“After losing all that weight, I still felt like my clothes didn’t fit right and I was not confident to go to the beach.  Plastic surgery on my arms, tummy and thighs with hidden scars allowed be to feel so much better about my body!”

“Even when I lost more than 100 pounds and was proud of myself, I still didn’t like how my breasts, arms and rest of my body looked.  So, after planning which areas were my priority, I was able to get rid of all my sagging skin in two stages with the help of my plastic surgeon, Dr. Sigler”

“I have never felt so good about my body until now that I lost all this weight.  With plastic surgery I had my breasts back firm and my abdomen flat with a scar I can hide under my bikini”

Tummy Tuck
$4,300.

Extended Tummy Tuck
Incision extends farther than the conventional incision hip to hip in order to avoid the “dog ears” or extra skin around that area.
$4,800.

Lower body lift
A circumferential incision is made on the lower abdominal and back areas. The surgeon removes excess skin and fat, flattens the abdomen, and lifts outer thighs and gluteal sagging skin. Note that this procedure does not necesarily add volume to buttocks.
$8,000.

Arm lift
The incision runs along the inner arm skin and removes the sagging skin resulting in a firm look to the arms. This effectively gets rid of 'bat wings'.
$3,500.

Mini arm lift
An incision is hidden in the armpit and it’s only proposed when there is sagging skin soley in that area, with no “bat wings” or extra skin along the arm length.
$2,500.

Breast lift With implants
$4,800.

Fleur de Lis abdominoplasty
An incision in an inverted T is created on the lower abdominal area and up the midline of belly. All the extra abdominal skin horizontally and vertically is removed and a new belly button is reconstructed.  The belly button reconstruction is recommended when there is already a surgical vertical scar.
$6,000.

Cruroplasty (thigh lift)
The incision runs along inner area of thighs, which sometimes is not well hidden depending on how much extra skin has to be resected. The procedure removes sagging skin of the inner thighs and tightens skin circumferentially on the thighs.
$4,300.

Mini cruroplasty (mini thigh lift)
The incision is placed on the groins to minimize skin sagging in the upper area of inner thighs.  The downside to this technique is the scars often drop due to gravity and muscle activity,  showing below the bikini and underwear lines. Additionally, the scars themselves may be thick.
$3,000.

Two or three of these procedures can be combined as a package with a maximum surgery time of 6 hours.  Packages receive a 10% discount off the combined grand total for all procedures.

Body contouring can:
‍Remove all of your sagging skin left from your weight lossRid you of the extra fat that you may still have in your body after the weight lossGive you a body that looks younger, harmonious and fit

‍Body contouring cannot:
‍Make make you stronger or healthierHelp you loose more weightPrevent you from gaining your weight backLeave invisible scars, and not all scars are guaranteed to be small and thinRemove all of your stretch marksMake your body look the way it did when you were young and or before your weight gain

You are an ideal candidate if:
• You are in good health with no illnesses, but if you have high blood pressure or diabetes, thyroid, heart or kidney problems, they have to be well controlled. Dr Sigler will need a letter from your treating specialist clearing you to undergo a surgical procedure that may last from 3 to 5 hours.
• You do not smoke (cigarettes or marijuana) or vape
• Your pre-op lab work is normal
• You agree to follow the pre-surgery instructions and be off the listed medications 2-3 weeks prior to surgery. These include anticoagulants or other blood thinners that can lead to serious complications after surgery. It is preferred you stop taking any feminine hormones such as estrogen and progesterone as well.
• You have reached your desired weight with a BMi (body mass index) of 30 or less
• You have friends or family available for your post-operative care
• You are willing to follow post-operative instructions, take medications and wear compression garments as directed
• You are able to take 14 days or more off work to rest at home and heal

Pricing may vary upon each patient's specific request and condition. Contact Dr. Sigler for pricing and payment by clicking this link for a consultation or by phone:
English: +1 (619) 735-6832
Spanish: +52 (664) 634-3790

Consultation
During the consultation, your medical history will be taken in order for Dr. Sigler to evaluate your general health.  A careful examination will also be conducted.  Together with Dr. Sigler, you will discuss the procedure and communicate your desires, your concerns and the results you hope to achieve. You may bring photographs to show Dr. Sigler examples of what you are looking for. Dr. Sigler will go over details of the procedure itself and the possible risks and complications as it pertains to any medical or structural issues she sees in your case.  She will go over the type of anesthesia to be used. Once you have all your questions answered, you will both agree on a surgery plan and a proposed date. Photos are taken before and after the surgery in order to determine the amount of improvement.

Setting Your Surgery Date
A deposit is required to confirm the date and time of the procedure. See pricing and payment above for details.

If You Smoke
If you smoke, this habit should be stopped at least two months prior to surgery. This includes vaping and marijuana smoking.

Two Weeks Prior to Surgery
Review and download this list of medications and supplements to avoid. Stop taking any medication on this list two to three weeks before the surgery.  Avoid any intake of aspirin, ibuprofen, Naproxen (excedrin, Motrin, Aleve, Advil), vitamins that include vitamin E, and energy drinks as well. Arrange for family or friends to be available for assistance when you return home to recuperate. Clear your schedule. Make a list and organize your environment to be safe and conducive to bedrest. Stock your kitchen and plan ahead for a period of time spent watching TV, reading or simply relaxing.

Labwork
Pre-op labwork should be done two weeks before the surgery with your own doctor, and then sent to Dr. Sigler. If you prefer Dr. Sigler to do the labwork, you will need to make arrangements prior to your surgery date. Required labwork includes:   CBC (Complete Blood Count), CMP (Chemical Metabolic Panel), PT (Prothrombin Time) and INR, PTT (Partial Thromboplastin Time) and any other labwork specific to your particular medical condition(s), such as a Thyroid Hormonal Panel.If you are over 50, it will be necessary to have a cardiovascular assessment including an EKG and possibly a chest x-ray. Dr. Sigler will advise.

Approval for Surgery
If you are currently undergoing treatment for a medical condition or disease, a letter from your treating specialist must be sent to Dr. Sigler at least two weeks prior to the surgery stating you are cleared to go ahead with the procedure, and include any pre-op and post-op recommendations in order to avoid possible complications during or after the surgical procedure.

Night before Surgery
You are required to fast for at least 8 hours prior to surgery. Eat a lighter dinner and do not eat or drink past midnight.

Day of Surgery
Do not eat or drink anything except a little water. Allow sufficient time to get to the surgery center. Using Dr. Sigler’s car service is usually the most efficient way to ensure a timely arrival. Intake is typically scheduled two hours prior to the actual surgery. You will meet with Dr. Sigler for your pre-op consultation, pre-op photos and markings on body or face, and for a final discussion about your procedure. Paperwork is completed and final prepping by your surgical team is carefully performed.

After body contouring surgery you will need to wear compression garments during one month, day and night, to avoid complications, you will also have to follow up with Dr. Sigler one week, two weeks, one month and two mo the after surgery.

Walking, early mobilization and being well hydrated are key during the recovery time to minimize the occurrence of Deep Vein Thrombosis or Pulmonary Embolism that May lead to death.  Steying in Tijuana or sandiego for one to two weeks is recommended to be observed by Dr Sigler’s and Inn any complication may occur you will be treated in a timely fashion and proper way.