female belly prepared for a fat removalObesity in America has reached epidemic proportions. Fad diets are ineffective and our sedentary lifestyles combined with the proliferation of fast food and processed food has contributed to this epidemic. For some, gastric surgery can be the solution to the problem of morbid obesity. Gastric surgery began as a cancer treatment, but quickly became something much more. Cancer patients needed parts of their stomach or intestines removed in order to remove cancerous regions; surgeons quickly realized that a similar surgery could be used for weight reduction and thousands of obese individuals have benefited from the procedure. Over the decades, the procedure has been restructured and redesigned to accommodate weight loss primarily, and became the surgery we know it as today.

For many, weight reduction surgery has been the answer to their obesity dilemma. Unfortunately, weight loss surgery is not for everyone. For those who need to lose ten, twenty or thirty pounds, it is not the answer. However, for the morbidly obese who have been unsuccessful in other weight reduction efforts, weight reduction surgery can help them achieve a healthy weight and maintain a healthy lifestyle. All conventional weight loss methods such as counting calories, controlled meal plans, counseling, and so forth, should have been exhausted before undergoing weight reduction surgery.
For more information about weight loss surgery, contact Lap Band Surgeon Dr Carson Liu at http://www.drcarsonliu.com/ or call 310-208-0474

By Audrey Farahmand MD
Thank you, It’s been my privilege to serve you and
the medical society this year. The tradition in medical
societies is for the the speech of the outgoing
President to be brief. So I will try to keep mine brief
as well.

Two years ago, Dr. Rich Macchiorelli called me to
ask me to consider stepping into the queue to become
our medical society’s President. My initial response
was unexpected to him – I declined. I explained to
Rich my concern: How can I really represent our
members during this overhaul of the healthcare
system when my practice of cosmetic surgery will be
largely unaffected? If I am not really in the trenches
with our members and suffering with them by having
my bottom line reduced, or being forced to see higher
patient volumes, or being burdened with larger
administrative challenges as they are, How can I
really represent them? How will I be received?

He said that he understood my point; but, he told
me he did not feel the members would view my
selection in that light. I thought about it a bit, and I
reminded myself that our medical society is really about one thing – Advocacy. And advocates of
medicine come in all forms: hospitalists, solo
practitioners, group practitioners, Lee Memorial
Hospital, concierge medicine doctors, fertility doctors,
ER doctors, and even plastic surgeons. I called Rich
back and accepted the position.

In the recent past, we’ve had a fair number of
doctors holding leadership positions in the society
who, like me, are only indirectly affected by the
changes in the healthcare landscape. I have often
wondered why more docs who are being directly and acutely and adversely affected are
not taking these leadership positions in our society. I
can only conclude that, unfortunately, they are too
exhausted trying to keep their practices afloat.
I can’t help but wonder if this was part of the
government’s and insurance companies’ strategies :
Let’s lower the doctors’ reimbursements. They’ll be
forced to take on higher patient volumes and
administrative costs. They simply won’t have the time
or energy to organize themselves. Then, any changes
we want implemented will be met with little
resistance. Whether this effect was planned or not, it
appears to be happening locally.

I realize that, in some ways, I am preaching to the
choir. Those of you here tonight are here because
you are also advocates and you are active in the
society. Tonight, I am asking you to take it one step
further – I urge you to take on these leadership
roles especially if your practice is directly affected by
these changes in healthcare laws. Our incoming
President, Dr. Mouracade, a nephrologist, is one of
those doctors and we look forward to her talk tonight.
This past year we have seen some promising
movement with SGR repeal. Back in May, our medical
society received an email from the bipartisan Senate
Finance Committee asking for our recommendations
regarding physician payments.

Our Board of Governors alongside key members of
our society brainstormed and delivered a response to
the Senators’ questions. Evidently, our sentiments
were echoed by other medical societies as a few
months later, the Ways and Means Committee
approved the proposal to repeal the SGR formula by
unanimous vote and the Finance Committe approved
it by voice vote. Before January 1st President Obama
signed into law the Pathway for SGR reform Act of
2013 which prevented the scheduled 24% Medicare
payment cuts to physicians. More work needs to be
done but these are positive signs. This year we also
watched the Florida Healthcare Reform Bill passed
into law.

Despite these victories, we have battles ahead. We
need to keep fighting. We cannot retreat into our
laboratories, our offices, or our operating rooms. We
cannot say that we are too busy or too tired. We are
the ones who slept in hospitals for 36 hour (or in my
case sometimes 52 hour) shifts. Why would we say
we are tired now?
More work needs to be done. The Florida
Healthcare Reform Bill which I just mentioned was
recently tossed by a Federal Judge on the grounds
that it violated patient privacy laws. This decision is
currently being appealed. ICD-10 is still coming.
How many more hours will this take away from oneon-one
patient care? How much more cost will this be
to the physician? How will any patient benefit from
the addition of thousands of government codes?
This year, we also watched the United Advantage
Program drop many of our physicians. And we have
watched our Medical Society’s Political Action
Committee be required to dissolve along with other
county medical societies’ Political Action Committees
not for financial reasons but because state legislature
was passed ordering us to do so. At times, our trying
to fight against these attacks against our profession
seems like trying to shoot spitballs at godzilla. We
might not be able to kill godzilla, but we can certainly
prevent him from completely destroying our city.

We cannot say that the intent of the changes in
healthcare laws are bad. Although costly, EMR
(electronic medical record) does offer an easy way to
obtain patient records from other practices and helps
organize patient records. The objective of trying to
provide basic health care to all Americans is an
admirable goal. However, physicians need to be
driving the bus on these changes. Our patients trust
us and not the government. We need to lead the
discussions and say no only when no is indicated.
We cannot place the destiny of healthcare in the
hands of those who do not have licenses to practice
medicine nor the education to deliver medical care.
These points bring us back to leadership. Youfarahmand
might wonder how we got involved with the medical
society’s Board of Governors. Basically, we were
tapped on the shoulders by our peers just as Dr.
Macchiorelli tapped me on the shoulder when he
called me, or as I tapped Dr. Mouracade on the
shoulder. You might get a call from one of us asking
you to serve on the Board or on a Committee because
we feel you would best represent our members. We
hope you will step forward and do your part as these
laws affect all of us, directly and indirectly. Thank you

For more information about Dr Audrey Farahmand – visit her site http://www.farahmandplasticsurgery.com

The cost of liposuction is comprised of several fees including: the surgeon’s fees, anesthesia fees, preoperative laboratory test fees, facility fees and post operative recovery aids such as medication and compression garments. Repeat laboratory tests and different compression garments may be required over the course of recovery. For example, one compression garment may be required for the initial recovery period and a smaller compression garment may be required when swelling goes down in the later recovery stages. Liposuction costs may be presented as one fee which includes the surgeon, anesthesia and facility. Alternatively, some surgeons may break the fees down into separate fees.

Liposuction Cost Breakdown
Liposuction costs vary because of numerous other factors, including:
• Number of Treatment Areas: One area is less costly than two or more areas. Treatment for multiple areas simultaneously allows for anesthesia costs to be combined.
• Patient Size and Complexity: The size of the patient and the complexity involved in the procedure affects liposuction costs. Small areas require less than liposuction treatment than larger areas.
• Surgeon’s Expertise: The level of the surgeon’s expertise may affect the surgeon’s fee.
• Secondary Procedure: The possible desire for a secondary procedure affects liposuction costs.
• Geographics: The geographic location of the surgeon may affect total costs for liposuction.
• Technique: The technique used in the procedure may affect costs. Liposuction that requires the use of new equipment such as ultrasonic or laser lipo may be slightly higher than traditional liposuction costs.
• Treatment Area: The area that requires treatment may affect surgical fee costs. Surgical fees for the lower abdomen are approximately $2,000.00, but arms may range from $1,500.00 to $5,000.00. The back might range from $1,500.00 to $4,000.00. Breast may range from $3,000.00 to $7,500.00. Inner thigh or outer thigh and knees may be $2,000 to $5,000.00 and the outer thigh alone might be $1,600.00 to $5,000.00.
• Consultation Fees: Some surgeons may charge initial consultation fees that may be waived upon commencement of the procedure.
• Liposuction Financing: Liposuction may be paid in full at the time of the procedure by cash, check or credit card. Otherwise, liposuction may be financed by patient financing companies that offer flexible down payment options, reasonable terms and little to no interest.

Learn more about liposuction and contact Dr Jeff Healy at 808-487-0076 or visit http://www.doctorhealy.com/ or visit him on Google +

Undoubtedly, many women turn to celebrity photos to help decide on some of the image enhancements that they would like to proceed with. It is not uncommon for women to tell plastic surgeons that they would like their breasts to look like a specific celebrity. So, let’s take breast implant size. Breast implant size choices do not come in size A, B, C, and D. Breast implants are measured in ccs, profile dimensions and projection proportions. However, a glance at the cup size of some of our nation’s celebrities may help us to decide on the right breast implant size when we present the results to our plastic surgeon.
Cameron Diaz may set expectations for a perfected A cup size. Jennifer Aniston may present a flawless B cup size. There is nothing lost in the translation of Scarlett Johansson’s C cup size.
Salma Hayak may be bestowed with elegance in her greater than C cup size. Yet, there are differences between celebrities’ breasts and the results you may expect to see from breast augmentation.

The Difference between Celebrities’ Breast Size and You
While celebrities may appear to be endorsed with the most beautiful “god” or “plastic surgeon” “given” breasts, every woman’s breasts are shaped differently. Every woman’s breast volume lies in a different location. Each woman’s breasts have a distinct profile. Every woman has a unique chest width size. Each woman’s mid-section size is distinctive. In fact, every woman fits into bras differently. Just as there are many bras to choose today, so are the breast implant choices.

Breast implants may be round in shape or tear drop in shape. There is the silicone gel implant fill or the saline fill. There are breast implants that have more volume in the lower portion of the breast implant and those that have more volume in the upper portion of the breast implant. The side view of breast implant types varies as well. In fact, choices of breast implant widths today are suitable to meet the needs of any size chest. It is no wonder that plastic surgeons dedicate extensive time into selecting the appropriate breast implant type for each patient. Breast implants today are virtually custom made when compared to those of years past.

In addition, breast surgery techniques have changed. While the breast augmentation procedure technique has remained similar to those in years past, plastic surgeons have learned how to reposition breast tissue which may eliminate the need for breast implants in some women. The breast lift procedure was rarely performed years ago. Yet, plastic surgeons have found that the breast lift procedure may provide adequate upper pole volume in a woman’s breasts that would have otherwise required a breast implant. Alternatively, some women that may think they need a breast lift may be better served with breast implants.

So, do bring in the celebrity photo for your breast augmentation consultation, but be ready for an eye opening experience about the breast augmentation results that you may be able to achieve. For more information visit http://plasticsurgery-beverlyhills.com/.


If you’ve lost a lot of weight, but you’re still finding it hard to get the figure you want, liposuction may be an option. This procedure is especially good for taking off a stubborn 10-15 lbs. of fat while contouring the body to make it appear as if there was much more weight loss.

Even though liposuction removes fat, its primary purpose is sculpting the target areas into a more appealing shape. Liposuction is best done on areas that typically retain fat even when other areas of the body are at the desired size. The thighs, abdomen, and buttocks are common targets of liposuction due to their propensity to take on extra fat deposits.

Since the inception of the concept back in the 1920s, liposuction has undergone many advancements. The modern version was invented in 1974 by American surgeons who were working in Rome, Italy at the time. Even their version has been improved several times.

Two of the current liposuction techniques are “tumescent” liposuction and “super-wet” liposuction. Both of these methods involve the addition of fluids as mentioned earlier. The fluids include saline solution and anesthetic. For extensive procedures or for patients who need help remaining calm, I.V. sedation may be added too. Overall, tumescent and super-wet liposuction both are a lot safer than old techniques, with the super-wet method being the safest of all.

Liposuction is done as an outpatient surgery in most cases, with the patient being able to return home shortly after the procedure is done. One unique aspect of the requirements for liposuction is that patients must have quit smoking at least two months beforehand. This is because nicotine interferes with circulation, so its presence in the body can cause tissue loss.

The recovery period lasts from two days to two weeks, depending on the extensiveness of the procedure. The patient will also need to wear a compression garment for about two to four weeks. The final result of the procedure will be evident between one to six months after the surgery, although early effects can usually be seen as soon as the swelling goes down – usually after a few days.

As with any surgery, patients should take care to find a good doctor. Check credentials, the doctor’s experience in working with the area you want to target, and get references. With the proper due diligence, you should be able to find the perfect doctor to help you get the look you want.

You also may want to consider smartlipo.
Smartlipo Advantages according to cynosure.com

Minimally-invasive procedure
Promotes tissue retraction through soft tissue coagulation2
Less trauma and faster healing times compared to traditional liposuction
Treats highly fibrotic areas easily
Consistent and reproducible patient outcomes
Provides a quick return on your investment

Dr Carson Liu – a bariatric surgeon in Los Angeles Ca offers smartlipo in his Santa Monica office — visit http://www.drcarsonliu.com/smartlipo.php for more information.

Shed Excess Pounds With These Great Ideas

What are the reason behind your wish to drop pounds? Are you trying to improve your appearance and overall health? Or maybe both? If you’ve decided you want to drop some pounds, you need determination and some effective advice. The information in the following few paragraphs will put you on the road to effective weight loss methods and motivations.

A smart way to lose weight is to have a small protein smoothie or shake when hunger pangs.

A tried and true tip to remember is to avoid processed foods. You will purchase less junk and unhealthy food choices.

This can boost your success and build up your progress. It helps provide the size or take off some inches off.

Try eating whole wheat pasta instead. It can be tempting to cut out all carbs when attempting to lose weight. Try using these whole wheat.Whole wheat noodles are better for you in several ways. They can fill you up more satisfying than alternative possibilities.

Think about reducing or eliminating alcoholic beverages if you are interested in losing weight. Alcohol contains many useless calories that are empty and is often mixed with sugary additives.

This allows you to see how well you are doing! Keep the numbers logged in a weight loss diary to track your progress. People who practice this experience better weight loss.

Now that you read the above article you should be familiar with some helpful tips that show you how to shed unwanted pounds and get your body to that desired shape. If you follow these tips closely, you should drop weight in no time! Don’t focus on past issues. Focus on today and devise a realistic strategy to lose weight. By simply losing a single pound every week, you’ll look fabulous in just a couple of months!

Once you have reached your weight loss goals, there is a chance you may have some extra skin. There are many procedures that can address extra skin or those last couple of pounds that don’t seem to want to leave your body. One of those procedures is called SmartLipo. Take a look at the video below from Dr. Steven Struck, a plastic surgeon in San Jose, CA. If you have any questions about this or other post weight loss procedures, you can call his office at 650.562.0587.

People who find themselves exactly what is viewed as extremely overweight get number of choices in relation to dropping pounds whilst minute can be an problem. A number of have got rebounded in a diet to an alternative on the tastes these kind of living to discover failure subsequent dissatisfaction in addition to an establishing a sense hopelessness and also fretfulness.

Weight-LossOne specific widespread false impression with regards to the particular alarmingly fat is because they attained the idea privately obviously, should they would not want to be overweight that they can couldn’t survive. Even though this is wonderful the thought is it is not actually usually accurate employed. Many health considerations that may result in somebody the inability operations your own consider they will obtain. In addition, there are atmosphere problems that might customize the weight of the person in addition. It’s unusual where more often than not alcoholics along with medicine junkies are usually handled and in addition deemed in addition to far better consideration in comparison with somebody that can be over weight.

The particular medical procedures is important surgical procedure as opposed to a possibility that needs to be utilized softly along with with out lots of imagined. Lots of people find that weight loss surgical procedure requires an essential modifications in lifestyle before along with a great completely brand-new way of having that’s a life time dedication. As a result of living changing adjustments to which usually are derived from this kind of surgical procedure the suggestion is always that these kinds of finding the surgical procedure have a very Bmi that is definitely more than Fourty. Therefore professionals suggest for guys who will be higher than One hundred lbs chubby and girls in which chubby by simply Seventy or higher fat.

You need to diligently think about the rewards combined with perils of any medical procedure such as this ahead of selecting right up until this can be the program of action you need to think about. The chance of reduction are perfect by using this medical procedure and will not overlooked inside paralyzing desparation to finding rid of the body weight you’ve got wished to drop related to way too long. Don’t have appear in virtually 20% of those who have acquired such surgical procedure as a consequence of insufficient nourishment. This may result in weakening of bones and other troubles since you get older. Issues migh result with the surgical treatment by yourself. You will get long lasting concerns even though eating lots of or perhaps the drastically completely wrong types of food, large are a few which get their set goals to find that excess fat results as time passes. Like with all things in everyday routine there won’t be assures with regards to weight loss surgery.

In an effort to see whether or otherwise not this kind of surgical treatment will probably be good to be able to any person, you could ponder these kind of requests.

Will likely be my own pounds considerably constraining day-to-day exercises?
Will be the bodyweight causing additional additional conditions could be damaging for you to my own health?
Will probably be our own weight a very important factor My spouse and i significantly sense I can control without any aid?
May i fund your long-term effects together with check in which is to be required?

The specific situation normally people who have the ought to turn to weight loss surgical procedures is because cannot control their particular health rear. Chances of the excellent possibility concerning weight loss surgical procedure losing weight related to his personal type can be extremely lean as they and even she’s more than likely tried without success every diet on the inside guides.

Deal with evaluate in the event you are not weight loss surgical procedure is a practicable selection for your current weight loss requirements. In the event you determine until this in fact is another thing you choose being familiar with, make sure to look at the opportunity results cautiously utilizing your medical professional.

Although, time is of the essence for those who are morbidly obese, there are however, a few options when considering weight loss. For many individuals their past is riddled with going from one type of diet to another, the majority of their lives only to find one failure after another which leads to an overwhelming sense of helplessness as well as hopelessness.

634x419To be quite honest, there is one short sighted and false impression surrounding those who are morbidly obese, by those who unfairly judge them and that is, that this is something they did to themselves, or that if they are overweight it is because they choose to be. While this may seem a comfortable theory for some individuals to believe, it is however not always a reality in practice. For instance, there are particular medical conditions that often result in an individual not being fully able to control their weight gain. In addition, there are environmental issues, which may influence the weight of an individual. It is however, illogical to find that there are many cases of drug and alcohol addictions that are perceived and handled in a manner more compassionate than that for someone who suffers from obesity. However, these most likely end with a conclusion when dieting means weight loss surgery.

Weight loss surgery is a major surgery and it is not an option to enter into lightly. A great deal of thoughtfulness is required when contemplating weight loss surgery. The majority of individuals find that there are significant lifestyle changes as well as a lifetime commitment to a completely new way of eating. It is recommended that those receiving this type surgery have a BMI that is greater than 40, since this is such a life altering change because of weight loss surgery. When dieting means weight loss surgery, it is most often recommended for males who are in excess of 100 pounds and for females who are in excess of 80 or more pounds.

The benefits and risks of such a surgery should be carefully thought out, before endeavoring onto this particular procedure. Keep in mind that the risks involved in weight loss surgery are great and should not be ignored in the attempts to loose any weight. You should keep in mind that those who have had this surgery often result in insufficient amounts nutrients by twenty percent. This can lead to osteoporosis and other health conditions as they age. When dieting means weight loss surgery you must understand that there are complications that can result from the surgery itself. It is possible to have issues your whole life long when eating the wrong foods or even consuming to much food, although there are many who are able to reach their intended goal, only to find later that the excessive weight has returned. There are no guarantees when it comes to weight loss surgery, as with any other issue in life.

Here are a few questions to ask yourself, when dieting means weight loss surgery.

1. Does my weight drastically hinder my daily activities?

2. Does my weight contribute to other secondary conditions, which are harmful to my health?

3. Can I honestly control my weight on my own?

4. Do I have what it takes to follow the lifetime routines as well as consequences required by weight loss surgery and its follow up procedures?

You must realize that the problem faced by most individuals who feel the need to choose weight loss surgery is that they often are not able to take back the control of their body. While you should also keep in mind that the odds of a good candidate for weight loss surgery has the ability to loose the weight on their own, are somewhat slim, as they have more than likely tried many times before, only to loose their battle in weight loss.

However, the fact remains that you are the only one who can determine when dieting means weight loss surgery. If you conclude that this type of surgery may be the answer to your continual battle in weight, you should do some more research as well as discussing the issue thoroughly with your physician such as Dr Adams.. visit his site here http://dr-adams.com/Procedures/tummy_tuck.htm.