surgical outcome. As to causation, her conditions are the sole result of the cosmetic facial surgery. There is no basis for any other causal factors and Ms. X.________ does not display any features of Malingering, which is always a consideration in a forensic setting. I did not find this to be a factor for Ms. X.________, who has cooperated with treatment and continues to seek remedies for her conditions. Her conditions are the direct result of the cosmetic facial surgery, which she would not have -6-