Do you live in Puerto Rico? Will you be able to hang out there for at least 3 weeks after surgery to have any early complication addressed before you return home? And will you be able to return to Puerto RIco in follow up for general questions and if you have a late complication? If the answer to either of the first two are yes and the third yes, then do your research and choose the best plastic surgeon available NOT BASED ON PRICE, and have your surgery in Puerto Rico. If you answered no to the above, then trust me, you can't afford to have your plastic surgery in Puerto Rico. People travel to see me in Nashville, and those are the questions I ask them. Your safety comes first, and I have no idea about the safety of surgery in Puerto Rico, but I have no idea about safety in most specific surgeons offices in this country. I do know it is not safe to have surgery without adequate follow up. It is very expensive to have surgery and then end up with a preventable complication because you did not have follow up. It is also very expensive to have to pay a second surgeon to take care of you in follow up when you can't get back to your first surgeon. Lots of things look cheap at first glance, but research hidden fees like that cost to pay a local doctor to remove stitches, if you can find one to work you in. Its your body, if it's too expensive to get done what you want, don't bargain shop. Save your money and do it when you can afford it. Best of luck!