About five years ago, Olivia Goldsmith, the author of 'The First Wives Club', went in to have a facelift with a very prominent surgeon in Manhattan," he explains. "As soon as they started anesthesia, she died. The surgeon didn't even get a chance to walk into the operating room. The week after that, in the same hospital, it happened again. It was a coincidence, but it created a major scare. People were calling and canceling their procedures. I had heard about a doctor in California doing liposuction without anesthesia. I started scaling down my anesthesia. Later, I came out to California to learn from the doctor and his technique, and I applied it to the face."

Not having to put a patient under full anesthesia has many benefits, Simoni explains. Patients with heart disease,

With modern advances in medical science technology, and with a vastly changed economy, plastic surgery is now commonly affordable for the middle class. As in any other business, a savvy customer can easily find bargain prices without compromising quality. Here are a few pointers to help turn you into a savvy plastic surgery customer. The complete version of this article an be found at http://drsimoni.com/wordpress/

1. Don't be afraid to ask for a discount. This is the first lesson in life. "If you do not ask you will not get." Most plastic surgeons assign the financial discussions with their patients to their office managers, but the surgeons are the main decision makers. Politely ask your surgeon if you can get a better fee.

2. Plastic Surgery is seasonal. September and December are considered