you know, i had this dilemma for ages. thinking that more expensive surgeons give you a better result. in the end i found out that its all about your own anatomy to start with ( your face) and the surgeon's  mood on the day of your surgery. i researched a lot and then started to research beyond the surgeons that keep on getting mentioned on each and every TS forum and web site. i found a very professional and amazingly nice surgeon Dra. Alicia Sigler in Tijuana. she listens to what you want exactly and gives you what you want ( unless what you want is beyond surgical limits then she will tell you what the limit is and she will achieve it) i had my chin and a lip lift done by her and i couldn't be happier. i paid 3000 USD for both procedures and an overnight stay at the clinic in Tijuana. She checked on me all the time while i was recovering, she would call me at the hotel and she even offered to drive me home to san diego. All the media BS about Tijuana is not true really, ive been across the border three times and each and every time i enjoy it.

my advice is to look out of the box of  surgeons that are constantly working with the T community. there are tons of competent surgeons that are willing to work with us and give us exactly what we need and want.