I do not recommend people travel long distances for elected surgical procedures. To make an accurate assessment regarding the outcome of a plastic surgery procedure we generally need to see a complete proper set up before and after pictures. If you don’t have before and after pictures, then ask your surgeon to forward the pictures they took. The outcome of cosmetic surgery is usually primarily based on the patient’s candidacy for the procedure in the first place combined with the skill of the provider. It’s hard to assess the outcome of your procedure from the limited pictures. I’m guessing your procedure could’ve been done better. Each surgeon is responsible for the outcome of their own procedure. You can certainly schedule second opinion consultations with other plastic surgeons, but they will most likely charge you full price for doing revision surgery. Consider re-posting it with a proper complete set of before and after pictures. The following are some general recommendations to find the best provider. To find the best provider, I suggest patient schedule multiple in person consultations with experienced plastic surgeons in their community. During each consultation, ask each provider to open up their portfolio and show you their entire collection of before and after pictures of previous patients who have similar body or facial characteristics to your own. An experienced plastic surgeon should have no difficulty showing you the before and after pictures of at least 50 previous patients. An experienced provider should in fact have hundreds or preferably thousands of before and after pictures to choose from for commonly performed procedures. Being shown a handful of preselected images, representing the best results of a provider’s career is insufficient to get a clear understanding of what average results will look like in the hands of each provider. There is no correct number of consultations needed to find the best provider. The more consultations you scheduled the more likely you are to find the best provider for your needs. Take careful notes during each consultation, especially regarding the quantity and quality of before and after pictures. It’s not a bad idea to bring pictures of your own body/face to use as reference when reviewing before and after pictures. The biggest mistake patients make is scheduling only one consultation without properly vetting or comparing providers before scheduling surgery. Best, Mats Hagstrom, MD