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Cosmed Tijuana, Dr. Quiroz - Tijuana, Mexico

First, let me say that at 7 weeks post-surgery...

First, let me say that at 7 weeks post-surgery from a Lower Body Lift with Inverted-T Tummy Tuck, Breast Lift and Arm Lift I am already VERY, VERY, VERY happy with the results! I'd lost the weight battle and been morbidly obese beginning in my teens. At 52, I am now HOT, HOT, HOT!!! Dr. Quiroz not only is an expert at removing all that body skin. He also tailors what's left into a firm, curvy body-suit. He is an artistic tailor!

That said, please do know that things work differently in Mexico. Phones go unanswered during business hours, voice-mailboxes are full and not accepting new messages more often than we would consider good business practice here in The States. It can take a week to get a phone call returned. The way of doing business is so much more relaxed than we Americans are used to that in the lead-up to surgery I was concerned. I decided to go forward and trust that behind the loose business practices is a very talented surgeon. That turned out to be true. Dr. Quiroz is the plastic surgeon my LapBand surgeon in TJ, Ariel Ortiz, recommends and I trusted Dr. Ortiz. (For the record, Dr. Ortiz' business practices are also looser that we are used to in the U.S. so I think they have a more relaxed way of doing things in Mexico but with Dr. Quiroz the end result was ultra-professional!)

I got into a bit of trouble trusting that what I wrote in emails was understandable to the Patient Coordinator reading it. There were misunderstandings that in hindsight I attribute to a language barrier. I thought I had reserved 14 nights in the Recovery Spa and when I arrived they only had reserved 7 nights and only had availability for 9 nights. So my husband had to scramble to make new travel arrangements while I was recovering at Cosmed. It ended up costing me an extra $900 in airline fees for a new return ticket and my original ticket went unused. That was disturbing. So, communicate very, very clearly and question short responses to your long detailed emails. I wrote long emails laying-out my questions and concerns in advance and believed short responses like "Everything's all set." I should have not trusted that and I should have asked, "What is all set?" That might have unearthed misunderstandings while there was time to adjust plans.

For the record, Dr. Quiroz' english is perfect! Most of the staff speaks English quite well. I did have a few nurses who really had significant problems with English. I had one nurse who didn't know what a pillow is.....even with me pointing at a pillow 4 feet from my bed and saying, "Pillow please." So, download from the internet a list of terms for communicating with hospital nurses in Spanish. I believed the literature, did not do this and paid for it with a language barrier that caused significant stress. This was stress I didn't need in the first few days dealing with 8 feet of scars from arms to pelvic region and drains hanging from my body.

Would I do it over again knowing what I know now? Yes, in a heartbeat! I left 13 pounds of flabby, wobbly abdominal, butt, breast and arm fat in Mexico and Dr. Quiroz tailored what remained into a model's body! I may return for a facelift in the coming months now that my body looks 20 and my face is 52......nothing major or reconstructive.....just fewer wrinkles......something like my face 10 years ago.

One more thing: have an aftercare plan in place at home. The day after I returned home (day 10) my abdominal incision infected and I didn't have a plan. I was lucky when the plastic surgeon's office in my local medical group agreed to take me on as an after-care patient. Many people in the same situation have had trouble finding an American to do aftercare following a procedure "abroad." They say it's a "liability issue." If Palo Alto Medical Foundation hadn't agreed to take me on as an aftercare patient on the day I needed it I don't know how I'd have gotten the antibiotics and would care I needed once I got home. This is not Cosmed's fault as the infection appeared the day after I left them. It really is your responsibility before you return home to have aftercare in place in your home town. Don't go to Mexico for surgery unless you have someone willing to work on you when you get home. This is more important the more procedures you have at one time and I had a lot! The plastic surgeon at home was shocked at the amount of surgery I had in one pass. The first month of recovery was BRUTAL but I am so glad I did go abroad and have it all done at once.....A lengthly 8-9 hour surgery two American surgeons told me they would never do in one pass.

Overall, I am very, very happy. Just go into this with your eyes wide open that you will not be in America surrounded by people whose primary language is also yours at a very delicate, needy, fragile time in your life.

I'd be happy to answer your specific questions at keenanbeagles@att.net
Mexico Plastic Surgeon

See above for doctor review. The $16,000 includes all 4 procedures, recovery spa and flying down a month early to give blood so my own blood could be transfused into me.

4 out of 5 stars Overall rating
3 out of 5 stars Doctor's bedside manner
3 out of 5 stars Answered my questions
3 out of 5 stars After care follow-up
3 out of 5 stars Time spent with me
1 out of 5 stars Phone or email responsiveness
3 out of 5 stars Staff professionalism & courtesy
4 out of 5 stars Payment process
4 out of 5 stars Wait times
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Comments (16)

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She is going in for her surgery but chose a different dr. congratulations to you. Can you tell me exactly what your lower body lift entailed? i saw one dr. say he does the inner thigh, upper pubic area, butt and abdomen. was this included in your lbl?
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9 month update. I am doing very well. I workout daily and am taking full advantage of this second life at 52. My body gets a lot of attention for positive reasons for the first time in my life. The only problem I have had, and it is a big one, is that many sutures were not buried deeply enough in the skin. Over time they rise out of the skin like nylon whiskers that hurt. Against my undies and bra they feel like little needles or pins jabbing me. I have had over 20 of them removed in minor procedures locally. They are everywhere I had surgery: along the bikini line being pinched by undies, under and around the breasts being pinched by bras, and my armpits and inner upper arms being pinched by clothing. They are very uncomfortable. In the procedures I have had no spot in numbed with a local anesthetic and then sliced open 1/8 of an inch to fully expose the nylon thread. It is them very firmly tugged on to pull it out as much as possible and then cut at the base so it retracts bad under the skin. Then a stitch or two is put in to hold it shut while it heals. So far these nylon-type "hairs" are not recurring once snipped but new ones pop up every few weeks. It is depressing to be dealing with new incisions and scars all the time but I am glad to have good local aftercare. I know I stressed the importance of this is the main review I wrote and it has only become more important as time has gone on. I am nursing eight mini-surgical sights right now. Will try to post a bathing-suit pic no as my profile pic if I can figure out how.
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"one spot" is numbed, not "no spot." "back" under the skin, not "bad." "now", not "no."
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PS: Please email me directly for more info and to ask your specific questions. I thought RealSelf would forward posts like Dee's as they occurred but that did not happen. I just happened to be here today to post an update. Those of you who have emailed directly I have been very happy to help.....just don't trust RealSelf to make the connection for you. Emal me directly. :-)
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Are these the deep tissue type blue stiches that are working them selves out?
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Hi Dee. I wouldn't call them blue. They are closer to clear or grey. These stitches popping up seems to have finally stopped. It's been a hassle but the entire process has been well worth it to have the body I have now. Now I'm trying to build-up my courage to face going through a facelift. I will probably visit Cosmed in the coming months to talk about this. I am such a wuss when it comes to pain and depression during recovery that it is hard to face the prospect again. But the results are so, so worth it.
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Dr Q did a wonderful job with my lower face/neck lift, only problem was I should have also done the brow lift now I have to go back and have it done...I was afraid it was too much to do at once, but afterwards he told me I had already done the hard part...oh well, I need to go back in a few months to have another consult about the LBL and possible thigh lift. Hopefully I will be done then!
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You and are are doing the same procedures in the opposite order! I started with body and am moving up. You started with the face and are moving down! :-)
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Thank you. I know you are not very computer savvy, but you really should post this info in your review above. Most people will not see it here in the comment section. Thanks again for this valuable review.
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I would love to hear how you are doing now and also if you have any pictures to share. I am planning this same surgery next spring....Thanks for sharing.
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Hi Dee. Sorry it took a while to answer. I'm not good on computers and don't get online very often. Besides I am busy working out a lot. I'm going to answer your question above and post a bathing suit pic if I can figure out how.
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Can't wait, I plan on having Dr Q do my LBL so I would love to see the after pics. What kind of butt cut did you get? Just wondering if Dr Q does the heart shape ones or straight line cut.. what I would really like to see is the scars and how they look today...thanks I bet the bathing suit one looks hot!
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Hi Dee. I didn't get a butt cut, so I can't tell you about that. I can't figure out how to add photos here or I would. Do you know how?
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Well, It's my one year surgery anniversary next week. It is hard to believe it's only been a year. My life is so different, so much happier since losing weight, getting healthy and surgery. I can't stress working-out enough, whatever that means for you. For me it means yoga and mountain-hiking at least 20 miles per week ! That is what has created permanent change in my body. Here is a 4/22/14 newspaper article on me in my hometown newspaper with quotes from my medical team, including Dr. Quiroz. I am very, very, very happy I did it and back to life when I was just waiting to die a few years ago. Please share it with others and let's inspire the hopeless! http://www.santacruzsentinel.com/santacruz/ci_25610212/170-pounds-lighter-ben-lomond-woman-shares-her
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How did you do Dee?
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Very cool story!!! You are a great example to women of all ages...We are the same age, I am going tomorrow to have my work done, I will update!
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