Interview conducted at the AMCPER 2026 Congress — Expo Santa Fe, Mexico City

 

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There was a time when the hyperbaric chamber was reserved for when something went wrong. For the complicated patient — the one who wouldn't heal, the one whose recovery stalled. Dr. Vianney Anguiano, a plastic surgeon specializing in body contouring in the state of Durango, Mexico, represents a generation of physicians who think differently: hyperbaric therapy is not plan B. It is part of the protocol from day one.

 

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Body Contouring and Oxygen: A Combination That Makes Sense

 

Body contouring surgeries — liposuction, abdominoplasty, liposculpture — are procedures that simultaneously intervene across multiple tissue planes. The skin, fatty tissue, muscles, and blood vessels are all mobilized, resected, or repositioned within a single surgery. That generates a significant healing demand and a setting where complications, if they arise, can escalate quickly.

 

Dr. Anguiano incorporated the hyperbaric chamber as a standard part of her practice, applying it both before and after surgery depending on each patient's profile. The logic is precise: saturating tissues with pressurized oxygen before subjecting them to surgical trauma prepares them better. Applying it afterward accelerates the regenerative response.

 

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A Protocol Based on Each Patient's Real Risk

 

What sets Dr. Anguiano's approach apart is not simply using the chamber — it is knowing when and how to prioritize it. Her decision-making criteria are based on concrete clinical variables:

 

Patients with prior body contouring surgeries receive hyperbaric treatment before the intervention. Tissues that have already been operated on have altered vascularization, greater rigidity, and reduced regenerative capacity. Preoperative oxygenation prepares them for the new procedure.

 

Patients without prior surgical history receive the chamber primarily during the postoperative period, where the benefit to healing and reduction of inflammation is most immediate and measurable.

 

Patients with risk factors — diabetes, active smoking, conditions that compromise peripheral circulation — are priority candidates. Dr. Anguiano is clear on this point: in these cases, stopping smoking and adding hyperbaric therapy is not optional — it is part of the safety protocol.

 

This level of personalization is possible because Biobarica chambers adapt to different patient profiles without requiring complex infrastructure or dedicated specialized staff.

 

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The Paradigm Shift: From Treating Complications to Preventing Them

 

One of the most revealing moments of the interview is when Dr. Anguiano describes the evolution of hyperbaric chamber use in her specialty:

 

"Before, it was used for patients who already had a complication. Now it's more of a tool to prevent complications. We are using it as a preventive tool and a tool to shorten recovery times."

 

This shift — from reactive to preventive — is one of the most significant changes in how hyperbaric medicine is being integrated by plastic surgeons around the world. The approach no longer waits for tissue necrosis, wound dehiscence, or infection to set in. The intervention comes earlier, risk is reduced, and recovery is shortened.

 

The result is a qualitatively different postoperative experience: fewer complications, fewer readmissions, less distress for the patient, and less pressure on the medical team.

 

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What the Patient Feels: Beyond the Wound

 

Dr. Anguiano introduces a dimension that goes beyond tissues and wounds: the patient's subjective experience during recovery.

 

"In addition to providing better recovery and increasing the flow of oxygen throughout the body, it also gives them a reduction in stress — a completely different experience in terms of their quality of life after such a complex surgery."

 

This is not a minor detail. A body contouring surgery involves weeks of rest, physical discomfort, functional limitations, and frequently, anxiety about results. A tool that visibly accelerates recovery, reduces pain, and generates a sense of wellbeing from the very first sessions radically transforms that experience.

 

And a patient who lives a positive recovery does not just return — she recommends. In a plastic surgery practice, where reputation and word of mouth are decisive, that carries value well beyond the immediate clinical outcome.

 

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Hyperbaric Therapy Is Not Only for the Operating Room

 

Another key point in Dr. Anguiano's testimony is the breadth of applications she has observed in her practice, beyond the purely surgical context:

 

"It's not only used for patients who are surgical or who are operated on. It's also used for patients with migraines or other conditions... for muscular issues, for pain... we've even seen improvements in skin quality in terms of recovery — not just in surgical cases but across many other situations with patients."

 

This observation reflects the systemic nature of hyperbaric medicine: when the body receives oxygen at high concentration and pressure, the benefits are not limited to the operated area. Cellular regeneration mechanisms are activated, systemic inflammation is reduced, peripheral circulation improves, and collagen production is stimulated — with perceptible effects on skin quality, muscle pain, and overall wellbeing.

 

For a plastic surgery practice, this means the chamber can serve a much broader universe of patients than postoperative cases alone, maximizing utilization and diversifying revenue streams.

 

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Advice for the Colleague Considering Taking the Step

 

Dr. Anguiano has a message for professionals who are still evaluating whether to incorporate the hyperbaric chamber into their practice:

 

"It's not only for surgical patients. It's also used for patients with migraines, muscular issues, pain, skin quality... I think we've seen improvements across many other areas with patients."

 

The implicit invitation is clear: do not underestimate the scope of the tool by assuming it only works for one type of patient or emergency situation. The hyperbaric chamber is versatile, safe, easy to operate, and generates value across multiple points in a medical practice.

 

With more than 2,000 physicians in over 60 countries already working with Biobarica, and backed by the Biobarica Global System — which includes clinical protocols, ongoing training, patient management software, and remote technical support — the step from evaluating to implementing is shorter than it seems.

 

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Conclusion: Hyperbaric Medicine as Part of the Standard of Care

 

Dr. Vianney Anguiano's testimony from Durango adds one more voice to a growing consensus in plastic surgery practices across Mexico and the world: the hyperbaric chamber has moved beyond niche technology to become part of the standard of postoperative care.

 

Preventing complications, shortening recovery times, improving the patient experience, and expanding the practice's service offering: these are not future promises or brochure claims. They are the results that physicians like Dr. Anguiano are documenting session by session, patient by patient.

 

If you are a physician and want to learn how to integrate the hyperbaric chamber into your practice, contact our team and a Biobarica specialist will guide you from the very first step.

 

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Interview conducted at AMCPER 2026, Plastic Surgery Congress, Expo Santa Fe, Mexico City.