The reality for most patients is that no matter how aggressive the removal of skin is in each procedure, there will always be more skin due to the fact that skin is an elastic organ. We always try to stage the procedures, and rarely perform more than 2 to 3 procedures at the time. The most important thing is to have a patient in good health conditions, blood work, EKG, and preoperative evaluation is mandatory. Also it is very important to stop any blood thinners such as: aspirin, multivitamins, vitamin E, Motrin, ibuprofen, and supplements with gingobilova, ginseng, and green tea. This medication must be stop for at least 3 to 4 weeks.

It is also very important to start a high protein diet for at least 4 weeks prior to surgery; this will help the patient to be in better condition for the wound healing process. The procedures we offered to post bariatric patients are: face lift, breast lift, augmentation or reduction, arm pit and upper back with a J resection from the back of the armpit to the infra mammary crease, (procedure design by Dr. Manuel Gutierrez) full arm reduction (from elbow to arm pit) or mini arm reduction only in the armpit, tummy tuck, extended tummy tuck, vertical tummy tuck, Brazilian butt lift, inner thigh lift, outer thigh lift, but implants, genital reconstruction & vaginal reconstruction.

“The patient priority is fist” the procedure will be staged according to the patients need and priority. We like to begin with breast and tummy, continue with face, arms and thighs, and finish with but and upper back. We like to wait 1 to 2 months in-between surgeries and 6 months if is in the same area. It is also important to make sure the patient has a good protein intake.