"In Bolivia, it’s more important to be perfect than to be natural" Bolivians are unabashed in admitting to a little help from a surgeon’s hands. "If we see someone in the street and his or her body is better, we want that body too," said Davina Suarez a Bolivian model who lives in Miami but is originally from Santa Cruz, Bolivia.   Davina said that even her four younger sisters received nose jobs and breast surgery while teenagers. With visions of curvaceous cleavages dancing in their heads, American women are flocking to South America for cosmetic surgery. "In the 1980s and 90s, many famous Americans went to South America for procedures," says Larry Cohen, a Miami Beach plastic surgeon. Like Brazilian surgeons, Bolivian surgeons can use gummy bear gel breast implants and emphasize techniques that minimize scarring for breast augmentation. Sacha though, it is fair to say that South America popularity for cosmetic surgery is fueled by two other powerful lifestyle forces: cost and the desire for travel. If one can go on a vacation, stay in a fancy hotel and get a host of "plastics" done at a fraction of what it might cost in the U.S., it’s a formidable draw. For example, the company Makeover Travel bills itself as "Bolivia’s Number One in Cosmetic and Plastic Surgery." The American Society of Plastic Surgeons has done an excellent briefing paper on cosmetic surgery tourism, cautioning those thinking about cosmetic surgery tourism to look into accreditation of both the doctors and the facilities where surgery would be performed. And, while it may be enticing to combine several surgeries for a fraction of what individual procedures might cost in the U.S. with a vacation, you ultimately may get less than what you paid for.

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