Showing posts with label fat. Show all posts
Showing posts with label fat. Show all posts

Sunday, October 25, 2009

What to expect after routine liposuction: What is normal?


Question:

i had lipo to my hips and back area 4 days ago. i was really surprised that i had no drainage from the lipo. i went home an hour after surgery.
Details:

i was expecting drainage from the lipo. i had nothing! not one drop. is that normal? i do have severe bruising. i also weighed myself, i now weigh more than before my surgery. is all this normal?

ANSWER:

After routine liposuction, it is normal to expect the following signs and symptoms:

1. Bruising - despite the use of "tumescent" solution, some bruising is normal. This will take 2-3 weeks to resolve.

2. Swelling - most MDs recommend the use of compression garments that help keep the swelling under control and feel protective while you are swollen. You can expect to wear your garment for up to 6 weeks.

3. Water retention - seen as weight gain. Stop weighing yourself! Give yourself at least 6 weeks for the majority of the initial surgical swelling and water retention to be processed by your kidneys, and to be eliminated.

4. Fatigue - you will not feel like yourself for at least a few weeks after liposuction. Your body is busy recovering from surgery; you will not have the usual energy to perform all your usual activities during the daytime. Ensure you have some helpers to assist with your activities of daily living, child care, house work, tasks around the home, etc. Be sure to take as much time as you realistically need off work!

In addition, as long as the amount of tumescent solution injected was approximately at a 1:1 ratio to the fat removed (known as the "superwet" technique), you will not likely drain from the incisions. Most Plastic Surgeons perform this technique, as it enables accurate evaluation of how much was is being removed during surgery, enables a smooth contour, and avoids blood loss during the procedure.

Get some rest and remember that any surgery is an "injury". You need to allow your body to heal, and to deliver the building blocks needed for healing in the form of healthy nutrition, lots of restful sleep, and a positive attitude.

Happy healing!
Karen M. Horton, MD, MSc, FRCSC
womensplasticsurgery.com

Wednesday, June 17, 2009

Abdominoplasty and liposuction have different goals and outcomes

Karen M. Horton, MD answers:

Lipoabdominoplasty vs regular abdominoplasty for post pregnancy body?

"Does it make a difference? I've had 3 kids and definitely need some help in my stomach area, but I'm not sure what procedure I would need to get my pre-baby figure back."


Abdominoplasty and liposuction have different goals and outcomes

If you are a mother who has completed her childbearing, congratulations both on your wonderful family you have created and to entering the next stage of motherhood!

Many women find their abdomens have permanent changes following pregnancy, including stretch marks, loss of abdominal tone, excess skin and extra fat deposits that have accumulated since having babies.

Most mothers do not have complete recovery of their bodies after children.

Moms often seek rejuvenation of their tummy areas once they have finished having kids.

A "mommy makeover" surgical procedure should only be considered at least 6 months after the birth of your last child so that your body has the chance to recover as much as possible and to enable you to achieve as much as you can on your own, with a healthy diet and regular exercise.

Two main Plastic Surgery procedures apply to the post-pregnancy tummy:

Liposuction will remove excess fat in areas that are stubborn to weight loss, such as the abdomen, flanks, pubic area, and thighs. Liposuction will not address excess skin or stretch marks, and will not help to tighten abdominal tone.

An abdominoplasty or "tummy tuck" addresses both the inside and the outside of the abdominal wall, in a three-dimensional manner:

Tummy tuck surgery not only removes excess skin and fat from the lower abdomen (including some stretch marks), it tightens the muscles of the abdominal wall through "rectus plication" which "corsets" the fascia overlying your abdominal muscles together in the midline and truly decreases the diameter of your waist from the inside!

Depending on your particular situation, either liposuction or a tummy tuck, or both, may be recommended to achieve your specific goals.

Be sure to consult with a Board-Certified Plastic Surgeon with specific experience in these types of surgeries to learn more and to evaluate all of your options.

Tuesday, April 21, 2009

A Healthful Diet? Don’t Forget the Fat

Even Plastic Surgeons recommend some HEALTHY FATS for their patients!

Read on...

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It used to be that the mere mention of the word fat sent health conscious eaters into retreat mode. Fat was to be avoided at all costs, and the lower the amount one consumed, the better. Yet as health and weight problems rose simultaneously with the proliferation of goods such as fat-free salad dressings, light cookies, and low-fat peanut butter, it’s come to light that fat, the much maligned macromolecule, doesn’t deserve the reputation it’s been dealt.

As it turns out, the percentage of fat in our diet doesn’t dictate weight or health. A 2006 study published in the Journal of the American Medical Association found almost identical rates of heart attack, stroke, heart disease, and weight control in women who followed a low-fat diet versus those who didn’t. Other studies have backed this up, finding no correlation between heart disease, cancer, or weight and percentage of fat in diet. What they did find, however, was that it’s not the amount of fat, but rather the type of fat a person eats that makes a difference.

That’s because not all fat is created equal. Some fats, like artificially created trans fats, are clearly deleterious for our health. But others are not only better for us, they are absolutely necessary for good health.

So which fats should be included in our diet and which ones should we avoid?

Go with the Good Ones
The real villain when it comes to fat is trans fat, which is made by partially hydrogenating vegetable oils to make them more stable at room temperature. Trans fat raises the bad kind of cholesterol, LDL, and lowers the good kind, HDL. It’s also been linked to inflammation, heart disease, and other chronic diseases. Although trans fat is found naturally in products like cheese and meats, Americans consume most of their trans fat in the form of fried, packaged, and processed foods. It should come as no surprise that French fries, margarine, processed cookies and crackers, and fast food aren’t good for us.

Saturated fats are also considered “bad” because they, too, raise LDL levels and have been linked with cardiovascular disease. Our bodies are able to make saturated fat, so we don’t need to consume it, but we do, in the form of meat, full-fat dairy products, and some vegetable sources, like coconut and palm oils.

Unsaturated fats, like monounsaturated and polyunsaturated, are fats that are good for us because they play a number of beneficial functions in the body, including lowering cholesterol levels, reducing inflammation, reducing arterial plaque formations, and improving skin tone and texture. One type of polyunsaturated fat, the omega-3 fats, are particularly beneficial for health. Because we can’t make these fats, we must get them from our diet. Studies have shown that omega-3 fats can help with cognition, reduce inflammatory symptoms, and protect the heart.

Incorporating good fats into the diet is easy. They not only keep us satiated, they add a savory flavor to everything they touch.

Vegetables Oils
Most unsaturated oils are vegetable-based, so a good rule in the kitchen is to look for ways you can remove an animal-based saturated fat and replace it with a vegetable-based one. (Make sure you don’t, however, buy products that contain “partially or hydrogenated vegetable oils.” This is where the trans fats come in.) Most fats that are liquid at room temperature are unsaturated. Canola, peanut, and olive oil contain good amounts of monounsaturated fat, while sunflower, corn, soybean, and flaxseed oil contain polyunsaturated fat. Both flaxseed and canola oil contain omega-3s. A good way to switch out saturated fat for healthier fats is to dip bread in olive oil rather than butter, use vegetable oils when sautéing, and use oil in place of butter when baking.

Nuts
Nuts and seeds are another great source of healthy fats and nutrients. Almonds have antioxidants and fiber, walnuts have omega-3s, and peanut butter has monounsaturated fat. Seeds like pumpkin, sesame, and sunflower are all good choices for healthful fat and flax seeds have high amounts of omega-3s. Nuts and seeds are easy to incorporate into the diet with this nutrient packed granola, in a cool cucumber soup, or in sesame nut brown rice.

Avocados
Avocados are not only a great source of monounsaturated fat, they also contain high amount of vitamin E and are a delicious addition to sandwiches, salads, and, of course, guacamole.

Fish
Salmon, mackerel, tuna, and other cold-water fatty fish are high in omega-3 fats; the American Heart Association recommends eating them at least twice a week and they’re easy to incorporate into the diet. Try salmon with tamari-orange marmalade or butter bean, tuna, and celery salad.

While the low-fat diet craze hasn’t worked—and has resulted in people substituting fat for artificial ingredients or empty-caloried carbohydrates—it’s clear that eating more healthful fats, in lieu of trans and saturated, can improve health. And that’s something you can raise your fork to.