Medical Board of California sentences plastic surgeon of New Contours, Dr. Walton James Montegut, with three years’ probation. Montegut’s New Contours website describes the physician as having a compassionate approach towards his patients with a loyal patient following. It also described the doctor as extremely talented and provided his unique outcome for the patients. He was an expert when it came to “Fat Transfer” which can be considered a sub specialty in itself and provided perfection to his patients.
The board looked into the evidence of grossly negligent care and treatment of four patients and then provided the Stipulated Settlement and Disciplinary Order which has been signed by the plastic surgeon and his lawyer Henry Lewin. According to the board, a 63-year-old woman had a series of procedures done between 2008 and 2010, these included fat transfer to her face and upper and lower extremities, a local procedure to her face, breast augmentation and a tummy tuck, a butt lift, and finally a breast implant replacement. Montegut was unable to supply the medical board investigators a history of physical exams, pre- and post-operative photographs nor progress notes with dates to show the patients progress. In addition, the patient received 55 prescriptions for controlled substances to treat pain, induce sleep and battle anxiety. the patient was having anywhere between 60 to 100 pills a month for a period of five years.
The next is the case of a 59-year-old woman with a history of narcolepsy who received a botox treatment. She was on a daily dosage of appetite suppressant phentermine. Between 2007 and 2011, she received bi-monthly phentermine prescription refills for 500 tablets at a time. Montegut’s records for the patient do not reveal any of this. The best part is after her last noted visit she continued getting refills through the doctor for the next three years.
Montegut doesn’t have any records that show history, physical or photographs for a 42-year-old woman who got a fat transfer procedure to her face. All that the records reveal is that she received 25 Xanax and Ambien prescriptions for over a 40-month period between 2009-13, while the surgery took place in summer of 2008. The records don’t describe or state why she required daily, long-term use of the powerful medications.
Between 2008 and 2009, the same patients 58-year-old husband, also got a series of procedures that includes fat injections, a face and neck lift, minor skin excisions, liposuction, repair of his eyelids, a nose job and scar revision done. Again, Montegut’s records do not have any history, physical exams or photographs of him. Just like in previous cases, this patient too received 49 prescriptions for zolpidem which is a sedative and alprazolam which is like Xanax between August 2008 through April 2014. This time Montegut’s records show that the patient was prescribed zolpidem but again there is no explanation to why the patient needed such chronic, long term use of these powerful drugs.
During probation, the physician had to complete medical ethics, education, prescribing and record-keeping courses. The state would be monitoring his practice and he must obey all laws, provide progress reports to the board, make himself available for further board interviews and inform hospitals and clinics where he has privileges of his probationary status. The board confirmed that if he failed to abide by these conditions it could lead to license revocation procedures.