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A Retrospective Observational Study on the Eleganza Protocol: A Standardized Seven-Step Workflow for Combined
Francisco A Rodríguez-García1,2, Raul E Melo-Ventura1,2, Héctor Álvarez-Trejo1,2
1Plastic and Reconstructive Surgery, Eleganza Plastic Surgery Center, Zamora, MEX.
Cureus
|August 5, 2026
Summary
The Eleganza Protocol streamlines combined aesthetic surgeries, reducing operative time and improving patient safety. This standardized approach for "mommy makeovers" demonstrated efficient procedures with minimal complications.
Area of Science:
- Plastic Surgery
- Surgical Workflow Optimization
- Aesthetic Surgery Outcomes
Background:
- Combined aesthetic surgery, or "mommy makeovers," addresses postpartum body changes.
- Prolonged operative times in these procedures are linked to increased perioperative morbidity.
- The Eleganza Protocol was developed to enhance efficiency in combined aesthetic surgeries.
Purpose of the Study:
- To evaluate the operative performance and short-term safety of the Eleganza Protocol.
- To assess operative time, blood loss, and postoperative complications in patients undergoing combined aesthetic surgery.
- To determine the feasibility and initial outcomes of a standardized, workflow-oriented approach.
Main Methods:
- A retrospective observational study of 13 consecutive patients at two surgical centers.
- Implementation of the Eleganza Protocol: a seven-step sequence with team-based execution and neuraxial anesthesia.
- Procedures included mastopexy, breast augmentation, abdominoplasty, and liposuction.
Main Results:
- Most procedures (69.2%) were completed within four hours (median 3.5 hours).
- Low median estimated blood loss (250 mL) with no intraoperative transfusions required.
- No major postoperative complications (Clavien-Dindo grade ≥II); only minor, self-limited complications observed.
Conclusions:
- The Eleganza Protocol provides consistent operative times and low blood loss in combined aesthetic surgery.
- The protocol demonstrates short-term safety with no major postoperative complications.
- Further prospective multicenter studies are recommended to validate reproducibility and long-term outcomes.