Talking with Dr. Ruy Rodrigo Diaz, plastic surgeon


Dr. Rodrigo Diaz is a plastic surgeon at the Clinicas de Las Americas in Medellin.  He primarily specializes in facial plastic surgery (rhinoplasty, blepharoplasty, forehead surgery, facial endoscopy, face-lifts and fillers) and breast surgery (augmentation/ reduction).  He reports that he receives most of his clients by work of mouth but does see a significant percentage of medical tourists.

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The majority of his patients are private practice (self-pay) patients but he does see patients from many of the major Colombian health care insurance plans such as Colseguro, Liberty, Sur America, Colsanitas.  While American insurance companies do not traditionally cover elective cosmetic procedures, it is worth investigating with your insurer as many of the larger plans such as Blue Cross/ Anthem now have ancillary plans for cosmetic procedures.

Dr. Diaz has been a practicing plastic surgeon for thirty years, and a professor of plastic surgery at the Universidad de Antioquia for the past 12 years.  He attended the Universidad de Antioquia medical school and completed his plastic surgery residency there as well.

Like all Colombian surgeons profiled here at Latin American Surgery.com, he is a member of the Colombian Society of Plastic, Aesthetic and Reconstructive Surgery.  He is also a member of the American Society of Plastic Surgeons (ASPS) and the International Society of Plastic, Reconstructive and Aesthetic surgery.

Pre-operative process

As we talk, he reviews the pre-operative process for his patients. “It usually starts with an email from the patient,”he states.  Then he solicits a complete medical history from the patient, including medications, past surgeries, social habits (smoking, drinking etc), current and past medical problems (like hypertension) and family history.  This also includes photographs so he can best determine exactly what procedure(s) they will need, plan the procedure and discuss anticipated results.

If they have a single problem (like high blood pressure), then he sends the patient for a complete medical evaluation.

All smokers are required to quit at least 2 months before the procedure, and Aspirin (and other anti-platelets) must be discontinued 8 days before the scheduled procedure.

Out-of-town patients are encouraged to bring another adult with them, and additional translators are provided as needed.

Plan for adequate recovery time

One of the things he stresses heavily during our interview is the need for medical tourists to allocate adequate time to the recovery process before returning to their home country.  This is something that has been brought up in previous interviews with other surgeons, as well but bears repeating.  Even smaller surgeries require adequate healing time, so the idea of a ‘weekend surgical makeover’ should be dismissed from the minds of potential clients.

Most important aspect is post-operative care

The time necessary for adequate healing is usually 15 days to three weeks depending on the procedures.  This period is also important for surgeons to be able to detect small problems such as delayed healing before it becomes a bigger problem.  “It is better for me to see an incision that isn’t healing right away so I can treat it immediately, then for the patient to put it off – and then seek treatment weeks later when it is a much larger problem.”

Another reason he encourages patients to not to rush home, is that surgeons in their home countries may be unwilling to care for patients who have surgery elsewhere.

Patients take priority

Dr. Diaz prides himself in providing excellent post-operative care. All patients have his cell phone, and he encourages them to use it for all and every question or concern – day or night.  “If they need me, I am here.”

And – don’t worry, if you are hesitant to call him – he is going to call you anyway, just to check in and make sure you are doing well, and your pain is controlled.  He calls all of his patients the day after surgery, and continues to check-in and see patients frequently during the first weeks after surgery.

“My patients always take priority, even after they return home.  If I have a patient Skyping me in the office – well, that takes priority over other things because I know what a hassle it is for them.”

He speaks English fluently but reports he continues to take weekly classes in English and American culture.  He feels that it is impossible to have a complete understanding and good communication of his clients without understanding the culture.

Trends in facial plastic surgery

During his lengthy plastic surgery career, Dr. Diaz has seen a lot of trends come and go in aesthetics. He reports that one of the main trends he has seen over the last few years, is a trend for lesser facial procedures such as facial endoscopy, eyelid surgery or use of fillers by his clients versus a full face-lift. He states the reasons are multiple. Patients want to avoid the dreaded “plasticized / surgerized” artifical appearance that has been highly visible in popular media such as American reality shows, and prefer more subtle results, so his patients tend to seek treatment earlier, just a lines and folds appear.  While many of these treatments are temporary like fillers or laser re-surfacing, the results are more natural and aesthetically pleasing.

Secondly, patients want to avoid the longer downtown involved with a larger procedure like a face-lift which may have residual bruising, or swelling for several weeks.  These patients want to be refreshed and back in the office quickly.

Lastly, as he reflects on his career and the ‘style’ of plastic surgery – he reports that for many of his clients (particularly Colombian client), the focus is so heavily on the body (breast and buttock augmentation) that the face is secondary in consideration.

Dr. Ruy Rodrigo Diaz

Calle 32 No 72-28

Clinica de Las Americas, 4th floor

Medellin

Tele: 345-9159

Email: rdiaz@une.net.co

Plastic surgery & Colombia Moda 2013


ad for Colombia Moda 2013 from Inxemoda

ad for Colombia Moda 2013 from Inxemoda

Fashion + Beauty are intrinsically tied together.  Sometimes it’s hard to tell where one ends and the other begins… (This is the more in-depth discussion from an article published on Examiner.com)

Fashion as the evolution of beauty

Fashion is the evolutionary arm of our concepts of Beauty..  While ad campaigns talk about ‘timeless beauty”, in reality, the standards of beauty are constantly evolving, changing, expanding..  This has occurred throughout recorded history.. with dramatic examples of idealized beauty in ancient Rome, feudal  Japan, China and the noble houses of Europe.  With that in mind – the evolution of beauty over time has more impact on (mainly) women, but also economics, surgery and technology.

Changing and conforming to beauty ideals throughout time

Since the earliest of times, we’ve used cosmetics, clothing, and even surgery (yes, surgery) to change our looks to conform to the beauty standards of that time/ place/ culture.  With the advent of the internet age, ‘global beauty’ is the concept that cultural differences in beauty ideals are breaking down and becoming enmeshed into a single universal ideal.. While my fellow writers could (and have written) millions of words on the sociological and psychological aspects of attempting to fit into a ‘beauty ideal’ – I am not interested in discussing the ethics, moral or personal beliefs of independent individuals nor shall I attempt to impose those opinions on readers.. What I want to know, and to see – (and be able to watch and identify) as these beauty ideals morph and change.

So – I am heading to fashion week 2013 here in Medellin with high hopes.. Medellin has long been a leader in fashion, beauty and plastic surgery – and I want to see what’s trending now – and what’s coming next.  Not so much interested in the styles of the clothes, as I am, in the bodies beneath the clothes, and how the clothes showcase or encase certain areas of the bodies..  Is the focus on hips and buttocks this year, or is it swan-like necks and slim backs?  High rounded breasts or sleek arms and shoulders?

A brief history of Fashion (and Beauty)

In the last century alone – we’ve seen dramatic sweeping changes in beauty ideals.. From the corseted Gibson Girl with her sweeping locks to the androgynous flat chested flappers with eton crops – the pendulum of beauty swings bag and forth..

As flappers out grew their short locks, styles in the 1930’s featured more natural but subdued curves..  to the mannish shoulders and aggressive features of our 1940’s gals..  Back to the softly overblown 1950’s pin-ups.. as the swinging sixties came in – so did Twiggy.. slim boy-like 70’s to anorexic 80’s with icons like Jane Fonda.. The 90’s heralded the rise of J. Lo, and the voluptuous figure once more..  But what comes next?

We’re heading off to Colombia Moda 2013 this month to see if we can spot the latest trends in beauty (and plastic surgery)

Additional references

The Gibson Girl – a (Virginia native like myself)

Heisan beauty ideals

How to dress like a flapper

Betty Grable and her great gams

Bettie Page

Twiggy

Miss Korea candidates and plastic surgery

Latin American pageant winners and plastic surgery