I was referred to Dr. Medina from my Pain Dr. I had a pannectomy and breast augmentation. I wanted to do both at the same time, and was told by two other plastic surgeons they could be done as an outpatient. Dr. Medina advised not to do them at the same time due to my past medical history with Meningitis, the pannectomy was done as an inpatient and I was monitored very closely, we waited for 6 months before the breast augmentation to make sure there weren't any complications. Otherwise, if there were any complications and we had done both procedures, I could have lost the implants. I am very pleased with my results. Dr. Medina is a very intelligent and caring surgeon.