The Ultimate Guide to Plastic Surgery Abroad 2006 Sample Edition

By Alex yomAl & GABBi ChAmA

The enTire book is ©opyrighTed by Alex yomAl & gAbbi ChAmA

SurgeryAbroadGuide.com

Alex Yomal & Gabbi Chama

Medical Section

Medical Section 

SurgeryAbroadGuide.com

Alex Yomal & Gabbi Chama

Introduction

Chapter 1 – An introduction
Why this book? – Our experience

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easy and clear, and taking things step by step, for the benefit of those interested in plastic surgery.

ow did we come up with the idea for this book, a compilation of the best-priced first level clinics for plastic surgery around the world combined with extensive information on the main plastic surgery procedures and useful tourism information for each destination? I have been in touch with the medical tourism industry for three years now. Living in Buenos Aires, Argentina, and working for the main medical tourism clinic in the country, I have spoken with hundreds of patients from abroad mainly interested in plastic surgery. People from the U.S., the United Kingdom, Canada, Australia, Netherlands, Latin America, even Africa, have trusted me with their doubts, their concerns, their questions, their fears, and of course, their aesthetic goals and objectives. Through e-mail, by phone, and even through MSN, I’ve talked to countless patients, and with time, have come to understand what traveling abroad for surgery represents and means for the patient. A good friend of mine, Gabbi Chama, has spent the past years traveling the world, and thus was the right person to take charge of the tourism section of this book. He is also the main editor of this book. In the tourism section you’ll find very useful information on numerous destinations, along with photos which will give you a general idea on what kind of place you’ll be traveling to. With our know-how combined, we realized we were in conditions to divulge what we had learned from our life experiences. We wanted to share the information and our expertise with the English speaking general public, making it accessible for everyone. After working several years in the business, I learned that many people are very interested in plastic surgery but are not well informed and don’t have easy access to high quality information. This added to the initiative of putting this book together, in order to make things

Initial recommendations
Feelings of uneasiness are very common, and justified: it is not easy traveling to another country for surgery. Before traveling, it is important for you to feel completely sure about your decision, and happy with how you have been treated during the pre-trip process, since you will probably be treated in a similar fashion upon arrival. My experience with patients has taught me that trust is a key factor, especially when some patients aren’t familiar with the destination city, in my case Buenos Aires. That is why learning about the place you’ll be traveling to is vital before making a final decision. In the tourism section of this book you will find extensive information on the cities that offer low priced plastic surgery, so you can base your decision not only on the price of the procedures, but also on the benefits each destination has to offer. Big cities, sandy beaches, small tows in Eastern Europe, they all offer different attractions fit for all tastes. Don’t discard a destination because of the airfare price; the money you’ll save on surgery will probably make your trip worthwhile! Ask as much questions as you feel, the person on the other line should know the answer to all of them, and if they don’t, they should be asking the doctor or person in charge. If you can speak to a doctor personally, you’ll be able to get direct answers. Nevertheless, some doctors don’t speak English, so you’ll have to deal with the patient assessors. In the following chapters, you’ll be able to understand the main advantages of medical tourism, and why so many people are doing it!

What is plastic surgery?
Plastic or aesthetic surgery is known as the medical specialty or group of surgical interventions which 

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Introduction

modify the outer appearance of the human body, from the hairs on our heads to the tips of our toes. Plastic surgery is often also known as elective surgery, because frequently there is no diagnosed medical need for an intervention, but the patient him or herself chooses to go through with the procedure, with the avail of the surgeon. There are some occasions in which plastic surgery is mandatory, such as in cases of third degree burns or car accidents, where reconstruction of certain aesthetic features must be carried out for the basic psychological well-being of the patient. Nevertheless, 99% of plastic surgery procedures are elective: they are carried out because the patient desires to change his or her appearance in a specific manner, in order to correct certain physical flaws or disconformities that have become a bother.

the specialty. Through word of mouth and in view of real results, people from all social and ethnical origins have come to know about the basics of plastic surgery and its benefits. The numbers speak for themselves. In Great Britain during 2005, more than 22,000 plastic procedures were carried out by members of the British Association of Aesthetic Plastic Surgeons (BAAPS). This figure represents a 35% increase in relation to 2004. Women account for 89% of the total procedures carried out in the United Kingdom. Although the most popular procedures are breast augmentations in women and rhinoplasties (nose correction) in men, anti-ageing procedures have shown an impressive rise, showing an increase of 42% (face lifts), 50% (eyelid surgery) and 35% (brow lifts).

Why has plastic surgery become so popular?

The growing demand for plastic procedures has not gone unknown to the scientific community. The interest people around the world have shown In the last decade, plastic surgery has become more for the specialty has lead to more investigation popular and accepted than ever before, rising an and further development of newer techniques, astonishing 700% in the U.S. The reasons? One of such as the feather lift or improved forms of the main factors is the acceptance it has achieved, liposuction. It has also made doctors conscious of not only in the States, but around the world. More the importance of the assessment offered towards and more people have realized that plastic surgery the patient before the procedure, which has lead carried out with a good surgeon, done in a proper to many professionals getting their own websites environment, under certain medical standards to promote and explain their services. and with a proper follow up after the procedure is not dangerous at all. People who have friends Nevertheless, and most interesting of all, the or relatives who underwent plastic surgery, or growing popularity of plastic surgery has spawned turn on the TV and see the most popular movie a unique phenomenon: medical tourism. stars with a beautiful new nose have begun to deposit more and more trust and confidence in

What is medical tourism?

Imagine traveling to another country, maybe a place you’ve only heard of on TV and absolutely know nothing about, to get plastic surgery done. Sound strange? It might, but thousands of Americans are doing it and the numbers are growing day by day. Not just Americans, but people from England, Canada, France, Germany, Australia, Japan, and other places around the world are seeking surgery abroad. What are the reasons?

Surgeons at work 

SurgeryAbroadGuide.com 1. Better Prices

Alex Yomal & Gabbi Chama

Introduction

Strong currencies like the American dollar, the British pound or the Japanese yen are worth a lot in other countries. What does this mean? In Argentina, for example, you can eat a full meal at a good restaurant for 3-6 US dollars, a ticket to the movies can cost from 3-5 US dollars and the new Coldplay CD might go out for just 9 US dollars. The same products, the same quality, for less money than in the States or the UK. How much does a Big Mac in New York cost? In Buenos Aires, the capital of Argentina, you’ll get one for just USD 1.50, while in the U.S. or England it is double that price: the same food, the same international standards, different prices! Just as food, general services, and consumer products are less expensive than in other places, so are medical services. This does not mean that the quality of what you are getting is inferior; it simply means that money has a different value for most things, since incomes are different and function on a different scale. Of course, when it comes to getting a new notebook the prices will not vary much, since products which are imported cannot be sold for less than what they have been paid for abroad. But when it comes to plastic surgery, the difference in prices is astonishing. The average prices for each plastic procedure will be analyzed and compared further on. Nevertheless, it is important to underline that professionals abroad are not necessarily under trained or less experienced than in the United States or the UK just because their fees are lower. Many patients who travel abroad are pleasantly surprised when they discover the attention and care they receive from non-American professionals is just as good, or even better, than the one received in the States, and the results from the surgery are better than what they expected. 2. New Experiences Have you ever been abroad? Are you familiar with a culture different from your own? Getting plastic surgery abroad will not only save you money, it will also give you the chance to get to know a new country while you improve your image. Walk

through the streets of the cosmopolitan Buenos Aires, wander through some old fashioned city in Eastern Europe, or lie on the beaches of Tunisia, and fulfill your goal of improving your appearance at the same time! Many medical tourists couldn’t believe the bars of Buenos Aires, the mix between the new and the old of the upscale neighborhoods, the sunset at France Square, or the beautiful women who walk the streets. It should not be surprising that after A Better Body getting surgery abroad many patients return for additional procedures after a few months, or just to visit! 3. Quality and service The good prices and the attractive destinations are, of course, not enough for the most demanding. A fulfilling and safe experience is what most medical tourists are after. That is why many clinics aimed towards patients coming from abroad offer services of only the highest standards. The clinics oriented towards the traveler will pick you up at the airport, book your hotel for you, accompany you to all your medical appointments and offer a personal translator and assistant. All of this backed up by a team of highly experienced and recognized surgeons, to ensure the best results possible. You will travel abroad, but knowing that the essential details of your stay have been taken care of: you’ll have a place to stay, means for getting around, an English speaking person to evacuate any doubts with, and the best professionals available. In the next section, the most attractive medical tourism offers will be analyzed. But first, why can I tell you what’s best? 

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Introduction

Chapter 2 – The surgeries
The surgeon makes tiny incisions along the natural folds of the eyelids in order to avoid visible scarring. Working through these incisions, the surgeon eliminates the three lumps of fat that Blepharoplasty (eyelid surgery) accumulate in the lower eyelids, and the two Average stay required: 7 days lumps which accumulate in the upper eyelids. The blepharoplasty, also known as eyelid surgery He also removes the small fraction of extra skin or eye lift, consists in the removal of the fat pads there might be, in order to correct drooping. The around the eyes, which accumulate fat with procedure is done on both eyes in order to obtain time, as well as the removal of excess skin and symmetrical results. muscle in that area. The intervention contributes to giving the patient a more rejuvenated look by The procedure has a duration of one to three hours, according eliminating the “tired” look caused by excessively to the complexity puffy eyelids. An upper or lower blepharoplasty of the case, and is can be done, although a combination of the two carried out with is usually carried out. The procedure is ideal for local anesthesia eliminating the lumpy fat bags that appear under and sedation. The the lower eyelids with age. It also improves sight, final results will since it lifts the upper eyelids. be visible after only two to six weeks, and the scars will become invisible after a few months. The relaxed and youthful look you will obtain is priceless.

Face Procedures

Before and after the procedure

Brow lift Average stay required: 7 days This simple procedure is carried out to change the negative influence the angle of the eyebrows might give to the general facial expression of the patient. When eyebrows are too low or straight, they may give the face an angry, tired, or sad look which the patient might not be comfortable with. The intervention enhances the position and angle of the eyebrows and removes wrinkles from the forehead.

How a lower blepharoplasty is done 

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Introduction

The traditional technique is the coronal brow lift. It has the deepest and most long lasting results. An incision from ear to ear across the upper part of the head is carried out, which will later be covered by the hairline. The scalp and forehead skin is separated from the bone of the skull, which enables the surgeon to work independently on each muscle and perform a very meticulous Before and after the procedure job. The surgeon can give each muscle the exact supports the edge of the lower eyelid, tightening amount of tension in order to give the arch of the and fixing it to the membrane that covers the eyebrow the ideal look. orbital rim or periosteum. If there is excess skin near the corner of the eye, the surgeon is able to remove it and join the two ends in order to tighten it further. This short procedure usually lasts about an hour, and is carried out using local anesthesia and sedation. There is no need for hospitalization. The results of a more refreshed look are permanent, and will be definitive after only two to six weeks. The scars will be invisible after a few months. Cheek implant Average stay required: 8 days The cheek implant procedure is carried out to enhance the appearance of the cheeks. Prominent cheekbones are usually considered esthetical and beautiful, since they may give more character to the face in some cases. With silicone cheek implants, a more harmonious look can be achieved.

Before and after the procedure

The brow lift is a short procedure, demanding 60 to 90 minutes of surgery, although generally requiring a night’s stay at the hospital. It is done with local anesthesia and sedation, although general anesthesia can be used in certain cases. The operation will give your face a more refreshed and pleasant look. One of the most cost-effective procedures available.

The surgeon creates an internal pocket in front or below each cheek bone, and inserts the implants. Four kinds of incisions can be made to introduce the implants: intraoral (inside the mouth), Canthopexy palpebral (below the eyelids), preauricular (near Average stay required: 7 days the ear), and transconjunctival (inside the lower eyelids). The incision used depends on each case Canthopexy is a procedure which raises the corners and is decided by the surgeon. of the eyelids in patients who consider their eyes are too round-shaped and prefers a more almondThe surgery itself is short, lasting between 30 and shaped look. It is also indicated for tightening 60 minutes. Local anesthesia and sedation is used, the lower eyelids. It eliminates the tired or sad and there is no need for hospitalization. The results features by elevating the sagging external corners from the procedure are permanent but reversible, of the eyes, and is generally combined with the since the implants can be removed in the future or blepharoplasty since it shares the same incisions. if you are not happy with the outcome. The main advantage is that the implants will give your face The surgeon works on the canthal tendon, which 

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Introduction

a more harmonious and balanced look, although no one will notice you have them, and will simply compliment you on how good you look. 

SurgeryAbroadGuide.com

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Introduction

Chapter 3 – Making a decision: five key steps
1. The procedure. First of all, you must decide what procedures are right for you, which ones will benefit you the most. Don’t rush to take this first step, many people make the mistake of seeing an ad on TV, Internet or a magazine and hastily make an important decision, as if they were simply buying an MP3 player or a microwave. This is your body and your health which is at stake. Don’t hesitate to consult as many professionals as you require in order make a decision in regards to which procedure will suit you the most. Most people generally consult several clinics at a time, which is a good idea, since you will be able to get several professional opinions and perspectives. Are you sure plastic surgery is for you? If you are having doubts, it is always best to take your time on things. Don’t hesitate to consult with a psychologist if you are not sure about your decision, and talk to your family about it: they know you best and will be able to give you a valuable opinion. When dealing with clinics, always send in your photos (see second step below), since that will give doctors the chance to give you a pretty accurate diagnosis, even before traveling. Be sure to learn about the procedure and how it’s done, as well as its post-operative follow-up and recovery, so you don’t receive any unexpected surprises after the procedure. The information included in this guide in regards to the procedures is meant for general orientation. We strongly recommend, once you’ve decided on what procedure you need, to inquire with a professional on the details of the intervention. It is also important for you to know how long the recovery will be, since that will establish the amount of time you’ll have to stay abroad. The days we recommend are based on standards recommended by expert professionals in Buenos Aires, Argentina. However, the surgeries can be carried out safely in less time, so don’t be surprised if you get different stay requirements from different doctors. Consult each clinic on the recovery times for the procedures, since they do tend to vary. Always keep in mind that the procedures you have made your mind upon might change once you arrive. It is not uncommon for surgeons to recommend one intervention, and after seeing the patient in person, advise a different approach. Even though deciding on the procedures you will be having is important, don’t despair if once you arrive the surgeon advises differently: this is just due to the fact that medicine is not an exact science. 2. Sending in pictures. Although some patients can be skeptical, it is essential, and should be requested by the clinic, for you to send in pictures of yourself for the surgeons in charge to analyze. With your photos, the surgeon will be able to confirm if the procedure/s you think you need is right for you, and if it can be done successfully or if there are any risks involved. Don’t feel embarrassed about sending in your photos, once you get the Doctor’s response you’ll probably gain confidence and will feel more secure about your decision. You’ll also be able to confirm, usually without charge (except for a clinic in Germany), if the surgeries you have in mind will really benefit you; you will get a professional diagnosis, having saved on the cost of consulting a doctor in the States. The photos should be taken with plenty of light, from various angles, usually front, left and right profile, and back, for face and body procedures. For face procedures, pictures from above and below will be useful, especially for rhinoplasties. The more detailed the photos, the better the specialists will be able to determine what procedures will benefit you and what the results will be like. 

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Introduction

Chapter 4 – The clinics

A

fter these five steps, you are ready to dive into the world of plastic surgery and medical tourism abroad. Ahead you will find the clinics divided by countries, with pricing information for different procedures. Keep in mind the prices are no exact prices and may vary. The prices included in this guide are from the first semester of 2006 and were obtained directly from the clinics. We cannot offer any type of guarantee regarding what the prices include or exclude; they are meant to serve as general indicators with the purpose of giving you an approximate idea on costs. In this section you will also find the web page link for each clinic. Even though not all clinics offer websites in English, don’t hesitate in sending in emails with questions, since most health professionals abroad do understand English.

in Brazil. Their website is entirely in English, and they offer, asides from plastic surgery, bariatric procedures, cosmetic dentistry, hair transplant, and lasik eye surgery. They have a toll free number for patients from the U.S., as well as customer care through e-mail, although the responses are a bit predetermined and impersonalized. They don’t disclose surgeon information on the website, although they do make it available through e-mail upon request. They offer, apart from the surgical procedures, a bilingual representative who will accompany you “every step of the way”, as they put it, and transfers to and from the airport and all medical appointments. They don’t publish prices on their website, so you will have to contact them, probably over the phone (they do have English speaking customer care personnel) to get personalized quotes, although they do clarify that the final price varies from case to case and will be determined after pictures are sent in. Accommodations are not included in the prices they quote, although they do offer booking for patients in five hotels which appear on their website. They offer a “virtual consultation”, in which directly from their website you’ll be able to send in up to five photos no larger than 100 kb, as well as all your personal information, the procedures of your interest, and any initial questions you might have. A good option for surgery in Brazil. The following clinics are not oriented towards persons from abroad, although they may represent an option for some, and are good for comparing prices and seeing what kind of differences are involved between the medical tourism industry and the local plastic surgery businesses. Rogerio Matoso Clinic www.rogeriomatoso.com.br

4. 1. Clinics in North, South and Central America
1. Brazil Brazil is the largest country in South America and the fifth most populated in the World, with almost 185 million inhabitants. It borders with ten other countries in South America. The official language is Portuguese, although English, Spanish and French are spoken by some parts of the population. Roman Catholic and Protestantism are the main religions. The capital city is Brasilia, although Rio de Janeiro and Sao Paolo are densely populated as well, Rio being on the most important tourist destination in the World. The currency is the Real. The eastern part of the country is the most populated and the mid area is filled with rainforests and rivers and is inhabited by native cultures. The climate is mostly tropical, although temperate in the south. Cosmetic Vacations – www.cosmeticvacations.com

This Belo Horizonte based clinic is not tourist oriented, and their website is only in Portuguese. This Rio Janeiro based company is the only You may try sending in a consultation in English, organization truly aimed at patients from abroad since most people in Brazil do speak English. 10

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Introduction

However, do keep in mind that if you do decide to get surgery at a non medical tourism clinic in a country where you don’t speak the language, it will be less difficult for you if you already have experience traveling abroad and getting around in foreign countries. The clinic offers plastic surgery, hair transplant and some dermatology procedures. Since it isn’t specifically oriented to people from abroad, they don’t have a toll free number, but they do have an e-mail and a Brazilian phone number through which you can contact the main surgeon, Dr. Matoso (drmatoso@hotmail.com ).

plastic surgery as well as hair transplant procedures. They don’t have an English website, but they do have very attractive prices; they don’t offer an e-mail address, but you may contact them by filling in a simple form on their website: www. higiia.com.br/index.php?cnt=con_orcamento.

Breast lift Liposuction – 1 area Rhinoplasty Silicone breast implants Tummy tuck Plastibel Clinic – www.plastibel.com.br

Surgery

$1825 $1580 $1525 $1525 $1740

Price (USD)

Breast lift Liposuction – 1 area Liposuction – several areas Rhinoplasty Silicone breast implants Tummy tuck Paulo Jatene Clinic www.paulojatene.com.br

Surgery

$3000 $2000 $4000 $4000 $4000 $5000

Price (USD)

This Sao Paolo based clinic, directed by Dr. Jorge Fauze, offer plastic surgery to local patients. Their webpage is in Portuguese. They have an e-mail (atendimento@plastibel.com.br) and a local phone number for consultations. They offer most plastic procedures, including the male breast reduction or gynecomastia and the buttock implants, which is very common in Brazil.

This plastic surgery clinic is based in Sao Paulo, Brazil, and is not medical tourism oriented. The webpage is not in English. You may contact the clinic through e-mail and phone, which appear on the website. Dr. Jatene (paulojatene@uol.com. br) is a relatively young surgeon, and is a member of the Brazilian Society of Plastic Surgery (www. cirurgiaplastica.org.br). His clinic is fully dedicated to plastic surgery.

Breast lift Breast lift + implants Liposuction – 1 area Silicone breast implants Tummy tuck Higiia Clinic www.higiia.com.br

Surgery

$1985 $2745 $1340 $1940 $1480

Price (USD)

Blepharoplasty (eyelids) Breast lift Breast lift + implants Forehead lift Gynecomastia (male breast reduction) Hair transplant (one session) Liposuction – 1 area Liposuction – several areas Medium face lift Otoplasty (ear surgery) Rhinoplasty Silicone breast implant Tummy tuck

Surgery

$1110 $1895 $2940 $1110 $1385 $1755 $925 $1845 $1895 $1295 $1295 $2340 $1985

Price (USD)

This clinic is based in Florianopolis and offers 11

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Plastic Surgery Prices

Plastic Surgery Prices in the U.S.
Procedure
Arm lift Blepharoplasty Body lift Breast augmentation Breast lift Brow lift Buttock lift Calf augmentation Cheek implants Face lift (cheeks) Chin implant Full face lift Buttocks fat transfer Feather lift Forehead / brow lift Forehead lift Gynecomastia Inverted nipple Jaw implants Labiaplasty Liposuction Mini face lift Mini tummy tuck Otoplasty Pectoral implants Penis enhancement Rhinoplasty Thigh lift Tummy tuck $3000 $1650 $6000 $3000 $4000 $3000 $4000 $4500 $2500 $4000 $3000 $6000 $1500 $2000 $3500 $3500 $6200 $1000 $2000 $1500 $2000 $3500 $1800 $3500 $5000 $3500 $3000 $3500 $4400

Minimum cost

$5500 $3825 $8000 $5500 $6500 $5000 $6000 $6000 $4250 $7000 $4500 $8000 $3750 $4000 $5250 $5250 $6412 $2500 $4250 $4500 $7000 $5000 $3900 $4500 $6000 $5500 $5500 $7750 $6050

Average cost

$8000 $6000 $10000 $8000 $9000 $7000 $8000 $7500 $6000 $10000 $6000 $10000 $6000 $6000 $7000 $7000 $6625 $4000 $6500 $7500 $12000 $6500 $6000 $5500 $7000 $7500 $8000 $12000 $7700

Maximum cost

The minimum prices generally correspond to the procedures when carried out by a young surgeon without much experience, a beginner. The average prices correspond to the procedure when carried out by surgeons with good experience and know-how, and the maximum prices generally correspond to those charged by expert surgeons or very recognized ones, sometimes those with elite clients. Prices Source: http://www.plasticsurgeryportal.com/research.cfm

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Plastic Surgery Prices

Plastic Surgery Prices in the U.K.
Procedure
Breast augmentation Breast reduction Breast lift Breast lift + implants Nipple correction Rhinoplasty Otoplasty Blepharoplasty (full) Upper Blepharoplasty Lower Blepharoplasty Full face lift Mid face lift Tummy tuck Liposuction – 1 area Thigh lift Labiaplasty Vaginoplasty Gynecomastia Collagen Brow lift Mini tummy tuck Calves implants Pectoral implants Testicle implants Buttocks enhancement through Lipotransference Mole removal Neck lift Cheek implants Chin implant Arm lift Buttocks lift Averages based on prices from 9 different clinics within the U.K. $ 7,215 $ 8,394 $ 7,789 $ 11,229 $ 1,221 $ 5,965 $ 3,414 $ 6,502 $ 3,295 $ 3,516 $ 9,117 $ 7,586 $ 8,244 $ 4,254 $ 6,786 $ 2,617 $ 4,275 $ 5,626 $ 454 $ 5,104 $ 4,561 $ 4,362 $ 6,630 $ 2,617 $ 2,268 $ 785 $ 5,234 $ 3,751 $ 3,751 $ 5,234 $ 6,456

Average cost

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Tourism Section

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his section is exclusively dedicated to the tourism information on each country and city included in the clinics section. For the over 20 destinations included in this book you will find general information, photos of important attractions and landmarks, airfare prices departing from the main cities, things to do, a brief history, geographic location, a description of the culture and much more. All you need to know about each destination is summed up in about six pages per country, in order to make it easy to browse, informative and to the point. The information in this section is meant to help the prospective patient in the decision making process. Most patients make a decision which is based on three factors: the prices offered in each clinic, the quality level of the service offered, and the characteristics of the destination where the clinic is based. By reading this section carefully you will be able to decide regarding the third factor in the decision process. You will gain a general idea of what kind of place you will be traveling to, and with the help of the clinics section, you’ll be able to carry out an estimate on how much the entire experience will cost, and how much you will save. The prices which appear in this section, as well as in the entire book, are estimates, and we cannot be held responsible for their veracity. For the flight rates, the low prices are for the low season, and the higher prices are for the high season. Prices will vary according to Travelocity’s rates (travelocity.com & travelocity.co.uk). Prices are in US Dollars.

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Americas

AmericAs

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Brazil

BRAZIL

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Brazil

Rio de Janeiro
Overview

B

razil, officially the Federative Republic of Brazil, is the largest and most populous country in South America, and fifth largest in the world in both area and population. Spanning a vast area between central South America and the Atlantic Ocean, it is the easternmost country of the Americas and it borders every South American nation except for Ecuador and Chile. Located mainly within the tropics, Brazil’s climate has little seasonal variation. In southern most Brazil, however, there is subtropical temperate weather, occasionally experiencing frost and snow in the higher regions. Precipitation is abundant in the humid Amazon Basin, but more arid landscapes are found as well, particularly in the northeast.

English is part of the official high school curriculum, but just a minority achieve any usable degree of fluency. Spanish is understood in various degrees by most Portuguese speakers, due to the similarities of the languages. Spanish is slightly common in the border of Brazil with Spanishspeaking countries and the mixture of Spanish and Portuguese is jokingly known as Portuñol. Rio de Janeiro is famous for its spectacular natural setting, the Carnival celebrations, samba and other music, hotel-lined tourist beaches, such as Copacabana, Ipanema, and Leblon, pavements decorated with black and cream swirl pattern mosaics, and the easy-going lifestyle of its inhabitants. Some of the most famous local landmarks besides the beaches are the giant statue of Jesus, known as Christ the Redeemer (‘Cristo Redentor’) atop Corcovado mountain; Sugar Loaf mountain with its cable car; the Sambódromo, a giant permanent parade stand used during Carnival; and Maracanã stadium, one of the world’s largest. Rio also boasts the world’s largest forest inside an urban area, called Floresta da Tijuca, or ‘Tijuca Forest’. The city is commonly divided into the historic centre (Centro); the tourist-friendly South Zone, with world-famous beaches; the industrial North Zone; and the West Zone, with the newer Barra da Tijuca district. Rio has a typically tropical climate with warm to hot temperatures year-round and generally high humidity. Summer heat can be oppressive, occasionally reaching 40°C (104°F) and higher. However, the cool waters of the local beaches provide an excellent escape, as do high-elevation areas nearby, such as Petrópolis Rio de Janeiro is among the biggest cities in South America, but the city is more widely renowned for the various cultural celebrations that are held there every year. The most popular of these is the Carnival, held two weeks before the traditional Christian fasting of Lent. 1

Rio at Night

Languages
Portuguese is the only official language of Brazil and is spoken by the entire population. Minority Amerindian languages survived in many places and can still be heard from the indigenous peoples. Other European or Asian languages brought by the immigrants can be heard in small rural communities or in borroughs of the big cities.

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Brazil

Main Attractions
» The Christ, Corcovado
Christ the Redeemer (Portuguese: Cristo Redentor) is a large Art Deco-style statue of Jesus Christ in Rio de Janeiro, Brazil. The statue stands 38 m (125 feet) tall and is located at the peak of the 710-m (2330-foot) Corcovado mountain in the Tijuca Forest National Park, overlooking the city. As well as being a potent symbol of Christianity, the statue has become an icon of the city, its open arms seen by many as a testament to the warmth of the Brazilian people. The statue can be accessed by road or by the Corcovado Rack Railway. Until recently, the statue could only be reached from the train terminal via a large 222-step stairway, a huge hurdle for handicapped or elderly visitors. However, in 2002, the monument went through a large renovation process, and 3 panoramic elevators and 4 escalators were installed.

de Janeiro. A glass-paneled cablecar (in popular Portuguese, bondinho - more properly called teleférico), capable of holding 75 passengers, runs along a 1400-metre route between the peaks of Babilônia and Urca every half hour. The original cablecar line was built in 1912. So familiar is this peak, the mere sight of it in a film is sufficient to establish the setting as Rio.

Copacabana

» Sugar Loaf - Pão de Açucar
Sugarloaf Mountain (in Portuguese, Pão de Açúcar) location 22°56’56.7”S 43°9’27”W, is a peak situated in Rio de Janeiro, Brazil, from the mouth of Guanabara Bay on a peninsula that sticks out into the Atlantic Ocean. Rising 396 meters (1,300 ft) above sea-level, its name is said to refer to its resemblance to the traditional shape of concentrated refined loaf sugar.

» Copacabana
Copacabana is a district located in the southern zone of the city Rio de Janeiro, famous for its 4 km beach. The district was originally called Sacopenapã until the mid-18th century. It was renamed after the construction of a chapel holding a replica of the Virgin of Copacabana, Bolivia. It was incorporated into the city on July 6, 1892. Copacabana starts at the beginning of the Princesa Isabel Avenue, and ends at Posto Seis (lifeguard watchtower six) near the Forte de Copacabana (Stronghold of Copacabana). After Copacabana there is the small Arpoador beach, followed by the famous borough of Ipanema, and then the borough of Leblon The Copacabana beaches have been host to record setting concerts, including a concert played by Rod Stewart in 1994 that attracted more than 3 million Brazilians. Other bands that have played on the beaches here to multi-million strong crowds include The Rolling Stones and Rush.

Pan de Azucar

The mountain is only one of half a dozen monolithic morros of granite and quartz that rise straight from the water’s edge around Rio 1

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Alex Yomal & Gabbi Chama The most famous ones are the following:

Brazil

» Ipanema
Ipanema is adjacent to Copacabana beach but is very distinctive. The private infrastructure has created world class restaurants, cafes and shopping. Ipanema is one of the most expensive places to live in Rio. At the forefront of beach culture are the many surfers and sun worshipers who socialize daily at the beach. Families often have domestic maids who cook, clean, and perform basic chores such as grocery shopping. Most apartment residencies have doormen who when tipped will wash your car, take out trash and even walk the dog.

• Cordão do Bola Preta: Parades in the centre of the city. It is one of the most traditional carnivals. In 2006, it gathered 200,000 people in one day. • Suvaco do Cristo: Band that parades in the Botanic Garden, directly below the Redeemer statue’s arm. The name, in English, translates as ‘Christ’s armpit’, and was chosen for that reason. • Carmelitas: Band that was supposedly created by nuns, but in fact it is just a theme chosen by the band. It parades in the hills of Santa Teresa, which have very nice views. • Simpatia é Quase Amor: One of the most popular parades in Ipanema. Translates as ‘Friendliness is almost love’. • Banda de Ipanema: The most traditional in Ipanema. It attracts families as well as gays and drag queens. Not only people from all over Brazil, but from all parts of the world come to Rio to take part and witness the extravaganza. The Carnival comes with a lot of music, good food, color and of course the Samba dance. The celebration of Carnival ends on “Mardi Gras”.

Ipanema Beach

The beach in Ipanema is world-renowned. Populated with tiny-bikini clad bodies and many rich Brazilian youths, the beach is a symbol of pleasure and wealth. Two rocks called the ‘Two Brothers’ rise at the western end of the beach After a late morning visit to the beach, Ipanema girls walk through the city in swimwear and wraps known as cangas. There are always circles of people playing football, volleyball, and footvolley, a combination sport originating in Brazil Ipanema is generally regarded as the safest district of the Zona Sul

» Carnival
The carnival in Rio de Janeiro has many choices, including the famous Escolas de Samba (Samba schools) parades in the sambódromo exhibition centre and the popular ‘blocos de carnaval’, which parade in almost every corner of the city.
Carnival

Apart from the Carnival, New Year is also a big deal in Rio and is also one of the other major festivals. 1

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» Maracanã Soccer Stadium
The Estádio do Maracanã, “Maracanã stadium”, (official name: Estádio Jornalista Mário Filho) , in Rio de Janeiro, Brazil, is one of the largest football stadiums in the world. Maracanã is the name of its neighborhood in Rio de Janeiro. It is home to three of the four biggest football clubs in Rio: Flamengo, Botafogo and Fluminense.

1821, and about 600,000 people visit every year. More than 7000 plant species grow on the 140 hectare of this wonderful park. The avenue with majestic king palms makes great visual impact. From Copacabana or Ipanema you best hire a taxi to the park. Taking the bus is circumstantial.

» Tijuca Forest
The Tijuca Forest (Floresta da Tijuca in Portuguese) is a mountainous hand-planted rainforest in the heart of Rio de Janeiro, Brazil. It is the world’s largest urban forest, covering some 32 km². The Tijuca Forest is home to hundreds of species of plants and wildlife, many threatened by extinction, found only in the Atlantic Rainforest (Mata Atlântica in Portuguese). After all the original forest had been destroyed to make way for coffee farms, Tijuca was replanted by Major Manuel Gomes Archer in the second half of the 19th century, in a successful effort to protect Rio’s water supply.

Maracana Stadium

The stadium, built for the 1950 FIFA World Cup, originally had a capacity of 200,000. However, its capacity was greatly reduced when it was converted to an all-seater in the 1990s; it can currently hold around 77,720 seated and 103,022 with standing room. It is now undergoing renovations that will increase its all-seated capacity to around 100,000.

» Botanical Garden
Rio de Janeiro’s Botanical Gardens (Jardim Botânico do Rio de Janeiro) were created in 1808 by the Prince Regent D. João of Portugal as a temporary repository for imported plants, where Botanical Garden they could become acclimatized to the tropics. The gardens were opened to the public by his son D. Pedro I in
Tijuca Forest

Tijuca Forest, the green spine of Rio, also contains the colossal sculpture of Christ the Redeemer on Corcovado, with the stretch of road closed to vehicular traffic leading to it, called Paineiras; the Cascatinha Waterfall; the Mayrink Chapel with murals painted by Cândido Portinari; the light pagoda-style gazebo at Vista Chinesa outlook; and the giant granite picnic table called the Mesa do Imperador. Among its impressive peaks is the Pedra da Gávea. 

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Brazil

Plane Ticket Prices
Departing City:
U.S.A. • New York: From $947 to $963 • Miami: From $1004 to $1383 • Washington DC: From $1105 to $1434 • Seattle: From $1290 to $1772 • Chicago: From $1349 to $1591 • Los Angeles: From $1285 to $1672 Canada • Montreal: From $1041 to $1806 • Toronto: From $1040 to $1792 • Winnipeg: From $1999 to $2152 U.K. • London: From $1468 to $2960 

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Brazil

São Paulo
Overview

S

ão Paulo (Portuguese for Saint Paul) is the capital of the state of São Paulo in southeastern Brazil. It is located 400 km (250 miles) from Rio de Janeiro, and 1,030 km (640 miles) from federal capital Brasília. The city has an area of 1,523.0 square kilometres (588.0 sq. miles) and a population of approximately 10.9 million, which makes it the largest and most populous city in the Southern Hemisphere and a global city. 19 million people live in the greater São Paulo metropolitan area as defined by the government (Região Metropolitana) — making it one of the five most populous in the world.

pleasant climate. Summer temperatures seldom reach 30°C (86°F), and frost is extremely rare. All-time record temperatures are 38°C (100°F) and -2°C (28°F),. Rainfall is abundant, especially in the warmer months. Snow was register one time in 1918, tropical cyclones, while tornadic activity is uncommon.

Main Attractions
» Edificio Italia
Edifício Itália (Portuguese for Italy Building) is a 168 metre tall 46 story skyscraper in São Paulo, Brazil, built from 1956 to 1965. It hosts the Circolo Italiano foundation and Terraço Italia restaurant in its 44th floor. It also has a rooftop observation deck, open for tourists. Edifício Itália was designed by germanbrazilian architect Franz Italia Building Heep. It’s the 2nd tallest building in São Paulo after Palácio Zarzur Kogan.

The countless buildings of Saõ Paulo

People from the city of São Paulo are called paulistanos, while paulista designates anyone from the whole of São Paulo state, including the paulistanos. The city’s motto is Non ducor, duco, which is Latin for “I am not led, I lead”. São Paulo is a major business centre. The city has a multicultural metropolitan area, with heavy Italian, Spaniard, Portuguese, German, Arab and Japanese influences. Though thought of as drizzly and rather cool by some Brazilians, São Paulo’s climate is by world standards actually warm and mild. The temperature ranges are comparable to such cities as Los Angeles and Mexico City, which are renowned for their

» Banespa Tower
The Banespa Building (Edifício do Banespa), oficially referred to as the Altino Arantes Building, is one of the most well known towers inSão Paulo, Brazil. Constructed in 1939 as the headquarters of the Bank of the State of São Paulo (Banespa), and inaugurated in 1947, it remained the highest of the city for two decades until surpassed by the Edifício Itália. The exterior 

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Brazil

appearance of the building is modeled on New York’s Empire State Building. Soon after its completion in the 1940s, it was named the world’s largest structure of armed concrete. The Banespa Tower is one of the best-known skyscrapers of Sao Paulo. In the highest point of the building, accessible from 34th floor by stairs, there is an observation deck with views of up to 40 km. One can see there other important landmarks of the city, such as the Municipal Market, the Sé Cathedral, the Edifício Italia which took its place as the city’s highest building, and beyond into diverse neighboring quarters

» Festival for Electronic Art
Every two years, Associação Cultural Videobrasil’s International Electronic Art Festival brings groundbreaking work by cream-of-thecrop artists from all over the world to São Paulo. In keeping with the constant transformations in media and support, the curatorship has added installations, performances, VJs, CD-ROM art, and internet art to the programme. The Festival includes a competitive exhibition of socalled southern circuit and an extensive parallel programme. Art shows, debates and meetings introduce new ideas and art work, setting new guidelines for contemporary art in Brazil. Exhibitions featuring work by prominent electronic artists are also part of the Festival. Brazilian pioneers such as Rafael França and Olhar Eletrônico, and international guests such as Nam June Paik, Bill Viola and Gary Hill, have featured in the event’s past editions. Each edition has a theme of its own.

it had a physical-geographical, a socio-political as well as an aesthetic dimension — the latter, of course, being of greatest interest in the context of this exhibition. In order to emphasise the thematic unity of the overall exhibition, the invited artists and those representing the countries are mixed together on the 25,000 square metres of the spacious Oscar Niemeyer Pavilion. Despite the complexity of individual voices, the end result was intended to be a unity. In addition to an intensification of the NorthSouth dialogue inside Brazil, the Bienal’s aims include the promoting of links between non-European cultures along a South-South orientation.

» São Paulo Fashion Week
It seems that Brazil has finally entered the world of fashion with the increasing reputation of famous Brazilian top models such as Adriana Lima, Gisele Bündchen, Fernanda Tavares, Ana Beatriz Barros and Ana Hickmann, and the “discovery” of some fresh talents such as Alexandre Herchcovitch by some international fashion magazines. As a consequence of this, São Paulo Fashion Week is the place to see and to be seen in Brazilian fashion scene, always attracting a number of international Fashion Week fashion editors and models. Nowadays, São Paulo Fashion Week is one of the most relevant fashion events in Brazil. It takes place twice a year at the building of Bienal de São Paulo.

» São Paulo Art Biennial
The São Paulo Art Biennial is a cultural event hosted every two years. Almost 1 million people visited the 26th Bienal in 2004. Its theme was chosen to enable a wide range of artistic positions to feel comfortable. The concept of “Free Territory” involved various dimensions:

» São Paulo Gay Parade
Also a major event in the city, the São Paulo Gay Parade has brought to Avenida Paulista about 3 million people in 2006, according to official statistics. It is usually opened by the city’s mayor. 

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Brazil

A huge carnival goes all the way through the centre of the city. The last parade was held on June 17, 2006.

center of the park offers art exhibitions, bands and a small branch of Museu de Arte Contemporânea.

» March For Jesus
The March for Jesus is a Christian parade in Avenida Paulista, in 2005 about 3 million people had participated of this event. The first March for Jesus happened in 1987 in the city of London, and was established by the partor Roger Forster, and by the singer and composer Graham Kendrick. In 1998, more than 10 million people in more than 170 nations, congregating Christian of all the religions, age and races, had 1998 marched to celebrate Jesus.

» Parque Estadual da Cantareira
Come here if you want to see one of the remaining patches of the Atlantic rainforest that once covered the state of São Paulo. Only parts of the Parque Estadual da Cantareira are open to the public, and one such part, the Núcleo Pedra Grande (open on weekends and public holidays), is behind the Horto Florestal, a large public park on the outskirts of the city. The only problem is getting here, a 40minute car ride from Avenida Paulista. The best way is to persuade a local friend with a car to accompany you. Cantareira Park If you take a taxi, ask the driver to stay; otherwise, you will have to walk a fair way into town to find one for your trip back There are various trails through the forest. Lucky visitors will spot troupes of monkeys swinging in the trees. The longest trail is 9.5km up an asphalt track (which somewhat detracts from the forest experience) to Pedra Grande, a big rock from which you can get a panoramic view of the city. It is worth it.

» Brazilian Grand Prix
The Brazilian Grand Prix is a Formula One championship race which occurs at the Autódromo José Carlos Pace in Interlagos. In 2005, for the first time, the Brazilian GP decided the World Championship, won by Fernando Alonso.
Ayrton Senna

» Parque do Ibirapuera
Parque Ibirapuera is the largest park in the middle of the city. It is much like the “Central Park” of Sao Paulo. The Pavilhão da Bienal in the

» Praca Liberdade
Every weekend 10-7, this plaza hosts a sprawling Asian food and crafts fair that exhibits São Paulo’s eclectic cultural mix. You may see, for example, Afro-Brazilians dressed in colorful kimonos hawking grilled shrimp on a stick. Several religious celebrations are held here, like April’s Hanamatsuri, commemorating the birth of the Buddha. Apart from the fair and special events, the only Liberdade Square other reason to visit 

Parque do Ibirapuera

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Brazil

this square is to stop by at the nearby Japanese shops and restaurants.

» Botanical Garden
One of the most pleasant places in São Paulo, this park is home to about 3,000 plants and more than 340 species of Brazilian flora. Located within the almost 300,000-square-mile park is the Museu Botânico, a large botanical museum with about 2,000 pieces. You will also find floral exhibitions, a greenhouse with species from the Atlantic Forest, and the Orquidário (with many sorts of orchids.)

Jardim Botãnico

Plane Ticket Prices
Departing City:
U.S.A. • New York: From $797 to $1358 • Miami: From $955 to $1297 • Washington DC: From $1166 to $1895 • Seattle: From $1099 to $1931 • Chicago: From $1334 to $2036 • Los Angeles: From $724 to $1370 Canada • Montreal: From $1041 to $1817 • Toronto: From $1267 to $1816 • Winnipeg: From $2004 to $2144 U.K. • London: From $1251 to $1468 

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Charts

coMpariSon chartS 

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Charts

Prices by clinic
Rogerio Matoso Clinic, Belo Horizonte, Brazil http://www.rogeriomatoso.com.br
Rua Mato Grosso, 1091, Bairro Santa Agostinho CEP: 30190-081 - Belo Horizonte - Minas Gerais Tel: (0xx31) 3335-7733 - Fax: (0xx31)3291-8042

Breast lift Liposuction – 1 area Liposuction – several areas Rhinoplasty Silicone breast implants Tummy tuck

Surgery

$ 3.000,00 $ 2.000,00 $ 4.000,00 $ 4.000,00 $ 4.000,00 $ 5.000,00

Price (USD)

£1.594,39 £1.062,93 £2.125,85 £2.125,85 £2.125,85 £2.657,31

Price (£)

€ 2.363,32 € 1.575,55 € 3.151,10 € 3.151,10 € 3.151,10 € 3.938,87

Price (€)

Paulo Jatene Clinic, Saõ Paulo, Brazil www.paulojatene.com.br
Av. Angélica, 2530 cj 21 Higienópolis - São Paulo - SP Tel.: (11) 3255-1039 / (11) 3256-5552 Fax: (11) 3258-2969 E-mail: paulojatene@uol.com.br

Breast lift Breast lift + implants Liposuction – 1 area Silicone breast implants Tummy tuck

Surgery

Price (USD)
$ 1.985,00 $ 2.745,00 $ 1.340,00 $ 1.940,00 $ 1.480,00

Price (£)
£1.054,95 £1.458,86 £712,16 £1.031,04 £786,56

Price (€)
€ 1.563,73 € 2.162,44 € 1.055,62 € 1.528,28 € 1.165,91 

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Charts

Higiia Clinic, Florianopolis, Brazil www.higiia.com.br

Breast lift Liposuction – 1 area Rhinoplasty Silicone breast implants Tummy tuck

Surgery

$ 1.825,00 $ 1.580,00 $ 1.525,00 $ 1.525,00 $ 1.740,00

Price (USD)

£969,92 £839,71 £810,48 £810,48 £924,74

Price (£)

€ 1.437,69 € 1.244,68 € 1.201,35 € 1.201,35 € 1.370,73

Price (€)

Plastibel Clinic, Saõ Paulo, Brazil www.plastibel.com.br
(0xx11)3023-0073 Praça Panamericana, 42 conj 22 - Alto de Pinheiros e-mail: atendimento@plastibel.com.br

Blepharoplasty (eyelids) Breast lift Breast lift + implants Forehead lift Gynecomastia Hair transplant (one session) Liposuction – 1 area Liposuction – several areas Medium face lift Otoplasty (ear surgery) Rhinoplasty Silicone breast implants Tummy tuck

Surgery

$ 1.110,00 $ 1.895,00 $ 2.940,00 $ 1.110,00 $ 1.385,00 $ 1.755,00 $ 925,00 $ 1.845,00 $ 1.895,00 $ 1.295,00 $ 1.295,00 $ 2.340,00 $ 1.985,00

Price (USD)

£589,92 £1.007,12 £1.562,50 £589,92 £736,08 £932,72 £491,60 £980,55 £1.007,12 £688,24 £688,24 £1.243,62 £1.054,95

Price (£)

€ 874,43 € 1.492,83 € 2.316,05 € 874,43 € 1.091,07 € 1.382,54 € 728,69 € 1.453,44 € 1.492,83 € 1.020,17 € 1.020,17 € 1.843,39 € 1.563,73

Price (€) 

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Thank You!!

Thank you!
Thank you for reading! We hope this book has helped you out in making the right decision on where to fulfill your specific plastic surgery requirements successfully. All sorts of comments are very welcome, and we are available for answering any questions or doubts you might have regarding the information included in this publication, as well as open to giving out any additional word of advice you might need on anything at all. We sincerely wish we have contributed to making your aesthetic dream come true, and look forward to receiving information on the experiences you may have at any of the clinics included in this book, or others, in order to continue updating the material. Our reader’s feedback is very important to us! You may contact us at info@surgeryabroadguide.com - http://www.surgeryabroadguide.com. If you liked what you see and you want to see more, download the ful version, at only $19,99, with everything you’ll need to plan your medical trip anywhere over the world, with all the procedure details and clinics in over 35 cities, as well as extensive tourism information and a step by step guide on how to plan a successful medical trip, with the best advice from the professionals. Over 230 pages filled with all you’ll need to have the trip of a lifetime and discover the new you! Thanks and goodbye!

Gabbi Chama and Alex Yomal

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