Dr. Lev is one of the premium plastic surgeons in Costa Rica with a pristine reputation. He is thought to be, by many patients, one of the top plastic surgeons in the world. His skills are unique to him alone and because of his reputation, and because he is in high demand, he will not be inexpensive compared with other plastic surgeons in Costa Rica. Please do not continue with Dr. Lev if you are looking for surgery on the "cheap". We don't do cheap. We do quality.