Body Contouring Post Weight Loss
Globally renowned and respected Brazilian plastic surgeon Carlos Roxo has perfected the post massive weight loss procedure and partnering with Dr. Alicia Sigler is able to bring his expertise to you here in Tijuana. Dr. Roxo's approach to such extensive and difficult surgery is to perform work on all parts of the body simultaneously with the aid of other surgeons, resident surgeons and fellows.
Of the body in 5 hours, with minimal blood loss, no need for blood transfusions and excellent results, with a happy patient walking around the following day and being able to go home as if the surgery had been not that extensive. He accomplished this taking advantage of a group of skillful residents and fellows that take care of different parts of the body simultaneously. Anesthesiologists who are very knowledgeable on how to treat this patients while under anesthesia and postsurgical care which is very similar to the one given to a tummy tuck patient.
Dr Sigler has been fortunate to learn from him and will start a partnership with Dr Roxo to provide the same excellent result at a very affordable price. You will not need to travel to Brazil to get your surgery done there by Dr Roxo. Dr Roxo and Dr Sigler will be performing his techniques in Tijuana, Baja California, Mexico. At a state of the art clinic with all the postoperative care you need after one of these surgical combos, that may include tummy tuck or lower body lift, breast lift, arm lift and thigh lift. Depending on the need for ongoing nursing care you may be discharged from the clinic the following day or two and will be transferred to a recovery home or hotel with a nurse assisting you.
Follow up visits are important to assess your recovery, energy level, mobility, drainage from surgical areas, and vascular status.
“After losing all that weight, I still felt like my clothes didn’t fit right and I was not confident to go to the beach. Plastic surgery on my arms, tummy and thighs with hidden scars allowed be to feel so much better about my body!”
What are the various procedures involved?
The incision runs along the inner arm skin and removes the sagging skin resulting in a firm look to the arms. This effectively gets rid of 'bat wings'.
What body contouring can and cannot do
Am I a good candidate?
You are an ideal candidate if:
• You are in good health with no illnesses, but if you have high blood pressure or diabetes, thyroid, heart or kidney problems, they have to be well controlled. Dr Sigler will need a letter from your treating specialist clearing you to undergo a surgical procedure that may last from 3 to 5 hours.
• You do not smoke (cigarettes or marijuana) or vape
• Your pre-op lab work is normal
• You agree to follow the pre-surgery instructions and be off the listed medications 2-3 weeks prior to surgery. These include anticoagulants or other blood thinners that can lead to serious complications after surgery. It is preferred you stop taking any feminine hormones such as estrogen and progesterone as well.
• You have reached your desired weight with a BMi (body mass index) of 30 or less
• You have friends or family available for your post-operative care
• You are willing to follow post-operative instructions, take medications and wear compression garments as directed
• You are able to take 14 days or more off work to rest at home and heal
Pricing and payment
Prepping for your surgery
Dr Sigler and Dr Roxo will need a full battery of labwork that will include CBC (Complete Blood Cell count), CMP (Complete Metabolic Panel), PT/INR, PTT which are the coagulation tests, UA (urinalysis), Blood Type, Thyroid function tests and HIV/Hepatitis tests. If all of them are normal, Dr Sigler will require a letter from your medical internist stating you are in good conditions to undergo these surgical procedures. If you have a heart condition or high blood pressure or you are 50 or over, Dr Sigler will require an EKG and a cardiovascular assessment by a cardiologist and a letter by him stating you may have this kind of surgery.Since nutrition may be impaired after massive weight loss, if any problems are detected in the albumin or other proteins in the labwork, Dr Sigler and Dr Roxo will not schedule your surgery until your nutritional status is normal. Wound healing depends on good nutrition before and after the surgery. You will be recommended a menu of foods after your surgery to heal in a proper manner
During the consultation, your medical history will be taken in order for Dr. Sigler to evaluate your general health. A careful examination will also be conducted. Together with Dr. Sigler, you will discuss the procedure and communicate your desires, your concerns and the results you hope to achieve. You may bring photographs to show Dr. Sigler examples of what you are looking for. Dr. Sigler will go over details of the procedure itself and the possible risks and complications as it pertains to any medical or structural issues she sees in your case. She will go over the type of anesthesia to be used. Once you have all your questions answered, you will both agree on a surgery plan and a proposed date. Photos are taken before and after the surgery in order to determine the amount of improvement.
Setting Your Surgery Date
A deposit is required to confirm the date and time of the procedure. See pricing and payment above for details.
If You Smoke
If you smoke, this habit should be stopped at least two months prior to surgery. This includes vaping and marijuana smoking.
Two Weeks Prior to Surgery
Review and download this list of medications and supplements to avoid.
Stop taking any medication on this list two to three weeks before the surgery. Avoid any intake of aspirin, ibuprofen, Naproxen (excedrin, Motrin, Aleve, Advil), vitamins that include vitamin E, and energy drinks as well.
Arrange for family or friends to be available for assistance when you return home to recuperate. Clear your schedule. Make a list and organize your environment to be safe and condusive to bedrest. Stock your kitchen and plan ahead for a period of time spent watching TV, reading or simply relaxing.
Pre-op labwork should be done two weeks before the surgery with your own doctor, and then sent to Dr. Sigler. If you prefer Dr. Sigler to do the labwork, you will need to make arrangements prior to your surgery date. Required labwork includes:
CBC (Complete Blood Count), CMP (Chemical Metabolic Panel), PT (Prothrombin Time) and INR, PTT (Partial Thromboplastin Time) and any other labwork specific to your particular medical condition(s), such as a Thyroid Hormonal Panel.
If you are over 50, it will be necessary to have a cardiovascular assessment including an EKG and possibly a chest x-ray. Dr. Sigler will advise.
Approval for Surgery
If you are currently undergoing treatment for a medical condition or disease, a letter from your treating specialist must be sent to Dr. Sigler at least two weeks prior to the surgery stating you are cleared to go ahead with the procedure, and include any pre-op and post-op recomendations in order to avoid possible complications during or after the surgical procedure.
Night before Surgery
Eat a lighter dinner and do not eat or drink past midnight.
Day of Surgery
Do not eat or drink anything except a little water. Allow sufficient time to get to the surgery center. Using Dr. Sigler’s car service is usually the most efficient way to ensure a timely arrival. Intake is typically scheduled two hours prior to the actual surgery. You will meet with Dr. Sigler for your pre-op consultation, pre-op photos and markings on body or face, and for a final discussion about your procedure. Paperwork is completed and final prepping by your surgical team is carefully performed.