More thanks ! found out (daughter wanted me to ask some questions ) that this is not plastic surgery and so he does not need to be on the american board of plastic surgeons , hippa prevents before and after pics now , he has been doing this for 6 years several a week and I will be under twilight so that is good !! I'm going to go sign the papers today or tomorrow and tell them I will sign to be a before and after and also a reference as well. we'll see .