Hi ABECKEL, I decided to go with Dr. Pedro Kuri in Mexico. I did a lot of research and he appears to be highly qualified and competent and of course less $$$. Mexico was out of the question for the first 3 months of my research......but in the end. Anyways, I've contacted several providers regarding after-care, Park Nicollet, HCMC and the Fills Center USA in New Prague will accept patients that have had their surgery out of state. fills center has an annual package that i think is around $1500, the other 2 offer care per "office visit"--no package. I think HCMC is the most reasonable but I couldn't get a final/specific amount per visit from them so I'm kind of winging it. All the communication I had with Dr. Kirshenbaums office was very helpful and by all accounts he is an excellent doctor--good luck to you. let me know how it goes....especially if you find out any more info regarding after-care stuff:rolleyes: