Her surgery took nearly five hours. Recovery would take months.
L.B.'s breast implant surgery, in contrast, would take a lot less time. Stevens said one of her original implants had "deflated."
"It sprung a leak and all the saline is out of it, so she's got a flat tire," Stevens said. "We'll fix that now."
It's not just old implants that Stevens finds himself fixing, he said. He also fixes new implants put in by unqualified surgeons.
"A number of people are coming in for revisional surgery following implant deflations like this, but even more are coming in following bad surgeries," Stevens said. "We're seeing a number of people dabbling in this marketplace who are unqualified, both here and outside the country. Medical tourism is contributing to revisional surgery as well as non-board certified plastic surgeons doing this type of surgery."
The day after her surgery, L.B. was recovering well, and happy with the results.
"They're bigger, they're a D now," said Stevens.
"Thanks," LB said.
"No cute, sexy black dress because you're in a grandma bra," advised a nurse.
"I'm not going anywhere," said L.B. "No boyfriend."
"Not yet," the nurse said.
We checked back in with Martine six weeks after her facelift re-do. The recovery process was drawn-out and painful, with significant bruising to her face. But both Martine and her doctor were pleased with her progress: so far, so good.
"Everybody tells me I look 20 to 30 years younger and so I feel great, I get so many compliments every day," said Martine.
Hamra said he expected the results to last.
"As pretty as you look, I wouldn't be happy until six months or almost a year goes by, because the whole theory is that operation is very stable and everything we've created here should stay for a long, long time," Hamra said.
Martine did come away from the surgery with a few scars, but her doctor promised they'd fade.
"Behind the ear I had to use what the previous surgeon used, you can't have any choice there," Hamra said, referring to an incision and the scar that resulted.
Martine said it's a small price to pay for what she now sees in the mirror.
"Just overall I feel like I have a much more youthful look," she said. "My skin is so smooth."
But is she afraid she's going to be right back under the surgeon's knife in 10 years?
"No," she said. "Dr. Hamra has been a fine surgeon with a wonderful reputation for years. I know that it will be long-lasting.