19 is actually a bit old for plastic surgery in Venezuela. The South American country has won the Miss World competition more than any other country and it's quite commonplace that girls are gifted breast enhancement surgery for their 15th birthdays.
But the strangest procedure of all was something she did to herself. For six years Avendaño wore a tight corset for 23 hours a day, so that her waist would shrink. It pressed tightly against her ribs, which she didn't mind although her doctors strongly advised against it.
Wearing such a tight corset can severely damage your internal organs and cause breathing difficulties. But Aleira didn't want to hear it, "the hourglass figure is the image of the perfect woman. I'm getting close and I'm going to keep trying," said the model. If you'd like to see more photos of Aleira, you can visit her Instagram account.