"didn't give two hoots about certification by the American Board of Plastic Surgery, or the American Board of Facial and Reconstructive Surgery, or the American Society of Plastic and Reconstructive Surgeons. What were a couple more snotty plaques on the wall? His patients could care less. They were rich and vain and impatient. In some exclusive South Florida circles, Rudy's name carried the glossy imprimatur of a Gucci or a de la Renta. The lacquered old crones at La Gorce or the Biltmore would point at each other's shiny chins and taut necks and sculpted eyelids and ask, not in a whisper, but in a haughty bray, "is that a Graveline?" Rudy was a designer surgeon. To have him suck your fat was an honor, a social plum, a mark of status. Only a boor, white trash or worse, would ever question the man's techniques or complain about the results."
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