the ultimate guide to plastic surgery abroad 2006

8/15/2019 The Ultimate Guide to Plastic Surgery Abroad 2006

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The Ultimate Guide

to Plastic SurgeryAbroad

2006 Sample Edition

ByAlexyomAl & GABBiChAmA

TheenTirebookisopyrighTedbyAlexyomAl & gAbbiChAmA


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Medical Section

urgeryAbroadGuide.com Alex Yomal & Gabbi Chama Medical Se


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Why this book? Our experience

How did we come up with the idea for thisbook, a compilation of the best-priced rstlevel clinics for plastic surgery around the

world combined with extensive information onthe main plastic surgery procedures and usefultourism information for each destination?

I have been in touch with the medical tourismindustry for three years now. Living in BuenosAires, Argentina, and working for the mainmedical tourism clinic in the country, I have

spoken with hundreds of patients from abroadmainly interested in plastic surgery. People fromthe U.S., the United Kingdom, Canada, Australia,Netherlands, Latin America, even Africa, havetrusted me with their doubts, their concerns, theirquestions, their fears, and of course, their aestheticgoals and objectives. Through e-mail, by phone,and even through MSN, Ive talked to countlesspatients, and with time, have come to understandwhat traveling abroad for surgery represents andmeans for the patient.

A good friend of mine, Gabbi Chama, has spentthe past years traveling the world, and thus wasthe right person to take charge of the tourismsection of this book. He is also the main editor ofthis book. In the tourism section youll nd veryuseful information on numerous destinations,along with photos which will give you a generalidea on what kind of place youll be traveling to.

With our know-how combined, we realizedwe were in conditions to divulge what we hadlearned from our life experiences. We wantedto share the information and our expertise withthe English speaking general public, making itaccessible for everyone. After working severalyears in the business, I learned that many peopleare very interested in plastic surgery but are notwell informed and dont have easy access to highquality information. This added to the initiative ofputting this book together, in order to make things

easy and clear, and taking things step by step, forthe benet of those interested in plastic surgery.

Initial recommendations

Feelings of uneasiness are very common, andjustied: it is not easy traveling to another countryfor surgery. Before traveling, it is important foryou to feel completely sure about your decisionand happy with how you have been treated duringthe pre-trip process, since you will probablybe treated in a similar fashion upon arrival. Myexperience with patients has taught me that trust

is a key factor, especially when some patientsarent familiar with the destination city, in mycase Buenos Aires. That is why learning aboutthe place youll be traveling to is vital beforemaking a nal decision. In the tourism section ofthis book you will nd extensive information onthe cities that offer low priced plastic surgery, soyou can base your decision not only on the priceof the procedures, but also on the benets eachdestination has to offer. Big cities, sandy beachessmall tows in Eastern Europe, they all offer

different attractions t for all tastes. Dont discarda destination because of the airfare price; themoney youll save on surgery will probably makeyour trip worthwhile! Ask as much questions asyou feel, the person on the other line should knowthe answer to all of them, and if they dont, theyshould be asking the doctor or person in chargeIf you can speak to a doctor personally, youll beable to get direct answers. Nevertheless, somedoctors dont speak English, so youll have to deal

with the patient assessors.

In the following chapters, youll be able tounderstand the main advantages of medicaltourism, and why so many people are doing it!

What is plastic surgery?

Plastic or aesthetic surgery is known as the medicalspecialty or group of surgical interventions which

Chapter 1 An introduction

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modify the outer appearance of the humanbody, from the hairs on our heads to the tips ofour toes. Plastic surgery is often also known aselective surgery, because frequently there is nodiagnosed medical need for an intervention, butthe patient him or herself chooses to go throughwith the procedure, with the avail of the surgeon.There are some occasions in which plastic surgery

is mandatory, such as in cases of third degreeburns or car accidents, where reconstruction ofcertain aesthetic features must be carried out forthe basic psychological well-being of the patient.Nevertheless, 99% of plastic surgery proceduresare elective: they are carried out because the patientdesires to change his or her appearance in a specicmanner, in order to correct certain physical awsor disconformities that have become a bother.

Why has plastic surgery become sopopular?

In the last decade, plastic surgery has become morepopular and accepted than ever before, rising anastonishing 700% in the U.S. The reasons? One ofthe main factors is the acceptance it has achieved,not only in the States, but around the world. Moreand more people have realized that plastic surgerycarried out with a good surgeon, done in a proper

environment, under certain medical standardsand with a proper follow up after the procedureis not dangerous at all. People who have friendsor relatives who underwent plastic surgery, orturn on the TV and see the most popular moviestars with a beautiful new nose have begun todeposit more and more trust and condence in

the specialty. Through word of mouth and in viewof real results, people from all social and ethnicalorigins have come to know about the basics ofplastic surgery and its benets.

The numbers speak for themselves. In GreatBritain during 2005, more than 22,000 plasticprocedures were carried out by members of the

British Association of Aesthetic Plastic Surgeons(BAAPS). This gure represents a 35% increase inrelation to 2004. Women account for 89% of the totalprocedures carried out in the United KingdomAlthough the most popular procedures are breastaugmentations in women and rhinoplasties (nosecorrection) in men, anti-ageing procedures haveshown an impressive rise, showing an increaseof 42% (face lifts), 50% (eyelid surgery) and 35%(brow lifts).

The growing demand for plastic procedures hasnot gone unknown to the scientic communityThe interest people around the world have shownfor the specialty has lead to more investigationand further development of newer techniques,such as the feather lift or improved forms ofliposuction. It has also made doctors conscious ofthe importance of the assessment offered towardsthe patient before the procedure, which has leadto many professionals getting their own websites

to promote and explain their services.

Nevertheless, and most interesting of all, thegrowing popularity of plastic surgery has spawneda unique phenomenon: medical tourism.

What is medical tourism?

Imagine traveling to another country, maybe a placeyouve only heard of on TV and absolutely know

nothing about, to get plastic surgery done. Soundstrange? It might, but thousands of Americans aredoing it and the numbers are growing day by dayNot just Americans, but people from EnglandCanada, France, Germany, Australia, Japan, andother places around the world are seeking surgeryabroad. What are the reasons?

Surgeons at work



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1. Better Prices

Strong currencies like the American dollar, theBritish pound or the Japanese yen are worth alot in other countries. What does this mean? InArgentina, for example, you can eat a full meal ata good restaurant for 3-6 US dollars, a ticket to themovies 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 lessmoney than in the States or the UK. How muchdoes a Big Mac in New York cost? In Buenos Aires,the capital of Argentina, youll get one for justUSD 1.50, while in the U.S. or England it is doublethat price: the same food, the same internationalstandards, 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 thatthe quality of what you are getting is inferior; itsimply means that money has a different valuefor most things, since incomes are different andfunction on a different scale. Of course, when itcomes to getting a new notebook the prices willnot vary much, since products which are importedcannot be sold for less than what they have beenpaid for abroad. But when it comes to plasticsurgery, the difference in prices is astonishing. The

average prices for each plastic procedure will beanalyzed and compared further on. Nevertheless,it is important to underline that professionalsabroad are not necessarily under trained or lessexperienced than in the United States or the UK just because their fees are lower. Many patientswho travel abroad are pleasantly surprised whenthey discover the attention and care they receivefrom 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 thanwhat they expected.

2. New Experiences

Have you ever been abroad? Are you familiar witha culture different from your own? Getting plasticsurgery abroad will not only save you money, itwill also give you the chance to get to know a newcountry while you improve your image. Walk

through the streets of the cosmopolitan BuenosAires, wander through some old fashioned

city in Eastern Europeor lie on the beaches ofTunisia, and fulll yourgoal of improving yourappearance at the sametime! Many medica

tourists couldnt believethe bars of Buenos Aires,the mix between the newand the old of the upscaleneighborhoods, the sunsetat France Square, or thebeautiful women whowalk the streets. It shouldnot be surprising that aftergetting surgery abroad

many patients return for additional proceduresafter 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. Afullling and safe experience is what most medicatourists are after. That is why many clinics aimedtowards patients coming from abroad offerservices of only the highest standards. The clinics

oriented towards the traveler will pick you up atthe airport, book your hotel for you, accompanyyou to all your medical appointments and offer apersonal translator and assistant. All of this backedup by a team of highly experienced and recognizedsurgeons, to ensure the best results possible. Youwill travel abroad, but knowing that the essentiadetails of your stay have been taken care of: youllhave a place to stay, means for getting around, anEnglish speaking person to evacuate any doubtswith, and the best professionals available. In thenext section, the most attractive medical tourismoffers will be analyzed. But rst, why can I tell youwhats best?

A Better Body



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Face Procedures

Blepharoplasty (eyelid surgery)

Average stay required: 7 days

The blepharoplasty, also known as eyelid surgeryor eye lift, consists in the removal of the fat padsaround the eyes, which accumulate fat withtime, as well as the removal of excess skin andmuscle in that area. The intervention contributesto giving the patient a more rejuvenated look byeliminating the tired look caused by excessivelypuffy eyelids. An upper or lower blepharoplasty

can be done, although a combination of the twois usually carried out. The procedure is ideal foreliminating the lumpy fat bags that appear underthe lower eyelids with age. It also improves sight,since it lifts the upper eyelids.

The surgeon makes tiny incisions along thenatural folds of the eyelids in order to avoidvisible scarring. Working through these incisionsthe surgeon eliminates the three lumps of fat that

accumulate in the lower eyelids, and the twolumps which accumulate in the upper eyelidsHe also removes the small fraction of extra skinthere might be, in order to correct drooping. Theprocedure is done on both eyes in order to obtainsymmetrical results.

The procedure has a duration of one to threehours, accordingto the complexity

of the case, and iscarried out withlocal anesthesiaand sedation. Thenal results willbe visible afteronly two to sixweeks, and thescars will becomeinvisible aftera few months

The relaxed andyouthful lookyou will obtain ispriceless.

Brow lift


This simple procedure is carried out to changethe negative inuence the angle of the eyebrowsmight give to the general facial expression of thepatient. When eyebrows are too low or straight,they may give the face an angry, tired, or sad lookwhich the patient might not be comfortable withThe intervention enhances the position and angleof the eyebrows and removes wrinkles from theforehead.

How a lower blepharoplasty is done

Before and after the procedure

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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 partof the head is carried out, which will later becovered by the hairline. The scalp and foreheadskin is separated from the bone of the skull, whichenables the surgeon to work independently oneach muscle and perform a very meticulous

job. The surgeon can give each muscle the exactamount of tension in order to give the arch of theeyebrow the ideal look.

The brow lift is a short procedure, demanding60 to 90 minutes of surgery, although generally

requiring a nights stay at the hospital. It is donewith local anesthesia and sedation, althoughgeneral anesthesia can be used in certain cases.The operation will give your face a more refreshedand pleasant look. One of the most cost-effectiveprocedures available.

Canthopexy


Canthopexy is a procedure which raises the cornersof the eyelids in patients who consider their eyesare too round-shaped and prefers a more almond-shaped look. It is also indicated for tighteningthe lower eyelids. It eliminates the tired or sadfeatures by elevating the sagging external cornersof the eyes, and is generally combined with theblepharoplasty since it shares the same incisions.

The surgeon works on the canthal tendon, which

supports the edge of the lower eyelid, tighteningand xing it to the membrane that covers theorbital rim or periosteum. If there is excess skinnear the corner of the eye, the surgeon is able toremove it and join the two ends in order to tightenit further.

This short procedure usually lasts about an hour,and is carried out using local anesthesia andsedation. There is no need for hospitalization. The

results of a more refreshed look are permanentand will be denitive after only two to six weeks.The scars will be invisible after a few months.

Cheek implant


The cheek implant procedure is carried out toenhance the appearance of the cheeks. Prominentcheekbones are usually considered esthetical andbeautiful, since they may give more character to theface in some cases. With silicone cheek implants, amore harmonious look can be achieved.

The surgeon creates an internal pocket in front orbelow each cheek bone, and inserts the implantsFour kinds of incisions can be made to introducethe implants: intraoral (inside the mouth),palpebral (below the eyelids), preauricular (nearthe ear), and transconjunctival (inside the lower

eyelids). The incision used depends on each caseand is decided by the surgeon.

The surgery itself is short, lasting between 30 and60 minutes. Local anesthesia and sedation is usedand there is no need for hospitalization. The resultsfrom the procedure are permanent but reversiblesince the implants can be removed in the future orif you are not happy with the outcome. The mainadvantage is that the implants will give your face





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a more harmonious and balanced look, althoughno one will notice you have them, and will simplycompliment you on how good you look.



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1. The procedure.

First of all, you must decide what proceduresare right for you, which ones will benet youthe most. Dont rush to take this rst step, manypeople make the mistake of seeing an ad onTV, Internet or a magazine and hastily make animportant decision, as if they were simply buyingan MP3 player or a microwave. This is your bodyand your health which is at stake. Dont hesitateto consult as many professionals as you requirein order make a decision in regards to which

procedure will suit you the most. Most peoplegenerally consult several clinics at a time, whichis a good idea, since you will be able to get severalprofessional opinions and perspectives. Are yousure plastic surgery is for you? If you are havingdoubts, it is always best to take your time on things.Dont hesitate to consult with a psychologist ifyou are not sure about your decision, and talkto your family about it: they know you best andwill be able to give you a valuable opinion. Whendealing with clinics, always send in your photos

(see second step below), since that will givedoctors the chance to give you a pretty accuratediagnosis, even before traveling. Be sure to learnabout the procedure and how its done, as wellas its post-operative follow-up and recovery, soyou dont receive any unexpected surprises afterthe procedure. The information included in thisguide in regards to the procedures is meant forgeneral orientation. We strongly recommend, onceyouve decided on what procedure you need, toinquire with a professional on the details of theintervention. It is also important for you to knowhow long the recovery will be, since that willestablish the amount of time youll have to stayabroad. The days we recommend are based onstandards recommended by expert professionals inBuenos Aires, Argentina. However, the surgeriescan be carried out safely in less time, so dont besurprised if you get different stay requirementsfrom different doctors. Consult each clinic onthe recovery times for the procedures, since

they do tend to vary. Always keep in mind thatthe procedures you have made your mind upon

might change once you arrive. It is not uncommonfor surgeons to recommend one interventionand after seeing the patient in person, advise adifferent approach. Even though deciding on theprocedures you will be having is important, dontdespair if once you arrive the surgeon advisesdifferently: this is just due to the fact that medicineis not an exact science.

2. Sending in pictures.

Although some patients can be skeptical, itis essential, and should be requested by theclinic, for you to send in pictures of yourself forthe surgeons in charge to analyze. With yourphotos, the surgeon will be able to conrm if theprocedure/s you think you need is right for you,and if it can be done successfully or if there areany risks involved. Dont feel embarrassed aboutsending in your photos, once you get the Doctorsresponse youll probably gain condence and

will feel more secure about your decision. Youllalso be able to conrm, usually without charge(except for a clinic in Germany), if the surgeriesyou have in mind will really benet you; you wilget a professional diagnosis, having saved onthe cost of consulting a doctor in the States. Thephotos should be taken with plenty of light, fromvarious angles, usually front, left and right proleand back, for face and body procedures. For faceprocedures, pictures from above and below willbe useful, especially for rhinoplasties. The moredetailed the photos, the better the specialists willbe able to determine what procedures will benetyou and what the results will be like.

Chapter 3 Making a decision: fve keysteps



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After these ve steps, you are ready todive into the world of plastic surgery andmedical tourism abroad. Ahead you will

nd the clinics divided by countries, with pricing

information for different procedures. Keep inmind the prices are no exact prices and may vary.The prices included in this guide are from the rstsemester of 2006 and were obtained directly fromthe clinics. We cannot offer any type of guaranteeregarding what the prices include or exclude; theyare meant to serve as general indicators with thepurpose of giving you an approximate idea oncosts. In this section you will also nd the webpage link for each clinic. Even though not all

clinics offer websites in English, dont hesitate insending in emails with questions, since most healthprofessionals abroad do understand English.

4. 1. Clinics in North, South andCentral America

1. Brazil

Brazil is the largest country in South America andthe fth most populated in the World, with almost185 million inhabitants. It borders with ten othercountries in South America. The ofcial language isPortuguese, although English, Spanish and Frenchare spoken by some parts of the population. RomanCatholic and Protestantism are the main religions.The capital city is Brasilia, although Rio de Janeiroand Sao Paolo are densely populated as well, Riobeing on the most important tourist destination inthe World. The currency is the Real. The eastern

part of the country is the most populated and themid area is lled with rainforests and rivers and isinhabited by native cultures. The climate is mostlytropical, although temperate in the south.

Cosmetic Vacations

www.cosmeticvacations.com

This Rio Janeiro based company is the onlyorganization truly aimed at patients from abroad

in Brazil. Their website is entirely in English, andthey offer, asides from plastic surgery, bariatricprocedures, cosmetic dentistry, hair transplant,and lasik eye surgery. They have a toll free number

for patients from the U.S., as well as customer carethrough e-mail, although the responses are a bitpredetermined and impersonalized. They dontdisclose surgeon information on the websitealthough they do make it available through e-mailupon request.

They offer, apart from the surgical procedures,a bilingual representative who will accompanyyou every step of the way, as they put it, and

transfers to and from the airport and all medicalappointments. They dont publish prices on theirwebsite, so you will have to contact them, probablyover the phone (they do have English speakingcustomer care personnel) to get personalizedquotes, although they do clarify that the nal pricevaries from case to case and will be determinedafter pictures are sent in. Accommodations are notincluded in the prices they quote, although theydo offer booking for patients in ve hotels whichappear on their website. They offer a virtual

consultation, in which directly from theirwebsite youll be able to send in up to ve photosno larger than 100 kb, as well as all your personalinformation, the procedures of your interest, andany initial questions you might have. A goodoption for surgery in Brazil.

The following clinics are not oriented towardspersons from abroad, although they may representan option for some, and are good for comparingprices and seeing what kind of differences areinvolved between the medical tourism industryand the local plastic surgery businesses.

Rogerio Matoso Clinic -

www.rogeriomatoso.com.br

This Belo Horizonte based clinic is not touristoriented, and their website is only in PortugueseYou may try sending in a consultation in Englishsince most people in Brazil do speak English

Chapter 4 The clinics



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Plastic Surgery Prices in the U.S.

Procedure Minimum cost Average cost Maximum cost

Arm lift $3000 $5500 $8000Blepharoplasty $1650 $3825 $6000

Body lift $6000 $8000 $10000

Breast augmentation $3000 $5500 $8000

Breast lift $4000 $6500 $9000

Brow lift $3000 $5000 $7000

Buttock lift $4000 $6000 $8000

Calf augmentation $4500 $6000 $7500

Cheek implants $2500 $4250 $6000

Face lift (cheeks) $4000 $7000 $10000Chin implant $3000 $4500 $6000

Full face lift $6000 $8000 $10000

Buttocks fat transfer $1500 $3750 $6000

Feather lift $2000 $4000 $6000

Forehead / brow lift $3500 $5250 $7000

Forehead lift $3500 $5250 $7000

Gynecomastia $6200 $6412 $6625

Inverted nipple $1000 $2500 $4000

Jaw implants $2000 $4250 $6500Labiaplasty $1500 $4500 $7500

Liposuction $2000 $7000 $12000

Mini face lift $3500 $5000 $6500

Mini tummy tuck $1800 $3900 $6000

Otoplasty $3500 $4500 $5500

Pectoral implants $5000 $6000 $7000

Penis enhancement $3500 $5500 $7500

Rhinoplasty $3000 $5500 $8000

Thigh lift $3500 $7750 $12000Tummy tuck $4400 $6050 $7700

The minimum prices generally correspond to the procedures when carried out by a young surgeonwithout much experience, a beginner. The average prices correspond to the procedure when carriedout by surgeons with good experience and know-how, and the maximum prices generally correspondto those charged by expert surgeons or very recognized ones, sometimes those with elite clients.

Prices Source: http://www.plasticsurgeryportal.com/research.cfm

Alex Yomal & Gabbi Chama Plastic Surgery PurgeryAbroadGuide.com


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Plastic Surgery Prices in the U.K.

Procedure Average

costBreast augmentation $ 7,215

Breast reduction $ 8,394

Breast lift $ 7,789

Breast lift + implants $ 11,229

Nipple correction $ 1,221

Rhinoplasty $ 5,965

Otoplasty $ 3,414

Blepharoplasty (full) $ 6,502

Upper Blepharoplasty $ 3,295Lower Blepharoplasty $ 3,516

Full face lift $ 9,117

Mid face lift $ 7,586

Tummy tuck $ 8,244

Liposuction 1 area $ 4,254

Thigh lift $ 6,786

Labiaplasty $ 2,617

Vaginoplasty $ 4,275

Gynecomastia $ 5,626Collagen $ 454

Brow lift $ 5,104

Mini tummy tuck $ 4,561

Calves implants $ 4,362

Pectoral implants $ 6,630

Testicle implants $ 2,617

Buttocks enhancement through Lipotransference $ 2,268

Mole removal $ 785

Neck lift $ 5,234Cheek implants $ 3,751

Chin implant $ 3,751

Arm lift $ 5,234

Buttocks lift $ 6,456

Averages based on prices from 9 different clinics within the U.K.

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This section is exclusively dedicated to the tourism information on each country and city includedin the clinics section. For the over 20 destinations included in this book you will nd generalinformation, 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 muchmore. All you need to know about each destination is summed up in about six pages per country, inorder 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 processMost patients make a decision which is based on three factors: the prices offered in each clinic, thequality 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 decisionprocess. You will gain a general idea of what kind of place you will be traveling to, and with the help ofthe clinics section, youll be able to carry out an estimate on how much the entire experience will costand how much you will save.

The prices which appear in this section, as well as in the entire book, are estimates, and we cannot beheld responsible for their veracity. For the ight rates, the low prices are for the low season, and the

higher prices are for the high season. Prices will vary according to Travelocitys rates (travelocity.com& travelocity.co.uk). Prices are in US Dollars.

Alex Yomal & Gabbi Chama Tourism SeurgeryAbroadGuide.com


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AmericAsAmericAs

Alex Yomal & Gabbi Chama AmerurgeryAbroadGuide.com


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BRAZIL

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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 forhandicapped or elderly visitors. However, in 2002,

the monument went through a large renovation

process, and 3 panoramic elevators and 4 escalators

were installed.

Sugar Loaf - Po de Aucar

Sugarloaf Mountain (in Portuguese, Po de

Acar) location 225656.7S 43927W, is

a peak situated in Rio de Janeiro, Brazil, from

the mouth of Guanabara Bay on a peninsula thatsticks 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 rened loaf sugar.

The mountain is only one of half a dozen

monolithic morros of granite and quartz that

rise straight from the waters edge around Rio

de Janeiro. A glass-paneled cablecar (in popular

Portuguese, bondinho - more properly called

telefrico), capable of holding 75 passengers, runs

along a 1400-metre route between the peaks of

Babilnia 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 lm is sufcient to

establish the setting as Rio.

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 Sacopenap

until the mid-18th century. It was renamed afterthe 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

Copacabana

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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.

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 sambdromo exhibition

centre and the popular blocos de carnaval, which

parade in almost every corner of the city.

The most famous ones are the following:

Cordo 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 Redeemerstatues arm. The name, in English, translates as

Christs 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 Quase Amor: One of the most popular

parades in Ipanema. Translates as Friendliness isalmost 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 endson Mardi Gras.

Apart from the Carnival, New Year is also a

big deal in Rio and is also one of the other major

festivals.

Ipanema Beach

Carnival



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Maracan Soccer Stadium

The Estdio do Maracan, Maracan stadium,

(ofcial name: Estdio Jornalista Mrio Filho) , in

Rio de Janeiro, Brazil, is one of the largest football

stadiums in the world. Maracan 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.

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 Janeiros Botanical Gardens (Jardim

Botnico

do Rio de

Janeiro) were

created in

1808 by thePrince Regent

D. Joo of

Portugal as

a temporary

repository

for imported

plants, where

they could

become acclimatized to the tropics. The gardens

were opened to the public by his son D. Pedro I in

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 worlds largest urban forest, covering some

32 km.

The Tijuca Forest is home to hundreds of

species of plants and wildlife, many threatened by

extinction, found only in the Atlantic Rainforest

(Mata Atlntica in Portuguese). After all the

original forest had been destroyed to make wayfor coffee farms, Tijuca was replanted by Major

Manuel Gomes Archer in the second half of the

19th century, in a successful effort to protect Rios

water supply.

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 trafc leading to it, called

Paineiras; the Cascatinha Waterfall; the Mayrink

Chapel with murals painted by Cndido 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 Gvea.

Maracana Stadium

Tijuca Forest


Botanical Garden


21/29

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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Overview

So Paulo (Portuguese for Saint Paul) isthe capital of the state of So Paulo in

southeastern Brazil. It is located 400 km

(250 miles) from Rio de Janeiro, and 1,030 km

(640 miles) from federal capital Braslia.

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 So Paulo

metropolitan area as dened by the government

(Regio Metropolitana) making it one of the

ve most populous in the world.

People from the city of So Paulo are called

paulistanos, while paulista designates anyone

from the whole of So Paulo state, including the

paulistanos. The citys motto is Non ducor, duco,

which is Latin for I am not led, I lead.

So Paulo is a major business centre. The city

has a multicultural metropolitan area, with heavy

Italian, Spaniard, Portuguese, German, Arab and

Japanese inuences.

Though thought of as drizzly and rather cool by

some Brazilians, So Paulos 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

pleasant climate. Summer temperatures seldom

reach 30C (86F), and frost is extremely rare

All-time record temperatures are 38C (100F)

and -2C (28F),. Rainfall is abundant, especiallyin the warmer months. Snow was register one time

in 1918, tropical cyclones, while tornadic activity

is uncommon.

Main Attractions

Edifcio Italia

Edifcio Itlia (Portuguese for Italy Building) is

a 168 metre tall 46 story

skyscraper in So Paulo,

Brazil, built from 1956 to

1965. It hosts the Circolo

Italiano foundation and

Terrao Italia restaurant

in its 44th oor. It also

has a rooftop observation

deck, open for tourists.

Edifcio Itlia wasdesigned by german-

brazilian architect Franz

Heep. Its the 2nd tallest

building in So Paulo after Palcio Zarzur Kogan

Banespa Tower

The Banespa Building (Edifcio do Banespa)

ocially referred to as the

Altino Arantes Building,

is one of the most well

known towers inSo

Paulo, Brazil. Constructed

in 1939 as the headquarters

of the Bank of the State

of So Paulo (Banespa),

and inaugurated in 1947,

it remained the highest of

the city for two decades

until surpassed by the Edifcio Itlia. The exterior

The countless buildings of Sa Paulo


So Paulo

Italia Building


23/29

appearance of the building is modeled on New

Yorks Empire State Building. Soon after its

completion in the 1940s, it was named the worlds

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 oor by stairs,

there is an observation deck with views of up to 40

km. One can see there other important landmarksof the city, such as the Municipal Market, the S

Cathedral, the Edifcio Italia which took its place

as the citys highest building, and beyond into

diverse neighboring quarters

Festival for Electronic Art

Every two years, Associao Cultural

Videobrasils International Electronic Art Festival

brings groundbreaking work by cream-of-the-crop artists from all over the world to So 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 so-

called southern circuit and an

extensive parallel programme.

Art shows, debates and

meetings introduce new ideasand 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 Frana and

Olhar Eletrnico, and international guests such

as Nam June Paik, Bill Viola and Gary Hill, have

featured in the events past editions. Each edition

has a theme of its own.

So Paulo Art Biennial

The So 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:

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 oindividual voices, the end result was intended to

be a unity.

In addition to an intensication of the North-

South dialogue inside Brazil, the Bienals

aims include the promoting of links between

non-European cultures along a South-South

orientation.

So Paulo Fashion Week

It seems that Brazil has nally entered the world

of fashion with the increasing reputation of famous

Brazilian top models such as Adriana Lima, Gisele

Bndchen, 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

consequence

of this, So

Paulo Fashion

Week is the place to see

and to be seen

in Brazilian

fashion

scene, always

attracting a

number of

international

fashion

editors and models. Nowadays, So 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 So Paulo.

So Paulo Gay Parade

Also a major event in the city, the So Paulo

Gay Parade has brought to Avenida Paulista about

3 million people in 2006, according to ofcial

statistics. It is usually opened by the citys mayor

Fashion Week



24/29

A huge carnival goes all the way through the centre

of the city. The last parade was held on June 17,

2006.

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 rst 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.

Brazilian Grand Prix

The Brazilian Grand

Prix is a Formula One

championship race

which occurs at the

Autdromo Jos Carlos

Pace in Interlagos.

In 2005, for the rst

time, the Brazilian

GP decided the World

Championship, won by

Fernando Alonso.

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 Pavilho da Bienal in the

center of the park offers art exhibitions, bands and

a small branch of Museu de Arte Contempornea.

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 So Paulo. Only parts of the Parque

Estadual da Cantareira are open to the public, and

one such part, the Ncleo 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 40-

minute car ride from

Avenida Paulista. Thebest way is to persuade

a local friend with a

car to accompany you.

If you take a taxi, ask

the driver to stay; otherwise, you will have to walk

a fair way into town to nd 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 rockfrom which you can get a panoramic view of the

city. It is worth it.

Praca Liberdade

Every weekend 10-7, this plaza hosts a sprawling

Asian food and crafts fair that exhibits So Paulos

eclectic cultural mix. You

may see, for example,

Afro-Brazilians dressedin colorful kimonos

hawking grilled shrimp on

a stick. Several religious

celebrations are held here,

like Aprils Hanamatsuri,

commemorating the birth

of the Buddha.

Apart from the fair and

special events, the only

other reason to visit

Ayrton Senna

Cantareira Park


Parque do Ibirapuera Liberdade Square


25/29


26/29

coMpariSonchartS

urgeryAbroadGuide.com Alex Yomal & Gabbi Chama C


27/29

Surgery Price (USD) Price () Price ()Breast lift $ 3.000,00 1.594,39 2.363,32

Liposuction 1 area $ 2.000,00 1.062,93 1.575,55Liposuction several areas $ 4.000,00 2.125,85 3.151,10

Rhinoplasty $ 4.000,00 2.125,85 3.151,10

Silicone breast implants $ 4.000,00 2.125,85 3.151,10

Tummy tuck $ 5.000,00 2.657,31 3.938,87

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

Surgery Price (USD) Price () Price ()Breast lift $ 1.985,00 1.054,95 1.563,73

Breast lift + implants $ 2.745,00 1.458,86 2.162,44Liposuction 1 area $ 1.340,00 712,16 1.055,62


Tummy tuck $ 1.480,00 786,56 1.165,91

Paulo Jatene Clinic, Sa Paulo, Brazilwww.paulojatene.com.br

Av. Anglica, 2530 cj 21

Higienpolis - So Paulo - SP

Tel.: (11) 3255-1039 / (11) 3256-5552 Fax: (11) 3258-2969

E-mail: [email protected]

Pricesbyclinic

Alex Yomal & Gabbi Chama CurgeryAbroadGuide.com


28/29

Surgery Price (USD) Price () Price ()Breast lift $ 1.825,00 969,92 1.437,69

Liposuction 1 area $ 1.580,00 839,71 1.244,68

Rhinoplasty $ 1.525,00 810,48 1.201,35

Silicone breast implants $ 1.525,00 810,48 1.201,35

Tummy tuck $ 1.740,00 924,74 1.370,73

Higiia Clinic, Florianopolis, Brazilwww.higiia.com.br

Surgery Price (USD) Price () Price ()Blepharoplasty (eyelids) $ 1.110,00 589,92 874,43

Breast lift $ 1.895,00 1.007,12 1.492,83

Breast lift + implants $ 2.940,00 1.562,50 2.316,05

Forehead lift $ 1.110,00 589,92 874,43

Gynecomastia $ 1.385,00 736,08 1.091,07

Hair transplant (one session) $ 1.755,00 932,72 1.382,54

Liposuction 1 area $ 925,00 491,60 728,69Liposuction several areas $ 1.845,00 980,55 1.453,44

Medium face lift $ 1.895,00 1.007,12 1.492,83

Otoplasty (ear surgery) $ 1.295,00 688,24 1.020,17

Rhinoplasty $ 1.295,00 688,24 1.020,17


Tummy tuck $ 1.985,00 1.054,95 1.563,73

Plastibel Clinic, Sa Paulo, Brazilwww.plastibel.com.br

(0xx11)3023-0073

Praa Panamericana, 42 conj 22 - Alto de Pinheiros

e-mail: [email protected]

Alex Yomal & Gabbi Chama CurgeryAbroadGuide.com


29/29

Thank you!

Thank you for reading! We hope this book has helped you out in making the right decision on where tofulll your specic 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 mightneed on anything at all.

We sincerely wish we have contributed to making your aesthetic dream come true, and look forwardto receiving information on the experiences you may have at any of the clinics included in this book, orothers, in order to continue updating the material. Our readers feedback is very important to us! Youmay contact us at [email protected] - http://www.surgeryabroadguide.com.

If you liked what you see and you want to see more, download the ful version, at only $19,99, witheverything youll need to plan your medical trip anywhere over the world, with all the proceduredetails and clinics in over 35 cities, as well as extensive tourism information and a step by step guideon how to plan a successful medical trip, with the best advice from the professionals. Over 230 pageslled with all youll 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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Alex Yomal & Gabbi Chama Thank urgeryAbroadGuide.com

the ultimate guide to plastic surgery abroad 2006

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