Costa Rica Beauty Clinic Rating Structural Verification Index — aesthetic medicine & plastic surgery
By procedure: Rhinoplasty Breast surgery Liposuction & body contouring Hair transplant Injectables Medical weight loss

Changelog

Every data change, correction and methodology version is logged here and in each record's own history.

DateSubjectChange
25 September 2026Methodology v1.4.0Owner ruling: the 14-day reply window before publication is removed. A negative finding — one official register record about this unit or this person, from the register that governs the claim, with a status in force — is published as soon as it is assembled, with the register's line verbatim, the link and the date of reading; a negative finding is published exactly as fast as a positive one. The same day the register sends the clinic a letter from this site's corrections address; the clinic's reply, when it comes, is shown next to the fact, and the score moves only on a source. An unsent letter never holds or removes a finding. One official record per finding, the governing register, status in force only, the name-match rule and 'an absence is never published' are unchanged; so are the weights, the 75% coverage threshold, ceilings, holds and the ten-clinic floor.
25 September 2026Methodology v1.5.0Owner ruling: the register never writes to a clinic on its own initiative — no letters about findings and no letters asking for missing data. Right of reply is passive, as in v1.0: a finding is on the profile in the register's own words, with the link and the date it was read; a clinic that disagrees uses this site's corrections form or corrections address; its reply is shown next to the fact, and the score moves only on a source. Everything else in v1.4 is unchanged.
22 September 2026AC Aesthetic Center — Dr. Andrés Castrillónaxes.M3: 5 → 4 (Methodology v1.3 (owner rulings 2026-09-22) — § F rule 6 — the number is not printed on the clinic's own pages (audit not_published) — matched by name)
22 September 2026AJA Centro Avanzado de Cirugía Plástica y Reconstructivaaxes.M7: 2 → 4 (Methodology v1.3 (owner rulings 2026-09-22) — § B closed lexicon — manner_gerund: M7-C)
22 September 2026AJA Centro Avanzado de Cirugía Plástica y Reconstructivaaxes.M3: 5 → 4 (Methodology v1.3 (owner rulings 2026-09-22) — § F rule 6 — the number is not printed on the clinic's own pages (audit not_published) — matched by name)
22 September 2026Arte Facial — Dr. Abraham Gómezaxes.M3: 5 → 4 (Methodology v1.3 (owner rulings 2026-09-22) — § F rule 6 — the number is not printed on the clinic's own pages (audit not_published) — matched by name)
22 September 2026Centro Europeo de Cirugía (CEC)axes.M3: 5 → 4 (Methodology v1.3 (owner rulings 2026-09-22) — § F rule 6 — the number is not printed on the clinic's own pages (audit not_published) — matched by name)
22 September 2026Clínica Alfaro — Dra. María José Alfaro Vegaaxes.M3: 5 → 4 (Methodology v1.3 (owner rulings 2026-09-22) — § F rule 6 — the number is not printed on the clinic's own pages (audit not_published) — matched by name)
22 September 2026Dr. Alfredo Vargas — Plastic and Reconstructive Surgeryaxes.M3: 5 → 4 (Methodology v1.3 (owner rulings 2026-09-22) — § F rule 6 — the number is not printed on the clinic's own pages (audit not_published) — matched by name)
22 September 2026Dr. Eduardo Brenes Leñero — State of the Art Plastic Surgeryaxes.M3: 5 → 4 (Methodology v1.3 (owner rulings 2026-09-22) — § F rule 6 — the number is not printed on the clinic's own pages (audit not_published) — matched by name)
22 September 2026Dr. Gabriel Peralta — Cirugía Estética Costa Ricaaxes.M3: 5 → 4 (Methodology v1.3 (owner rulings 2026-09-22) — § F rule 6 — the number is not printed on the clinic's own pages (audit not_published) — matched by name)
22 September 2026Dr. Poveda — Aesthetic and Reconstructive Surgeryaxes.M3: 5 → 4 (Methodology v1.3 (owner rulings 2026-09-22) — § F rule 6 — the number is not printed on the clinic's own pages (audit not_published) — matched by name)
22 September 2026Dr. Rodrigo Araya — Cirugía Plástica Reconstructivaaxes.M3: 5 → 4 (Methodology v1.3 (owner rulings 2026-09-22) — § F rule 6 — the number is not printed on the clinic's own pages (audit not_published) — matched by name)
22 September 2026Dr. Victor Urzola — Plastic Surgeryaxes.M3: 5 → 4 (Methodology v1.3 (owner rulings 2026-09-22) — § F rule 6 — the number is not printed on the clinic's own pages (audit not_published) — matched by name)
22 September 2026Methodology v1.3.0Two new reasons for an empty cell: 'register does not cover this class of facility or this territory' (proved by a quote of the register's own statement of coverage; leaves the coverage denominator like a closed register) and 'nothing to query' (the clinic publishes no surname or no legal entity; stays in the denominator). Registers are read per jurisdiction — province, Land, emirate or region — where that is what licenses; openness, closedness and coverage are properties of the register class in that jurisdiction, and a closed jurisdiction never closes the whole country. The country map names sources, access and jurisdictions only; it never changes an anchor. The anchors of M1, M3, M4 and M5 are restated: 5 on M3 and M5 requires the number the clinic itself publishes; a found record whose specialty the register does not confirm is 3, not 1, unless the clinic claims a protected title the register does not show; adjacency is a closed list; a practice registered under its host facility scores 4 on M4. The advertising lexicon (M7) is closed: 2 needs an unconditional absolute about the patient's future safety or the treatment outcome, rendered in the clinic's own voice; purpose clauses, revision programmes, manufacturer warranties and equipment statements are not patterns; absolutes about the past and satisfaction figures are 3. M9 counts a document class only when it is reachable from a stable address and named by a heading or a labelled control. A record is published only if at least one register axis holds a value. Every cell records how it was read (script, second egress, browser) and is re-verified in the same mode; a page that fails to load never degrades a cell. A negative finding needs one official register record about this unit or this person, from the register that governs the claim, with a status in force; the clinic receives a letter and a 14-day reply window before the finding is published; an absence (“no sanctions”, “not found”) is never rendered. Personal identifiers are never stored. Weights, the 75% coverage threshold, ceilings, holds and the ten-clinic floor are unchanged.
22 September 2026Plastic Surgery Costa Rica — Dr. Miguel Alfaroaxes.M7: 2 → 4 (Methodology v1.3 (owner rulings 2026-09-22) — § B closed lexicon — superlative: M7-C)
22 September 2026Plastic Surgery Costa Rica — Dr. Miguel Alfaroaxes.M3: 5 → 4 (Methodology v1.3 (owner rulings 2026-09-22) — § F rule 6 — the number is not printed on the clinic's own pages (audit not_published) — matched by name)
22 September 2026Symplastike — Dr. Andrés Tapia Herreraaxes.M3: 5 → 4 (Methodology v1.3 (owner rulings 2026-09-22) — § F rule 6 — the number is not printed on the clinic's own pages (audit not_published) — matched by name)
20 September 2026AC Aesthetic Center — Dr. Andrés Castrillónaxes.M5: null → 2 (Clinic-site scan for a legal entity, then the Hacienda taxpayer register (v1.2 pass 1))
20 September 2026AC Aesthetic Center — Dr. Andrés Castrillónaxes.M7: null → 5 (Lexicon scan of the clinic site (v1.2 pass 1))
20 September 2026AJA Centro Avanzado de Cirugía Plástica y Reconstructivaaxes.M5: null → 2 (Clinic-site scan for a legal entity, then the Hacienda taxpayer register (v1.2 pass 1))
20 September 2026AJA Centro Avanzado de Cirugía Plástica y Reconstructivasummary: "Single-site plastic and reconstructive surgery clinic inside Hospital Clínica Bíblica in San José. Responsible surgeon named with role and tied to this address; specialist certification matched in the CMC register; the clinic's own site states a guaranteed-best-results claim (quoted on the profile)." → "Plastic and reconstructive surgery clinic inside Hospital Clínica Bíblica in San José. The responsible surgeon is named with his role and tied to this address, and his specialist certification is matched in the CMC register." (Summary rewritten as neutral patient-facing facts (build wording lint; v1.2 pass 1))
20 September 2026Arte Facial — Dr. Abraham Gómezaxes.M5: null → 2 (Clinic-site scan for a legal entity, then the Hacienda taxpayer register (v1.2 pass 1))
20 September 2026Centro Europeo de Cirugía (CEC)axes.M5: null → 2 (Clinic-site scan for a legal entity, then the Hacienda taxpayer register (v1.2 pass 1))
20 September 2026Clínica Alfaro — Dra. María José Alfaro Vegaaxes.M5: null → 3 (Re-run against the Hacienda taxpayer register and the company-register fallbacks (v1.2 pass 1))
20 September 2026Clínica de Cirugía Plástica — Dr. Bernardo Peralta MantillaInitial collection (v1.2 pass 1).
20 September 2026Clínica Rivera — Dr. Christian RiveraInitial collection (v1.2 pass 1).
20 September 2026DOLCE Medical Center — Dr. Allan Pérez BaltodanoInitial collection (v1.2 pass 1).
20 September 2026Dr. Alfredo Vargas — Plastic and Reconstructive Surgeryaxes.M5: null → 2 (Clinic-site scan for a legal entity, then the Hacienda taxpayer register (v1.2 pass 1))
20 September 2026Dr. Eduardo Brenes Leñero — State of the Art Plastic Surgeryaxes.M5: null → 2 (Clinic-site scan for a legal entity, then the Hacienda taxpayer register (v1.2 pass 1))
20 September 2026Dr. Eduardo Brenes Leñero — State of the Art Plastic Surgeryaxes.M7: null → 3 (Lexicon scan of the clinic site (v1.2 pass 1))
20 September 2026Dr. Gabriel Peralta — Cirugía Estética Costa Ricaaxes.M5: null → 2 (Clinic-site scan for a legal entity, then the Hacienda taxpayer register (v1.2 pass 1))
20 September 2026Dr. Jorge Badilla — Cirugía PlásticaInitial collection (v1.2 pass 1).
20 September 2026Dr. Leonardo Canossa — Cirugía PlásticaInitial collection (v1.2 pass 1).
20 September 2026Dr. Poveda — Aesthetic and Reconstructive Surgeryaxes.M5: null → 2 (Clinic-site scan for a legal entity, then the Hacienda taxpayer register (v1.2 pass 1))
20 September 2026Dr. Rodrigo Araya — Cirugía Plástica Reconstructivaaxes.M5: null → 2 (Clinic-site scan for a legal entity, then the Hacienda taxpayer register (v1.2 pass 1))
20 September 2026Dr. Victor Urzola — Plastic Surgeryaxes.M5: null → 2 (Clinic-site scan for a legal entity, then the Hacienda taxpayer register (v1.2 pass 1))
20 September 2026OAS Plastic Surgery — Dr. Oscar SuárezInitial collection (v1.2 pass 1).
20 September 2026Plastic Surgery Costa Rica — Dr. Miguel Alfaroaxes.M5: null → 2 (Clinic-site scan for a legal entity, then the Hacienda taxpayer register (v1.2 pass 1))
20 September 2026Plastic Surgery Costa Rica — Dr. Miguel Alfarosummary: "Single-surgeon plastic surgery practice at Hospital CIMA in Escazú. Responsible surgeon named with role and tied to this address; specialist certification matched in the CMC register; the clinic's own English-language page states a guaranteed-superiority claim (quoted on the profile)." → "Single-surgeon plastic surgery practice at Hospital CIMA in Escazú. The responsible surgeon is named with his role and tied to this address, and his specialist certification is matched in the CMC register." (Summary rewritten as neutral patient-facing facts (build wording lint; v1.2 pass 1))
20 September 2026Rosenstock Lieberman — Plastic SurgeryInitial collection (v1.2 pass 1).
20 September 2026Symplastike — Dr. Andrés Tapia Herreraaxes.M5: null → 2 (Clinic-site scan for a legal entity, then the Hacienda taxpayer register (v1.2 pass 1))
20 September 2026Symplastike — Dr. Andrés Tapia Herreraaxes.M7: null → 3 (Lexicon scan of the clinic site (v1.2 pass 1))
20 September 2026Symplastike — Dr. Andrés Tapia Herrerasummary: "Single-surgeon plastic, reconstructive and aesthetic surgery practice at Avenida Escazú. Responsible surgeon named with role and tied to this address; specialist certification matched in the CMC register; the clinic's own site states a guaranteed-successful-surgery claim (quoted on the profile)." → "Single-surgeon plastic, reconstructive and aesthetic surgery practice at Avenida Escazú, with a nutrition service alongside. The responsible surgeon is named with his role and tied to this address, and his specialist certification is matched in the CMC register." (Summary rewritten as neutral patient-facing facts (build wording lint; v1.2 pass 1))
20 September 2026Vía Bellezza — Dr. Mario AlvarengaInitial collection (v1.2 pass 1).
18 September 2026AC Aesthetic Center — Dr. Andrés Castrillónaxes.M7: 3 → null (Citation re-check: quote not found at https://drandrescastrillon.com/ (quote not found); cell degraded to could-not-verify.)
18 September 2026Methodology v1.2.0Coverage is measured against what the country lets us check: a register class that does not exist here or is closed to machine queries (with the refusal on record) leaves the coverage denominator; a completed query with no match, an attempt that did not complete and a single language front stay in it. A register miss is never a value: the three anchors that used to encode a miss (M1 = 1, M4 = 3, M5 = 1) now mean a found record that contradicts the claim, or, for M4 = 3, a register that is not machine-accessible while the clinic publishes its facility number. Where the specialist register is closed, M1 is not scored on that site at all; what a society, ISAPS or a hospital page says is shown on the profile as a secondary fact outside the score. Commercial mirrors of an official register can support M3–M5 up to 4 with secondary provenance. M8 may be empty only for a single language front or while the clinic site fails to load. The citation verifier applies exactly three normalisations (HTML entities, Unicode NFC, whitespace). Weights, rubrics otherwise, the 75% coverage threshold, ceilings, holds and the ten-clinic floor are unchanged.
17 September 2026AJA Centro Avanzado de Cirugía Plástica y Reconstructivaaxes.M8: null → 5 (Mechanical cross-locale comparison (methodology v1.1, item 9).)
17 September 2026Arte Facial — Dr. Abraham Gómezaxes.M8: null → 5 (Mechanical cross-locale comparison (methodology v1.1, item 9).)
17 September 2026Centro Europeo de Cirugía (CEC)axes.M8: null → 5 (Mechanical cross-locale comparison (methodology v1.1, item 9).)
17 September 2026Dr. Victor Urzola — Plastic Surgeryaxes.M8: null → 5 (Mechanical cross-locale comparison (methodology v1.1, item 9).)
17 September 2026Methodology v1.1.0Completeness of collection became a build gate. Every cell we could not verify now carries a typed reason (register absent in this country, register not machine-accessible, queried and not found, attempt not completed, single language front) and, where a query was run, the attempt log; a closed register is tried through secondary routes before a cell is left empty; cross-locale consistency (M8) is computed mechanically. Only clinics with a published score are shown; a site publishes only with at least ten scored clinics (target fifteen) and otherwise shows a holding page while collection continues. Home title, heading and description name the country and are built from the site’s own data. Weights, rubrics, the coverage threshold, ceilings and holds are unchanged.
17 September 2026Symplastike — Dr. Andrés Tapia Herreraaxes.M8: null → 5 (Mechanical cross-locale comparison (methodology v1.1, item 9).)
31 August 2026AC Aesthetic Center — Dr. Andrés CastrillónInitial collection.
31 August 2026AJA Centro Avanzado de Cirugía Plástica y ReconstructivaInitial collection.
31 August 2026Arte Facial — Dr. Abraham GómezInitial collection.
31 August 2026Centro Europeo de Cirugía (CEC)Initial collection.
31 August 2026Clínica Alfaro — Dra. María José Alfaro VegaInitial collection.
31 August 2026Dr. Alfredo Vargas — Plastic and Reconstructive SurgeryInitial collection.
31 August 2026Dr. Eduardo Brenes Leñero — State of the Art Plastic SurgeryInitial collection.
31 August 2026Dr. Eduardo Brenes Leñero — State of the Art Plastic Surgeryaxes.M7: 4 → null (Citation re-check: quote not found at https://www.breneslenero.com/ (quote not found); cell degraded to could-not-verify.)
31 August 2026Dr. Gabriel Peralta — Cirugía Estética Costa RicaInitial collection.
31 August 2026Dr. Poveda — Aesthetic and Reconstructive SurgeryInitial collection.
31 August 2026Dr. Rodrigo Araya — Cirugía Plástica ReconstructivaInitial collection.
31 August 2026Dr. Victor Urzola — Plastic SurgeryInitial collection.
31 August 2026Plastic Surgery Costa Rica — Dr. Miguel AlfaroInitial collection.
31 August 2026Symplastike — Dr. Andrés Tapia HerreraInitial collection.
31 August 2026Symplastike — Dr. Andrés Tapia Herreraaxes.M7: 2 → null (Citation re-check: quote not found at https://www.drandrestapiah.com/ (quote not found); cell degraded to could-not-verify.)
29 August 2026Methodology v1.0.0Initial public methodology: nine mechanical axes (M1–M9, weights summing to 100), 1–5 rubric per axis, weighted composite normalised over axes that hold a value, 75% coverage threshold, hold ladder H1–H3, score caps only from verified-false findings, focus penalty, registry-gated crowns.