Frequently, breast enlargement (macromastia) and morbid obesity are related entities, occurring simultaneously in some patients. There certainly are many patients who only have enlarged breasts without also being obese. In fact, in 2009 over 78,000 breast reduction procedures were per
Bob Mewse is just an ordinary citizen of the United Kingdom, but is probably the first man ever to be inspired to lose weight by searching Google Maps. After searching for himself on the Google application, Google Maps, Mr. Mewse was horrified when he saw an unflattering photograph of
Patients frequently present to me with complaints about their abdominal contour. The female patients that I see frequently fall into one of three categories: 1) The nulliparous patient (who has never been pregnant) who has had either a slow down in their metabolism as they have aged,
More and more post-bariatric patients are presenting for open body contouring every year. As we know, loss of massive weight in a relatively short period of time can result in any of several nutritional abnormalities, including negative protein balance, blood glucose instability, and
The George Washington University School of Public Health and Health Services’ Department of Health Policy today released a report that, for the first time, calculated the startlingly high individual costs of obesity to Americans. The report, “A Heavy Burden: The Individual
DVT (Deep Venous Thrombosus), also known as VTE (Venous Thrombo Embolism), is a condition that results in the formation of blood clots in the deep veins of the calves, thighs or pelvis. Although the true incidence of DVT in the main population of plastic surgery patients is low, the r
The breast tissue of patients who have lost significant amounts of weight appears and behaves differently than the breast tissue of non-bariatric patients. Here are the 4 reasons why: 1) The breast often has significant and sometimes asymmetric breast volume loss, with a flat & d
Obesity statistics are interwoven with cancer statistics in some complex and confusing ways. We know that people who are fit and trim and eat healthy foods appear less likely to contract diseases, but we also know of many exceptions. Medical research has determined with reasonable cer
Roux-en-y gastric bypass is a surgical weight loss operation that combines a restrictive and a malabsorptive procedure. A small (15-30ml) gastric pouch is created to restrict food intake. A limb of intestines that is further “downstream” from the intestine that the stomach
Vertical banded gastroplasty is a purely restrictive procedure that limits the amount of solid food that can be consumed at one time. This surgical procedure creates a small gastric pouch that empties through a small opening (i.e.stoma). This can be combined with an additional externa
The Lap Band (aka Laparoscopic adjustable gastric banding) is a restrictive weight loss procedure. The device consists of a silicone band with an inflatable collar. This device gets placed surgically around the upper portion of the stomach to create a small gastric pouch. The band is
Patients who are candidates for weight-loss surgery are often required by their health insurance company to wait six months from the time of approval to the time of surgery. Third party-payors (insurance companies) feel that patients should use the time to try to adapt to new diet an
