I am 61 and traveled from another city to Panama City and had a facial surgery. I had a complete facelift with eyelids and fat injections to several areas of my face. Dr Picard Ami's personally answered my mails and later his biligual staff was superb helping arrange everything for a smooth pre consultation and post op care. I had post op physical therapy right next to the doctors office. They even helped me with a private drivers service who spoke very little english but knew exactly where to go and was in constant contact with the office so I could also talk to them.. As far as the surgery and the results I am very pleased. Not overdone, very natural, exactly what discussed with the doctor during my pre op consultation. I really recommend Dr Picard Ami and his team.