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Kudos to your friend for evaluating her situation and making an informed decision about her reconstructive surgery.
Her improved health and physical appearance has given her back her life. A positive self image is imperative to our over all health!
Self-esteem is very important for everybody. We need it to function well in our work and in the society. To enhance self-esteem, some go to the extent of surgery to develop or improve physical appearance to enhance self-esteem
http://www.promdinurses.com
Self-esteem and the image itself is very important, and whatever we may do to feel comfortable with ourselves should be done.
If your self-esteem is low, your achievements will also be.