You would be a fool to get cosmetic surgery or any surgery in the DR. Google cosmetic surgery in Latin and Central America and you will read about all the deaths. Pay the extra money and get it done in the US/Canada/Europe. If something happens during or after your surgery, your family will get nothing! nothing! they and you are just SOL.
Do very exhaustive searches for information. Don't open yourself to be charmed. Do not make foolish decisions. "Know" who will be doing your surgery if you decide for a procedure in the DR or anywhere. The cosmetic surgery in the DR is not Five Star rated if you catch the drift. The country's consumer protection is not high priority and enforcement of regulation of the medical industry is anemic.