Posts Tagged weight loss

Weight Loss Tummy Tuck – Orange County, Ca

Weight loss tummy tuck surgery is tummy tuck surgery after significant weight loss. Here we have Before & After images of the oldest patient for whom I have ever performed abdominoplasty. She was 73 at the time of her tummy tuck, but a very healthy 73. She had of her own accord lost some 65 pounds and wanted her “fat apron” lifted from her tummy. After her internist cleared her for surgery, we went ahead.

weight loss tummy tuck

She recovered well and quickly after her surgery and was pleased with her outcome. This weight loss tummy tuck resulted in a loss of a few pounds. The patient had lost the majority of her weight beforehand. This is the way it usually works out. These operations are “cleanup” for the effects of large scale weight loss most often.

Best Regards,

John Di Saia MD

Related:

Dr D’s Website Tummy Tuck Section

Originally posted 2005-05-16 20:29:00.

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Weight Loss and Cosmetic Surgery : The Truth

Weight loss and plastic surgery are related, but they are not the same.

Cosmetic surgery will not make you lose a significant amount of weight. Liposuction removes fat, but fat weighs fairly little. A tummy tuck mostly removes skin with a thin pad of fat.

How they are related:

You want to do your cosmetic operation when you feel that you are at a weight that you feel you can maintain. Many operations will have a change in outcome if you gain or lose a significant amount of weight afterward. That’s right: lose or gain. Additional surgery often follows in cases in which significant weight change occurs after surgery.

There is an ideal picture however before a given operation will have a given result. Patients are often asked to try to lose weight before a tummy tuck. If the tummy wall is firm, tummy tuck surgery won’t get you far. If it is soft and/or there is tissue hanging, the results are generally quite good. A good surgeon can tell this quickly, but often doesn’t say much more than “lose weight first.”

Best Regards,

John Di Saia MD

Originally posted 2005-07-28 18:40:00.

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Liposuction- The Truth

I get hassled about my take on liposuction gimmicks once in a while. To some other surgeons in Orange County, it is as if I am pissing on the very thing that makes your local plastic surgeon a living.

While I reserve the right to poke fun at what I see as the myriad of liposuction gimmicks out there, the main point is that liposuction can be a good procedure in the right patient. Whether or not the purportedly “newer and better” liposuction modalities (Smart Lipo, Vaser, Aqualipo and the like,) are really any better is debatable.

As liposuction modifications have been marketed with more hyperbole than seen in a late Billy May’s commercial, people have begun to think of these trademarked systems in progressively more unrealistic terms. Americans are suckers for technology and the marketing types know it.

A related problem is that liposuction is used in many patients for whom it is not the best idea. This again has more to do with liposuction becoming a commodity as opposed to an operation.

The Bottom Line:

Liposuction is best for people with relatively stable weight who have fatty deposits that remain despite diet and exercise. It is not a weight loss procedure but rather a body contouring operation. Some areas are more treatable than others. The skill and judgment of the surgeon are primary and pivotal in the outcome and the effectiveness of any one liposuction system over another is widely open to debate and may be more of a matter of advertising appeal than medical fact.

Best Regards,

John Di Saia MD

an Orange County Plastic Surgeon

Originally posted 2011-03-21 07:30:40.

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LeAnn Rimes – Now Thinner post Breast Implants

Leann Rimes has changed since my post about her Shape magazine cover. This image was put up by Ms Rimes on her Twitter acct. Firstly, she had breast implant surgery. Fortunately, she didn’t go very large on her implants because afterward she appears to have lost some weight. It makes me feel weird as my prior post was misconstrued by some to read that I felt she was fat. I did not. In any case, breast implants don’t always look so great when they do not have much tissue coverage. That is unless you want a less natural look. Chill flamers….. I am not saying she is too thin now.

It has been commonly said in Hollywood that “you can never be too rich or too thin.” I think she might be looking a bit on the thin side, but not so thin as to be unhealthy. If she gets thinner we might be seeing some rippling soon though. :)

Best Regards,

John Di Saia MD

Originally posted 2011-05-31 13:00:25.

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Heidi Montag now off Plastic Surgery and on Weight Loss Gimmick

Heidi Montag used to brag about her extreme plastic surgery. Now she’s telling the world about her extreme workout and weight loss. Montag stepped out at Las Vegas’ Wet Republic pool party this weekend showing a super skinny frame. Montag said she has shed 27 pounds by exercising as many as 14 hours a day. “I’ve been working out from, like, 5 a.m. to 7 p.m. for two months now,” she told US magazine. “I’ve been running a lot, and I’ve been doing weights.”

Source: entertainment.blogs.foxnews.com/2011/06/20/heidi-montag-shows-shocking-weight-loss-in-new-photos

Heidi Montag is a novelty. In 2010, she was first praising then bashing plastic surgery and her surgeon Frank Ryan…even following his tragic death. Maybe the extreme plastic surgery gimmick has dried up. Now we find her poolside with Crystal Harris (after Crystal dropped Hugh Hefner) heralding her new extreme weight loss program. Heidi has never been heavy at least not by my way of thinking. Now she is Skeletor thin. Well they say in Hollywood you can never be too rich or too thin. Move over Calista Flockhart.

She probably got paid pretty well for the appearance. Let’s see if this new gimmick gets her any mileage. It’s a living.

Best Regards,

John Di Saia MD

Related Posts:

Dr D’s Top Ten Celebrity Boob Jobs Comedy – Heidi Montag

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Kirstie Alley Denies Plastic Surgery

Actress Kirstie Alley refuses to go under the knife to preserve her looks – because she is convinced her wrinkles will help her land more movie roles. The former Cheers star, 59, insists she is content with her features and would never consider undergoing plastic surgery, especially as more and more actresses turn to the surgeon’s knife to stay young in the industry. She says, “I’m not a surgery girl, I haven’t had plastic surgery. I don’t wanna have it but it’s hard when you see your peers and things and they have. I go back and forth and think, ‘Who’s gonna play grandmothers in movies?’ You gotta be 100 to be a grandmother in a movie! So maybe it just gives our group (actresses without surgery) more longevity to be filming.”
Source: starpulse.com/news/index.php/2010/03/26/kirstie_alley_i_havent_had_plastic_sur

Kirstie’s weight has gone up and down like the Space Shuttle. Lately she has looked pretty good, but denies plastic surgery. Not everyone who looks good has had plastic surgery to get there. Plastic surgery is not best used for weight loss anyway. Then again Hollywood performers have a high likelihood of having surgery to stay working.

I’d bet she’s had something over the years probably more than she would like us to think.

Best Regards,

John Di Saia MD

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Obese Contestant Hospitalized – Dehydration?

ABC’s “Obese” — an upcoming reality show on losing weight in your very own home — is off to a really bad start … because TMZ has learned, one of the contestants has already been hospitalized. We’re told 25-year-old LaRhonda Darby — one of the show’s eight, morbidly obese individuals — was rushed to the hospital Saturday in Oklahoma City for dangerous dehydration levels. She was given fluids and sent home. According to sources, Darby had been taking a prescription diuretic — water pills. We’re told she woke up Saturday morning feeling light-headed with leg cramps … so her sister-in-law called 911.
Source: tmz.com/2010/11/16/extreme-makeover-weight-loss-edition-contestant-hospitalized-dehydration/

Reality shows might be dangerous for your health. You should see the release forms I had to sign for “Wipeout.” Diuretics can cause dehydration, so the story is plausible. When really obese people race to lose weight, problems are bound to occur.

Best Regards,

John Di Saia MD

Originally posted 2010-11-17 09:00:50.

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Obese Woman Angry At New Hampshire Doctor

Dr. Terry Bennett says he tells obese patients their weight is bad for their health and their love lives, but the lecture drove one patient to complain to the state. “I told a fat woman she was obese,” Bennett says. “I tried to get her attention. I told her, ‘You need to get on a program, join a group of like-minded people and peel off the weight that is going to kill you.’ ” He says he wrote a letter of apology to the woman when he found out she was offended. Her complaint, filed about a year ago, was initially investigated by a panel of the New Hampshire Board of Medicine, which recommended that Bennett be sent a confidential letter of concern. The board rejected the suggestion in December and asked the attorney general’s office to investigate.
Source: foxnews.com/story/0,2933,166658,00.html

Political correctness will soon keep doctors from doing their jobs. We are supposed to at least try to get you to do the best thing for your health.

This lady asked the medical board to investigate the doctor because of the way he expressed his concern over her obesity. It is no wonder many docs just keep their mouths shut. Who is right?

Sounds like an overly sensitive patient to me. Sure, I have seen insensitive doctors with patient issues. I have also seen patients take things out of context to make trouble. I used to see this a fair amount as a general surgeon at the university. Then I stopped doing general surgery.

If you don’t like your doctor, get another one.

I’d love to know what the medical board expected the attorney general to do. Are they going to arrest the guy for doing his job?

The article admits that the doctor helped the patient lose 150 pounds. Maybe he should be more callous as it seems to be working.

Best Regards,

John Di Saia MD

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