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Lipo as Weight Loss?

June 14th, 2010

Earlier in my career, I had the unique opportunity to be interviewed on television by Roseanne Barr and Tom Arnold about liposuction.   Although the segment was meant to be light-hearted, I was able to convey my thoughts about why liposuction is not safe for patients that are not close to their ideal weight.  Unfortunately, lipo is not a quick fix for having too many unwanted pounds.   It is an effective procedure to remove localized areas of fat and is frequently used as an important tool in body sculpture.

Recently, I consulted with a patient who had lost 80 pounds following bariatric surgery.   It was her intention to loose some more weight.   During our visit, she asked the question I hear so often regarding weight loss, “Should I loose the rest of the weight before having cosmetic surgery?”  My answer is most always the same.   “Yes.”   Multiple reasons lead me to this answer.   Some factors are related to the general health risks of even mild obesity, while others are related to safety of anesthesia and surgery itself.

Check back tomorrow for Lipo as weight loss? Part 2

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Choosing Breast Implant Size

June 3rd, 2010

Breast enlargement or augmentation mammaplasty allows women to surgically increase their breast size.

“What implant size will be used?”   This is a very personal choice, within the physical limitations of the patient’s own figure and stature.   Some patients only want a modest increase in size.   Many women choose breast restoration following a change in fullness that has diminished after nursing.

A wide range of implant “sizers” are provided during an office consultation. The sizers are used to approximate the patient’s range of choice for their new breast size.   Breast implants are measured in milliliters or cubic centimeters and range from 100 ml to over 900ml (one measuring cup equals 238ml or one tablespoon equals 15ml) in approximately 25ml increments.   The visual experience of  seeing themselves in  a mirror with the sizing implants positioned beneath their bra and/or clothing helps a patient to choose the appropriate implant.   Patients often bring a spouse of friend to help them decide.   Many return several times before finally deciding on size.   Readers might remember that Melissa blogged that she wore her sizers for a few days before deciding.   That being said, some patients express slight regret about not choosing a larger size implant following recovery.   Several patients have decided later to increase their implant size and opt for a second surgery.   In my experience, only a few patients choose to decrease the size of implants.   At any rate, it is a matter of personal choice.

Not surprisingly, many women report that they experience an increase in their self-esteem and satisfaction of body image following breast augmentation surgery.

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