Weight Loss & Plastic Surgery – A Guide to Looking and Feeling Your Best

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Congratulations!

If you are reading this, you are likely on a path of taking control of your body’s state, and are ready to transform into a lighter, slimmer, happier you! Weight loss can be quite difficult and often frustrating, and we commend you for doing the research that will help you make the best choice for yourself and your future. Remember to give yourself credit for the wholeprocess of your transformation – not just the end result!

We hope that with this blog post, you will have a better idea of the options available for you to bring the best version of yourself to the world!

Is Plastic Surgery For You?

Whether you have been maintaining your fitness and weight regularly, are working on a recent goal of minor or major weight loss, or have recently lost a significant amount of weight, you are likely reading this because you are considering assisting or speeding up the process of improving your appearance and body shape through the help of plastic surgery.

In this blog, you will be guided through some of the  best ways to lose weight, including the descriptions of a variety of available surgical procedures  that focus on improving the look and feel of your skin and body shape, depending on the results you seek to achieve, your anatomy and body condition as well as the options at your disposal. We have also included a FAQ section at the end answering some common questions that patients have when considering these procedures. If you have any other questions regarding these procedures, please feel free to ask us here and we will do our best to guide you and accommodate your needs!

Every body is different, and therefore every person should have an individualized approach to their weight loss, considering a variety of factors such as realistic aesthetic goals, health conditions, genetics, and lifestyle habits.

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What Are the Most Effective Ways to Lose Weight Without Surgery?

Dr. Sinno always stresses to his patients the importance of practicing sound lifestyle habits in order to maintain a healthier body weight, and to minimize the risk of complications with surgery should you choose this option. Below, you will find 4 tips Dr. Sinno suggests to follow in order to achieve a healthier body composition:

  1.     Follow a consistent and effective exercise regimen

For your healthy body composition and functioning, a consistent exercise routine is vital. Do some research to find out what ways to keep active are best for you. Remember, what works for one person might not work for you. Don’t be afraid to try different methods as well as explore different activities and if you need further guidance, consider consulting with a health practitioner or personal trainer. As your body evolves, so should your exercise regimen. Do not fall into a strict routine which may lead to a continuous status quo. If you are unable to keep yourself accountable, research ways to help yourself do so! Your health and physical appearance may depend on it!

  1.     Adopt a proper diet which includes sufficient water intake

A common misconception about diet is that it is a temporary effort. Drawing from experience from patient consultations, Dr. Sinno notes that many efforts to eat healthy by the aforementioned have been short-lived, which results in yo-yo dieting – a type of eating habit that usually does more harm than good. The key to a proper diet is to make it a life goal, and to take the time to find healthy, well-balanced foods and meals you love eating rather than punishing and depriving yourself from the latter as a means of losing weight, which may eventually result in the opposite. In addition, consistent hydration and sufficient water intake are key to maintaining a healthy weight, increasing your metabolism and keeping your body at the right temperature. If you are not sure how to do this, consider seeking help from a specialist such as a nutritionist.

  1.     Get sufficient sleep

Without enough sleep, our bodies get stressed and this can cause the release of cortisol, a chemical which increases appetite and can lead to fat storage. Moreover, sleep deprivation can lead to a lower production of leptin, the chemical that tells your body it’s full, which combined with higher amounts of insulin can increase your tendency to give into the temptations of comfort food; in addition to resulting in fatigue which can decrease your overall activity levels, thus hindering your weight loss efforts.

  1.     Keep stress at a minimum

Our brain chemistry has a significant impact on our health, including the potential to cause an increase in fat storage and breakdown of muscle – simply as a result of consistently negative thoughts or an overburdened stressed mindset! Remember to give yourself credit for taking the steps to improve your condition and to practice positive thinking and gratitude.

Dr. Sinno also wants to highlight the importance of not smoking as this not only increases the risk of developing various health conditions, but also increases the risk of developing complications related to healing post surgery.

All of these tips can be put into practice through effective goal-setting.

Of course, even with a rigorous exercise regimen, proper diet, and good lifestyle habits, one may still be left with stubborn fat pockets or excess skin. In this case, a surgical fix may be an effective option, which brings us to the next section..

What Plastic Surgery Options are Available for Weight Loss?

When you meet with your surgeon, you should make sure that you feel comfortable to talk to them as a person and as a doctor, and not feel pressured to follow through with any procedure until you are sure it is right for you. Your surgeon should take the time to understand your goals, medical history, and lifestyle, advising you on how your options are influenced by these factors. The procedures that encompass weight loss through surgery vary, depending on the area of concern and whether or not there will be excess skin removed along with the fat deposits.The following chart summarizes a variety of the surgical options offered by Dr. Sinno, categorized into options best suited for minor and major weight loss.

If you have any questions about any of these procedures, please do not hesitate to ask!

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* It is important to note that though these procedures have the potential to make a significant difference in the shape of your body, they should not be a substitute for the aforementioned lifestyle tips. Furthermore, it is advisable to have a BMI of below 30 before going through with these procedures, as studies have shown that this helps keep the chances of complications in the surgery to a minimum.

 

Area of Body Procedure Minor Surgery Major Surgery
Various Liposuction Can be performed on many areas where there is an excess of fat on the body. Dr. Sinno utilizes the tumescent technique in his liposuction, which has been proven to significantly decrease postoperative, bleeding and bruising.
Face & Neck Facelift May or may not include liposuction of the neck and jowls (noticeable drooping of skin lateral to the chin), tightening of the facial musculature, and the removal or repositioning of surplus facial skin.
Neck Lift Designed to lift and tighten the neck musculature, and to remove excess skin in order to create the appearance of a more firm and youthful neck region.
Neck Liposuction Designed to remove excess fat below the chin, reshaping of the lower face and jaw line to have more appealing and proportionate contour and definition.
Liposuction Can target unwanted fat in the chin, neck, and jawline.
Arms Brachioplasty/ Arm Lift Mini Arm Lift: designed to remove excess and hanging skin, enhancing the contours of the arms to help enable patients to truly appreciate the fruits of their weight loss efforts. This procedure is the lighter version of the Full Arm Lift, and therefore involves a smaller incision.

Full Upper Arm Lift: involves an incision running from the armpit along the underside of the arm to the elbow. The full lift is appropriate for patients with moderate to severe skin elasticity problems caused by the natural aging process, or for patients who wish to remove excess skin after drastic weight loss.

Liposuction Can target unwanted fat deposits in the arm.
Breasts Breast Lift Involves tightening the breast tissue, excising surplus skin, and creating a more supportive structure to maintain the newly lifted and raised position of the breasts, breast lift surgery provides an effective and long-lasting countermeasure to the symptoms of ptosis (sagging).
Breast Augmentation Involves the surgical placement of saline or silicone breast implants to enhance the shape, size, and overall aesthetic appearance of the breasts. Some patients may choose to add an implant in addition to a breast lift procedure in order to maintain a shapely volume of the breast.
Breast Reduction Involves a volumetric reduction of the breasts in order to improve the shape and size of the breasts, and (when necessary) a repositioning of the nipple areola complex to a more appropriate position.
Gynecomastia Correction (for males) Helps reduce the appearance of male ‘breasts’ through the removal of the fat deposits in this area.
Liposuction Can target unwanted fat deposits on the sides of the chest.
Stomach Tummy Tuck Mini / Partial Tummy Tuck: involves the removal of surplus fat and skin from the lower and middle abdominal region resulting in a leaner, tighter, more sculpted abdomen. The Mini Tummy Tuck is performed on patients whose fat deposits are located below the navel and does not require a second incision to reposition the navel.

Full Tummy Tuck: similar to the mini, but includes a tightening of the abdominal musculature. The full tummy-tuck is performed on patients with fat deposits both above and below the navel, and involves an incision made from hipbone to hipbone, followed by contouring of the abdominal skin, tissue, and musculature as needed. This surgery involves using a second incision around the circumference of the navel (belly button) to reposition it to a more aesthetically desirable location.

Liposuction Can target unwanted fat deposits in the stomach area.
Belt Lipectomy/ Lower Body Lift Involves the reshaping of the whole trunk of the body, by removing excess hanging skin and fat around the waist of the body, or ‘muffin top’, through an incision just below the belt line. This procedure can result in a dramatic change in the appearance of the body, including the abdomen, thighs, buttocks, and hips.
Back Belt Lipectomy/ Lower Body Lift Same as above.
Liposuction Can target unwanted fat deposits on the back.
Brazilian Buttlift (Fat Transfer/ Grafting) Involves the liposuction of fat and fat stem cells from another part of the body, purifying the removed fat using state of the art technology, which is then lipo-injected into the gluteal (butt) area, depending on how much augmentation and lift is desired.
Legs Thigh Lift/ Thighplasty Effectively sculpts and tightens the inner and outer thighs, and can also be used to improve the appearance of dimpled, sagging, or excess thigh skin. There are 3 types of procedures available: inner, bilateral, and medial thigh lift.
Liposuction Can target unwanted fat deposits on the legs, such as in the knee area.

 

 

Can Plastic Surgery Procedures be Combined?

As noted in the above descriptions, these procedures can be done either in isolation or in combination, based on what option best suits your goals and body. One such combination procedure is the Mommy Makeover, which include one or more of the following services:

Breast Revision, Breast Lift, Breast Augmentation, Liposuction, Tummy Tuck, and Thigh Lift.

Depending on the realistic aesthetic outcome you seek, combining procedures can provide you with the required finishing touches. For example, if you are looking to lose fat in the stomach area and are opting for a mini tummy tuck, you may decide that you would also want to have liposuction performed on the upper stomach area to optimize the result. Upon a consultation with Dr. Sinno, you will be given the undivided attention and thorough information needed in order to to make the choice that is right for you.

Frequently Asked Questions (FAQ)

Liposuction and Tummy Tuck (Abdominoplasty) – What’s the Difference?

The similarity between these two procedures is that they result in the removal of fat cells or pockets, and therefore aid in contouring the body in a way that smooths out fat deposits. However, the level of invasiveness differs. Liposuction involves the insertion of a vacuum tube through a small incision in the skin (about 1/8th of an inch or approximately 3-4mm) into the fat pocket, through which the fat is suctioned out. Liposuction does not address the issue of sagging or excess skin. A tummy tuck, or abdominoplasty, involves an incision below the swimsuit line, hipbone-to-hipbone, which allows for access and as such the removal of fat deposits in the lower abdomen, along with any excess skin in this area in order to provide more significant aesthetic results (if excess skin is an issue). Liposuction can be done on many areas around the body where there are unwanted fat pockets, and has less down time..

  • An easy way to remember the difference is that ‘lipo-’ refers to ‘lipids’ or fats, and ‘suction’ refers to the suction of the fat, such as through a tube, out of the body. On the other hand, procedures that end in ‘-plasty’ refer to the Greek word ‘plastikos’, which means ‘to mold’, and involve modifying through surgery selected rather than just fat removal.

Does a Tummy Tuck Also Target Side Fat or ‘Muffin Top’?

No, a tummy tuck does not address the fat deposits on the sides of the waist. If you’d like to eliminate fat from this area, you may choose to also have liposuction performed on this area as part of your overall procedure. It is common to add liposuction to other procedures in order to make the results more even, but some patients are also satisfied with the results gained from just a tummy tuck procedure, or just a liposuction procedure. Remember, each body is unique in its own way.

Do Fat Cells Come Back After Surgery? Is Liposuction Permanent?

No, fat cells do not generally grow back after being permanently removed surgically. Although technically speaking there will be no new fat cells replacing the ones that were taken out, this does not make you immune to weight gain that can result from negative lifestyle habits and a net increase in calories (meaning the consumption of more calories than you burn). Since you have less fat cells in the area of the surgery, you may notice a decreased tendency to gain weight in that area. However, you may notice that other areas of your body may continue to gain weight if you do not maintain a healthy caloric balance. In addition, fat cells have the potential to expand, and since not all fat cells are removed in the procedure, the ones that are left will still be able to store more fat without the maintenance of the healthy habits explained in the beginning of this blog. Nonetheless, the surgical removal of fat cells is permanent and, if combined with improved lifestyle habits before and after surgery, you should not gain weight back.

How Long Do Results Last?

The lasting of results depends on the procedure, the patient’s physiology and the patient’s lifestyle. The best way to have this question answered is by coming in for a consultation with Dr. Sinno or with an accredited health care professional. As mentioned above, even though the result of the procedure should be permanent, fat accumulation can be possible again if one does not take the steps necessary to maintain the results and his or her lifestyle. If you think you will need help with this responsibility, despite taking the actions you believe are necessary, consider seeking the help of experts or specialists in this field to ensure you are able to maintain the best possible results!

Am I a Good Candidate for Weight Loss Surgery?

Due to the uniqueness of every person who comes to our office, it would be very difficult to describe the ideal candidate for surgery or to confirm to our readers that they are a good candidate for surgery. The best way to find out is through a consultation with Dr. Hani Sinno.

Here are some factors that can help you determine if you are ready for a consultation.

The ideal candidate for surgery:

  • Is a non-smoker or is willing to stop smoking before and after the surgery in order to minimize complications with the surgery and healing
  • Has a BMI of under 30, or is making efforts to do so

* Studies show that after a BMI of 30, risks of complications increase dramatically

  • Is determined to make the best decision, has done research, and has questions
  • Is ready to be realistic about the aesthetic results that surgical procedures can provide
  • Is motivated to continue improving their lifestyle after the surgery

Ready for the Next Step?

We hope this guide helped you have a better idea of what your potential options are and understand more about the importance of doing your research to make the best possible decision for yourself! Furthermore, the ideal way to find out the best option for you is to schedule a consultation with a qualified and board-certified plastic surgeon, such as Dr. Hani Sinno, who will help you determine the answer through his professionalism, expertise, and experience.

We look forward to seeing you at your office and to supporting you on your praiseworthy journey of becoming the best version of you!!

Sincerely,

The Eternelle Team

August 1-7: Breastfeeding Awareness Week

Mother Breast Feeding

Every year, August 1-7 is internationally recognized as Breast-Feeding Awareness Week, commemorating the ‘Innocenti Declaration’, which was signed in 1990 by government policy makers, World Health Organization (WHO), and UNICEF to acknowledge the importance of protecting, promoting, and supporting the precious practice of breastfeeding.

If you are currently a mother, are planning on becoming one or know someone who fits this description, please consider the wealth of benefits that breastfeeding brings to a mother and her baby, and spread the word to others who may be appreciative of this information.

Benefits of Breastfeeding

The benefits of breastfeeding go beyond the nutritional components of breast milk. It also allows for stronger bonding between the mother and child and encourages skin on skin contact, both of which can help improve a baby’s mental, emotional as well as physical development.

Some notable benefits of breastfeeding are:

For Baby:

  • Nutrition for healthy development
  • Closer bond to mother
  • Better psychological development
  • Breast milk contains antibodies (disease fighting proteins) that help the baby fight off infection
  • Decreases risk of diseases such as pneumonia, colds, and viruses, and of some childhood cancers
  • Decreases risk of infant mortality
For Mother:

  • Closer bond to baby
  • Encourages skin-on-skin contact, producing endorphins that benefit you both!
  • May help you shed pregnancy weight
  • Decreased risk of ovarian and breast cancer
  • Lowered risk of postmenopausal osteoporosis
  • A healthier baby – which will make you happier, reduce stress, and increase the amount of cherishable moments you have with your baby

 

Dr. Sinno Suggests These Tips for a Smooth Breastfeeding Experience

1. Make sure you are adequately nourished so that you are providing the right nutrients for your baby. If you are not sure if you are getting the nutrition you need, be sure to seek advice from a health professional.

2. Learn about proper ways to breastfeed and the correct way to hold and support your infant, as well as about how to best position the mouth with the nipple to facilitate latching.

3. Try to increase the amount of skin-on-skin contact with you and your baby as much as possible. This causes the release of bonding chemicals that are healthy for you and your baby

4. Give your baby ‘on-demand’ access to being fed, meaning feeding your baby as soon as you think the baby may be hungry or the baby shows signs of hunger. This also means that the feeding access should be unrestricted, with the amount of feeding being determined by the baby.

5. Inadequate milk production is a common problem and can be a result of a variety of factors, including inherent lack of milk production. If you think this is a concern for you, be sure to seek professional advice on how to maximize milk production.

6. Try your best to make breastfeeding exclusive especially for the first six months after birth, or as exclusive as possible. A consultation with a health professional will help you make the right decision regarding breastfeeding and supplementation.

*Exclusive breastfeeding means no other form of food or drink is used to nourish the baby. The infant should be able to feed often and unrestricted. However, if insufficient milk is produced, supplementation can be helpful. Be sure to consult with a trusted physician regarding the best options to feed your baby..

 

Breastfeeding Concerns Related to Breast Implants

Rightfully so, one common concern that women may have when it comes to breast augmentation procedures where implants are used is the negative or hindering effects the insertion of implants may have on the ability to breast-feed. Contrary to popular belief, breast augmentation procedures should not interfere with breastfeeding. In fact, Dr. Sinno’s preferred method is placing the implants under the muscle where very minimal breast glandular tissue is involved in the surgical dissection. Dr. Sinno always tailors his techniques according to each patient, her specific anatomy, and her desired outcomes.Even if the incision site (chosen by the patient and surgeon based on anatomy and preference) is through the nipple, the nerves and ducts necessary for the breastfeeding process should remain unaffected. Often, if there are complications related to lack of milk production (see #5 of the tips above), it is unlikely to be the result of an implant, but a factor of how much functional glandular tissue was present before and after the surgery, and their effectiveness in milk production – which can be improved through a consultation with a specialist.

How Does a Breast Augmentation Work?

In order to understand how an implant may affect the breast’s ability to produce milk, it is important to understand the anatomy behind the procedure. To view an animation of a breast augmentation surgery containing information about implant sites, visit http://www.plasticsurgery.org/cosmetic-procedures/3d-animations.html

Breast Implant Diagram

The image above demonstrates the anatomy of a regular breast, and the two most common implant insertion sites Dr. Sinno uses: subglandular (middle diagram: with the implant in front of the pectoralis major muscle (or the muscle you may know as ‘pec’ muscle) and under the mammary gland) and submuscular (rightmost diagram, with the implant behind the pectoralis major muscle), which is the procedure Dr. Sinno prefers. The implant – its insertion and its presence over time – should not interfere with the mammary gland, which is the structure in the breast that produces the milk. The mammary glands are left intact, and there has been no evidence suggesting that implants increase the toxicity level in the body and/or breast.

For more information about this procedure, click here or contact us.

To learn more about World Breastfeeding Awareness Week, check out World Health Organization’s Campaign here.

CONCERNS? QUESTIONS? COMMENTS?

We would love to hear from you!

We are excited to answer all of your questions about these important topics!

ASK US HERE

Our priority is to provide you with the most viable options to help you make a choice that is best for you, considering a variety of important factors related to your goals, lifestyle, and preferences.

To your comfort and health,

The Eternelle Team

Dr. Hani Sinno