Post Bariatric Surgery in Tijuana, Mexico with Dr. Manuel Gutierrez

In the last 3 years, the number of patients that have undergone massive weight loss have increased dramatically. This has required us to attend more training courses and develop and design more operation techniques for these types of patients. We have been able to perform in a single patient a face lift, breast lift, arm pit & upper back resection J incision, braquioplastia (arm reduction), extended tummy tuck, vertical tummy tuck, Brazilian butt lift, inner thigh lift and outer thigh lift.

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 gingko biloba, ginseng, and green tea. This medication must be stopped 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, armpit and upper back with a J resection from the back of the armpit to the infra mammary crease, (procedure designed by Dr. Manuel Gutierrez) full arm reduction (from elbow to armpit) 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, butt implants, genital reconstruction & vaginal reconstruction.

The procedure will be staged according to the patient’s need and priority. We like to begin with breast and tummy, continue with face, arms and thighs, and finish with butt 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.