“I am a 48 year old who had lost about 70 pounds and had some excess skin on arms and needed a breast reduction. I had the arm lift and breast lift done at the same time. I noticed an improvement the very next day with my posture and no back pain. Everyone in the office is very caring and friendly! The care they provided was outstanding and if you follow their directions, it is well worth it. I would recommend Dr. Lapuerta. I feel much more confident in myself, which is what it is all about!