I'm one week post op today with Spiegel. I can confirm he does accept insurance, but I too am in state, so I'm thinking it's a Massachusetts thing. I have Harvard Pilgrim healthcare. I had my forehead, nose, jaw, chin, trachea done, because that's what my insurance covered and there was room for slight improvements with all of them. My brow was the biggest dysphoria inducer for me, and I'm happy to report that I'm now sporting a flat as a pancake forehead. That being said, the pain is intense, and the swelling and discomfort are no joke. My chin and jaw are still huge. I don't know how I'm going to go back to work in ten days. I saw the Dr. today and he said everything looks great, so I guess that's good. Ugh,this jaw swelling though, it's killing me!!