Lipo as weight loss? Part 3
June 16th, 2010
Earlier in my career, I had the unique opportunity to be interviewed on television by Roseanne Barr and Tom Arnold about liposuction, which I discussed earlier this week. This series continues.
Lipo as weight loss? Part 3
Why isn’t Lipo a quick fix? I have found that cosmetic surgery results are far better when the fat layer located beneath the skin is as thin as possible before surgery. In the case of skin tightening procedures, the skin can be stretched more easily to give a better result. I also believe that wound healing is more efficient, there are fewer complications and patients see the best results when they are at a healthy weight.
Patients presenting for cosmetic surgery consultation who are carrying extra pounds frequently change their minds regarding which procedures they are pursuing after reaching their ideal weight. This is most evident with breast surgery. A woman considering breast reduction before weight loss will frequently choose breast enlargement after significant weight loss. Patients considering liposuction after weight loss usually only need a slight reduction of stubborn remaining localized fat pockets, such as the outer thighs. Skin appearance often responds better when weight loss is gradual and exercise is part of the program.
I know the idea of having surgery first, followed by weight loss and conditioning has been popularized on reality TV. It has never made sense to me. Why take this shortcut if there are increased risks, potential medical problems and compromised cosmetic results? Please consider being within 20 pounds of your ideal weight before considering cosmetic surgery. It is the best advice that I can offer my patients.
Remember: A moment on the lips, perhaps a lifetime on the hips!
Lipo as a quick fix? Part 2
June 15th, 2010
Lipo as weight loss? Part 2
Why isn’t Lipo a quick fix for weight reduction? We all may struggle with a few extra pounds. This is one of the blessings of living in an affluent society, access to food-a-plenty. However, these extra pounds can put us at risk for serious medical problems. Some of the problems include diabetes, heart disease, and many forms of cancer. The sedentary lifestyle associated with being over-weight also contributes to a score of health risks. Reduced physical activity increases a women’s risk for osteoporosis. Severe obesity contributes to joint problems, serious skin conditions and increased blood pressure. Extra abdominal weight also increases the risk of gastric reflux or heartburn. Reflux of stomach acid or gastric juice aspirated into the lungs may lead to life threatening pneumonia.
Anesthesia and sedation during surgery carry increased risks for heavier patients, as well. The most serious is airway or breathing related problems. Decreased ability to take very deep breaths, along with actual partial breathing passage closure can pose significant threats during anesthesia.
Several measures taken after surgery may often reduce some risks, but not eliminate them. Obese patients have a more difficult time walking right after surgery, thus increasing their risk. Walking after surgery is critical to reduce blood clots in the legs, as clots can break free and become lodged in the lung, resulting in sudden death. Ease of mobility is an important factor. Healthy patients usually have an easier recovery from surgery and suffer from fewer complications.
Check back tomorrow for Lipo as weight loss? Part 3
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