George Clooney’s Scrotal Plastic Surgery

When George Clooney was asked if he has had any facial plastic
surgery, he responded by saying he would never spend money to fix the bags
under his eyes but he will spend money to get rid of wrinkles on the skin of
his testicles and get his balls ironed!!! Now people are all over internet,
searching for scrotal plastic surgery and trying to find out if he really got
this procedure done. Upon extensive research we have come to the conclusion
that there is no Beverly Hills Plastic Surgery for scrotum. The closest technique to shrinking the skin on the
scrotum is to deep the sac in ice water and causing a temporally physiological
reaction commonly known as shrinkage or testicular retraction as known in
medical community. Another common tricks done in Hollywood is to apply common, over the counter hemorrhoid cream such as Preparation H to the wrinkles skin under the
eyes to temporally remove the bags under the eyes.

Coolney 200x300 George Clooneys Scrotal Plastic Surgery

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Setting Healthy Weight Loss Goals

So when the New Year drops, nearly everyone has the same thought: “This year is the year. I’m going to exercise every single day and eat only salads and walk to places more often.” Sounds kind of familiar, right? Unfortunately many of us know how that ends up.

But it doesn’t have to be that way. If you’re trying to lose weight, whether it’s your New Year’s resolution, or a life-long goal, you can do it. There isn’t a secret, or at least one that works for everyone, but how you think about the process is just as important as all those crunches you do, smoothies you drink, and miles you run.

Being Realistic

Being realistic doesn’t mean being cynical, pessimistic, or limiting yourself. Being realistic simply means that you are allowing yourself to attain your goal one step at a time. It’s telling yourself that you can, and you will, accomplish your goal in a sustainable, authentic way.

So when we set unrealistic, “no-win” weight loss goals, we’re sabotaging our achievements from the start. There are two common pits that dieters fall into when setting goals.

  • Insistent imperative syndrome: Sounds potentially scary, but this “syndrome” occurs when you set goals filled with imperatives. What’s an imperative? Words like always, every, never, and must. These words leave no room for error and aren’t specific enough to become habit forming. These words insists on perfection—don’t get us wrong, you are awesome—but you can make mistakes. That’s what being human is all about! So get rid of those awful imperatives.
  • Mount Everest syndrome: When you set goals that are impossibly high—as high as Mount Everest—you’re giving in to this syndrome. Goals like “I will lose 75 pounds” or “I will run ten miles” are overwhelming. They sound like a huge and impassable hurdle. The worst part: goals like this make success an endpoint. Mission accomplished doesn’t mean you can go back to your old ways. Staying at a healthy weight, like so many other things in life, is a constant, continuing process.

Does that mean you shouldn’t push yourself? Not at all! Any good weight loss regimen needs a little push. What it does mean is that you need avoid those giant goals. The key to success is taking one step at a time. Try breaking down your ultimate weight loss goal into smaller, manageable steps. This is healthier for your body and your enthusiasm.

Setting Your Goals

So now that we know what not to do, what exactly makes a solid goal?

  • Making it personal: This is the most important thing about any goal you set, weight loss and beyond. Don’t lose weight to please others. This all about you.
  • Keeping things specific and short term: Think about what exactly you want to achieve by, say, tomorrow or the end of the week. Make it as specific as possible. Instead of “I’m going to do some cardio,” say “I’m going to walk for half an hour after lunch every day this week.”
  • Good ole positivity: Negative goals will only make you feel like you’re punishing or depriving yourself of things and makes your wins seem not as great as you wish. Instead of saying you won’t do something, say you will do the opposite. “I won’t eat any added sugar” turns into “I will eat fruit, vegetables, and lean protein with every meal.”
  • A healthy dose of rewards: Do something good for yourself when you achieve those little victories. You’ve earned it. While you could take a “cheat” day and grab yourself a small Frappuccino or frozen yogurt, it doesn’t always need to be about food. Buy yourself the latest NY Times Best Seller, a mani-pedi, or take a weekend trip.
  • Trackable progress: Keep a journal or diary that tracks each visible step you’re taking to reach your goal. What do you eat every day? How many miles did you run and for how long? What do you plan to do tomorrow to stay on track?

Some Examples

If you’re still not sure how to approach the whole weight-loss-goal-setting thing, here are a few examples you can run with.

  • Instead of “I’m going to run every morning,” try “I’m going to walk for 25 minutes three times this week.” Gradually build up.
  • Instead of “I won’t eat more than 1,000 calories each day,” try “I will try to average 1,500 daily calories this week.” Don’t undernourish yourself!
  • Instead of “I’m going to lose ten pounds before my friend’s birthday next month,” “I will eat smaller portions and go for a 20 minute walk four times a week so that I’ll feel healthy, look great, be confident, and have a great time at my friend’s party.”

Remember: weight loss is only a failure if you stop trying. Take that mountain-sized goal and divide it into smaller goals. Reward yourself, celebrate yourself, and give yourself the healthy, happy body you deserve.

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Six Tips for More Effectively Reaching Weight Loss Resolutions

Setting goals at the beginning of each calendar year is as much a part of the New Year celebration as counting down the seconds to midnight. The website Statistic Brain reports that 45 percent of Americans make resolutions. Of those that set these goals, only eight percent actually stick with them until reaching achievement.

Of all the New Year’s resolutions that people make, losing weight is the most common. It makes sense that people turn their focus toward getting in shape following the excess of the holiday season. Christmas, Hanukkah, and the surrounding festivities also bring a fair amount of self-reflection as people reassess their life priorities. Losing weight is not just about improving looks; it is about improving quality of life.

If you have already faltered in your resolutions, do not throw in the towel. There is still time to get back on track and reach the goals that you set on January 1 to accomplish. Here are some tips to help you carry out any goals you set this year; particularly goals related to weight loss:

  • Work backward. If your weight loss resolution is to lose 50 pounds by the end of the year, take a moment to ponder how exactly you will reach that point. With your ultimate goal as your focus, work backward in smaller increments and break down the total number. Decide how many pounds you will need to lose each month in order to get to your end goal. Once you have that in place, develop a game plan for losing those pounds. How many days each week will you work out? How will you change your diet? What simple daily changes can you make that will add up to long-term weight loss? In order to achieve a larger goal, you must break it down into smaller, more manageable segments. Remember: one small step at a time.
  • Tell someone. Do not keep your goals sealed in an envelope to read again on December 31. Let the people around you know what changes you want to make and how they can help you achieve them. Publicly declaring your goals is an act of commitment and will keep you accountable to what you set out to accomplish. With the right support group, any achievement is possible, so let those around you provide that advantage.
  • Get online. There are so many resources available for weight loss at the touch of a button, or the click of a mouse. Look for websites that help you track your goals while providing an online environment of support from others who are in the same boat. You can also find forums on weight loss issues that will encourage you and give you the answers you need to progress. Everything from weight loss surgery benefits to low-carb recipes are plentifully available on the Internet, so use the technology to your advantage.
  • Be realistic. No matter how enthusiastic you may be upfront, there will be tough days when it comes to losing weight. You will feel unmotivated more times than one, and sometimes you will not do as well as you had hoped during a workout. Mentally prepare yourself for these times so that when they happen, you are not tempted to quit. If you know that you will be taking a vacation, work out a little bit extra before and after the trip to make up for the days you are sure to miss while away from home. If you have a large project coming up for work, schedule shorter, more intense workouts and watch what you eat more carefully. Every day will not be your best one when it comes to goal achievement, but realizing this upfront can help you plan for any pitfalls. If you feel discouraged, allow yourself to feel it—and then let it go. Onward and upward.
  • Ask for help. When it comes to reaching goals, no person can do it alone. Having the support of friends and family is one step toward achievement, but you should take it a step further for optimal success. Join a gym and hire a personal trainer to help you. Pay a nutritionist to help you develop a healthy meal plan, and to educate you about lifelong healthy eating. Consult with a surgeon about receiving weight loss surgery, or getting rid of excess skin through a tummy tuck after the weight is shed. Realize that there are experts who understand the inner workings of the human body better than you do and have helped numerous others reach weight loss goals. The same is true for any achievement you seek; ask for professional help to get to your goal. Asking for help is a sign of strength, not weakness.
  • Know when enough is enough. While a certain amount of tenacity is necessary to reach a goal, remember that you have a life too. In an interview with the New York Times, Professor Maurice E. Schweitzer warned against people pushing too hard in order to reach often unattainable goals. He compared goal setting to a “powerful medication” and said that it takes careful monitoring to be sure the means to reach the achievement are not out of hand. If you find that your goal is consuming your life, or causing too much stress, reassess it and determine how to make it more accommodating.

Goal setting is a healthy practice toward self-improvement. Whether you decide to make resolutions on New Year’s Eve or realize mid-year that you want to make some changes, know that some obstacles may arise. Keep your eye on the prize, though, and follow these tips toward better goal achievement.

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Don’t Let Foot Pain Nail You Down

Heel pain or pain on the bottom of the foot could be caused
by common conditions such as plantar fasciitis or heel spur. The pain from such conditions is usually worse in the morning when getting up from bed or prolong period of rest.

Plantar fascia is a thick band of tissue on the bottom of the foot which connects the heel to the bones in the forefoot. Inflammation of this tissue causes pain on the bottom of the foot and heel pain

Foot nail gun injury 1 150x1501 Dont Let Foot Pain Nail You Down

Don't let foot pain nail you down

. This condition is more common in runners, obese people, and pregnant women. The treatment initially includes rest, reduce weight bearing activity, anti inflammatory medications, ice and stretching exercises. If the condition lasts for more than several months, a chronic scar tissue may form around the plantar fascia, causing severe, debilitating pain. In that case, a more aggressive course of treatment such as shockwave therapy or fasciotomy maybe indicated.

Heel spur is an excess deposit of calcium on or around the heel bone. Risk factors include poor fitting shoes, long distance runners, excess weight or obesity. Heel spur could
be asymptomatic. In other cases, patients report a sensation of sharp, stabbing
pain on the heels or bottom of the foot. A heel spur is diagnosed using X-ray
or other imaging studies which show excess calcium deposit on or around the
heel bone. Treatment includes rest, stretching, padded shoes and physical therapy.
In case of chronic pain, a surgical course of treatment for release of plantar
fascia or removal of the bone spur maybe needed.

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Myths about Bunion and Foot Surgery

Bunion is a disorder of the big toe joint causing a boney prominence. Surgery is commonly
performed to relieve the bunion pain.  Some people simply avoid bunion surgery
because they may have “heard” some false information about the fixing
the bunion.

Surgery for bunions is more than just simply cutting the boney protrusion. It
also requires that the deviated bone and joint to be realigned. There is a
whole range of mild to severe bunion and the surgery has to be individualized
based on the case. It takes approximately six weeks for the bones to mend in
the corrected position. Bunion surgery, just like any surgery, has its share of
myths. One should keep in mind that not all bunions are treated the same,
information that may apply to someone with a large bunion may not apply to
someone with a small bunion.

Myth #1: Bunion Surgery Is Extremely Painful

Bunion surgery is not “more” painful than other surgeries. Foot surgery, in general, can cause increased pain because the foot is below the level of the heart and blood is
pulled to the feet due to gravity, causing a throbbing feeling. Also, the foot
does not have much soft tissue surrounding the bones, so moderate swelling can
aggravate the nerves, causing pain. Most patients find that the discomfort is
tolerable with pain medication, elevation of the foot and in some cases by
using an ice pump.

Myth #2: Bunions Return Even After Surgery

Most patients are happy with their outcome after bunion surgery. Recurrence is possible, but unlikely. And, recurrence of a bunion is not necessarily a complication, but just a new bunion forming without any relation to the last bunion.. Some patients have excessive motion in the foot that may predispose them to recurrence or recurrence may be due to ill fitting shoes. Another possible reason for recurrence is because the procedure
that was performed did not best suit the severity of the bunion — so it’s important to have the surgery tailored for your particular bunion.

Myth #3: Bunion Surgery Requires Cast and Crutches

This was true a decade ago, but advances in surgical techniques have allowed
surgeons to mobilize patients quicker. Mild bunions typically involve walking
in a surgical shoe for six weeks. Surgeons consider casting with crutches with
larger bunions. A new procedure called the Lapidus Bunionectomy, allows for
early protected walking at two weeks following surgery. Recent technological
advances in medical implant devices have also helped surgeons modify their
techniques to get patients moving quicker.

Myth #4: You Need to Take Time Off Work

Depending of demands of your workplace, this is not completely true. A patient
can return to a   desk job within a few
days of the surgery, and varies based on surgeon protocol and type of bunionectomy performed. Jobs that require excessive walking, standing and physical activity may require time off, up to a few weeks, depending on healing and job requirements.

Myth #5: Don’t Fix A Bunion Unless Painful

The problem with waiting for bunion to become painful is that the bunion may become
severe by the time pain appears. The concern with bunion surgery for a
non-painful bunion is that the surgery can result in post-operative pain that
may not have been there prior. However, people do have surgery for non-painful
bunions if the bunion interferes with normal activity, continues to become
larger, or if they have difficulty wearing shoes and/or if the bunion is simply

Myth #6: Healing After Bunion Surgery Results In Unsightly Scars

Once again, this was the case a decade ago. Today, incisions can be minimized, or alternate
surgical approaches, such as cosmetic foot surgery may be used to hide surgical scars. Bunion incisions are either located on the top of the foot or on the side of the foot, and technique varies based on surgeon.

webmd rm photo of painiful bunion1 300x203 Myths about Bunion and Foot Surgery

Bunion of big toe

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Watching Your Weight Over the Holidays

It’s that time of year again. . . time to sit back and say “no thank you” as the holiday treat platter is passed countless times at numerous parties and seasonal events. With friends and neighbors dropping off sweet treat plates, big holiday dinners with family, and baking your own family’s traditional holiday favorites, it’s no small wonder why Americans tend to pack on the pounds in December.

Why are the holidays linked to unhealthy foods that make us gain weight, and how can we reverse the process when it’s linked to tradition? Imagine a holiday filled with carrot sticks and cauliflower florets instead of cookies and fudge. It doesn’t have to be that extreme, but there are some major steps you can take to keep your holiday weight gain in check while enjoying a few tasty treats at the same time.

Why the Holidays are Associated with Unhealthy Food

It’s greatly a matter of tradition. Family and friends cook the same fattening meals and array of holiday treats that they grew up with, and that their mothers made for them, and their grandmothers made before that. When you combine long-standing holiday traditions with multiple holiday parties that offer food and drink trays around every corner, it becomes a recipe for excessive weight gain.

You can make a small change for the greater good of your family now and in future generations by starting a new tradition in your own household, and it doesn’t have to involve carving skinny snowmen out of carrot sticks. Try introducing a raw dessert sweetened with dates and berries, planning a Christmas day hike in the woods, or giving unwanted food to those that are less fortunate.

Simple Ideas for Managing your Holiday Diet

It’s amazing how the number one way to avoid holiday weight gain—a plan that involves doing nothing at all—can be so much harder than actually doing something. Yet turning down extra calories is a surefire way to curb the onslaught of holiday weight gain. But on top of managing your diet and eating a balance of different foods, there are a few things you can do to be proactive about avoiding weight gain during December.

But first, the don’ts

1. Don’t eat extra calories. Weight gain comes from taking in more calories than you burn over a given period of time. And nature has been kinder to some than others. Unfortunately, a person with a fast metabolism can burn more calories by doing nothing than a person with a slow metabolism can through exercise. If you’re not very active and/or weight gain runs in your family, you’ll need to be extra careful during the holidays. Make sure you don’t consume more calories than you’ll expend each day, which will lead to weight gain regardless of the foods you eat.

2. Don’t skip daily exercise routines. Extra demands during the holidays mean that nearly everyone is over-extended, but skipping your exercise routine is not a good way to find extra time for holiday shopping and parties when it comes to controlling weight gain. Put exercise at the top of your list of priorities if it isn’t already and keep it there through the New Year. If you’re really low on time, look for creative solutions such as parking several blocks away from work and walking the extra distance.

3. Cut out simple carbs. Simple carbohydrates such a white flour, sugar, and corn syrup—the main ingredients in many holiday treats—are the main culprits of weight gain. Other problem items that regularly grace the holiday table are potatoes, bread, and sugary side dishes like sweet potato casserole. Fill your plate with salad, veggies, and turkey first, and take only a taste or two of any high-carb foods.

4. Don’t drink too much. Alcohol immediately converts to sugar inside the body, leading to near-instant weight gain, and should be considered a simple carb to be avoided as much as possible. If you must indulge, limit yourself to one or two drinks and follow each one with two full glasses of water.

And now, the dos:

1. Fill up on healthier foods during the main course. Turn down fattening appetizers and finger foods to save room for the main course. During dinner, fill your plate with fresh fruits and veggies first, meat and whole-grains next, and carbohydrates last. With any luck there won’t be much room left on your plate—or in your stomach—for simple carbohydrates and dessert.

2. Give more than you receive. Many people enjoy baking treats for others during the holidays, which means you may receive several plates of treats on top of the ones you might be baking yourself. Make sure you tell friends in advance if you don’t want to receive gifts of sugar. Ask them to make donations to food banks and soup kitchens instead, and consider doing the same with some of your own holiday treats.

3. Start your New Year’s resolutions on Dec. 1. Losing weight and getting back in shape are at the top of the list of New Year’s resolutions for a majority of Americans. Image how far ahead of the game you’d be if you started practicing your yearly resolutions a month early. Binge eating during the holidays with plans to take off the pounds after the New Year sets many people up for failure when it comes to meeting weight loss and exercise goals.

4. Begin medical and cosmetic weight loss treatments before the holidays. Putting time and money into your body before the holidays makes you less likely to fall off the diet wagon, which may take away from your new look.

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Medical Tourist Gaining Popularity

In a recent survey of about 18,000 people from 24 countries, on third of people say they would travel abroad for cheaper medical or dental treatment- the idea of medical tourism.

Mostly due to economic reasons and cheap surgery, treatments ranging from cosmetic surgery to life-saving surgeries.  Indians, Indonesians, Russians, Mexicans and Poles were the most open to the idea of being medically mobile. It is not surprising that men and women from emerging nations would be medically mobile if the treatments were cheaper.

In United States, where 38 percent of people were open to the idea of medical tourism, particularly Mexico Cosmetic Surgery such as Tijuana breast augmentation.  It is a reflection that the medical profession is no longer protected from globalization nor is bound by boarders.


Although medical tourism includes a wide range of procedures, the most common are dental care, cosmetic surgery, elective surgery and fertility treatment, according a recent report.

“The medical tourist industry is dynamic and volatile and a range of factors including the economic climate, domestic policy changes, political instability, travel restrictions, advertising practices, geo-political shifts, and innovative and pioneering forms of treatment may all contribute towards shifts in patterns of consumption and production of domestic and overseas health services,” the report said.

Various studies using different criteria have estimated that anywhere between 60,000 to 750,000 U.S. residents travel abroad for health care each year, according to the Centers for Disease Control and Prevention.

Along with variations among countries, the survey showed that younger adults under the age of 35 were more likely to consider medical tourism, than people 50 to 64 years old.

The cost of travel, proximity to the residing country, borders restrictions and quality of care may also be factors considered by potential medical tourists. In European countries of Italy and Germany, about 20 percent of adults said they would consider medical treatment in  Hungary, a popular destination for health treatments.

The risks of medical tourism include lack of care in case of delayed complication or emergency, particularly when the patient is back home and no where near where the original care or surgery was conducted. Other risks include lack of communication and language barrier, and inability to verify the medical provider’s training and experience.

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Minimally Invasive: STARR Surgery Performed with the SPIDER Laparoscopic Platform

Minimally invasive surgery, also called laparoscopic surgery, is any procedure that is performed through one or more small incisions in the abdomen, as opposed to laparotomy, which involves a large incision and is more invasive.

Advantages of laparoscopic surgery over laparotomy include minimal scarring, less pain, reduced risk of hemorrhaging, fewer potential infection sites, and a shorter recovery period. A minimally invasive surgical procedure uses the least invasive means to correct the problem demanding surgery in the first place.

Minimally invasive surgery has been around since the early 1900s, but recent advancements in the field have led to the SPIDER Surgical System, a groundbreaking flexible laparoscopic platform that allows multiple surgical instruments to be used through one small incision. The SPIDER Surgical System is a new and exciting development in the surgical world, and Beverly Hills Physicians is one of few organizations capable of using it (more on that in a minute!).

All about the SPIDER Minimally Invasive Laparoscopic Surgical Platform

The SPIDER laparoscopic platform is a flexible platform, which means it employs both rigid and flexible surgical tool manipulation through a unique four-hole entryway to hollow tubes called trocars. The trocars are used for access of the surgical tools to the surgery site. A rigid platform requires multiple incisions and has fewer capabilities, while a flexible one allows multiple tools that are used through a single incision, gives the surgeon better dexterity, and has true right- and left-hand tool handling.

How it works. SPIDER creates multiple working channels through a single incision site, giving surgeons more options for multiple tasks and increased instrument manipulation. SPIDER limits the number of necessary incisions to decrease risk, pain, and recovery time. SPIDER creates little to no noticeable scarring, because the incision is made on or near the belly button. The platform is unique because it opens up inside the abdomen to maximize the surgeon’s working room and dexterity.

Flexible characteristics of the SPIDER laparoscopic platform include:

• Open platform
• Multiple working channels
• Single operator capabilities
• Multiple, flexible instruments
• True right and left instrument handling
• Triangulation through a single access site

weight loss Minimally Invasive: STARR Surgery Performed with the SPIDER Laparoscopic Platform

At Beverly Hills Physicians, bariatric surgery is one of our specialties. The SPIDER Surgical System makes performing weight loss surgery simpler, less invasive, and safer. Weight loss surgery with the SPIDER platform is called the STARR Treatment.

All about the STARR Treatment

STARR stands for Surgical Tiny Access and Rapid Recovery. STARR is specifically a weight loss surgical technique using the SPIDER platform that can be used for gastric banding and sleeve gastrectomy procedures.

Gastric banding is the most common type of weight loss procedure. It places an adjustable band, often called a lap band, around a portion of the stomach to make it smaller. The surgery is adjustable and reversible. In gastric sleeve surgery, a large portion of the stomach is removed to create a permanently smaller sleeve-shaped stomach.

The STARR treatment produces the following results:

• Minimal pain and scarring
• Rapid recovery
• Good aesthetic results through successful weight loss

The STARR treatment allows gastric band and gastric sleeve surgeries to be performed through a barely visible incision. Minimal pain at only one incision site—as compared to the 4 to 6 incisions usually required for other laparoscopic procedures—allows for a quick return to work and other daily routines.

During the procedure, the SPIDER surgical platform is inserted into the abdomen through one incision. The SPIDER surgical instruments are all contained within a tube only as wide as a dime. Once inside the abdomen, the surgeon is able to control which instruments are needed with extreme precision. The STARR procedure is easier for surgeons and safer for patients. A patient can expect to be released from the hospital or surgery center the same day as the procedure to rest and recover at home.

Beverly Hills Physicians and the SPIDER Surgical Platform

Our very own Doctor Misra is paving the way with the SPIDER Surgical System, not only for our network of surgeons, but for the industry as a whole. This highly specialized surgical technique requires specific training that, currently, very few surgeons have—but Doctor Misra is a frontrunner in bariatric surgery advancements.

We’re proud that we are able to offer this exciting option for people seeking the safest, least invasive, and most effective bariatric surgery possible. Please contact us for a free consultation if you’re interested in the STARR treatment via the revolutionary SPIDER Surgical System.


Photo Credit:

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Are You a Weight Loss Surgery Candidate?

If you are an overweight patient whose weight poses significant health risks and you have been unsuccessful at losing weight through diet and exercise programs, you may be a weight loss surgery candidate. Weight loss surgery is intended to help obese patients lose weight through decreasing appetite, limiting food intake, and enabling easier movement and exercise that leads to establishing a healthy body weight.

What is Weight Loss Surgery?

Also called bariatric surgery, weight loss surgery is performed on obese patients (patients with a BMI of 30 or higher) to help them lose significant amounts of weight over a relatively short span of time. Weight loss surgery may include reducing the size of the stomach (gastric banding), removing part of the stomach (sleeve gastrectomy), or rerouting the gastrointestinal tract (gastric bypass).

Benefits of Bariatric Surgery

The benefits of weight loss are vast and lead to a healthier, more fulfilling life for many patients. Weight loss surgery often leads to significant, permanent weight loss. Patients may be able to reduce their mortality rate by up to 40% by losing weight. They can also reduce or eliminate co-morbid diseases—diseases caused by or related to obesity that could result in disablement or death—such as diabetes, hypertension, and heart disease.

Weight loss also increases energy and metabolism, makes movement easier, and reduces joint pain. Many obese patients who are unable to lose weight through diet and exercise alone need the intervention of a weight loss surgical procedure to get them on the road to recovery.

Who is a Weight Loss Surgery Candidate?

According to the United States National Institutes of Health (NIH), an obese person is someone with a body mass index (BMI) of 30 or greater. Obesity occurs when a person has accumulated fat to the point that it poses a significant threat to health, quality of life, and/or decreases life expectancy.

Bariatric surgery is recommended for anyone with a BMI of 40 or higher, or for persons with a BMI of 35 or higher and at least one existing co-morbidity. Co-morbid conditions associated with obesity include diabetes, hypertension, sleep apnea, osteoarthritis, asthma, and heart disease.

An increasing number of doctors are considering bariatric surgery for persons with a BMI of 30 or higher when co-morbidities are present. Obese patients are usually only considered for weight loss surgery when typical diet and exercise programs have failed to produce significant weight loss results on their own, enough to bring the patient out of the realm of obesity and the risk of associated conditions.

More about the Different Types of Weight Loss Surgery

Bariatric surgery includes three main sub-types: gastric banding, sleeve gastrectomy, and gastric bypass.

Gastric banding achieves weight loss by reducing the size of the stomach using an adjustable silicone band. In some cases the stomach is reduced to as little as 10% of the original stomach size. This significantly smaller stomach feels full much faster, sending signals to the patient to stop eating so that they take in and absorb fewer calories.

The procedure is impermanent and adjustable which means the band can be moved to a new location on the stomach or removed altogether if needed. There are many different methods of performing all types of bariatric surgery. Types of adjustable gastric banding offered at Beverly Hills Physicians include the LAP-BAND and REALIZE.

Sleeve gastrectomy permanently removes up to 85% of the stomach, significantly reducing its size. The portion that remains looks like an elongated pouch or sleeve. Like gastric banding, the reduced stomach size means fewer calories are taken in and absorbed, leading to rapid and significant weight loss. The procedure ensures that patients keep weight off with a permanently smaller stomach.

Gastric bypass surgery divides the stomach into two separate pouches and then reroutes the intestinal tract so that it connects to both sections for proper drainage. The smaller upper pouch digests a majority of the food before it bypasses the lower, much larger portion of the stomach for decreased intake and absorption.

There are several methods of achieving gastric bypass. At Beverly Hills Physicians we offer roux-en-Y gastric bypass—the most commonly performed type of bariatric surgery in the United States.

Gastric bypass surgery is recommended by the NIH for morbidly obese patients (patients with a BMI of 40 or greater), or for patients with a BMI over 30 and significant risk from one or more co-morbid conditions.

Set up a free weight loss consultation with us today to see if you’re a candidate for bariatric surgery.

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All about the Gummy Bear Breast Implant

Although the gummy bear breast implant has been used in Europe for over 15 years, this type of silicone gel implant is relatively new to the United States. Many breast augmentation candidates have never heard of the gummy bear breast implant before, and there’s no better time to learn about them than now.

What is the “Gummy Bear” Breast Implant?

Officially called Style 410 cohesive gel breast implants, gummy bear implants are a specific type of silicone gel implant that is solid yet pliable, even on the inside. Plastic surgeons have coined the term “gummy bear” as a way to explain the consistency of cohesive gel implants to their patients. When the implants are cut open, they appear to have the consistency of a gummy bear.

923b8c92009f47ea36857e5d49f1c43d All about the Gummy Bear Breast Implant

FDA Approved Breast Implants

The solid, yet pliable, gel doesn’t leak at all if an implant ruptures, one of the main benefits of the gummy bear implant over saline and traditional silicone gel. The implants are also referred to by the brand name “Sientra,” which is currently the only type of cohesive gel implant approved by the FDA to date.

Another benefit of cohesive gel implants is that they reportedly look and feel more natural than traditional options. Many U.S. women who’ve already undergone a breast implant surgery are going back for a second surgery to replace their original implants with gummy bear implants.

FDA Approval of the Gummy Bear Implant

In March 2012 the FDA approved the Style 410 Breast Implant—also called cohesive gel and gummy bear implants—for use in the United States. The implants were approved after an 8-year clinical trial involving over 18,000 women over the course of more than six years.

Before March of 2012, women were not able to receive gummy bear implants in the U.S., even though they have been the preferred type of breast implant in Europe and parts of Asia for over 15 years. Any woman who received gummy bear breast implants before March 2012 was part of the clinical trial. FDA approval of the implants is still contingent on longer-term studies of Sientra. The cohesive gel breast implant manufacturers Allergan, Mentor, and Silimed are all currently undergoing clinical trials of their products for approval by the FDA as well.

The FDA placed a moratorium on silicone breast implants in the U.S. for over 20 years, which was lifted in 2006. Since that time, the popularity of silicone implants has risen dramatically. The American Society for Aesthetic Plastic Surgery reports that breast augmentation continued to be the most popular type of plastic surgery among women in 2011, with 69% of the surgeries using silicone implants over saline. With cohesive gel implants now approved in 2012, we can expect these statistics to increase even more.

How Gummy Bear Implants Compare to Silicone Gel and Saline Implants

Cohesive gel breast implants are a type of silicone gel implant with the consistency of a gummy bear, which means that there is no risk of leakage if one ruptures. A chief criticism of traditional silicone gel implants, and the reason that they were banned by the FDA for so long, is the risk of leakage in the event of a rupture.

The silicone gel inside an implant is a liquid that can leak into the body if the implant has a hole, rupture, or other puncture damage. Because the leak is usually slow, it isn’t immediately noticeable and a fair amount of the gel may leak into the body before a woman realizes she has a rupture. The full effects of the leakage are unknown, but include an increased risk of breast cancer. In the event of a rupture, the implant must be removed and replaced as soon as possible. It’s important to know that recent developments have made rupture of silicone implants much less likely.

Even though saline implants are more prone to rupture than silicone gel implants, these implants have been a popular choice as a safe alternative to silicone among women undergoing breast augmentation. More women choose silicone gel over saline overall, however, because the implants look and feel more like the real thing. Saline implants can also be overfilled, causing the breasts to become hard. However, the overall risk of rupture in either type of traditional implant is low.

Gummy bear implants look and feel more natural than both traditional silicone gel and saline implants. They also have less chance of rupture and rippling because of their solid yet pliable consistency. You can expect to see a drastic increase in the number of women receiving these types of breast implants over the next several years as they gain recognition and increase in popularity.

Beverly Hills Physicians board certified doctors are some of the first in the United States to offer this exciting new option.  Schedule a free consultation and decide which implant option is best for you.

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