More charges filed in liposuction case

Asan Francisco man accused of performing plastic surgery while posing as a doctor’s assistant victimized two more women and raped one of them while she was unconscious, prosecutors said Tuesday.

Carlos Guzmangarza, 49, who was arrested in December, is now accused of assaulting nine women while performing liposuction and other medical procedures without a license. He has pleaded not guilty and is being held on $1 million bail.

Prosecutors said Guzmangarza, operating at a facility he called Derma Clinic on the 2500 block of Mission Street, assumed the identity of a physician’s assistant with a similar name. He claimed he ran the clinic along with a Bay Area physician, who was not involved in the scheme. One woman said he smoked a cigar while performing a liposuction, an operation that left her with an infected abdomen, prosecutors said.

The latest charges involve two women who came forward after Guzmangarza’s arrest. In one case last year, prosecutors said, he raped and performed oral copulation on the woman while she was under sedation, a claim also made by another of his alleged victims. The other new complaint came from a woman who accused him of injuring her while performing “invasive medical procedures’’ in 2009.

Guzmangarza is now charged with 52 felonies and faces up to 30 years in prison if convicted, prosecutors said. His lawyer was not available for comment.