accumulation he thinks it might just be part of the swelling and healing process but he did write me a prescription for a drug that is supposed to help prevent CC. It is somewhat controversial and some doctors question it's efficacy. It's an asthma drug. But I'm willing to sacrifice a goat at Stone Henge if it helps. .lol. not really I love animals and couldn't kill anything! But I'm sure you get my point. So now I'm wiped out again and need to sleep. Love to you all! Nite. Updated on 7 May 2016: I'm sorry everyone I've not been the best at updating but I've had this weird preoccupation with HEALING!!! It has been hard but now I'm much better. Today is post op face lift, neck lift x 1 week. 10 days postoperative for getting run over by bulldozer! The face is much easier recovery. Not much pain. More just discomfort due to swelling, bruising. And the gawd awful chin strap. I have to wear it for 12 days. But that helps make things stay tight. It's a small sacrifice. I noticed the most amazing thing....I had a tummy tuck 3 years ago. Long incision beyond hip to hip. It was wavy and always stayed purplish. My doc did lipo under it or around scar or something so now it is straight and white....go figure. I guess some scar tissue under scar was pulling and distorting it. My eyes are more puffy today as I slept a bit flatter last light and sort of on my right side so right eye not looking great. I got my ice pack on it. My right boob is still very soft but left is harder. Doc says still too early for CC as there is so much healing to do but he's watching it closely. My incisions are itchy...had the sutures in front of my ears removed yesterday. I'm slathering a calendula cream on the incisions per docs instructions. I'm so happy he takes holistic approach as well as standard accepted medical approach to everything. My seroma is still there but not as painful. I just have to massage in the direction of flanks to the middle of back and upper back toward lower back to keep the incision open and leaking fluid.sounds awful but not that bad...just hard to do myself. It is sunny today and quite windy...Rained cats, dogs, elephants and rhinos last night. So beautiful. Coming from California and 4 years of drought, I really appreciate the rain. It's about 72° F just so gorgeous. Wish I could afford a vacation home here but I spent all my money having plastic surgery. How stupid is that?.....lol. have a good day everyone!!!! Updated on 7 May 2016: As requested ...some pics. Updated on 8 May 2016: He he....Happy Mother's Day, everyone! Well today I feel even better...so far that is. I've only been up for a short while and am not quite awake yet but so far so good. Still some pain around my torso from seroma but I slept well. My eyes are a bit dry when I first open them but it improves in a short time....this is nothing new..I usually have dry eyes anyway. So now it's breakfast time then the horrible ordeal of taking a shower. Takes about two hours because of all the garments I have to remove and put back on. I'm exhausted when I get through! Bruising is better under my eyes. But my neck looks funny. It's swollen and purple/ brown....didn't know there was such a color, lol. It's concentrated on one side so really looks weird. I really feel more alert today even tho I haven't taken narcotics for 5 days.. well my breakfast awaits...yummm. later...... Updated on 8 May 2016: I have been staying close to Verdeza since I've been here but today was really the first day I thought I was well enough to explore the neighborhood. I have met a delightful couple...the man lives here at Verdeza because he needs extra nursing care the wife can no longer provide but she lives a few blocks away and spends most meals with her husband here. Well she invited me to come see her home and gave me a map and directions. She said it was an easy walk....so off I went, not really planning to visit because I didn't call her beforehand but just wanted to find her place....well I walked and walked, and walked, and walked. I think I ended up in Nicaragua! About this time, being the directionally challenged person that I am and totally exhausted and in pain, found my way back to Verdeza (without asking for directions! Such a proud moment for me!) I staggered back to my room and reviewed the map I realized I was looking on the wrong side of the street....duh, I'm so lame!......so my positive upbeat story for the day is, I got some great exercise today and got to see how truly lovely this neighborhood is. I'm really starting to get bummed that my time here is going by so fast...isn't that what everyone says? I am awaiting my new RS friend Jamaican43 to arrive as it looks like she will be delayed until tomorrow morning . Tomorrow more spa treatments and a visit to Dr. Arguello...yay! Updated on 10 May 2016: Sorry everyone I have not updated in two days...and what two days they have been! It has been crazy.......first off let me say the damn seroma Is still the bane of my existence!!!!!! That damn thing is more tenacious than I am!! I have had it drained about 6-7 times and it keeps coming back. The biggest problem besides orangish colored juice coming out of my back is the doc has to reopen the wound with a shot of lidocaine and scalpel each time. The beautiful Maria Louisa , the therapist at the spa has also been working on it so diligently to massage the fluid out and break up any hard spots using Radio frequency and ultra sonic and infrared technology. It doesn't hurt like it did. So that's a good thing. Diane (Jamaican43) arrived yesterday and is such a delightful person. We have so much in common. We have been having such a good time. Today she encountered an issue that is going to cause a delay in her surgery. But I'll let her tell her own story. I'm still very bruised but they are resolving under my eyes but now the side of my neck on the left side is the color of a walking zombie...black, brown, yucky colored. All of my sutures are out.....yay!!!!,. The scars are healing beautifully. Although still scabby and reddish, I can already tell they will be great...if you're into scars, that is! Dr. Arguello is such a master and the kindest, warmest, happiest person I have ever met . He is always laughing and is so humble. Dr. Arce is the same. They make a great team. I have to tell a cute story...last evening Diane and I and a gentleman who resides permanently at Verdeza, walked over to Avenida Escazu, a very upscale designer shopping area with restaurants and art galleries and breweries, and beautiful designer brand clothing. Outside one of the art galleries are several large sculptures of the naked female form, sans arms, legs and head...the perfect female, right guys? We were standing in front of the gallery talking when a young couple approached. Because we we kinda blocking the walkway the young woman went around us on one side while the man went around us on the other side, right into the path of the female sculpture...he suddenly reached over and grabbed the ass and rubbed the sculpture then continued on his way. I started laughing hysterically, he turned around and realized I saw him rub the butt, quickly grabbed his girlfriend while looking at me with pleading eyes as if to say "don't tell my girlfriend what I just did"...he was so embarrassed but it made my day!!!! Today I saw Dr. Arguello and he is very happy with my progress but wanted to be proactive in finding out why one of my breasts is harder than the other so he sent me over to Hospital Biblica for an ultrasound. He thought maybe there was fluid accumulation but it turns out the softer boob has some fluid but the other has iinflammation that just has to resolve on its own and no evidence of a forming capsular contracture.......hooray! So today was a busy day....only one more week in paradise.....where has the time gone? Updated on 10 May 2016: I purchased some calendula cream from the doctor's office. I have to apply it 4-5 times a day to my incisions. It really seems to help with healing. I am mixing it with Arnica gel and applying it with a Q- tip. Also for those of you about to undergo blepharoplasties one of the most soothing things you can do is put 4 chamomile tea bags in hot water. After its brewed , put ice cubes in it to make very cool, dip gauze in the tea or use the tea bags themselves on the eyelids. So soothing and the cold helps with swelling . Updated on 11 May 2016: I couldnt help myself...it just seemed the right theme song. Lol. Well today was a good day.....my seroma is slowly resolving. Had another heavenly spa treatment this morning with a wonderful facial thrown in for good measure. As if what I have voluntarily gone thru isn't enough, tomorrow I have a 35% TCA peel as the lines in my neck were too deep to pull into oblivion thru surgery. I also have some vertical lip lines,,,yuck and a few acne scars on my chin too. Dr. Arguello thinks the best way to improve those things is with a peel. Not my favorite thing as I've had a few...not fun. He isn't going to totally roast me so I don't go home next Tuesday looking like my zombie mask is too tight. So hopefully the peel will be short and sweet.. It just makes sense because I'm already here in Costa Rica to torture myself as much as I can, lol. I can't slack off you know! I've been feeling too good. Today Diane and I walked to the Walmart and had a nice dinner together. She is so sweet. Hopefully her surgery will be Saturday.. I'm gonna be so sad to leave her. It so nice having a friend here with me. We laugh so much...it's great for the soul. My ears are still pretty sore and I'm slathering calendula on them. My eyes and ears still have scabs so I have to be careful but I still wearing the headwrap. Maybe tomorrow I will be done with it. I'm not sure I can wear it with having the peel.. So that pretty much does it for today. Tomorrow in addition to the spa treatment, Laura Delaney is supposed to be here for a short visit with the doctors so I hope I get a chance to meet her. Good night everyone! Updated on 12 May 2016: Today I met lauradelaney1 with Jamaican43. .....we have so much in common and had such a good time together. Laura is here for some treatments and will only stay a few days. Hopefully Jamaican (Diane) will have surgery Saturday. I can't tell you how wonderful it is to be with the people I have been communicating with on RealSelf for the past months. These are real genuinely good people. I wish we didn't live so far from each other because I can see us being close friends. Well today I endured a 35%TCA peel.....ouch! It was very quick as the burning starts almost immediately even with topical anesthetic. I thought I was pretty numb until he started applying the acid......wowza....he looked for what he called "frosting" of the outer layers of the skin...a whitish cast then put ice cubes directly on my skin....awwwwwww. Instant relief. The burning stopped and I only got a little red. Feels like my face is very tight and dry but doesn't hurt. It will probably be redder tomorrow and will start peeling and flaking in a few days. He would rather do a series of quicker lighter peels, as the results are more predictable than causing the great discomfort associated with deeper peels....that's just fine with me. I guess it's just his personal preference. Anyway, today I'm doing great. No issues to speak of....tomorrow another spa day......this is the life.....soon I'll have to go back to reality ......damn! Updated on 13 May 2016: It has come to my attention that an ex-patient of Dr. Arguellos is on a quest to discredit him and convince other prospective patients that he is somehow incompetent or unethical. I have to tell you this forum is for support of one another, not a platform to air your greivences or further anyone's agenda. That being said...I am currently still in Costa Rica after having undergone various procedures and if I could find even one flaw in the doctor's ability or character I certainly would be in a position to let that be known. The care I have received here far exceeds what even I expected and I have been involved in both ends of the spectrum with regard to good and bad medical practices. So far I am currently 16 days post op from first surgery and 13 days post op second surgery. I currently feel great...a little pain but that's to be expected...what I didn't expect was to find such loving, caring, doctors and medical staff along the way. The post op medical spa treatments have helped me in my healing beyond my wildest expectations. That has truly been as important as having the surgeries themselves and that truly surprised me as I'm quite the skeptic. In my humble opinion if everyone on this planet had the heart, love, and the ability and desire to help others like Dr. Arguello and Dr. Arce this world would be immeasurably better off. Doesn't it seem odd that one person who praised her results from these doctor's expertise for 6 months, touting their ability to almost walk on water could suddenly blame them for being the devil? What's wrong with this picture ? For what it's worth, this trip to Costa Rica, BY MYSELF AT 65 YEARS OF AGE HAS BEEN ONE THE THE GREATEST HIGHLIGHTS OF MY LIFE. ALL DUE TO THE GREATEST DOCTOR'S AND OTHER WONDERFUL COSTA RICAN PEOPLE who have helped me , cared for me and befriended me along the way! I will be very sad to leave..it has been a blast with a lot if pain along the way...but oh well plastic surgery is no picnic...right? Updated on 15 May 2016: Well its Sunday and my time in Costa Rica is getting short. I leave on Tuesday. I leave behind part of my heart....I have met the most wonderful people and the best doctor's I have ever known. I came here for a facelift, necklift, upper and lower blepharoplasties, breast implant revision and mini tummy tuck revision. What I got was the expected facial surgery but no tummy tuck as the doctor said I didn't need it. What he did was lipo Instead to re-contour my body to a figure I haven't seen in years. He addressed my concerns without judgement and made recommendations when asked with no pressure to have them performed. I still have a lot of healing to do and still look a bit foreign to myself but the positive feedback I have gotten from even total strangers has been astounding. If I could afford to come here annually for "maintenance " treatments, I certainly would. I have nothing to gain or lose by posting the realization of my journey and wish all the best to each and every one of you...you've helped me make this journey a happy reality. I will post pics soon! Updated on 16 May 2016: Well today is my last full day in Costa Rica. Tomorrow morning bright and early, I get on the plane that will take me back to the US and my home. My healing continues to progress at ,I think, an alarming rate....I usually don't heal fast but I have to credit a lot of my quick improvement not only to the great medical care, both mental and physical but to a pre/post surgical vitamin regimen I have been following. Pm me if you want info about it. I have started to say goodbye to some of the staff here at Verdeza and of course started to cry with each goodbye. I'm packing and feeling melancholy about leaving such a great place. My last appointment with Dr. Arguello and Dr. Arce will be today also.....that will probably be the hardest of goodbyes but I will be talking to them on the phone regularly to provide updates on my progress. My face feels very tight and crinkly from the chemical peel on Thursday and is peeling like crazy and I have an area behind my left ear that is sore and oozing a little. There's no infection just the skin margins trying to heal. I'm using Calendula cream on it multiple times a day. I also put a wad of cotton behind both ears at night to prevent me from squishing my ears at night when I sleep. My breasts are getting softer...they feel so much different than my old implants...really squishy! My areas of lipo, although still kinda sore to the touch only hurt when I sit too long and the areas get tight and pull. But as soon as I get my butt up and moving, I'm good. So that's my story and I'm sticking to it!........have a good day everyone! Updated on 16 May 2016: Today I thought perhaps I could walk around a bit and see more of the area but the sky opened up with the most torrential rains with lightning and thunder I've ever been in. Hey I live in California...2 sprinkles of rain is a downpour! So needless to say I was stuck in my room. But, Diane came and stayed for a while. She looks fantastic..I can't believe how great her lift looks. Dr. A is a genius! She's a bit nauseated but the staff and doctor is on top of it so she should feel better soon. She is having NO pain ...thats astounding to me but that goes to show how different we all are. Gonna sit down now for my last meal at Verdeza. ...yummy Arroz con pollo..... Updated on 18 May 2016: Even though I was very sad to leave Costa Rica, it's always nice to get home. My trip home was very long with multiple layovers. I left CR at 800 am and arrived at my destination airport in Las Vegas at 6:35 pm. There is only one hour time zone difference so you can imagine my fatigue and relief at finally making it. My lipo areas get very tight when I don't move for any length of time so I looked like a really old lady when I got off the plane. My husband picked me up and we went to a hotel for the night as I was not up to a 2 hour drive home. I had to show him my body and he seemed pleased although realizes I'm a work in progress. I'm 65. I will never look 20 or 30. I still have cellulite and loose skin but I am several sizes smaller and have such a flat tummy. My breasts look smaller than before but the doctor had so much pocket revision to do after removing my thick capsules even though my implants are bigger than the old ones. The new implants are high profile but he couldn't put them under the muscle because of the atrophy to my pectorals. I was sad about that and so was he as he tries to always do submuscular. My face lift and necklift are still undergoing changes hourly it seems. My incisions are still scabby and eyes itch . I'm tired of wearing antiembolism stockings and the sports bra and tight faja but the doctor was adamant wearing stockings for 4 weeks, faja for 2 months and sports bra for 4 weeks. I spent too much on this to not comply so I will suck it up and be a good little patient.... Updated on 19 May 2016: Yeah...I'm a Beatles fan. I grew up with them...what can I say? Some of you will understand. To those of you who dont, I'm sorry, lol....but I like most new music too! I'm a rocker chick! Lol. Well I have made it thru the first 24 hours at home. I'm tired alot but I'm doing ok. My eyes were giving me fits this morning, red and felt like something was in my right one. It's hard because I can't rub them to get it out. After closer exam I pulled 3 eyelashes that had fallen out and we're hanging around the corner. So now it feels much better although they are dry due to the low humidity in the area I live (the high desert of southern California ). My incisions behind my ears are crusty but only hurt when I lay on them so I'm continuing my back sleeping for a while longer. I usually sleep with my face scrunched into my pillow so I guess I better change that if I want to have my face heal without weird lines. I cant yet see a big improvement in my face except my jowls are gone. I'll be glad when the tightness and swelling is gone around my eyes. Most of my bruising has resolved although I developed a new bruise on my left flank for some reason. It doesn't hurt tho. My neck is still peeling and I have a feeling I might just go thru another round of peeling as it still feels tight and crunchy. My nipples are very sensitive and my boobs are warm all the time now. Before, with my old implants, my boobs always were cool to the touch and nipple sensation was muted. That is a great unexpected benefit! I'm sorry all my neck lines are not gone especially those on the outer neck near my ears but the dr. was honest with me and said they are almost impossible to get rid of as they were too deep. He did eliminate the smaller more superficial lines. I wish I was 30 again but I would have to have the knowledge and wisdom I have gained thru life or it wouldn't be worth it. Sorry you 30 year olds out there...I mean no offense. .you are so lucky to have your youth. Embrace it....before you know it you'll be my age and wonder WTF happened! I still can't believe it myself!!! Updated on 20 May 2016: Hi everybody! Well today I changed out of my post surgical compression garment into a much tighter body shaper...I feel squished but man, is my body slim! I can't believe it is me. My tummy is very flat and waist small and my butt looks great...nice and round so in clothes I look like I'm 20. When I take off my clothes the skin is still that of a 65 year old.....crap, crap, crap, but I'm not running around nude so the illusion Is maintained.....yay! My face is still peeling a bit but the incisions around my ears are healing well as are those on my eyes. The lower incisions are completely invisible and other than a bit of discomfort when I touch them ( I know keep my dirty fingers off) you would never be able to tell anything surgical was done. The uppers are more visible with redness and a bit of puckering where the sutures were but the doctor said they will flatten out in time. My lower eyelashes seem to be gone but maybe just the trauma of surgery made them go into hiding! I had major irritation of my right eye last night. Upon closer inspection found an upper eyelash completely turned inward under the upper lid. I moved it with tweezers and ahhhhhh! instant relief. My skin on my face feels tight like it is sunburned or something but when I touch it, the skin is supple and not tight to the touch so it is an internal feeling if that makes sense. There is considerable numbness in front of my ears and the side of my neck but it is the kind of numbness that doesn't feel totally dead..like it is slowly going to resolve and I'll get normal feeling back. My ears feel pretty normal with only a slight numbness on the upper ears. The lipo area on my lower back is also numb but again at this point I think that feeling will come back. It feels so odd to scratch an itch there and not be able to satisfy that itch because of lack of feeling.....quite annoying! My energy level is not up to par but I'm not expecting that for weeks.... One more thing.....I am now going thru the depression so many feel after surgery. There was such great excitement surrounding my trip to Costa Rica and the surgeries and the experience of meeting such wonderful people. There is a bit of a letdown now after such a tremendous "high" for 24 days. Besides, I'm tired of the healing process already....I want to be healed NOW! I still promise to post new pics but I have to see my hairstylist first as my hair color has faded and I need a cut.....consummate vanity wins out.! Goodnight beautiful RS friends........ Updated on 21 May 2016: I'm retired so weekends mean nothing to me...its just another day, lol. Well today I had a great conversation with Dr. Arguello about that sore area under my right breast. He gave me specific instructions on caring for the area and I really hope it quickly resolves....what if it doesn't? Well I will see my primary physician here at home for urgent treatment and then, well I don't know yet. I know Dr. Arguello will fix any issue I have but I still have to get my butt to Costa Rica for that. It is a long way away and of course that argument about having your PS close for treatment is very valid. I'm not yet sure what I will do if it comes to that but my first inclination is to jump on a jet! I had such a remarkable time and would love to see those wonderful friends I met there again. I miss them even though I have only been home for 4 days. How crazy is that? Per doctors orders today I didn't do anything that would put stress on my incision. I laid around and felt like a slug but I will do whatever it takes to resolve problems if that's what Dr. Arguello thinks best. I'm a good little patient, aren't I? Updated on 22 May 2016: Another uneventful day not in paradise! Dr. Arguello texted me this morning wanting to know how the open part of my incision is doing. I sent him a pic and he gave me some treatment advise. I can't yet tell if it's any better as I know these things sometimes take weeks to fully resolve but it doesn't hurt as much so I take that as a good sign. I'm restricted on my movements which sucks but I want everything to heal well. My shape is really shaping up, haha. If I wasn't 65 I could almost wear a bikini but the skin is still old so I'll settle for wearing sexy bras and thongs when I'm healed enough. In clothes things look great. My butt is nice and round and I love it! I wore a pair of leggings today and can't believe the difference in my figure. I'd go out in public in them! That's saying alot! No more muffin top, yay! The face and neck continue to do their thing although I'm not sure what their thing is! One minute I don't like the changes and the next love it so it's very fluid at the moment. I have to be realistic in my expectations as I'm 65 and not 30. Menopause has done it's typical ravaging to my skin but I do take bio-identical hormones that have forestalled some of the ravaging! . I still feel 30 most of the time so I think that helps too! Well actually during this healing processes I feel more like 47 or 48, lol. Goodnight everyone! Updated on 23 May 2016: Well today I went back and forth with my doctor on the next course of action if my breast incision fails to heal. He is ssooooo supportive and caring. No decisions yet as it is too early on, but he will do a revision or anything else necessary to make me happy! Now on a HAPPY note. Today I went to my hairstylist. She knew I was going to Costa Rica for surgery and was very supportive. She has not seen me since weeks before I left. When I walked in the door she just freaked out....OMG she could not believe it. She said I look 10 years younger and had to get another girl over to see me too. The second girl didn't really know what I did but immediately realized I looked so much better. The whole time I was there getting color, highlights and cut she just kept staring at me with a smile on her face...just astounded at the results. She said she had never seen a facelift so expertly done and she's seen a lot of facelifts on many of her clients. She cut about 3 inches off my hair and I can't believe the difference.. I had on no makeup and I usually do my eyes...she said I no longer need makeup, I look so young......what a great compliment. Wow...that blew me away! I see myself everyday so the changes for me have been slow and subtle but she thought it was so dramatic she couldn't get over it....what a great boost to my self esteem. I will post pics soon...I know I keep saying that but I will....promise. Updated on 24 May 2016: Soooo. Today bright and early Dr. Arguello texted me wanting an update on my breast incision.....I went into the bathroom, took off the bandage and low and behold....ITS BETTER! Yay!,,,,,I sent him a pic and he was so happy he said he could now sleep at night. He was so concerned he made numerous suggestions for me getting treated here in the US by some of his PS friends or coming back to CR for whatever it took to make it better. He defies all typical care most patients expect from their doctors. At least in this day and age where everyone seems too busy to provide the care everyone would like to receive. Plastic Surgery is a precarious business to be in....you have the power to change lives in such profound ways but also have to deal with the psychological issues that frequently accompany a patient seeking "perfection". Doctors are only human and can only do what their training and your own anatomy will allow them to do. I've learned that the hard way but hey, I'm alive and healthy and one hot mama for 65... I'm not giving up my quest to be the best I can be and I think this trip to Costa Rica has allowed me to see who I really am or at least aspire to be. I know the value of friendship and love and think I'm a better person for it. Blah, blah, blah....either that or I'm totally full of s**t.....lol Updated on 26 May 2016: Well everyone ....thank you all for your words of encouragement and well wishes. My breast incision is closing up and seems to be on the road to recovery. My breast swelling is gone now too. Their size and shape are different so trying to get used to that. My whole body is so much smaller than before. I tried on size 6 pants and they fell off!!!! I was a size 8-10 when I left for CR. I am trying to maintain the same healthy eating habits I had in Costa Rica aND have been so good, only eating one bad thing all week...and it wasn't so bad...Atkins chocolate carmel square, no sugar, low carbs. My biggest problem is eating too much. Anybody relate? I didn't think so...I knew I was the only one! Updated on 27 May 2016: Not for me. I don't care what day it is. Lol. So the latest in my continuing saga.......I'm so much better! Yay! Tomorrow will be 4 weeks post surgical and things are settling down. I have some absorbable sutures in my lipo incisions as well as my excised stretch marks. They have begun sticking out a bit like tiny monofilament fishing line in multiple places. I asked the doctor when I could expect they would absorb or fall off and he said "anytime now". well low and behold....that's exactly what has started to happen. One was particularly troublesome so I pulled it and it just broke away from the skin very easily. No pain, no discomfort, nothing......so now I know any more I find will be no big deal to get rid of. Most of my incisions have healed well now with only the incision under my right breast still sore and sensitive. The stretch mark incisions are also still sore but I'm still wearing my compression garments so that constant pressure on them is probably contributing to the soreness. I can't wait to start using a scar treatment on them and just ordered Mepitac silicone tape from Amazon. I'm going to put that on all my incisions to improve the color and flatten any scars that need it. I have to say though my incisions are looking really good for this early in the healing process. They are the expected pink color but the placement is so good that once the scars fade I doubt you will ever see them. This especially holds true for the facelift scars. Today for the first time since surgery I put on makeup...it was a little tricky for the eyeshadow as the lids are sensitive and still a little puckered but boy when I looked in the mirror after putting on the war paint I was surprised at how good I looked. It looks like me only a good 10 years younger. My right neck is still a bit swollen but the whole thing looks so much better. It's so hard to be patient and let the healing happen...you just want it over with already! I'm still sleeping mostly on my back as I can definitely see the advantages of not squishing my face into a pillow, that I have done for years. It's so odd to wake in the morning and not look tired and puffy like I have for years. I look rested even when I'm not.....how cool is that? My husband doesn't buy the "I'm too tired " excuse anymore, lol....even though I am tired. The energy level, I have been told, takes a while to return. I totally get that, for sure. So the bottom line is......at this point everything that was an issue before is resolving...is it perfect? No not yet if ever but so far I'm happy with how things are going. At the three month mark I think I will be permanent and stationary but then again...I could be wrong about that too. The lipo areas continue to cause a pulling type sensation when I sit idle for too long but as soon as I move about it stops. I remember having that same type of pulling following my tummy tuck where areas had been lipo'd. So goodnight sweet friends...happy healing to you all! Updated on 28 May 2016: These picd are out of sequence but gives an idea of my post surgical journey. Today was rather uneventful except a few of the disolvable sutures are working their way out and are really bugging me. They itch like crazy but do come out fairly easy except for a couple by my ears that won't yet budge. Dr. Arguello checked in with me again today and gave me the green light to massage my incisions so I am using organic coconut oil. In addition, I can start using the Bio Corneum scar treatment I got from him before I left CR. It has the added benefit of having an SPF of 30. My thighs still have a bit of bruising and there is still some sore spots but over all I'm pretty good. So without further delay here are some pictures of my tortured body. Updated on 30 May 2016: Hi everyone. Lately I have been getting questions regarding little things such as what kind of neck pillow is best following surgery or what's the best way to ice your face ........let me start with the pillow. I wasn't sure which one would work best for me so I bought them all! Meaning I got different materials to find the most comfortable. I got high profile memory foam, regular memory foam, fiberfill stuffing and Styrofoam beads. All were horseshoe shaped. The one I used exclusively was the one with the beads. It conformed to my neck and was the most comfortable to me. It had a snap to close the loop so it stayed around my neck. It was convenient on the plane and just snapped onto my carry on bag strap. It only cost $7.99 so after using it every night while in Costa Rica. ..it can only be spot cleaned according to the label, I tossed it out when I got home. Another pillow I discovered that is really good once you get home is a Side Sleeper Pro. It's kind of comma shaped so it hugs your head in any position and also is stuffed with styro beads but the cool thing is its got a round depression in it for your ear when you're on your side. This is so handy when your ears are still so sore after facelift. You just kinda nestle your head so your ear is over this depression and voila! NO pressure on the ear! Yay! Immediately following blepharoplasties cold compresses of iced chamomile tea really helped with swelling. Just brew your tea, put ice cubes in and use gauze dressing soaked in cold tea on your eyes. You can cool the compresses off anytime by putting it back in the cold tea. One gal here had a reaction to chamomile tea so found ice water worked for her. Be sure when you put ice on your swollen areas it is wrapped in a towel or something similar as you may have numb areas and you don't want to injure the skin with ice directly on the skin. I was very lucky I didn't have very much swelling at all. So I didn't need to ice for too long. You gals getting ready to travel to Costa Rica for surgery really should download a Spanish translator app on your phone. The first few days after eye surgery you can't see very much as you may have ointment in your eyes or the swelling may just make it difficult to see clearly but it's very important for you to be able to communicate with your caregivers if they don't speak English or you don't speak Spanish. I did find though that there is definately a universal language...although limited, you can make your needs known. For the past two days I have been getting back into walking. I've been pretty idle throughout this healing process. I have gone back on my bio-identical hormones and have finally stopped wearing the dreaded post surgical stockings. Dr. Arguello is very cautious you prevent blood clots so he has you wear them for 4 weeks. The hormones for me are a lifesaver and make me feel human but they do cause some fluid retention...I'm hating that part because I just had all this stubborn fat sucked out of me and don't want it to look like I'm putting on weight again. Anyone else have issues with weight/fluid gain with BHRT ? The areas I had lipo'd still hurt and get real tight and pull if I lie down or am not moving around. It feels like, I imagine what an anaconda's squeeze would feel like. Not pleasant. To be totally honest the absolute most painful thing of everything I went through is the excised stretch marks. Those things hurt all the time. The sutures are disolvable and the incisions are closed up well but the pain remains. Of course my compression garment probably is the true culprit here as it is really tight and puts pressure on them. Oh that's another thing...after lipo wear your faja or compression garment or similar for as long as you can stand it. The longer the better. Especially if you are post menopausal. Our skin elasticity is pretty much shot so if you want to give your skin the best chance to recover a reasonable conformity to the underlying muscles you must squeeze it into submission ! I had previously had lipo to my outer thighs and stopped wearing compression after about 3 weeks and ended up with a very bumpy look. 2-4 months would probably be good. I know the hot summer months are almost here so that makes it especially difficult to keep that hot stuff on your body but consider all the money you spent to be sucked and vacuumed. You want the best possible outcome, right? Dr. Arguello again checked in with me today to see how I'm doing. That man is amazing! Updated on 30 May 2016: I took a ton of pics during my process so just wanted to share some of my body. I'm really swollen.... Updated on 31 May 2016: Well today was quite interesting. I saw a women who is easily 15 years younger than me. She hadn't seen me in about two months. She kept telling me how good I looked and wanted to know how much weight I've lost. she just stared at me in astonishment. She thought I've been on vacation so thought that was the reason for the improvement. Then I went and got a mani/pedi. The girl doing the job was new so has never seen me before. As we were talking she asked if I had kids. I told her three sons...she asked their ages....gulp! When I told her mid forties she looked at me totally baffled and said she had been trying to guess my age and had concluded I was 40 or maybe 42. Another total disbeliever....boy this feels good. What an ego boost. I find it so hard to believe the truthfulness in their comments as I've never thought of myself in that way before. Since I've been home I've tried to walk for exercise and eat as healthily as I did in Costa Rica. I have done really well everyday but today I just couldn't stand it so went to our local favorite Mexican restaurant for " Taco Tuesday". Chips and salsa, 2 chicken tacos and the best margarita ever! I have not had any alcohol since returning. I walked

Like so many women here have said before me, I always knew that I would someday have a face lift. Thankfully, my face has held up well until just the last 4 years or so. My sisters have even asked me several times over the years if I had already had work done. (no) I've thought about surgery often since my 60th birthday, but had developed a fear of surgery in general and decided that I just couldn't do an elective surgery. In October I visited this page after being away from it for years. One of the first reviews I saw here was written by bmannzi43 who had just scheduled her surgery. I was so impressed by her bravery that I told myself if she could do it so could I. Watching and seeing her results convinced me that this was something I was ready for. Now, the daunting task of choosing a surgeon. I knew I did not want to have the work done in Las Vegas where I live. Besides this being a city where so many doctors specialize in breasts, I knew it would be just too expensive for m. I saw Makeitup's review and was so impressed with her results that I considered going to MD., but traveling so far from home without a place to recover was impractical. I saw several reviews here of women who had gone to Mexico or Thailand for their surgery and considered going to Mexico. I just never saw a review of a doctor there that convinced me he would be the one I wanted to do the surgery. THEN I saw JacqE's blog! At first I was just caught up in reading her very entertaining, though thorough, review. Then I looked at her photos and read her comments about her doctor and her recovery and it was suddenly clear to me that Costa Rica and Dr. Arguello were the answers to all my questions. It has taken me a couple of months to finally write to Dr. Arguello's coordinating liaison but finally did that and heard back from her within just a very few hours with a quote from the doctor for my surgery. I am so excited by this small but oh big step!! Dr. Arquello sent the quote for a face & neck lift and upper bleph. I am wondering if I might also need a brow lift and/or chin implant? Something I will ask the doctor about when I speak to him. Updated on 24 Dec 2015: WoooHooo! I have a date! Received an email from Lisa, Dr. Arguello's liaison, after I posted this yesterday. March 10th will be the day of my surgery. So excited! Seriously a dream come true. Updated on 28 Jan 2016: Today is exactly 6 weeks before my scheduled surgery and I've been freaking out all week. It's not the actual surgery that is causing this...I'm looking forward to that. Instead it's the logistics of scheduling time off from work as well as dealing with traveling out of the country to see a doctor I've never met and have had no real contact with. I know this is normal when having surgery in another country, but I can't stop thinking/worrying about it. I'm in constant contact with other Real Selfers who have gone before me or who are going soon. Thank God for these ladies! They are all that keep me sane. I wish I could just relax and enjoy the journey but my mind doesn't work that way. Hoping that as the time nears I'll be so busy getting ready for my trip that these worries will be pushed aside. Would love to hear from any of you ladies who experienced the same fears when leaving the US for your surgery. Thanks! Updated on 26 Feb 2016: This is exactly what the header above states. A BIG "Thank You!" to the wonderful women here. Anyone who has attempted to follow me here knows that I have struggled with my decision for the past 4 -5 weeks. Several things led to my depression during this time. Not much that I could really articulate and maybe so many things that it was hard to name one. During this time I have been blessed to have so many of you wonderful women send me messages of comfort and encouragement. You've given me tips and advice and offered me prayers, and support, and empathy. I feel so blessed to have all of you be a part of this journey. Where else could I ever have found such wonderful, supportive friends? There are so many of you that I hesitate to name names as I am afraid of forgetting someone. But, you all know who you are and I love every one of you. God bless you all. Updated on 7 Mar 2016: Woke up this morning and my first thought was the same as it was yesterday, "What in the world am I doing?' Lots of nerves as well as excitement. Just boarded the plane and on my way. Cried when I left Jeff at the gate. 3 weeks is a long time to be away from home. Wish me well everyone! Updated on 9 Mar 2016: Headed out for last visit with the doctor this morning before surgery at 1. Many went for hers at 6 thus morning. Had a nice dinner and visit with her last night. Sooooooooo happy I have her here with me! Yesterday was crazy and hectic because of schedule changes. I spent 26 hours either on a plane, in an airport, or in some doctor's office having tests done. Exhausting! Everyone wish me well. Thank you all for being here for me. Updated on 10 Mar 2016: Slept like a baby last night. Everyone here at the hospital has been so sweet to me. I still can't see much sub this is just a short update to say I'm OK Updated on 10 Mar 2016: Updated on 10 Mar 2016: Updated on 10 Mar 2016: I just wanted to let everyone know that Mandy and I are both doing well. We left the hospital together this morning and came back here to Verdeza. Dr. Arguello visited us both before we left the hospital and Dr.Ace came by Verdeza to see us after we had lunch. Between the smoothies and the salmon I had for lunch and ordered again for dinner, I don't think I'll be one of those who lose weight after surgery. Salmon wasn't even on the menu for today but was prepared specially for us since it would be easier to eat than the steak that was there. I feel great right now, a little swelling but nothing bad. Yes, I am very happy I did this and that I chose this doctor and Costa Rica. Updated on 11 Mar 2016: I slept well last night. The room I'm in has a hospital bed as well as a normal bed and a Tylenol PM helped me sleep. No pain yet, only a slight amount of discomfort....very little. Mandy couldn't get online and said to tell you all hello and that she is doing well. Updated on 15 Mar 2016: Mandy and I both saw Dr.Arguello today for the first time since surgery. Stitches are gone but the headgear stays. I will get to wash my hair tomorrow though! Updated on 19 Mar 2016: I think I have the strictest doctor ever. Two weeks wearing the headgear and four weeks in the compression hose. It's little wonder that Mandy and I felt like a couple of bad girls playing hookey when we left the spa today after our massages with the dreaded wrappings in our hands. It's amazing how good a couple of hours without it feels! I'm still badly swollen in my cheeks,my neck,and in my temples. I have to keep reminding myself that I'm only 10 days post op and have a lot of healing ahead of me. I really am tired of seeing this pumpkin face though. A friend asked for pictures. These are for you, Barb. Updated on 24 Mar 2016: Such a sad day. My Real Self buddy went home today. I'm not quite sure how I would have gotten through the past 2 weeks without her and what will the next week be like without her? No one to walk the halls of Verdeza with, no one to laugh and cry with, no one to keep me company while I snap endless selfies and stare endlessly into a magnifying mirror....no one to act like a silly giggly teenage girl with. I came to Costa Rica to find my old face and I found a wonderful new friend. I miss you Mandy!! Updated on 28 Mar 2016: It's been 20 days since my surgery and tomorrow I leave Costa Rica. I'm still swollen through my temples and my lower cheek and jaw area. I do love my eyes and my neck and I am sure I will love the rest of my face as I continue to heal. I had a wonderful time the last 2 days as I was able to get out with a group of women from a nearby Bread and Breakfast and do a little sightseeing. Updated on 3 Apr 2016: It seems to be a common side affect of face lifts....you're suddenly obsessed by this compulsion to take countless selfies throughout the day looking for any small change. As you can see there really hasn't been any changes this week. I still have a lot of swelling on the sides of my face and neck. I feel amazing though and know that my face is only going to get better over the next few months. Happy happy. I do think it might be better to go back to my darker hair though and maybe to the earlier style seen in one of those before pictures. What do you think? Updated on 5 Apr 2016: Well, not really, but almost. He did come to Vegas this week for a conference though and had me come to his hotel so that he could take a look at me and remove 1 stitch we had decided to leave in. Wasn't that sweet! I told him he should have come yesterday as I was so swollen today. Updated on 13 Apr 2016: I saw my hairdresser yesterday and she was just amazed at the difference in my face and neck. Shes's been showing my pictures to all of her clients. I have a haircut and new color and I'm feeling pretty amazed myself! I also saw who I would expect to be my worst critic this evening. My youngest daughter. She was absolutely thrilled with my face. She says I look just like I looked when she was 16. That would be 16 years ago. 47? I'll take that! What I'm hearing from everybody is how natural high look. That I still look like me just younger. Isn't that what we all wanted? I also talked to the wonderful Dr.Arguello this morning. He's happy with the way I'm looking but he told me to be careful losing weight...to take it slow. I have to say I felt absolutely beautiful today. It's a good feeling. I'm happy Updated on 18 Apr 2016: I took 6 weeks off from my very physical job to have this surgery and to recover. Now it is time to return and I have to say I'm more nervous about that than I was when I was being wheeled in to surgery! I really wish I had been as smart as some of you here who told no one what you were having done. I was just the opposite and told almost EVERYONE!! Not really everyone but more than just 3 or 4. I was just so excited and wanted to talk to these women I spend much of my day with about it. I work with dozens of other women and while most aren't especially gossipy some do engage and I am certain everyone knows by now why I've been away so long. I really don't care so much that people know. I think it's more a matter of not wanting to feel like my face is being scrutinized. They (of course) all told me that I already looked good for 63. I want them now to say simply, "You look good." without the age qualifier. I think part of me is afraid that no one will notice how much my face has changed for the better, that my jowls are gone, I have no marionette lines, and my neck is smooth. I see the difference because I have the old pictures to remind me. But, I've seen so many women here with amazing results who say, "No one noticed." I think that would just suck. Updated on 21 Apr 2016: Well, it turns out that I worried about returning to work for no reason. It was a hard night physically and I have some swelling this morning because of it but otherwise it was all good! The first person I saw was someone from another department who I am sure had no idea I had the surgery. She commented on not having seen me in a while. When I told her I had been out a few weeks she said, "Well, the time off did you good. Your eyes look so good...bigger." And rested. Then she commented that I look younger when I'm rested! Of course everyone I work with had to inspect but they were all thrilled for me and I heard things like, "I'm so jealous!" and "I want to go have it done!" Everyone was just sweet and supportive. Today I get to see other women who know but weren't working yesterday but I'm much less worried today! I want to let anyone who has asked me for Dr. Arguello's contact information to send me a private message as that has changed as of yesterday. I'd be more than happy to give you his new contact email address.

This has been a long journey for me, at times an arduous process. Dealing with this thing called growing old. For me it began in my late thirties. I started to notice the jowls forming, the same genetics as my dear mom. I was married to a man 10 years younger so the negative feelings of getting old were magnified. I had gained and lost 265 pounds through 8 pregnancies and by 45 years old I was ready for my first facelift. My husband was supportive, I found a competent PS and was granted a sabbatical from work. Unfortunately a week before surgery my precious son called to say he was diagnosed with cancer. Needless to say the facelift was not meant to be. As I firmly believe there are no coincidences in life so I was able to have the time to help my son through his 3 rounds of chemo and 2 surgeries. Happily his cancer went into remission and mom went back to work putting the facelift on the back burner. Fast forward 11 years and menopause hits with all its devastation. I hear from friends, family, doctors, over and over.."it happens to everyone. Just accept you are aging..just grow old gracefully. NO, NO, NO, not happening !!! A year ago I began my research once again hoping it would culminate in my trip of a lifetime. I compiled the data, began by having consultations with 2 local plastic surgeons. They both recommended a trichophytic browlift with forehead reduction, upper and lower blepharoplasty, mid and lower facelift and neck lift. Grand total- $18,000. At this point in my life I am a single parent with my youngest in college. I knew this was out of the relm of possibly. My next option was just a lower facelift for $11,000. My PS agreed to do it but felt strongly I was not going to be happy with the results. The lower face would look young and vibrant but the eyelids would remain droopy..a telltale sign of age. I felt frustrated and was back to square one. And then I stumbled upon this website..REAL SELF..a real miracle for me!! So very thankful to all you ladies that are so willing and open to share your very personal life experiences. After reading so many profiles about medical tourism I began to think maybe my dreams could be realized..turning the clock back and staying on my budget!! Something drew me to the country of Costa Rica, all three of my daughters have travelled there and loved their experiences. But I was drawn to Dr Arguello in particular. He certainly has an impeccable resume and I was impressed with the photos of the women that were privileged to have their bodies transformed by his skillful hands. Many plastic surgeons certainly posess the mechanical expertise to perform surgery but it takes a doctor with a special eye for detail and most importantly an artistic flair to put it all together. All of these components equal a plastic surgeon with superior qualities, just what I am looking for...a surgeon who can perform surgery with virtually no bruising and sutures that can only be described as amazing. I have seen many, many photos of women with issues after a facelift. I have limited time off from my job so a quick healing process is on my short list of must haves. A phone conversation with Dr Arguello affirmed my decision, I had absolutely made the right choice. He was charming, humorous, and most importantly was extremely knowledgeable. He answered all my questions, made me feel at ease, a true consummate professional. So the decision is made..I am so excited!! I am flying to San Jose on October 30th and will be having my facelift on November 2nd. I have decided to stay at Verdeza because I am traveling alone and want to feel as medically supported as possible. Honestly don't want to do any after surgery care for myself. I have to say the thought of having someone care for me for 2 weeks will be a dream come true!! After being a mom for 40 years I am ready to have it be all about me..lol..if I had surgery in the US it would be 1/2 day in the hospital/clinic and goodby and good luck. A much better alternative for sure!! I will do my best to pay it forward as so many of you beautiful ladies have done for me. Just wish to thank you all so much for being apart of making this dream come true!! Updated on 11 Oct 2015: Updated on 15 Oct 2015: The detailed cost of surgery in Costa Rica: Doctor - $6500 (paid in cash) Verdeza - $2080 (paid in full charge, 16 days@130) Unibe clinic - approx $2000, can be charged Misc expenses: EKG - $100 cash at pre op visit Chest X-ray - $90 cash at pre op Blood work - $180 (insurance paid most) Extra taxi rides- approx $100 Lymphatic massage therapy 5 visits @$55- $275 Garment - $60 Airfare from Newark - $500 So total cost is about $11500 The estimates I got from the plastic surgeons in Connecticut were: Doctor- $14000 Hospital - $4500 (surgery and half day recovery time) EKG - $500 Total cost &18500 and no one to help with recovery. Most likely I would have had to hire someone for a few days to help out and I can only imagine the extra cost. Yes definitely made the right decision!!! Updated on 26 Oct 2015: Feeling so much emotion. Yesterday was the last day of work for job number 2. ( I work 2 full time jobs). It was bittersweet..I work in a subacute psychiatric unit for children ages 5 to 12 years old. Unfortunately they are all trauma and abuse cases. As I walked in the door yesterday morning the kids had a big poster hanging that said Happy Birthday Miss Laura. So sweet. As I tucked them in last night I knew it would be the last time I would have this privilege. Most of them will be gone when I return. I am taking 5 weeks off from this position because it is so physical. Some of these kids are violent and aggressive and we have to have the ability to restrain them if necessary. My boss was very kind to give me the extra time to heal. At job number one I am a nanny to 3 toddlers ( a piece of cake compared to the other position) so shouldn't be a problem returning to work 2 days after I return. At least that is the plan for now. I honestly can say I am feeling zero fear about my upcoming adventure. Perhaps because I have waited so many years for this to happen. It is truly a dream come true for me. I have been so open and honest about it with my family and friends. In the beginning I decided to keep it very private. Just telling my best friend and a few family members. But as this process has progressed I am so full of joy and excitement and honestly proud of myself that I am pulling this off, I don't care if the whole world knows..lol..my kids and sisters are happy for me. My friends at work were shocked and surprised, heard some say " you know you really don't need to do this". This is true but I WANT to do this!! And that's all that important. I know you ladies understand. That's what is so wonderful about this community. You just know. Updated on 30 Oct 2015: Hola ladies!! It has been a very long wonderful day. I have been up since 1:30 this morning so I will fill everyone in tomorrow about the details but wanted to let everyone know I arrived safely. Until tomorrow!! Updated on 31 Oct 2015: My adventure began at 6 am yesterday, my flight left Newark with a layover in Orlando. I arrived in San Jose at 11 am. As the plane landed my anxiety began to rise, what if my luggage is not here?, what if I have issues in customs?, my phone has no service and what if I can't find Carlos? , OMG what if I don't make it to the hospital on time for my appointments??!!! As usual all my what ifs never materialized. Luggage was the first to appear on the conveyor, customs was a breeze and Carlos was there to greet me with his warm smile and calming voice. The ride to the hospital proved easier than Carlos expected and I was dropped off at the cardiologist right on time. Dr Deliyore was initially very direct and to the point but softened quickly even showing me a video of his sweet grandson. I passed the heart assessment with a prefect EKG according to Dr Deliyore and was escorted to X-ray by a very nice receptionist. I have to say everyone here is so friendly and goes out of their way to help in any way they can. I have so appreciated that. As I was waiting to have my chest X-ray Dr Arce appeared and introduced himself. He walked all the way over from his office to make sure I was ok and walked me back so I didn't get lost!! Ok have to say no doctor in the US ever did that for me!! And next I got to meet Dr Arguello. Oh my gosh, he is everything I imagined him to be. Just let me say first off, so handsome!! Ok not necessary for your surgeon to be gorgeous but it doesn't hurt..lol..seriously though his kind caring manner put me right at ease. He explained the procedures in detail, showed me amazing before and after pictures of previous procedures and wanted to make sure he addressed all my concerns. No rushing me, I knew he genuinely cared about his patients. So I am having the brow lift, unfortunately he can't lower my hairline as much as I wanted because fear of having the startled look. Probably about 1cm, maybe 1 1/2. I will have the full facelift and he promised me an amazing neck and jawline. So excited to get rid of those jowls!! I am going to have fillers in the frown lines and forehead and also one syringe in my upper and lower lips. So.. that's the story on the procedures. I met with Dr Arce after to go over instructions for surgery and have those dreaded before photos. Just wanted to say about Dr Arce he is truly a warm, friendly and kind human being. Again haven't had many doctors with those qualities, a few but not many. Carlos was waiting for me outside the hospital, such a nice man. He made me laugh the whole taxi ride to Verdeza. Once we arrived I was taken to my room and settled in for the night. Verdeza is all I expected it to be, has the hospital feel to it, lots of nurses around. My room is very spacious, full size bed as well as a hospital bed. The staff is very attentive, I had a little problem with wifi and someone was there almost immediately to address it. I had dinner here last night and Jacquie was right, definitely restaurant quality food. Very pleased!! So I am up early, still on EST time so I am going to get out of bed soon and explore the city. Have a wonderful day ladies!! I will check back in later. Updated on 1 Nov 2015: I am so in love with Costa Rica, this is truly a trip of a lifetime for me. Some people spend this much money on just a 2 1/2 week vacation and I get a transformation to go with it!! Got up early this morning, enjoyed a wonderful Costa Rican breakfast. It don't usually eat breakfast but it looked so healthy and yummy I splurged and it was worth every extra calorie. Went for a three mile walk around the neighborhoods. It's a beautiful day here sunny and 82. Perfect day for rest and relaxation!! Updated on 1 Nov 2015: Updated on 1 Nov 2015: Time to reveal the dreaded before pictures. The Good is I never have to look at this face again after today!! I think the bad and the ugly speak for themselves..lol Updated on 1 Nov 2015: Updated on 3 Nov 2015: Sorry I didn't post sooner but having issues with pain like Jacquie did. Dr Arguello is amazing, honestly could not have asked for a better doctor. He came in last night and made sure I got all the heavy drugs I needed. I got home from the clinic I few hours ago and have been icing and more icing. I will post more details later. Just wanted everyone to know I am doing good. Updated on 4 Nov 2015: I am feeling much better than yesterday. Surgery went as expected, no complications however i was not prepared for the pain afterwards. My brow area and my eyes and mouth hurt the most. I guess after reading all the reviews on this site I assumed it would be pain free which it was definitely not!! They had given my Tylox and that wasn't working. When Dr Arguello came in around 7 which I was so grateful for, he told them I don't want her in any pain and they gave me morphine. What a relief!! So much better. Since I have insomnia the night doctor ordered something, I think it was liquid Ativan and I slep for 4 hour!! That is a lot for me!! I woke up and pain and I got 2 Tylox this time. I wish I had know before hand pain was going to be such an issue I would have talked more with Dr Arguello. The 2 women that are in the room next to me had similiar experiences. One of them had to receive 3 shots of morphine. So maybe it should be said it certainly not always pain free. Updated on 4 Nov 2015: Today was definitely rough as far as pain goes but I seem to feel better tonight. I had my office visit with Dr Arguello this afternoon, had my drains taken out which may be why I feel better. I can no say enough about what an amazing doctor I have , so kind and caring. His work is awe inspiring. I am SO pleased. I owe him so much!! For a person to be able to look in the mirror and finally be able to smile inspite of the bruising..I will always be grateful. Updated on 5 Nov 2015: I got my heart shape face back!! Honestly I don't think I looked this good at 40..lol..can't beiieve I am 59!! Couldn't say that last week!! I know I say this over and over but Dr Arguello is a true genius. No more lines on my face, no more jowls, saggy neck. I haven't felt this good about myself in a very long time. Thanks. Today has been better, I am just relaxing, taking it easy and waiting for my sweet Real Self friend to arrive tonight. Hopefully I can stay up late enough to greet her!! Updated on 6 Nov 2015: I was feeing a bit melancholy today, something I have read about on this site but wasn't sure I would experience it. I am still in pain inspite of Dr Arguello's valiant efforts to alleviate it. I told him it is not his fault, I seem to be hypersensitive to any trauma done to me body and the pain is always worse then it should be. Each time I think it will different but it never is. Surgery, dental all involve major pain for me. They have tried to figure it out But to no avail. But as I was feeling sorry for myself and realizing I am being a baby compared to what my precious son went through with is 3 rounds of chemotherapy and 2 major surgery. I decided I need to follow his example and be a fighter..I will get through this!! And it will so be worth it!! I had the wonderful please of having dinner with my Real Self. I think we connected and she makes me laugh!! Laughter is so good for the soul!! I have so many positive comments about Doctor Arguello's work on my face. They all were amazed as well as I. So grateful every day when I look in the mirror something I have not been able to do for along time. Updated on 8 Nov 2015: Hey ladies..had a busy day yesterday. I had my first lymphatic massage and it was wonderful!! I am still having pain but gets more manageable as each day passes. Again don't want anyone to think this has anything to do with surgery. My nerve endings everywhere in my body are hypersensitive to any kind of trauma. I know it will pass. I so appreciate of my new friend from NYC, my Real Self buddy. She is such a godsend to me. We have one wonderful conversation after another. Honestly it is just amazing how we have connected!! So very nice!! My face is healing right on schedule, Dr Arguello looked at my sutures yesterday and said everything looked perfect. So pleased!! The only place I have bruising is around my eyes, no bruising on my neck or my forehead. Wow, just amazing.all due to Dr Arguello's technique!! Can't say it enough, such a talented doctor!!! Updated on 8 Nov 2015: Updated on 8 Nov 2015: Updated on 8 Nov 2015: Updated on 9 Nov 2015: I went to see Dr Arce this morning, he took out the stitches in my eyes and along my ear line. He said everything looked wonderful, no redness anywhere!! I am going to have stitches alone hairline and back of ears on Friday. While I was taking the elevator down from the 7th floor of the hospital a woman I was riding with said to me "eres bonita". Made me feel so good"!! I took a 3 mile walk along the Aviends de Escuza. I love it there!! Sat in a cafe and had a glass of wine by myself. Miss my real self friend. She had her surgery today, I am sure she looks beautiful!! Updated on 11 Nov 2015: i am not feeling too well today. I have interstitial cystitis, an autoimmune disease that flares every so often. The symptoms are the same as a UTI, lots of burning. I never know if I truly have a UTI or just a flare. Carlos drove me to Walmart to get pyridium which numbs the bladder for a couple of hours. I am a little nervous about having a full blown UTI here but Dr Arguello is so supportive he said he would order any necessary tests and give me antibiotics if needed. Amazing, before I left for Cost Rica I had a flare up and called my doctor. Had to wait all day for her to call me back!! So trying to rest as much is possible.. for me. My app said I walked 5 miles today which definitely lowered my anxiety level. Had another appointment at the spa which has helped with swelling of my face. Bruising is almost gone, really under one eye that is still red. Spent a little time with my wonderful RS friend. She really looks wonderful!! Tomorrow I will post more photos of my face when I feel better. Good night ladies!! Updated on 13 Nov 2015: I am feeling so much better since beginning the antibiotics for my UTI. My stitches came out today, Dr Arguello partially removed the ones on my brow, said they would come out naturally. So happy with the results!! I could say it over and over, Dr Arguello is so amazing in every way. I will repeat what Jacquie has said many times, when you are Dr Arguello's patient you feel as though you are his only patient. I will miss him and Dr Arce so much..but feel so privileged to have been their patient. I know I will never experience that level of care back in the US. Hopefully I will return to Costa Rica next year to have an arm lift. And hopefully with my RS friend, can't imagine anything better!! She has been amazing too, a true blessing!! Updated on 18 Nov 2015: Good morning Ladies!! Sorry it has been awhile since I have posted. I arrived home on Sunday evening. Very sad to leave Costa Rica. If I had to do it over again I would have stayed an extra week for my emotional and physical well being. Verdeza was a wonderful place to recover, the nurses were wonderful, I felt all my needs were attended to and the food was so healthy, low carb, high in protein. It was a nice surprise to get on the scale at home and see I lost 7 pounds!! I also attribute that to warm weather which prompted he to take long walks every day. Felt like neighborhoods around Verdeza became my neighborhood. My health app said I walked over 40 miles during the time I was there. Definitely helped keep my anxiety low. ?? Dr Arguello not only surpassed my expectations as a plastic surgeon but he is one of the most caring and kind human beings I have met in a very long time. He went above and beyond meeting all my medical needs while in Costa Rica and when I had the extra medical issue, my UTI, which potentially could have sent me over the top with fear I knew he was there with me every step of the way. I am so grateful. Dr Arce was warm and understanding, texting on a regular basis to make sure I was doing well. Again I know for sure I made the right decisions, choosing Dr Arguello and Dr Arce, choosing Clinica Unibe, choosing Verdeza. Carlos was amazing, another person to lean on if you needed support. And of course my RS friend, what an added bonus to have had her to lean through all my ups and downs of this process. I know she will be a friend for a very long time A few things I would do differently..besides staying in Costa Rica a week longer: not sure why but didn't anticipate the strain that finding my way through Newark Airport would produce, going through immigration, through customs, lugging 60 pounds of luggage, finding the air train and then finding my way to the hotel shuttle..driving almost 2 hours to my home in Connecticut. So exhausting!! The one positive thing that happened was the customs office looked at my passport, looked at me and said"wow you look pretty." Felt good. ?? The next day I was in some pain, rested so felt better by the end of the day. Here's is another change I would make. While I took 5 weeks off from my job on the psych unit because it is so physically challenging, I decided to go back to my job as a nanny to 3 toddlers under the age of 4. Not sure why I thought that job would be any less physically challenging but I love that family and they love me and I knew they needed me back. So yesterday I worked 12 hours. By the end of the day lots of pain in face and back of ears. I don't have to be back to work til noon today, resting again, pain is much better this morning. Day by day for sure!! Updated on 28 Nov 2015: Sorry haven't posted in a while. Coming back and adjusting to the rigors of work again have been challenging. Been feeling pretty exhausted both physically and emotionally. Wish I didn't have this pain from nerve endings being hypersensitive, probably my autoimmune stuff. I just know my healing will be months and not weeks. But I am so grateful I was able to have my facelift with Dr Arguello. As far as I am concerned I had the best plastic surgeon, so privileged for that opportunity. Can't say enough good things about him. He made me feel so supported even when I returned to the US. Probably one thing I would do different would be to stay longer. I wasn't really ready to come home especially emotionally. But I know for next time. I was a little concerned for a while about my forehead, just didn't know what to expect from the healing process. Sent pics to Dr Arguello and he thought they looked fine but had my gynecologist look at them the next day at my appointment and she said they looked perfect, no sign of infection, she was impressed with Dr Arguello's work so made me feel at ease. I will post more pics when I am able to get my hair colored. Probably not for a couple more weeks, have to ask Dr Arguello but don't want to take any chances with my forehead and the healing process. Updated on 28 Nov 2015: Updated on 5 Dec 2015: This has been a challenging week but definitely ended on the positive side. Just wanted to share some changes that I made that have made my recovery easier. As I thought about recovery in Costa Rica I realized that I took a few steps backward when I returned home. I began to ask myself why?? I think there were four main reasons why that was...Number one the importance of the lymphatic massages. I would highly suggest getting as many as possible while you are in Costa Rica. For me the swelling definitely has contributed to the pain. This week I began giving myself massages ( not as effective as the ones I received at Dr Arguello spa) but has helped with the swelling. Number 2..I ate so healthy at Verdeza, high protein, low carbs, fresh veggies every day. This week with a few exceptions went back to eating at Whole Foods, only organic. I don't cook so that's as close to I good to eating healthy. Number 3 realized I needed to reduce alcohol consumption to once a week til I am healed..ok that one is difficult..lol..and number 4 I relieved my health anxiety by having my PCP exam all my incisions. Her words were amazing suturing!! Wow!! She was very impressed. But all who are familiar with the work of Dr Arguello understand the response. So in the last 2 days thinks are much better. So thankful!!! Updated on 11 Dec 2015: Everyday has its challenges, swelling and pain but not for one second to I regret my decision. Today I got my hair cut, I realized that have always wanted the stylist to turn the chair around so I did not have to look in the mirror. Today I just smiled, loved what I saw, so exciting. Today as I got out of the car saw my reflection in the window. For the first time in almost 20 years liked what I saw. Feeling so grateful to Dr Arguello. We are just so fortunate in this day and age that we have a choice. Happy I choose to feel young again!!! Updated on 15 Jan 2016: So happy with my results!!! Dr Arguello did an amazing transformation. This process of healing has been challenging for me but that is my body responding to trauma. I have this issue with every surgery or procedure I have ever experienced. Always have more pain and take longer to heal than the majority of people. My incisions are healed, look awesome but continue to deal with swelling, pretty normal for only 10 weeks. This week was pain free for me. So grateful!! Things are progressing!! Yay!! Updated on 28 Jan 2016: I found this picture yesterday while going through my things. I was 29 years old on vacation in Mexico. I took the second picture yesterday as a reminder of the 3 month anniversary of my facelift and realized how similiar my neck and jawline look compared to 29 years ago and it made me smile. Thank you Dr Arguello. :) Updated on 31 Jan 2016: Three months this week..continue to be very satisfied with my results. The eyelid swelling seems to be better depending on the day but I can finally wear makeup which I am still experimenting with. I was able to get eyelash extensions with minimal pain this past week. Was afraid the glue would be an irritant but not too bad. I have so much crepey skin under my eyes that it is difficult to appreciate the results in that area but does look so much better than pre surgery...aren't we always our own worst critic right? Lol.. I continue to have swelling on both sides of my face, jaw, neck and top of my head. I am thinking now that the swelling will remain fo at least 6 months which I know is normal for some people after surgery. The pain is more a discomfort now, does not usually last all day, annoying but tolerable. And temporary, there is an end in sight. :) I have developed a raised area on one of the incisions behind my ear that was becoming painful. I texted a pic to Dr Arguello, he said it looks like a keloid and would need steroid injections. My PCP confirmed a keloid although she said no inflammation or infections. She looked at all my other incisions and said they looked great. So now waiting until the end of February for appointment with the dermatologist. So frustrating nothing sooner. I have never had a keloid before and never has any family member..and unusual for women in my age category, menopause means a dramatic drop in collagen. Just hope I can have another procedure without worrying about this but I guess there is always that chance. Updated on 9 Mar 2016: As they say where does the time go, 4 months already. The healing process continues to be slow but steady. I am still having swelling and some discomfort especially surrounding my keloid. I went to the dermatologist to have steroid injection and that has helped minimally. Have to go back on April 1st for second injection. From my research and reading on this site seems they are stubborn to treatment but I am trying to be patient. As I said before it is behind my ear so not a big deal except it is tender. I continue to be very happy with my results. My incisions healed very nicely, it is the nerve regeneration that seems to take forever at least for me. I am back to working 60 hours a week, don't have my energy back totally but much better than a month ago. My eyes are still red and swell depending on the day but are looking better. I was able to get my eyelash extensions although had some discomfort for a few days from the glue but fine now. And I can wear makeup again with out looking 10 years older!! So happy! Going for my botox next week, don't want the frown lines to return. Also getting botox above my lips for lip lines. I am starting to think about skin resurfacing, just not sure at this point I can tolerate CO 2 laser, may have to go with Fraxel Dual. Trying to be kinder to my face..lol..also thinking seriously about returning to Costa Rica for a lip lift. My friends have said to me, why don't you just do it local? Not a chance. Dr Arguello' suturing is too amazing..so important especially when this incision is so highly visible!! Updated on 14 May 2016: Update..such a pleasure to be back in Costa Rica!! It is the 6 month anniversary of my face lift, with the exception of the keloid I developed and some skin puckering on just below my temples, everything healed just as it was supposed to. I had my doctor here look at incisions every few months and they always stated your surgeon did an excellent job. They didn't have to tell me, I already knew I had the best surgeon I could possibly have. So grateful..I know I have said this many times before but this experience has changed my life in so many ways. I realized the strength I possess as a woman to travel to a foreign country and to have surgery in a place I was not familiar. I really was apprehensive, people in my life told me I was crazy and I thought perhaps I was too. Until I had my first phone consultation with Dr Arguello..at that moment I just knew I was doing the right thing. I just knew. He answered every question in great detail..didn't make me feel I was taking up his time, and made me laugh which was an added bonus. And he was everything in person and more. I have not one regret. He gave me 20 years back I honestly feel. In the past 3 months I went back to online dating, a nightmare but that is another story..lol..however the comments that I receive from men..why do you look so young? You can't possibly have a 40 year old when you look 40 yourself, the last one thought I was 35..lol..ok it was dark and he had a few drinks..lol..I can only say thank you so much Dr Arguello!! My self esteem has gone up so much since my surgery. I truly feel like I was born again. At the 5 month mark I noticed the skin puckering on the side of my face had not resolved, especially the right side. No one ever noticed but I did so called Dr Arguello and let him know. His response was..of course Laura any revision you need I would be more than happy to do it. A revision and a good excuse for a long weekend in Costa Rica. So excited I was going back!! So I arrived on May 12th and that afternoon had an IPL treatment with my other favorite doctor, Dr Arce. He was so kind and gentle with my face. I was so concerned I was going to have issues with pain because I have hypersensitive nerve endings. No pain at all and my skin is so much brighter with only one treatment. He said I will probably need 4 to get the results I want. Can't wait!! The next day my mini revision was done by Dr Arguello and Dr Arce, so nice to have them both there..felt very special. But they always make me feel that way as they do all their patients. So I received a local anesthetic and Dr Arguello lengthened the incisions on both sides in the temple area and removed a strip of skin. I also had fillers done in area of frown lines and lips. Everything looks great..I am so happy!! And my big added bonus..I got to met and enjoy the company of 2 Real Self friends I have corresponded with online. I have enjoyed there company immensely. So blessed. Before I end this update I wanted to address the disturbing series of events that has been happening concerning Dr Arguello former liaison. It is so upsetting to me that this woman is trying to undermine Dr Arguello impeccable reputation because she is disgruntled former employee. Please please please ladies do not believe her lies and accusations. I mean this in every since of the word she is crazy. DO NOT let her effect your plans of going to the best possible plastic surgeon that you can have. If you have questions about anything feel free to private message me. Updated on 7 Jul 2016: After much thought I have finally made my decision to go back to Costa Rica to began part 2 of my makeover. I feel that my facelift surgery has given me a new life. Literally. I am so grateful to Dr Arguello.. so thankful for all he has done. What an amazing experience that was and there was no question in my mind that when I decided to have plastic surgery on my body, Dr Arguello was the one I would choose to do it. So..I am contemplating having a mommy makeover including a breast reduction with no implants. I am a 36DD and hopefully with reduction I will be a 34B. I am 5'2 and 115 lbs so the DD is causing neck, shoulder and back pain. I have not been a B since 7th grade so probably will take some time getting used to. But I sent Dr Arguello my pics and he said no problem so good to hear. I may also have a tummy tuck done but since I only have 3 weeks off from work and my job is so physical ( I must lift a 25 lb baby on a regular basis) not so sure. But I figure women have casereans all the time and go home to toddlers so not much different. We shall see as the time gets closer. I am aiming for going sometime in the middle to end of November. Already got the time off so I am very excited for my next adventure. Updated on 18 Aug 2016: I confirmed with Dr Arce this week November 28th will be my surgery date. I will be flying in to Costa Rica on Black Friday around noon and hopefully getting all my preop surgery stuff taken care of on that day. Still have not decided exactly what I am having done..breast reduction is a definite..I will update as soon as I know..I am very excited for sure!! Updated on 30 Nov 2016: I arrived in Costa Rica on Thanksgiving morning..so happy to be back in this beautiful country. I am staying at Hotel Cristina because decided it was not necessary to stay at a recover center for relatively minor procedure..I have a 2 bedroom suite with buffet breakfast for $75 a night. I am enjoying my stay this far and have been taking Uber's around the city..such a deal. I had my pre op visit with Dr Arguello and Dr Arce on Friday..we went over the procedure, what to expect..Dr Arce took the before pics..not as bad as last year before the facelift..lol..Got all my Botox done ( about half the price as the US and Dr Arguello is an amazing injector..) I have had so many so called professionals screw it up over the years. Anyway.. Dr Arguello did the measurements for the lip lift..he said probably removing 7 to 9 mm. My philtrum was 20. I arrived at Clinica Unibe at 7am on Monday the 28th. Got all the paperwork done and was ready for the surgery at 9 am. So comforting to see Dr Arguello's face, took any fears away that I had. Surgery lasted about an hour, including fillers for temples and lips and he also fixed a scar that I had previously that had widened a bit. The nurses were all commenting after the surgery..Que linda..made me feel so good. I stayed for about an hour at the clinic after the procedure and then headed home. The Uber driver asked me if I was a student at the university??? ..lol..Told Arguello this morning when he checked in on me.."you have truly made this one of the best years of my life" I am so so grateful to him. Updated on 30 Nov 2016: The swelling began this morning..very happy with the red lip show and the new size of my philtrum..about 12 mm Updated on 3 Dec 2016: This is my last day in Costa Rica. Sad to leave but so thrilled with the results of my lip lift so far. The swelling continues to subside and no pain at all. As I have read in this site, swelling moves around every day. Sometimes cheeks, even jawline. Nose is definitely swollen as well as my pores look bigger..but trying to be patient with the healing..going through the facelift I am all to familiar with actually how long the healing process takes so yes patience.. Dr Arguello is taking the stitches out tomorrow..not many doctors would be so kind to go to the office on a Sunday but really didn't want to have stitches removed by another doctor so I am meeting him in the office before going to the airport..feeling gratitude for sure.

Feeling pretty awesome, but somehow my inner self doesn't match my outer self. I used to be cute....seems like just this year gravity has taken its toll. I'm fighting back. Well, we are fighting back. Dr. Alberto Arguello. and I...on January 11th. I'm giving back to RS because I have benefited greatly from all of you generous, lovely and caring people. Updated on 10 Oct 2015: Updated on 10 Oct 2015: Updated on 2 Nov 2015: Well lovely ladies.....Went out to dinner Saturday night with my husband of 35 years. We each had a cocktail and my husband began a I don't want you to have this surgery campaign. Compliments flew at me like I was at a batting cage......"your beautiful", "I love the way you look, "you still turn me on"........on and on and on. After the compliments were his fears...."what is you look different (my prayer}..."what if there are complications"..what if you look like the joker"...on and on and on. I remained quiet. He ask me if I was listening.."yes" I replied. I said, "You still turn my on too and I'm having surgery". Updated on 3 Nov 2015: Imodium......of course consult your doctor first beautiful ladies. Just bought it for my travels to Costa Rico. I have a sensitive stomach and will be traveling to another country with different vegetation and foods. I know that we are prone to constipation from taking pain pains.....but be prepared for the other possibility.... Updated on 4 Nov 2015: Updated on 3 Dec 2015: Well....today was my pre-op clearance for surgery examination and I have to say my doctor at home was freaked out that I would go to Costa Rico for surgery. Spent a good hour explaining to my why it might not be a good idea. ...They have different standards...what if there are complications...what hospital will you be in...Are the doctors in the ICU if there are complications qualified? Who is going to be there with you to advocate....blah,blah,blah. Needless to say I am second guessing myself. I am not only going to Costa Rico to save money...would not let a surgeon put a scalpel to my face that was not talented but I need the aftercare. I don't want to burden my family or friends...I want to heal alone and take the time needed with the appropriate care for a month near my doctor. Rest, heal, without being judged and then hopefully go home and this event would go unnoticed. Funny, he brought up all of my fears..........now I'm a nervous wreak! Updated on 9 Dec 2015: It's official...today I received my receipt for my stay at Verdeza....I'm going January 9th and leaving February 4th. I listened to you girls when you said you wished you stayed longer. I'm both excited and nervous... Updated on 5 Jan 2016: We'll beautiful ladies......I am almost packed...you think I'm excited? I can't believe it's here already. I thought I was over being anxious and now only excited but, I might be wrong. Last night I had a dream that my PS had the wrong file for my surgery and I ended up having a brazilian butt lift, extra large chin implant and my ear done ( I have tiny ears that are flat.....the doctor made my ears stick out. I woke up smiling....how ridiculous? Last night my husband asked me "who is going to advocate for you?"......I told him "Carlos", he said. "what the heck?' (he didn't use the work heck by the way). Yes, I had to explain to him it will be O.K. I did my homework since July. We are good...he made me leave him my itinerary and that made him more relaxed. I love the way he loves me. Grateful. Typically I am a private person however, I am giving back ...paying it forward because I have gained so much information from many generous, well intended, caring people. I am letting it all hang out....so... please no negative energy sent my way. Updated on 6 Jan 2016: Took care of the details today.....waxed my legs ( Magilla Gorilla had nothing on me), waxed above my lip..., so the doctor can't find the wrinkles for jevederm injections. bought new underwear and pajamas....as if I was going on a holiday with my husband. WICKED EXCITED YOU"LL!!!!!!! Updated on 9 Jan 2016: What a beautiful country! Can't wait to explore a little tomorrow. Had a great flight even with the one hour delay. Carlos was waiting for me with a sign with my name on it. What a sweet man....just unpacked and had a delightful meal. My room is extra large......In New York City it might be referred to as a small penthouse, lol. This feels like a out of body experience....wanted this for several years and now it's finally here. Surgery is on Weds. so I have some time to explore here....just gotta be extra careful not to get a sunburn! keep you updated as I go...long day, gonna play scrabble on line and go to bed early. Mañana Updated on 10 Jan 2016: Well RS friends....Verdeza, the recovery facility I chose is lovely. A clean, large room with pretty much everything you need. And what you don't have the staff will go out of their way to provide it for you. For me, the most important comfort while traveling in a warm, humid climate is that the accommodation has adequate air conditioning. My room is perfect! I Can't sleep if it's hot at night. Funny...considering I grew up without A/C. Anyway, I started my day with a delightful omelet....the mushrooms were so fresh. unsweetened , natural Lemonade. Then walked 5 miles and surveyed the area. Walked to Walmart for all the things I forgot..... just a three quarter walk away. (15 minutes). Had a great lunch. Seared tuna , as good as a fine restaurant, cooked to perfection. spent 45 minutes in the gym.....(yes, using the equipment. lol.) Ladies, I HATE the way I look in photographs. I took them for you so you can compare before and after. I was interested looking at before and afters while doing my research. Oh, another wonderful thing here at Verdeza is you can eat as much fresh fruit as you want and it is delish. Tomorrow morning at 9:00am I meet Dr. Arguello, his assistant, Dr, Arce, and the anesthesiologist. Tonight formulating in writing all of my questions. Dinner's here........... Mañana Updated on 10 Jan 2016: Updated on 11 Jan 2016: Today I went downtown to meet with the Cardiologist. All good. Nice, warm Doctor. Had a great lunch.....fresh, simple, well balanced food here. Verdeza facility is also an assisted living/rehab home.....I would love to move here in 25 years, lol. Nothing special happened today, just trying to rest up, eating plenty of pineapple and staying out of the sun. Hope you all are good. Speaking of sun, I love the sun. The first thought I had when my body hit the warm air here upon leaving the airport was get to the beach, magazine, book, fancy vacation drink. Boo hoo. i guess we all have to make sacrifices. Floppy hats and spf 50 will be my new go to. Thanks for listening as I babble. hope all is well.....(feels like I should write, Dear Diary...lol) Updated on 11 Jan 2016: Tomorrow morning I meet with Dr. Acre and Dr. Arguello..................shall be continued.............................. Updated on 11 Jan 2016: yum Updated on 12 Jan 2016: Updated on 12 Jan 2016: Had a wonderful breakfast and then Carlos picked me up and took me to see my PS, Dr. Arguello. The waiting room was full and I was afraid he would be unable to spent enough time with me questioning my long lists of questions......wrong.....I felt like he had all day with me if necessary. He speaks perfect English, and is down to earth. As the appointment went on I felt reassured that I had made the right decision. Yes, he most certainly has movie star looks...but I was not there to look at his face, I chose to like at his hands, the hands that will be holding a sharp scapula to my face. ....glad to report they were not shaky at all. Yay! Anyway Originally I was quoted for a brow lift, eyes and lipo on my stomach. Dr. Arguello told me I do not need a brow lift yet.....My eyes were done 8 years again, he said leave them alone or I will have a surprised look. As far as my stomach lipo .....he said I need less of a procedure then he thought and cut the price in half. I have respect and confidence in him. Tomorrow at 2:00 I will have my surgery. Ladies....I bought a selfie stick today at Walmart (under $20.00) so I would have to ask people to help me take pictures ...I use to think people who had those were vain. i joined that club today, after all isn't that what this particular experience is all about? I took a bunch of pictures to memorialize my old face and neck. Hope it will be helpful for you guys and I to compare before and afters. No make-up, hair back......unflattering, but brutally honest photos. Updated on 12 Jan 2016: Updated on 14 Jan 2016: Well, I must say I feel pretty good so far! I'll start at the very beginning..... because you need to eat no more then 8 hours before surgery and my surgery was at 2:00, I ordered an egg the night before to heat up in the morning (notice everything with me starts with food), then I left at 11:00 to get all of the paperwork filled out, Carlos was by my side...my Spanish isn't so hot. Paid my bill, went to a room were I prepared for surgery...IV. Moved to the surgical area, had a warm air quilt placed on me with Compression boots. Dr. Argeullo came by and said it's show time. ..walked in the Surgery room hopped on the bed. Next thing I know I was Done. In my room with the most attentive Nurse. If I rang my bell, within 5 seconds he was at my door. I sleep for two hours off and on. walked the hallway as much as I wanted to avoid blood clots. Around 9:00am Dr. Argeullo came in cleaned me up. Explained what he did. They filled my prescriptions in the hospital, paid my final bill and here I am back at Verdeza. I don't have pain, soreness and haven't taken any pain medication today....Waiting for pain...Anyway......I love my Neck!!!!!! It looks like it did in high School. I took a bunch of pictures and will download them separately. Updated on 14 Jan 2016: Updated on 14 Jan 2016: Hope you don't get grossed out Updated on 15 Jan 2016: Updated on 15 Jan 2016: Woke with this morning in discomfort. About a four out of ten. Took Extra strength tylenol , see if that does the trick. I don't want to get constipated from the narcotics. It has taken the edge off but I might have to take the stronger pill anyway, I'll wait and hour and see. Looking forward to going to the Doctor's spa and have the area on my stomach where the Dr. performed Lipo massaged. Tomorrow I believe I can shower. Yippee! Updated on 15 Jan 2016: Today I am going for a medical spa treatment to massage and break up the fat on my stomach. I have my daughter's and brother's wedding this June and want to be my personal best. These photos were taken with the selfie stick, really like that thing! Hope everyone is having a great day....I'm bored ladies...don't forget to bring reading materials, movies (I have net flicks and comcast movies on my computer.......i'll check in later. Updated on 15 Jan 2016: Updated on 15 Jan 2016: Tonight i went for a lymphatic massage. Heavenly. What a relief to get the helmet off for an hour! Today was a long day. Updated on 15 Jan 2016: I wore this dumb hat.....maybe no one will notice I had surgery. LOL. I look like a Jerk and don't care. What can I do? Updated on 16 Jan 2016: Good Morning beautiful ladies... last night i made the mistake of sleeping flat on my back. I woke up at 3:30 in a lot of pain in my ears. Nothing that a little pain medicine can't fix just giving you gals after me a heads up. Sleep sitting up, or 45 degrees. My face is swollen too because of it. Big day today.....shower! Whoo Hoo! Updated on 16 Jan 2016: This day started out tough because I slept flat but has turned into a beautiful day! Had breakfast and realized that my mouth can open wider then yesterday so eating is easier. After breakfast took a 3 mile walk and then went to Dr. Arguello's medical spa. I had a one hour lymphatic massage on my neck and then my stomach. I decided that I will have one every day until I leave. They are relaxing and extremely helpful with swelling and bruising. Walked back to Verdeza for a wonderful bass lunch, sat with the resident ladies. They are delightful and happy to see new faces. I wanted to fill you in on my lipo surgery...........cause it's blowing me away................ 10 years ago I decided to have stubborn belly fat from 4 pregnancies removed. Liposuchion seemed like the answer. It seemed no matter how much weight I lost my stomach made me look like I was 5 months pregnant. I researched a local (well known PS) plunked down $10,000., yes you heard me, right, and had the surgery. Shortly after the surgery I noticed a square of fat around my bell button. At my follow- up appointment I asked my doctor about it and he suggested for me to have a follow up surgery (pay again) to inject more fat in. WFT? I didn't say that but I thought it...I said I'll think about it and left, lol............fast forward to the present. When I decided to have my fl/nl i thought as long as I am in recovery I might as well address my botched lipo. I sent my stomach photos along with my face photos to Dr. Arguello and got my quotes............I was quoted $3000. for the lipo revision and was extremely pleased. This past Tuesday I finally got to meet Dr. Arguello in person. He spent as much time as I needed to answer all my questions and evaluate my needs and desires. When he looked at the stomach he said we don't need to do too much there at all (I have pockets of fat left behind by my old PS. and presided to tell me the price will be half the amount he quoted me, $1600. Blew my mind. He nixed doing my eyes as well. Seriously, Many doctors look for procedures to tac on . I'll post a before and after pis of my stomach. Was invited to a 3:00 movie with the ladies at lunch but I think I'll pass. Tired. Updated on 16 Jan 2016: Updated on 16 Jan 2016: Asked Carlos for his permission to post a picture of him....he said yes but you have to tell the ladies I'm single, lol. I thought this would be helpful for those of you coming after me to know what he looks like, so you could more easily identify him at the airport. He's great. Updated on 16 Jan 2016: Updated on 17 Jan 2016: Trying to feel more human...stuck some lipstick on before my shower. Updated on 18 Jan 2016: He there. Today I had breakfast, showered, had my sutures cleaned and took a two block walk to Dr. Arguello's spa for a lymphatic massage....guess who popped in to check out his work, yup...Dr. A. I'm healing well, he and I are pleased. Tomorrow, the front of ear stitches come out. I found out the helmet needs to be worn for a full two weeks, and I can sleep on my side at three to four weeks. Just saying. Hope all is well in your lives. Updated on 18 Jan 2016: Updated on 19 Jan 2016: Can't sleep because I am excited about getting my stitches in front of my ears out. Heard it doesn't hurt so.... not too worried about that . healing is progressing ....pain is now a dull ache. Updated on 19 Jan 2016: I can't believe it's been week since my surgery! Today I ran around all day, just got back to Verdeza and it's almost 7:00. Just made it in time for dinner! Dinner here is from 5-7. Goodness knows I can't afford to miss a meal. lol. Both daughter's called me within 20 minutes of each other and they live in different states. We have that kind of connection......felt loved. I get a little lonely here from time to time. Today I felt like myself again. Sooo, the day started of course with a large breakfast....I am totally not losing weight here. I find myself eating more because the food is good, I don't have to cook it or clean up afterwards, a luxury for sure. It's like living in a nice hotel with room service and medical assistance...not to mention they do your laundry. This would be perfect if my husband could of come here for al least a week but somebody has to hold down the fort. After breakfast....pancakes, eggs, bacon...I apparently have no shame. ...I went for the lymphatic massage. Somebody asked me is it works...I have no way to compare what it would look like if I didn't do it. It feels great and from what I have read should work. I have awful bruising. Luckily it's turtleneck season in NY. lol. after the massage I took along walk.....went back to Verdeza for lunch and Carlos took me to see Dr. Argeullo for a check up and to remove the stitches in front of the ears. Dr. Arce actually took them out. i didn't feel a thing. Painless. After the appointment Carlos took me to a local craft market. All thing made by local artisans. I love supporting the locals......we then went back to Verdeza.......for dinner off course!!!!! I am very, very pleased with the work Dr. Arguello has done. VERY NATURAL!!!! If you keep your expectations realistic you won't be disappointed. here are the pictures from today with my stitching out in front. Updated on 19 Jan 2016: Updated on 20 Jan 2016: Good morning Ladies.....here's a topic we don't like to discuss..but I feel it's my doody (a little 3rd grade humor to start the day) duty to pay it forward. This is what I did to combat this issue. Fact is painkillers, narcotics can cause severe constipation. As I am no stranger to surgery so this time I devised a plan. I brought fiber bars, cplace, and prunes with me. Started these the day after surgery. I drank a lot of water, drank fruit smoothies and had small bites of shredded salad with each meal...Well a.......after 4 days I went. I felt like I graduated from Harvard University number one in my class! What an accomplishment! This worked for me but of course run this by your doctor if it interests you. No pictures or video will accompany this review. Cheers Updated on 20 Jan 2016: When I decided on which place and Dr. I would be using to have my surgery and chose Dr. Argeullo/Costa Rico I planned to stay for a month and leave the last week for touring. This Sunday my dear friend of 55 years is coming here. She is adventurous, likes outdoor sports and has an enormous amount of energy. That said I asked Dr. Arguello the can and can't do's when she arrives. We are going to Arenal. ......approximately a three hour car ride from San Jose. I can hike through the rainforest (short hike) I wanted to go on horseback but he looked at me (no words) wide eyed as if to say" lady you are crazy." Can see the volcano and look at the waterfalls...can't go under them, obviously. I can go in the hot springs if I don't get my head wet. I am very excited to be doing all of this!!! Updated on 20 Jan 2016: Today's activity because of yesterday's workout Updated on 20 Jan 2016: Hi Ladies..........today...after breakfast I went to leave Verdeza for a lymphatic treatment...I saw a large bus in front and the coordinatoor asked me if I was going on the tour? It was a free tour of a sculpture garden....supposedly a famous Costa Rican artist. I had 15 minutes to get to my appointment so I couldn't cancel. My suggestion: if you are staying at Verdeza ask them what activities are planned for the time you will be there. Several people asked me about the Spa, so I took a picture of the spa information below. To celebrate my stomach lipo I bought a bathing suit in the mall. I had the two salesgirls laughing hysterically. ...Helmet on, compression stockings on....added the photo of my new swim suit. Updated on 20 Jan 2016: Updated on 22 Jan 2016: Hiding from Dr. Agruello.....found the best ice cream shop in San Jose.....Pop's! Outrageous ice cream...had vanilla with figs. It was the way I celebrated my 10 day anniversary of my stomach lipo, lol.....don't tell my doctor, I already got in trouble for not wearing my compression stockings. This is the first day without pain meds...not even using tylenol, have it on my night dresser just in case. Hope all is well in your lives. Updated on 23 Jan 2016: Day 10...coming along......front of ears healing beautifully so far. Nurse noticed the back of one ear to be red.....within a half an hour.....doctor picked up phone on one ring. Antibiotic cream and oral meds were delivered....AND IT'S SATURDAY. I judge a recovery facility when there is a problem to be addressed. Verdeza and my doctors rock. cappuccino every morning with breakfast ladies.......this is as close as I can get to feeling like a Kardashian Updated on 24 Jan 2016: I thought I would take some time to answer some questions and random thoughts ........First off, My PS just e-mailed my to see how I was feeling. On a Sunday! Yesterday I had an infection behind one ear. It was red, hot, and throbbing. Here's what I deduced ...if you are pain free for several days and suddenly have these symptoms address the possibility of an infection immediately .The longer you wait the worse the infection gets and the harder it is treat. My nurse informed me while cleaning the back of my ears. I can't say enough great things about my drs. and Verdeza...within 30 minutes...I sent photos to my dr. and was on an antibiotic. Today it's already much improved. In regard to the front of the ear sutures....They are almost invisible already . Somebody asked me if it was my dr's doing or the way I naturally heal,,,,,Both would be my answer, I live a, as they say in Costa Rica "pura vida". A pure life. Lots of exercise, eat well, and don't have vices. I am grateful that the sutures came out so great as it is a telltale sign of a facelift...hence....one of the reasons I chose Dr. Arguello. I wear my hair back or up most of the time. Six months ago I had a rhinoplasty with a fancy upper eastside PS. two day after my surgery the nurse from the hospital called to see how I was doing! Here I have my doctor's cell phone numbers and I pretty much are in communication with him either by phone or e-mail everyday.....which brings me to my biggest reservation to having surgery In Central America..Up until the moment I crawled up onto the operating table I second guessed myself....What if something goes wrong? Who will be there to advocate for me? Well, I don't think I could of been in better hands. I feel like I am the only patient my pS's have. Very grateful and appreciative .... to dream about doing this and then making it happen. After raising 4 nice, happy kind and loving children, this is a wonderful present for myself!. Do I feel guilty about being in Costa Rica for a month....Hells no! What I do feel guilty about is asking my husband this morning to kindly remove 30 inches of snow from my car, so I don't have to deal with it was I get home. I e-mailed him. Did you guys hear from him in response to my request because I haven't. Lol. Updated on 24 Jan 2016: When I made the choice to have a f/l, n/l/and Lipo in Costa Rica I also decided that I want to stay and heal and be by my Surgeon so if anything popped up I'm there. I also decided that I did not want the world to know. the response I received from the few I told was disappointing. "you don't need it"....you're kidding, right ? Why are you doing this? When I told them where I was having it I received shocked looks. It was then that I decided I am Not telling the rest of the people in my world, (tennis team, art studio mates and alike that I am going to an art residency program....for a month. Plausible. After all I've made art in different parts of the world. We'll...my studio mates want me to show them what I am working on! I would be painting plain air...(outdoor landscapes)......here are the choices. go down town and photograph someone else's paintings. Second choice, go to walmart and buy watercolors and start making a body of work. I am not inspired to make work here. Concentrating on healing Third choice, tell them I already sold the work. One lie brings you to the next lie. Awful . The second lie I pretty much found a solution for.......if I am painting everyday outdoors why aren't I tan? Well, what about a shower cap covering my stitches and a SPRAY TAN!!! Perfect, will cover the bruises and throw everyone off. Everyone knows a tan and a f/l don't jive. People say if you want to not let everyone know you had surgery change your hair style or color. My color has been silver for 20 years, kind of my trademark. And I am letting my hair grown out. Today I feel a little like Lucille Ball while trying to figure out my cover......I've taught my kids not to lie and look at me. Lie after lie after lie. Shameful. Hope you are all having a great Sunday....I am grateful that I have such a wonderful support system in all of you. Updated on 25 Jan 2016: Hi there.......Today I started the day with the usual, lovely hearty breakfast....Took a long walk and then went to the massage therapist. Asked her, the coordinator at Verdeza and my dentist here where to go for permanent eye liner....independent of each other they all came up , Swan Aesthetics. Had my teeth cleaned and whitened at Prisma Dental today. Feels so good. Some of my friends from Jersey fly here to use them. Well, I guess there goes the glass red wine I was looking forward to. I guess Chardonnay will do.....Vodka Martini? My infection behind my ear is healing beautifully. Last night I slept through the night...Finally getting use to sleeping on my back. Yay! Bought a wide brimmed hat today, as per Dr. Arguello as mine from home didn't pack well. This one is large and can roll up. I look dumber in it then my green birth control hat. Took the liberty of photographing a typical menu for lunch and dinner at Verdeza, for those who are coming here behind me. I have two more days until I can take off my bandages for good, on Thursday I also have the stitches behind the ears coming out. I sent you all a cyber kiss for all of your support. I don't feel alone. SSSSMMMMMAAAAA Updated on 26 Jan 2016: Thought I would include Saturday's photo of my ear and what 3 days later, on a oral and topical antibiotic can reveal. Almost gone. Very painful to the touch. (on Sat.) not today. No pain at all. I am very happy with the front of ear scars....almost invisible and only 13 days in. Updated my husband .....informed him about the teeth whitening and permanent eyeliner I'm getting, he asked me what's next....hair extensions? lol Updated on 27 Jan 2016: Good Morning Beauties, started off with a breakfast fit for a wildebeest, as I am planning on parading my refreshed look around town without my head bangage. I'm starting with about a 3 mile walk and then heading over to Walmart to get spf 50 sunscreen and baby q-tips......this will be my 3 box of them so bring a lot . Catch you later........... Updated on 27 Jan 2016: If you are coming to Costa Rica.....go outdoors in the morning or late afternoon. We are close to the equator and with the cool breeze can burn easily. ......don't forget bug repellent if you are going into the rainforest here..... Updated on 27 Jan 2016: Updated on 27 Jan 2016: Just came back from picking up my BFF from the airport......she loves the outcome so far...says it looks natural and doesn't have that pulled look! Friends for 54 years...... Good night everyone Updated on 28 Jan 2016: Got a new hat today. Turns out the straw hat I bought irritated my ears. I also suggest getting a wide brimmed hat with a string one can tie under your chin....I chase my hat down the street daily. Updated on 28 Jan 2016: Well...Today was an awesome day.... had breakfast with my friend, afterwards I went for a massage and met my doctor to take the back of the ear stitches out. He left 3 on each ear for support because I am going on an adventure for 4 days. My dear friend is going to clean my stitches while we are away. Random thought... Anyway, Michelle went to prisma dental and had 5 hours of work done. ....I rested ,made chamomile tea ice cubes for tomorrow's procedure....We are both having permanent eyeliner done....fyi, chamomile (Azulene) is the main ingredient in visine. We went to the main dining room at 5:00....the early bird special....had them make us two fruit smoothes and preceded to put a shot of kettle one vodka in each one.... felt so naughty. I actually got permission from the Dr today to have a drink. Tonight we went to the movies and saw "Carol', it was in English with Spanish subtitles....then ice cream. My friend is so happy with my work that she wants to meet Dr. Agruello while she is here to discuss work she wants done. Next January I am coming back to Verdeza for two weeks...Dental implant ...botox....Michelle will probably be my roommate. We are in the early stages of planning.....Good Nite!!!!!!! Updated on 29 Jan 2016: Great day.....Went for permanent eyeliner. Took 2 and a half hours....I took pain meds before, Michelle wishes she did....dinner, then was walking to my room passed the small salon near my room and got a pedicure. Tomorrow rode trip....three and a half hours to Arenal......feeling good. Night Updated on 30 Jan 2016: Took a wonderful three hour drive to Nuevo Arenal. Had to stop to let a family of lemurs go by.... So unexpected and cute! Arrived at our destination....a funky Inn with fabulous food. Not feeling no pain...just a little tired. Going to bed early so I won't be tired for tomorrow's adventures.......good night Updated on 31 Jan 2016: Pics Updated on 3 Feb 2016: Well, I can't believe it....Three weeks since surgery, four weeks here. Tomorrow I go home. This experience went by so quickly! Loved it here but really looking forward to getting back to my family and life. My four day holiday in Nuevo Arenal, La Fortuna and La Poas was magical. Went to the hot Springs, (only up to my neck) La Poas volcano, Waterfalls and animal sanctuary. It was a good thing Michelle came with me to clean my incisions! We had a ball. Updated on 5 Feb 2016: Loved my time in Costa Rica but it's so great to be home! As far as the responses go in my family, they were very positive and they are a rough crowd to please!!!! My husband is not demonstrative at all.....He took a look at me and said, "when can we have sex?" I'll take that as a huge compliment! My artist daughter who would be my toughest critic said, "Wow you really look much younger"......and as for me, I am delighted....I feel like putting lipstick on, not afraid of mirrors anymore and want to hold my head up high. Definitely more confident! I am deeply grateful that I chose Dr. Arguello! He is an artist, a compassionate, skilled, assessable Doctor that without reservation would recommend. Further confirmation would have to be when I picked up my friend from the airport at my two week mark. She immediately said I want to book an appointment with your doctor. She is scheduling her surgery for next January! I sincerely want to thank all of you for your support, information, care/and concern during this process. I feel like throwing a real self party!!!!!!!! (Cyber hugs) Updated on 5 Feb 2016: I don't know how....Seems like I was eating every waking moment, but I lost 8 pounds. Go figure Updated on 8 Feb 2016: Played tennis this morning. It felt good to exercise......Because I not 100% healed I let balls that were difficult to get go. I didn't want to stretch. Nobody in the club could tell I had a n/l,f/l......one girl said you look so rested. Another said...you lost weight.....they could not put their finger on it. funny.

The motivation after having a gastric bypass was to have a tummy tuck. I had lost 120 pounds and had flabby sagging skin around my mid section. I decided to contact Dr. Arguello in Costa Rica to have this procedure done. The pros of this surgery was that I have a flat stomach and in my opinion there were no cons at all. I have been completely happy with my procedure and Dr. Arguello. I had a few other procedures done by him and have been very pleased. The cost for all my procedures which included 2 trips to Costa Rica was cheaper than having it done in the United States. I highly recommend Dr. Arguello for any plastic surgery procedures you need and go directly to him because cost will be much cheaper instead of going through a third party.