A Board Certified Plastic Surgeon in Scottsdale
Posts tagged Plastic surgery after major weight loss
Plastic Surgery after Major Weight Loss – The Seminar!
02 years ago
by Dr. Aldo
in Body Plastic Surgery
Plastic Surgery Major Weight Loss Seminar.
Scottsdale – The much anticipated Plastic Surgery after Major Weight Loss Seminar is next week. In preparation for the seminar, we are going to present, on the blog, the topics to be discussed next Wednesday. When plastic surgery is performed after bariatric surgery, there are many important facts to consider before undergoing major body contouring surgery. We are going to discuss these facts during our seminar.
The Plastic Surgery after Major Weight Loss Seminar is designed for patients who have lost weight on their own or through bariatric surgery. Patients who are contemplating bariatric surgery are also welcomed at our seminar. The focus of the seminar includes a discussion on the most popular cosmetic surgery procedures performed after major weight loss. These include the plastic surgery operations designed to remove excess skin and fat in the central body, like the bodylift and belt lipectomy, remove skin in the arms, lift the breasts, lift and tighten the thighs with thigh lift and, of course, facial surgery. Buttock lift and buttock augmentation in major weight loss patients is also discussed.
Plastic Surgery after Major Weight Loss for Men.
Plastic Surgery - For Men.
Some plastic surgery procedures discussed during the seminar are just for men. When it comes to major weight loss, men have specific issues that we need to address, especially on the breasts. With major weight loss, men can develop larger breasts which then deflate and become quite saggy. A comprehensive procedure to tighten the skin on the chest is often necessary. Some males wonder about upper bodylift surgery, which may be performed at the same time as breast and chest reshaping surgery for gynecomastia.
Of course, men need lower bodylift and belt lipectomy too. During the seminar we will discuss the options for men and women, but will focus special time in discussing body contouring surgery in men. Males should consider that incision designs might vary slightly from the design used on female plastic surgery patients for tummy tuck, bodylift and belt lipectomy.
Males should also realize they may have some higher risks as the get older, in particular, as it relates to cardiac risks. Fortunately, after the weight loss, many of the stresses on the heart are reduced, but we discuss with men, their general risk factors and how to obtain an appropriate medical clearance previous to plastic surgery. We do all this in order to emphasize safety first, and when it comes to all our prospective plastic surgery patients, we also to assist them in achieving their preoperative goals.
One of the great safety factors, for both men and women in our practice, is the ability to have surgery performed at a facility that allows multiple stay nights after major cosmetic surgery of the body. The tummy tuck Phoenix. This will enhance your experience, reducing your surgery discomfort, and assist you in obtaining a speedier recovery.
Plastic Surgery after Major Weight Loss for Women.
Plastic Surgery - for Women.
When it comes to women and plastic surgery after major weight loss, there are more topics to discuss. One of the most popular is breast surgery. Most often, major weight loss patients need a breast lift. During the seminar we will discuss different breast lift techniques and options. We will also discuss auto-augmentation using the back rolls and breast implants. Breast implants, especially silicone breast implants are more popular, in the weight loss population, here in the Phoenix area. Another popular procedure for our clients has been the lower body lift. The operation incorporates an Arizona tummy tuck, and outer thigh lift and a buttock lift in a single procedure. This operation can really change the contour of major weight loss patients and especially those with the typical pear shaped body. We will discuss, during the seminar, that women with apple shaped bodies might be better served by having a belt lipectomy. The belt lipectomy is a better operation for those without saggy outer thighs and excess skin in the central body.
Plastic Surgery Before and After Photos.
In the seminar we normally demonstrate plenty of before and after photos on all our plastic surgery operations. You will get to see arm lift and inner thigh lift photos during the discussion on these topics. Arm lifts are quite popular in the Scottsdale area, but the posterior incision is far more popular in major weight loss patients. The posterior arm lift operation hides the scar in the back of the arm and allows the surgeon to remove more of the excess tissue found after extreme weight loss.
We hope that you can join us for our seminar. The Plastic Surgery after Major Weight Loss Seminar is being held in our North Scottsdale, AZ Plastic Surgery Center on May 19th, 2010 at 6 to 7:30 PM. For reservations or additional information, please call us at 480-970-2580.
8 explanations to why we are fat.
2
Why are we fat?
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!
Plastic Surgery after Major Weight Loss: Management of Back Rolls.
02 years ago
Managing back rolls after major weight loss.
Scottsdale – The back in men and women can become a serious cosmetic problem with major weight gain. When the patient undergoes major weight loss after bariatric surgery, the deformity may worsen. Plastic surgery of the upper back and rolls is becoming more important as the population of patients desiring plastic surgery after major weight loss continues to grow.
A scientific article published in the Aesthetic Surgery Journal, highlights the importance of appropriate diagnosis and treatment options to achieve the best results from plastic surgery. The article is a featured plastic surgery operative technique for plastic surgeons.
The well-written article comes from the Plastic and Reconstructive Surgery Section of the Johns Hopkins University Bayview Medical Center. What the author expresses in the article, is that excess fat in the upper back and rolls, should be managed differently when compared to the situation of deflation that has occurred in the area after major weight loss. When this occurs, the patient is left with excess skin and rolls.
When a cosmetic surgery patient presents with fat in the upper back and rolls and has good quality skin, liposuction is the best technique for management. Importantly, the fat of the back is noted to be more fibrous than in other body regions, while the skin is noteworthy for having a thicker dermis. Because of the fibrous component of the back fat, the area is more resistant to traditional liposuction. It is suggested that power-assisted lipo or ultrasound-assisted lipo might be better at releasing the trapped fat cells and make the removal of the subcutaneous fat easier. This approach is usually sufficient to achieve an improvement in the contour of the back without creating residual skin deformity.
On the other hand, with the development of major weight loss, the plastic surgery patient is left with a significant amount of excess skin and less fat volume. The management of the area is therefore turned to excisional techniques. The most common approach is the use of a procedure called the upper bodylift. This plastic surgery operation involves the excision of the extra skin and subcutaneous tissue. It is usually carried out separately after the patient has undergone a lower bodylift, breast lift, with or without breast implants, or arm lift.
In women, back roll management may be combined with an auto-augmentation of the breasts and breast lift. The author also suggests that a reverse tummy tuck is a possibility during back roll surgery. In the major weight loss patient, surgery begins with the patient in the prone position or while the patient is laying head down on the operating table. The back rolls are treated in order to remove the top layer of skin. Once this is accomplished, the entire roll is elevated and rotated towards the front of the body and breasts. The area in the back is closed and the back roll removal completed. After the patient is turned head up on the table, the breast lift procedure starts in the same fashion. The breast is contoured to reduce the saggy appearance and then the back roll is used to augment the volume of the breasts, creating a larger cup. At this time, the author suggests performing the reverse tummy tuck. The tummy skin is lifted and similarly sutured in a less saggy position. It is important to note that transfer of the back roll tissue to the breasts may not be possible in patients with diabetes, smoking history, and advanced age.
In men, there is no need to augment the breasts to increase volume. Therefore, once the back rolls are excised the tissue is discarded. A complete excision of the extra breast tissue can be combined as a single-stage operation. In both men and women, it is possible to also perform the breast surgery and back roll surgery in two separate operations.
My view on Plastic Surgery.
My take on this plastic surgery operation: Plastic surgery after major weight loss is becoming more popular. This article does an excellent job at demonstrating the versatility of the bra roll technique the article uses. Bra roll transfer in women has the ability to increase the size of the breast cup, supplement volume for breast reconstruction and reduce the excess skin the develops in the back after the loss of the weight.
Please note that transfer of back roll volume to the breasts may not be an option for patients with diabetes, cigarette smoking, and advanced age. I suggest caution should be used in patients with previous back liposuction. All the conditions, decrease the blood nutrition and oxygen supply that gets to the back roll flap. Performing a reverse tummy tuck should also be carefully evaluated and discussed before surgery. Many plastic surgeons believe the risk of disturbing the natural junction between the breasts and tummy is too high to justify this as a routine part of surgery.
Liposuction is still the best option for patients with fat rolls in the back, good skin tone and no excess skin. When a cosmetic surgery patient presents to consult about a comprehensive upper body procedure, the options for women should include:
1. Breast lift or reduction performed in a single operation.
2. Breast lift with auto-augmentation and back roll reduction in a single surgery.
3. Breast lift with breast implants and back roll reduction in a single operation.
4. Breast reduction, breast lift with or implants and posterior arm tuck.
I have found that practicing plastic surgery in Scottsdale, more patients request breast implants than auto-augmentation when undergoing breast lift. Additionally, many Scottsdale cosmetic surgery patients request silicone breast implants, to establish a natural feeling result. The size of the breast cup requested is usually much larger than recommended, and probably much larger than the back roll flap can accomplish. The recommendation for a certain breast implant size is based on the desire to achieve a long-lasting breast lift. The reality is that, in major weight loss patients, the larger the breasts, usually the faster and harder they fall down after breast surgery. Patients are made aware of this fact before surgery.
Plastic Surgery after Major Weight Loss: Psychological Aspects.
02 years ago
The psychology of major weight loss
Scottsdale – Understanding the psychological issues associated with plastic surgery after major weight loss and bariatric surgery is an important step for every patient and plastic surgeon.
Recently, I reviewed an excellent article on the psychological issues associated with major weight loss surgery published in the Aesthetic Surgery Journal. This is the kind of article that I hand out to all patients in clinic so that they too can learn about these issues.
The article points out that bariatric surgery can provide patients with a positive transformation of health and eating attitudes, but this type of surgery may also have profound lifestyle consequences. It is important to note that while positive psychological outcomes are seen with bariatric surgery, many patients continue to suffer from nutritional deficiencies, psychological battles with food and negative body image.
Negative body image can persist after weight loss. Additionally, many bariatric patients can suffer from depressive disorders, anxiety issues and mood disorders. Women are more likely to suffer from depression and their post-surgery psychological improvement is more significant. Body image dissatisfaction is also more prominent in women and can be associated with a higher incidence of depression, low self-esteem, and perfectionism. While bariatric surgery can improve body image, many patients seek plastic surgery to achieve a better body.
Body contouring surgery, including bodylift, thigh lift, and breast surgery can further improve body image.
Importantly, these psychological improvements with bariatric weight loss and plastic surgery after major weight loss may not be enduring. Additionally, because many bariatric patients have a psychological relationship with food, the weight loss established may not be maintained without consistent psychological and social support. The authors of the article suggest that optimization of psychological treatment and social resources can reduce negative impulses and social stress that revive old habits.
Plastic Surgery after Major Weight Loss Seminar tomorrow! 3/17
02 years ago
Plastic Surgery after Major Weight Loss Seminar
Scottsdale – OK everyone, our much anticipated plastic surgery after major weight loss seminar is happening tomorrow!
The last seminar was really great with an excellent turnout! I like to keep the groups small so that everyone feels comfortable and has plenty of opportunity to ask questions.
The seminar tomorrow will focus on body contouring after major weight loss including body lift, thigh lift, arm lift, arm tuck or brachioplasty, breast lift, extended tummy tuck, and face lift surgery. I will spend time going over each plastic surgery procedure and actual patient before and after photos.
Dr. Guerra and the AB Guerra Plastic Surgery Center enjoy educating the public about cosmetic surgery procedures so they can make an informed decision.
A Successful Plastic Surgery After Major Weight Loss Seminar in Arizona.
02 years ago
Plastic surgery after major weight loss seminar in Scottsdale, Arizona.
Dr. Guerra starting the plastic surgery after major weight loss seminar.
Dr. Guerra completed a successful 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.
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 he is able to highlight and discuss plastic surgery in more detail.
Dr. Guerra discussing the arm tuck procedure.
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.
Viridiana Sanchez, Executive Director of Clinical Services at the AB Guerra Plastic Surgery Center, making introductory announcements at the seminar.
Interested in attending a plastic surgery seminar in the Scottsdale and Phoenix, Arizona area? Please call (480) 970-2580 or use our contact form to schedule a complimentary consultation.
News: Bariatric surgery keeps getting safer.
02 years ago
by Dr. Aldo
in Bariatric Surgery
Scottsdale – Bariatric surgery keeps getting safer. In our final review of the year, we discuss the bottom line numbers with bariatric surgery. According to a Duke University Medical Center researcher who reviewed data from nearly 60,000 patients, modern weight-loss surgery resulted in low complication and low mortality rates. The analysis indicates complication rates are around 10 percent, with the most common problem being nausea and/or vomiting. Importantly, the total mortality rate was under one percent (0.135%) with 78 deaths reported among 57,918 patients.
“The complication and mortality rates are even lower than have been reported in the past,” says Eric J. DeMaria, MD, of the Department of Surgery at Duke, who presented the findings at the annual meeting of the American Society for Metabolic and Bariatric Surgery in Grapevine, TX. The data was accrued from participants in the Bariatric Surgery Centers of Excellence program. “We believe the Bariatric Surgery Centers of Excellence program is one reason why there is an even further reduction in mortality being observed,” says Dr. DeMaria.
The safety results are the first to be derived from the Bariatric Outcomes Longitudinal Database (BOLD), compiled by the Surgical Review Corporation, an independent, non-profit organization whose mission is to advance the safety, efficacy and efficiency of bariatric and metabolic surgical care, worldwide. . The organization has designated nearly 650 surgeons and more than 350 hospitals and freestanding outpatient facilities since launching the centers of excellence for bariatric surgery in 2003. “The data collection effort is significant because it will help us understand how to better care for bariatric surgery patients now and in the future,” says Dr. DeMaria. According to the ASMBS, more than 200,000 people undergo bariatric surgery each year in the U.S.
“This is just the beginning,” added Dr. DeMaria, “This enormous database will help us develop risk stratification guidelines for patients so we will know definitively what the risks are for a certain type of patient, and will then be able to focus on how to improve those risks. It also allows researchers to look at less common issues with more information than we’ve ever had before.”
Considering plastic surgery after major weight loss in the Scottsdale and Phoenix, Arizona area? Please call (480) 970-2580 or use our contact form today to schedule a complimentary consultation.
Source: Duke University School of Medicine.
5 Quick Facts: Belt Lipectomy.
02 years ago
Scottsdale – The popularity of plastic surgery after major weight loss continues to grow. Today, we are going to discuss belt lipectomy. These are the 5 quick facts about the procedure we feel all patients should know about:
1. Belt lipectomy is a body contouring procedure that removes excess skin and rolls, that develop after major weight loss.
2. Belt lipectomy creates an incision all the way around the body.
3. The procedure is better applied in patients without saggy outer thighs.
4. Belt lipectomy can be performed in 4 to 6 hours.
5. Hospital stay is recommended to improve outcomes and reduce risks.
