A Board Certified Plastic Surgeon in Scottsdale, AZ
Obesity
Is Fructose a link between Obesity and Cancer?
Aug 8th
Scottsdale – Interesting new research, discussed in the Washington Post, and published in the journal Cancer Research, might help explain a linked between fructose intake with pancreatic cancer growth, one of the deadliest cancer types. Researchers said, in a study that challenges the common wisdom that all sugars are the same, that tumor cells fed both glucose and fructose used the two sugars in two different ways.
The team at the University of California Los Angeles found pancreatic cancer cells in lab dishes grew on both fructose and glucose, but used fructose to proliferate.
“These findings show that cancer cells can readily metabolize fructose to increase proliferation,” Anthony Heaney of UCLA’s Jonsson Cancer Center and colleagues wrote.
“They have major significance for cancer patients given dietary refined fructose consumption, and indicate that efforts to reduce refined fructose intake or inhibit fructose-mediated actions may disrupt cancer growth.”
Americans take in large amounts of fructose, mainly in high-fructose corn syrup, a mix of fructose and glucose that is used in soft drinks, bread and a range of other foods. Health experts and the fructose industry have debated whether high-fructose corn syrup and other ingredients have been helping make Americans fatter and less healthy.
Too much sugar of any kind not only adds pounds, but is also a key culprit in diabetes, heart disease and stroke, according to the American Heart Association. Several states have weighed a tax on sweetened soft drinks, but beverage makers have successfully opposed efforts to tax soda.
“Importantly, fructose and glucose metabolism are quite different,” Heaney’s team wrote.
Congratulations Dr. Guerra on a very informative plastic surgery seminar last night.
Jul 22nd
Scottsdale – Dr. Guerra completed a succcessful Plastic Surgery After Major Weight Loss Seminar last night July 21, 2010. It was very nice meeting all the pleasant attendees who asked a lot of great questions. Dr. Guerra was able to answer questions, explain the procedures and show a lot of before and after photos.
Dr. Guerra discussed the following plastic surgery procedures:
Interested in learning more at our upcoming plastc surgery related events?
The AB Guerra Plastic Surgery Center is located in North Scottsdale and we offer educational seminars and events. The next Scottsdale plastic surgery seminar will focus on the mommy makeover procedures. For more information on the upcoming plastic surgery seminars and events in the Scottsdale area please contact our office at (480) 970-2580.
Arm lift before and after photos updated!
May 30th
Arm lift plastic surgery in Phoenix and Scottsdale, Arizona.
Arm lift or brachioplasty encompasses several procedures designed to treat excessive skin and fat in the upper arms. With age and weight gain, upper arm skin can become loose and flabby. The goal of brachioplasty is to tighten the skin and remove the excess. All of the anterior arm lift techniques share the same basic characteristic: an incision in the front of the arm where it may be more visible, which is usually located over major blood vessels, nerves, and lymphatic channels in the arm, and which may or may not extend into the armpit region. Learn more about arm lifts in Arizona.
Check out our updated arm lift before and after photos.
Plastic surgery after major weight loss in Arizona.
Plastic surgery after major weight loss in Arizona includes a variety of procedures performed after a patient has lost a significant amount of weight. These cosmetic procedures include body lift, thigh lift, arm tuck, tummy tuck, breast lift, face lift, liposuction and more. Learn more about plastic surgery after major weight loss in Scottsdale and Phoenix, Arizona.
Also check out our related plastic surgery after major weight loss before and after photos.
Successful Scottsdale Plastic Surgery After Major Weight Loss Seminar.
May 20th
Scottsdale – Dr. Guerra completed a successful Scottsdale plastic surgery after major weight loss seminar in Scottsdale, Arizona. The seminar focused on body contouring after major weight loss including body lift, thigh lift, arm tuck or brachioplasty, breast lift, extended tummy tuck, and face lift cosmetic surgery. Dr. Guerra spent time going over each plastic surgery procedure and went over some actual patient before and after photos.
Scottsdale plastic surgery after major weight loss seminar!
Dr. Guerra and the AB Guerra Plastic Surgery Center enjoy educating the public in cosmetic surgery procedures so they can make an informed decision. Dr. Guerra is a big believer in education and through the seminars, community service and this blog.

Actual patient discussing her experiences with plastic surgery
after major weight loss in Scottsdale.
Interested in attending a plastic surgery seminar in Arizona?
Check out the news and events schedule for more information on the next plastic surgery events in Arizona. If you are interested in learning more about cosmetic surgery procedure in Arizona please contact our office today. These educational seminars are very informative and patients appreciate the group environment in discussing these popular plastic surgery procedures.
When men have breasts…..
May 3rd
Scottsdale – When men have breasts? The condition is called Gynecomastia.
Forget the Bro and the Manzier! The preferred treatment for Gynecomastia, which is an abnormal enlargement of breast tissue in men, is plastic surgery.
Gynecomastia is quite common, affecting about 10% of the male population, one or both breasts, and is seen more often in association with weight gain. The onset can occur during puberty and may sometimes subside within a year. Patients experience an enlargement of the breast gland, usually right under the nipple area. This enlargement may feel firm, but gynecomastia, is typically a benign condition.
Some of the causes are listed below:
- puberty
- steroid abuse
- obesity
- marijuana use
- tumors
- genetic disorders
- chronic liver disease
- side effects of many medications
- aging
Gynecomastia is not a serious medical condition even though it can be painful at times and may cause embarrassment or a low self-esteem, in some people. Treatment for gynecomastia is usually performed through cosmetic surgery of the breasts with or without liposuction. The goals of this breast surgery are to contour of the chest, while removing excess fat, breast gland and skin (when necessary).
Good candidates for male cosmetic breast surgery are healthy people, who have realistic expectations about plastic surgery, and are at a good body weight. Breast surgery for gynecomastia is performed at an outpatient plastic surgery center.
There are two options in the treatment of excess tissue of the male breast. When there is only excess gland and fat, liposuction is the recommended treatment. The breast tissue in gynecomastia is very fibrous and difficult to remove with standard lipo cannulas. Several specialized lipo cannulas have been designed to deal with the fibrous tissue. Incisions are tiny and hide easily.
When the primary concern is excess glandular tissue and skin, a breast surgery procedure that removes the excess skin along with the breast and fat is recommended. This procedure is sometimes called a simple mastectomy. Various designs are discussed with patients in order to incorporate as much of the excess skin as possible. This options are especially important for patients who are seeking plastic surgery after major weight loss.
My advice is when seeking treatment for gynecomastia, you should sit down and discuss your options with a board certified plastic surgeon and see if you are a good candidate for gynecomastia surgery.
8 explanations to why we are fat.
May 1st
Scottsdale – Thanks to Robin Nixon, a regular contributor to LiveScience, I now have a better understanding as to why we are fat. Her article, which includes the top 8 reasons for obesity, is a nice summary of what is happening with our food and our habits. Obesity rates seem to continue to grow, quite relentlessly, and our health is suffering. Let’s look at Robin’s list and see if we can learn something from it.
8. U.S. Government standards: In the summer of 1998, about 29 million Americans suddenly became overweight. The U.S. government announced new guidelines lowering the threshold of classification for being overweight. The new scale (no pun intended) uses a Body Mass Index (BMI) of 25 or less as normal. The BMI is a ratio of weight to height. Before 1998, if your BMI was less than 28 in men, or 27 in women, you were considered not obese. Based on the new guidelines, it takes less for you to be considered “obese”. You can calculate your BMI by clicking here.
7. A case for too much Hygiene: Is it possible that clean water when cooking and hand washing before meals make you fatter? Research in mice found that certain intestinal bacteria can help the body remove more calories out of the same amount of food and even cause and increase in appetite. Increased appetite and insulin resistance can be transferred from one mouse to another via intestinal bacteria, according to research being published via Emory University School of Medicine. “However, our results suggest that excess caloric consumption is not only a result of undisciplined eating but that intestinal bacteria contribute to changes in appetite and metabolism,” said Andrew Gewirtz, PhD, senior investigator.
6. Parental Genetic Influence: Not all of us have succumbed to environmental changes or our socioeconomic status when it comes to obesity. Thin people, despite their social status, can have thin children. In a study which was performed in part at the New York Obesity Research Center at Columbia University College of Physicians and Surgeons and published in the journal Obesity, the results suggests that parental leanness confers significant protection against development of obesity in children regardless of social economic status. Similarly, if parental obesity is present, it becomes an adverse prognostic sign, especially in lower socioeconomic status families.
5. Factors in the womb? This has to do with the study of epigenetics. Epigenetics is the study of gene expression caused by mechanisms other than changes in the underlying DNA sequence (what you inherit from mom and dad). In other words, it is the idea that even if genes themselves are not altered, the manner in which they function can change. Kartik Shankar, PhD of the University of Arkansas for Medical Sciences, has been studying epigenetics in rats. He transferred the newborns of normal-weight and obese rat mothers. Even with nearly identical genes and upbringing, only the babies from the wombs of the rotund became plump themselves. The study suggests that exposure to the mother’s obesity while in the womb results in programming of the offspring’s metabolism and body-weight-control mechanisms. The mother’s obesity alone was sufficient to increase the susceptibility to obesity. “This occurred despite the fact that the offspring of overweight dams ate the same amount of high-fat food as the offspring of lean dams,” said Dr. Shankar
4. Friends: Would you believe me when I say, “if your friends are fat, you might be fat too”. Believe it! Research has shown that if your friends are fat, you are more likely to be fat yourself. It is believe that your environment becomes reset and you begin to consider this normal. The findings of this research, suggests that obesity has cultural and psychological causes as well as physiological ones.
3. The Sedentary Lifestyle: When we don’t move our bodies, we have a harder time burning calories. When you follow a sedentary lifestyle, you are basically conforming to being the classic “couch potato”. The bottom line is that exercise, even in small amounts, is great for maintaining weight and regulating appetite. Additionally, several studies suggest that ignoring the need for an exercise regimen could be detrimental to your health.
2. Tastes Great: Simply said… palatable foods! Palatable, meaning acceptable or agreeable to the palate or taste, has created a big part of the problem. Foods, such as those available from fast food chains, are “layered and loaded with fat, sugar and salt,” said Dr. David Kessler, former FDA commissioner.
“With sugar, salt and fat on every street corner, we are living in a food carnival,” said Dr. Kessler. In his book, The End of Overeating, Dr. Kessler describes how consuming high salt, fat and sugars in our food, makes us addicted to food. The food fun house causes excitement in that part of the brain associated with emotion and reward. These foods help to create a negative psychological relationship between us and our foods.
1. A National Eating Pastime: Dr. Kessler says that our food culture is largely to blame for obesity. Other developed countries have lower obesity rates because they value eating differently. We have put limited value on the pleasures and rituals of eating. For instance, lunch is eaten at our desks, breakfast on the commute, and then we eat a heavy dinner. Disrespect for food exacerbates weight problems by leaving us unsatisfied…. and we get hungry soon after a meal. Eating fats has been linked to obesity while regular family meals are associated with a decreased risk of obesity.
In summary, there are many factors which control our rates of obesity. More research will be required, but we already know so much about obesity in America. We should continue to work to control our habits and improve our lifestyle…while loosing weight!
Double Whammy: Obesity and Alcohol.
Mar 13th
Scottsdale – The BBC reports a troubling new fact for obese alcoholics. Two studies of more than a million UK men and women suggest excess weight and alcohol act together to increase the risks of cirrhosis and other liver diseases. Obese women who drink little more than a glass of wine a day have almost double the risk of liver disease than non-obese females, the researchers said.
A similar effect is seen in men, the British Medical Journal reported. The authors of the research said “safe” alcohol limits for the overweight may need to be redefined. Rates of liver disease and obesity are increasing in the UK. Alcohol is a major cause of liver cirrhosis, a condition which leads to “hardening” of the liver, and there is mounting evidence that excess weight also plays a role.
In the first study, researchers at the University of Oxford studied more than a million middle-aged women in England and Wales. They found that being overweight or obese increased the likelihood of developing liver cirrhosis. Dr Bette Liu of Oxford’s Cancer Epidemiology Unit said, “We estimate that almost 20% of liver cirrhosis in middle-aged UK women is due to excess weight, while almost 50% is due to alcohol consumption.”
Cirrhosis is the result of long-term damage to the liver (Source: BBC)
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In the second study which followed more than 9,000 men in Scotland, the obese men who drank 15 or more units a week had the greatest risk of liver disease. This is almost 19 times higher than those who were slim.The medical investigators also said lower body mass index (BMI) specific “safe” limits of alcohol consumption may need to be defined.
Alison Rogers of the British Liver Trust, a charity which focuses on preventing adult liver disease, said the data showed a “double whammy effect” where two causes of liver disease both impact on a person’s liver together, and the impact is greater than the sum of the parts. A spokesperson said: “Prevention is always better than cure and our public health campaigns on drinking and obesity reflects this.”



Many of our patients are always looking for healthy ideas and alternatives to help them loose weight before surgery. Consider adding jalapenos to you next meal. 










