SAN FRANCISCO (BCN) -- A San Francisco man who allegedly posed as a doctor and illegally  performed medical procedures, including lip and buttock augmentations, is now  facing rape charges as two additional victims have come forward, prosecutors  said.

      Carlos Guzmangarza, 49, who also went by the name Carlos Guzman,  allegedly operated Derma Clinic, a dermatology clinic in the 2500 block of  Mission Street and assumed the identity of a physician's assistant with a  name similar to his, prosecutors said.

      He was arrested and pleaded not guilty in December to charges  stemming from allegations that he performed liposuction on a woman. Along  with allegedly smoking a cigar during the procedure, Guzmangarza later came  to the woman's house and flushed six pounds of her fat down the toilet,  prosecutors said.

      The woman's abdomen later became infected and required additional  treatment, according to the district attorney's office.

      Six other victims came forward between January and March, saying  Guzmangarza performed procedures such as facelifts, lip and buttock  augmentations, and today, prosecutors amended the complaint to add two new  victims in the case.

      Assistant District Attorney Evan Ackiron said in court Tuesday  morning that the new charges include three counts of rape, as well as three  counts of forcible oral copulation and three counts of penetration with a  foreign object.

      Those charges are in addition to his previous charges, which  include nine felony counts of practicing medicine without a license, six  felony counts of assault and two counts of battery for the various procedures  he allegedly performed on the victims.

      He also faces three felony counts of false impersonation, two  counts of identity theft, seven counts of grand theft, two felony counts of  sexual battery on an unconscious victim, one misdemeanor count of sexual  battery against someone's will and other sexual assault charges, prosecutors  said.

      Guzmangarza remains in custody in lieu of $1 million bail and  faces more than 30 years in prison if convicted of all charges. He will  return to court for a preliminary hearing on July 17.

      His attorney, Deputy Public Defender Michelle Tong, declined to  comment on the case outside of court.

      Anyone who was treated by Guzmangarza at the Derma Clinic is asked  to contact investigator Douglas Becker of the Medical Board of California at  (408) 437-3680 or Lt. Carlos Sanchez of the district attorney's office at  (415) 551-9569.

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