The Decision
THEN · WHAT I WAS THINKING
I was not looking for a dramatic new face. I wanted a consultation about the changes around my lower face and neck, and I wanted someone to tell me honestly what surgery could and could not do. At home, I expected to pay out of pocket because a cosmetic facelift is generally not covered by U.S. health insurance. That made Mexico worth investigating, but a lower starting price was not enough to make the decision for me.
My first spreadsheet had one column for the advertised price. I replaced it with columns for the surgeon, operating facility, anesthesia provider, technique, follow-up visits and what would happen if I needed extra care. I also added a line for time away from work. A week off on paper would not help much if I was still swollen, uncomfortable or not cleared to fly.
NOW · WHAT MATTERED MORE
I would compare plans before prices. A facelift might mean different approaches to the skin and deeper tissues, and neck work may or may not be included. The consultation needs to address my medical history, medications, smoking or nicotine use, previous procedures and the result I am hoping for. A clinician may advise a different plan or advise against surgery.
I would ask for the surgeon’s full name and credentials, then verify them independently. For a surgeon in Mexico, I would ask about specialty certification through the Mexican Council of Plastic, Aesthetic and Reconstructive Surgery and confirm professional registration. I would also ask where the operation takes place, who provides anesthesia, what safety arrangements are available and how the facility’s authorization or accreditation can be checked. A logo on a website is not my verification.


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