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Friday, January 30, 2015

Faja

Having a quality compression garment is crucial to the success of my surgery. I will definitely follow my surgeons lead and hopefully find a great place to get my fajas from.

Post Op Care

My mind is always running in a million different directions. Lately, it is about Post Op care and issues.

I read a blog or maybe it was a FB post talking about getting massages when she was back in the states. So I will start looking to the things I need to do post-op to be successful in my journey.

Some of the things I think I will need include:

Lymphatic Massages
Fajas

If I am missing anything let me know. I want to be as prepared as possible.

Wednesday, January 28, 2015

Goico Correspondence

One of the main reason I was drawn to using Dr. FG

1/26/2015
--Discount
No, the multiple patients discount is a 15% discount and the seed patient is a 10% discount. They cannot be added one with the other You can secure your quote and date with the 10% discount. For the moment your surgery buddy books her surgery date close to yours, i will update your balance with the 15% multiple disc. 

Pre-Op
The thing is that the PreOp appointment is a full and complete evaluation before surgery, not only by DR. FG but also by a Cardiologist, a Blood Work technician, a Chest Xray. So you will have to be here in Santo Domingo in the morning, to fulfilled the 24 hrs requirement before get in surgery and be in our office at 11.30 am.

After you pay for your deposit, your quoted price is assured for whenever you wish to have your surgery.

Payment for Services
For the  surgery date deposit, we only accept Western Union or MoneyGram  because this money is payed to the clinic.

Another option we have is PayPal, and with this option you can use your  credit card, but PayPal will charge you with a 5.4% of transaction fee. If you prefer this option, let me know and I'll send you your invoice.

For Western Union and MoneyGram you'd need the following information:
- Name: Luis Alejandro Fernandez Goico
- City/Country: Santo Domingo, Dominican Republic
- Amount: US$300.00
- Currency: US$

IMPORTANT NOTE: Make sure that the deposit is in US currency. Some  patients have deposited US$300 but Western Union changes the exchange  fare to a much lower one, and it ends up being less.

The information we'd need from you is:
- Complete name of sender
- City/State/Country from where is being sent
- Transaction code

You can do it from your home by clicking on this link:  https://www.westernunion.com/us/en/send-money-online.html

For the rest of the payment, if you do not want to come with all that  cash, you can use our Bank of America account if you'd like you could do 
a wire transfer (at least 2 weeks before your surgery). The only thing 
is  that we charge the International Transfer fee that will be charged 
to us which is US$65 dollars.

Bank of America Savings Account:
- Account under Name: Luis Fernandez
- Account #: 383012295575
- Routing Number: 026009593
- Address associated: 100 Woods RD, PMB 484 Valhalla NY, 10595-1530.


Any doubts you may have, feel free to contact me.

Thursday, January 22, 2015

Baez Quote


So I heard back from Dr. Australia Baez.
Her price was reasonable but did not address my desire for a breast list.  So that was frustrating, but after a 1/2 dozen quotes I have gotten it is never as simple or direct as I would like it to be. Her prices does not include a recovery house which is fine... I like the idea of finding my own based on my research. 

Hello---
Thank you for thinking of me for an evaluation of plastic surgery, for realization
of all
 the surgeries you requested the most important thing is that you must be healthy and the cardiologist must approve that we can perform all procedures. Price  for the surgeries that you are requesting, tummy tuck, liposculture to abdomen  waist, sides, back, inner thighs and Brazilian butt lift is US$ 3700 dollars, which includes:

-evaluation by plastic surgeon
-Cardiovascular evaluation (any other evaluation needed by pulmonologist or any specialist is not included)
- Laboratory exams
-Anesthesia
-Surgeries
-Overnight stay in the clinic (only for the day of your surgery )
-First compressive garment
-Free of charge follow ups (transportation not included)
-Medication post-surgery (antibiotics and analgesics) 
- Lymphatic drain massages and ultrasound massages are not included, cost is 300 dollars extra
- Recovery house is not included in the quote

THIS  QUOTE IS GOOD FOR 6 MONTHS.


You  need to weigh less than 200 pounds in order to get surgery


You can  include a medical insure for complications after a plastic surgery, it covers
all services you need in and out of country, it costs from 150-200 USD
depending on the amount of surgery you will get. If you have any clinical
condition you must obtain clearance from your doctor, if you smoke you
must quit two months before surgery and have clearance of your pulmonologist
.
The amount of fat transfer to your buttocks depends on how many cc can be
extracted with liposuction. Your  results also depend on your hemoglobin level if you want to get excellent  results you really have to be healthy and no anemia and please ask your primary
can doctor to take some blood test like glycaemia, full blood cell count and
creatinine at least to know if you can have all surgeries done. You can begin
to take vitamins once your surgery appointment is near (Iron, Vitamin C and B12
plus Folic acid are very helpful).


Important info: Your  date for surgery is important because I work from Monday to Friday (days for
surgery are from Tuesday to Friday). I usually have one patient per day, you  also have to arrive one day before surgery to be evaluated and have lab work done, and if you are arriving early it is better for you because lab tests can  be done from 8.00 am to 6.00 pm.


Medication  included in you package are antibiotics, analgesics and gastric protection
medication, all drugs provided are given to take by mouth, but you will have to  buy Enoxaparin, water pill and creams for bruises (arnica gel) and any other
medication not previously included, medicines aren’t expensive here so you will  spend around 200 dollars. Massages are not included. You should bring compression socks to wear them after surgery. 

You can also bring your own medication; here is a list of basic meds

  • Augmentin 1gr every twelve hours for ten days (antibiotic)
  • Omeprazole or any other antacid for 5 days one every day
  • Arnica gel
  • Medication for nausea
  • Water pill
  • Lovenox 40 mg every day for 7 days
  • Medication for itching (not every patient but some feel itching)
  • Any strong medication for pain like percoset every 6 to 8 hours for 5 days



Your  compressive garment included is a Mariae’s brand item if you want one more  garment cost 120-150 dollars. You will need to buy a stage two faja 5-7 days  after your surgery so if you want you can bring one or buy it here in a faja store. 


I work  with a team, my cardiologist will evaluate you and my anesthesiologist will examine you and discuss what type of anesthesia suits you right, you might have epidural block or general anesthesia. Anesthesiologist and cardiologist have the last word about how many procedures can be done safely on you.


If you have a tummy tuck, we include with a tummy tuck muscle repair. If you are aiming to have a breast augmentation, there are several brands of breast  implants but all are silicone gel cohesive, texturized implants (Silimed, Eurosilicone, and Donasis) depending on the brand you choose then your quote  might be lower or higher, (Silimed is the most expensive brand as they have the
approval of FDA ). In the quote you receive we generally  include Eurosilicone implants for your surgery. 

PLASTIC SURGERY IS NOT THE SAME AS WEIGHT LOSS SURGERY; YOU HAVE TO BE INSIDE NORMAL RANGE OF BMI  (BODY MASS INDEX) OR JUST OVERWEIGHT TO HAVE SURGERY. ANESTHESIOLOGIST REQUEST  THAT PATIENTS MUST WEIGHT 200 POUNDS OR LESS. IF YOU SMOKE OR USE ADDICTIVE  DRUGS YOU MUST QUIT THEM ONE OR TWO MONTHS BEFORE  SURGERY AND TWO MONTHS AFTER TOO IN ORDER TO GET GOOD RESULTS AND NO COMPLICATIONS. PLASTIC SURGERIES ARE FOR HEALTHY PEOPLE OR THOSE WHO HAVE ANY  CLINICAL CONDITION BUT ARE UNDER CONTROL, IF YOU HAVE ANY DISEASE YOU HAVE TO CONSULT AND GET APPROVAL OF YOUR DOCTOR BEFORE SURGERY.

We are  located in Santo Domingo (capital of the country), Dominican Republic; the
nearest airport is Las Americas International Airport (SDQ). I work at
Instituto de Cirugia Especializada, the clinic is placed in Gazcue neighborhood
(Address is Bolivar Avenue 208, suite 405, 4th floor), and it is near to hotels
and colonial zone; my cellphone number is 18098908143 and office number
18096899342 if you can’t reach me at this numbers you can call my husband Dr.
Rodriguez so he can answer your questions, he is available in the morning from
9am to 1 pm
. If you need  transportation or a recovery house, there are several in Santo Domingo areas; I  don’t work with an exclusive recovery house and i don’t have a preferred one,
these recovery houses are near clinic: Yasmin, Real recovery Armonia, Maria and
Daisy. If you stay in a recovery house you will have most of services you need
in just one place, most of recovery house include airport pick up if you need a
taxi driver to pick you up at the airport I can included but you need to
requested at least 3 days before your appointment, transportation included is
from Las Americas international airport to my office only. You can stay in a
hotel but you will need to come with someone else so that person can take care
of you. You will need to come to my office for follow up 2-3 times during your
stay in the country. 

This is a link in Google maps with the location of my clinic.

You will have to stay in Santo Domingo from 10 -14 days depending on the surgeries you will
get done. You will be able to get back to your work in two weeks (average). I
know some English but I can’t speak fluently, my assistant will help me in your
evaluation to have a better communication.

Quotes are good for 6 months after that cost might change or some items could not be
included. 
I just  accept payment in cash (US dollars) for your surgery. It is necessary to deposit to my bank account to lock a surgery date unless you are requesting a
date in a week or less, you can do a deposit of 200 USD to lock your date and
this deposit is not refundable. Once you do a deposit that amount is
deducted from your quote.
 Once you deposit the money you can send me an email and i will confirm that everything is ok. Questions or doubts
about the price or the elements included in your surgery package just email and
I will reply as fast as I can but please try to send all of them in just an email in order to make things easier for me as I receive several emails in just
one day.



Sincerely,
     Australia Fragoso Baez, MD.
     Plastic, Reconstructive and Aesthetic Surgery.


Instagram; @afragosobaez http://www.draustraliafragoso.com/
instagram: @afragosobaez

Tuesday, January 20, 2015

Robles Quote

I received my quote from Robles. I was a bit let down as she isn't willing to do everything I need. She was the 1st doctor suggest I lose 30pounds. I did ask but damn. . . . 30pounds that smaller than I have been since college in the early 1990s..

I have a few issues with her quotes. 

  1. They do not include everything I want done.
  2. I do not have the availability or desire to come for round 2.  
So she is removed from the running. I need to feel.... hell know that my dr. can meet my surgery needs. 


Hello SweetHeart,

Dr. Robles said she would love to please you becase she know it is very Important for you, but in your case she suggest performed the procedures separtly because is more safe.  She generally recommend that cosmetic surgical procedures be limited to no more than 5 - 6 hours for safety purposes. Your risks include your weight and length of the operation. I would advise dividing the operation it to two settings working on the upper body at on session and 3 - 6 months later the second stage.

We saw that the resutls are much better in short and long term.

She also recommend to lose 30 pounds.

That is why she Suggest the following combinations:

Liposuction on  back, waist  + tummy Tuck + lipotransference US$5200.00

Or

Tummy Tuck + Lipo on Waist + Breast Lift US$5800

Both packages included 12 days at the country.


* Price are in American Dollars.
* This price are guarantee for six months.
* Recovery House is optional; you also can ask for other recovery house prices or hotel.
* You can bring or buy an extra garment for an extra cost 100-150 USD.
* Non surgical guest to stay at the house: US$55 /day.

Our all-inclusive package includes:

         •Personal Assistant Full Bilingual
•Pre-surgical medical examinations (Chest X-Ray, Blood test)
•Cardiologic Evaluation
•Operating Room
•Anesthesia
•Post-surgical Accessory (1 Special Garments)
•Supplies and disposable materials
•Medicines (pain medicine and antibiotics)
•Medical fees
•Two nights at the clinic
•Consultation and medical checks before and after surgery
•Physician examinations and consultations, pre and post operative
•Transportation (Between Airport-Hospital- Recovery house- medical -checkups)
•Hosting (Home Cooking)

The following are not included in the all inclusive package: 

1.) Air Ticket
2.) Other transportation that is not medical.
3.) Any Additional drug.
4.) Surgeon views a hotel (You need to pay additional transportation, if you choose the hotel). 

What you can use and is not included in the package
1.    Iron shot
2.    Blood Transfusion
3.    Rosa mosqueta oil
4.    Extra garment
5.    Any other medicine that is not pain killers, antibiotic or vitamins.
For all the extra that is not included and you may use or need during your stay here can be cover with US$300.00

  
Now that you have your final quotation, please confirm if you're going to do the surgery to arrange everything and send you all the information you need to before surgery.

If you need me please feel free to contact me anytime.

The recovery house info came in a separate email but here it is....

Hello Sweetie,

For us will be a pleasure to please you, you can be sure we will do our best.

All the recovery House has Hospital Bed, Wifi, food and AC.
We work with the following Recovery House:

  • Virginia Recovery
  • Relax Recovery  IG: Relaxrecoveryhouse    FB: Relax Recovery House

Monday, January 19, 2015

Fernandez Goico Quote

Here is the quote from dr. Fernandez Goico.


I have attached the quotes for the following procedures (PDF format):

1. Mommy Makeover + BBL

Dr. FG gave you our "Seed Patient Discount". This is a 10% discount we  
give to patients that would help spread Dr. Fernandez Goico's work in  
their community after the surgery.

Remember, if you are viewing this email through a smartphone or a 
tablet, the files are usually at the bottom.

This quote includes:
- Cardiology checkup
- Pre-op labs
- Post-op meds (basic)
- Chest X-ray
- Compression garments (1 x faja and 1 x bra)
- Clinic (one night)

Does not include:
- Recovery house
- Lymphatic Drainage Massages (very recommended but not mandatory)
- Post-op insurance (costs US$150 and covers up to US$15,000 of any  
type of complication)
- Deep Vein Thrombosis and Thromboembolism Prevention Shots: 7  
(insuline like) shots needed the first week after surgery (approx.  
cost: US$140 for all shots included)

The Recovery Houses that we recommend are:

- (TOP CHOICE) Arelis Ureña Recovery House (Price US$120/night):  
belongs to a nurse that used to work with us and now has that business  
of taking care of patients 24/7, with transportation to/from airport  
and medical checkups included. Her name is Arelis Urena and her  numbers 
are cellphone (809)299-3797 and work phone (809)732-3797, in  case you 
want to give her a call and clear your doubts. Her price is  higher than 
regular Recovery Houses, but it's located in one of the  best 
neighbourhoods (Piantini) here in Santo Domingo, she offers  personal 
24/7 care of our patients and she speaks english very well  (which is 
considered a big plus by our international patients). Here is their fb 
page: 
https://www.facebook.com/pages/Arelis-Health-Wellness-Recovery-Cernter/271645976341692

- (TOP CHOICE) Serenity Recovery House (Price US$80/night): our  
patients have found very positive their stay here. One of the top  
things they have is that everyone speaks english well, and their  
accommodations are practically new. Here is their website:  
http://www.serenityrh.com/

- Real Armonia Recovery House: Some of our patients have also used  
"Real Armonia", which has a much lower price (US$85.00/day) but is not  
as private as the one I mentioned before. A good point is that it is  
the closest recovery house to our clinic (about 5 blocks away) and our  
patients have mentioned it is a very good house as well.

- Angela Recovery House (US$70/night): another choice used by our  
patients frequently, which has very personalized attention. It offers  
transportation and many of the features mentioned with the others, but  
their location is pretty far from our office (like a 30-45 mins  drive). 
Also, they have shared bathrooms which some patients find it  to be a 
very negative point.

- Tropical Recovery House (Price  
US$85/night)(http://www.tropicalrecoveryhouse.com/): one of our  patient 
is staying there right now. She's the first patient we've had  staying 
there but she is very pleased with their services. Their phone  number 
is: (809)595-3109.

If you find another house of your choice, please let us know which  
would you be interested in as there are plenty that have lower costs  
but are not good choices.

The recovery period for this surgery that Dr. FG requires the patient  
to stay in Dominican Rep. is at least 14 days.

In order for us to save a date for the surgery, the medical center  
requires a US$300.00 downpayment. This value is deducted from the  
surgery total and is refundable only if the surgery is cancelled by  Dr. 
Fernández Goico. It can be done through money transferring  companies 
like Western Union and other money wiring services  (MoneyGram, etc). 
This deposit also saves your quoted price, meaning  no matter when you 
decide to undergo this procedure, the price will be  as stated in the 
quote's Total.

If you decide to have this surgery with Dr. FG, I'd also need a  
specific date of arrival (Dr. FG requires that the patient is in  
dominican soil for at least 24 hours before the surgery) in order for  
me to create your surgery chronogram. This way you can organize  
yourself with time on how post-op check-ups work, etc. Also, Dr. FG  
requires his patients to be at least 24 hrs in dominican soil before  
undergoing surgery (for matters of patient's health safety).

IMPORTANT NOTE: In case you decide to have this  surgery with Dr. FG, I 
highly recommend that you save your date as  soon as possible. We give 
priority to our international patients and, I'm usually able to move 
local patients' dates, but I need to do  it with time.

Let me know if you have any doubts about the quotes or any other non  
medical subject. For any medical doubt, you can write to Dr. FG at any  
time to doctor@fernandezgoico.com. You can also call him or whatsapp  
him at his cellphone at +1 809 801-7900.

I kindly ask you to confirm that you have received this email.

Hope you have a lovely rest of the day,
---
Karel Zabala
Asistente/Secretaria

Cirugía Plástica Estética y Reconstructiva

Plastimedic
C/ Sócrates Nolasco No.4, 2º Piso
Naco
Santo Domingo, Rep. Dominicana
T: 809-565-0938
www.fernandezgoico.com

Fernandez Goico Response

Hello Stormy,

Thanks for your contact.

Sorry for this delayed evaluation, but I try as much as I can to do it 
as quick as possible. It's just too many emails, too many evaluations 
(added to the surgeries, seeing patients, and having a life :-p).

So, I have evaluated your photos and you are an excellent candidate for 
a Mommy Makeover. Even though your BMI is quite high right now (30.9), I 
can tell by your photos that most of your weight is located in your 
thighs. I don't wanna discourage you on loosing those 10 lbs extra you 
mentioned (or more if possible), but you have a nice body shape already, 
which tells me you could have an amazing outcome.

Breasts: you clearly have breast hypertrophy and they are pretty fallen. 
However, you seem to have enough volume to have very natural filled 
round breasts after a well performed Breast Lift. With the technique I 
use, I take advantage of your own tissue, creating kind of an "implant" 
with it, which gives a very nice result, rejuvenating the aspect of the 
breasts. In a personal evaluation, we would determine what size are you 
aiming for.

Abdomen: Now, you clearly have a very good indication for a tummy tuck, 
and your case is very good for this surgery, because you have a severe 
skin excess and a mild to moderate fat accumulation. There is some 
evident muscle  separation seen in your abdominal region. This, added to 
the severe  skin and moderate fat excess in the area, clearly tell me 
your abdomen  aspect could be greatly improved aesthetically with a 
Tummy Tuck. The  tummy tuck not only eliminates fat and skin, but it 
defines the waist  line more, giving the patient a curvier body because 
of the "corset"  effect created by the abdominal rectus muscle. Another 
good point on  your favor is the fact that you have enough skin to have 
a very low  positioned scar, meaning, this surgery should allow you to 
use a very  low bikini bottom or panties if you feel like it.

Body: this is where your case differentiates from the rest. You have a 
very good shape, I was really amazed with your photos. Your rear view 
pictures are a complete different person, and we want to highlight your 
positive attributes. We'd concentrate the lipo work on your back and 
flanks (waist), just to enhance even more your existing good feminine 
silhouette.

Butt: ok, you have some projection, and you can clearly observe this in 
your profile photo. Your brazilian butt lift would be mostly focused on 
enhancing the roundness of your butt, and making it complement nicely 
the rest of your body.

Karel, my assistant will send you your quote (usually less than 24  hours) for:

- Breast Lift + General Liposuction + Tummy Tuck + BBL

Any medical doubt you may have, please feel free to contact me  directly 
to this address or via whatsapp to my cellphone at  +18098017900. Let's 
change Stormy, to Sunny :).

Take good care of yourself,
Dr. Luis A. Fernandez Goico


Cirugía Plástica Estética y Reconstructiva

Plastimedic
C/ Sócrates Nolasco #4, 2º Pisto - Sala 3
Naco
Santo Domingo, Rep. Dominicana
C: (809) 565-0938
M: (809) 801-7900
www.plasticsurgery.do
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