Wednesday, April 29, 2009

Weight Gain After Gastric Bypass Surgery

Just 5 years ago many people had never heard of gastric bypass surgery. Gastric bypass surgery became more publicly known as more individuals underwent weight loss surgery as a way to assist them with obesity. Famous people were going on national television and openly discussing the discussion he or she made to have weight loss surgery. As with anything in life many individuals are for weight loss surgery and many individuals state undergoing a surgical procedure is a cope out to lose weight.



Anyone out there who has undergone weight loss surgery for an eating disorder knows it was not an easier way out. The surgery is a tool the individual still must change the behavior and relationship he or she has with food. Weight loss surgery requires a lifetime commitment to stay healthy and balanced for life by no means a quick fix. People who learn of the surgery are educated prior to surgery also after surgery. Many surgeons provide psychological and nutritional support before during and after gastric bypass surgery however, majority of patients do not follow up and take advantage of these offerings.



The saying "Nothing Changes if Nothing Changes" is appropriate, if he or she continues doing the same behaviors as they did prior to surgery they will experience the same result in eating disorders. Initially they may lose weight however, they will never achieve the goal weight, and eventually the weight regain will occur as well as long-term more weight will be added. Conceivably they can still have a small stomach yet be obese. The surgery is a tool if he or she finds they are experiencing weight re-gain and are motivated to get help inpatient treatment for eating disorders is appropriate.

Joanna works for the Women's Behavioral Program. She has overcome adversities and shares her hope with anyone she comes in contact with. Joanna is a known published author in the Bariatric and Weight Loss Community, she has spent the last 13 years helping to inspire and motivate people on the value of the body, mind and spirit connection.


By Joanna Painton

Plastic Surgery and Herbal Supplements

Herbal supplements today are as common, if not more common, than prescription medications for many people. In my Indianapolis plastic surgery practice, most of my cosmetic patients are taking at least one herbal supplement. For most, the concept of using herbal supplements is that they can't hurt and can only help. And since they don't need a prescription, it is natural to believe that they don't really pose any health risks. As such, herbal medications are assumed to be safe.

A recent report in the March/April issue of Aesthetic Surgery Journal finds that almost half of plastic surgery patients have used herbal supplements in the weeks before their upcoming surgery. Many of these include such ginkgo biloba, ginseng, garlic, echinacea, and valerian root. Most patients don't know that these supplements can have side effects which are very relevant to surgery including interaction with other medications (anesthetic drugs) and alteration of one's ability to clot properly. Despite the fact that the dangerous side effects of some herbal supplements have been widely publicized, many patients do not fully appreciate the importance of discontinuing these treatments before surgery. Furthermore, the unregulated manufacturing standards and lack of product regulations for the entire supplement industry can produce herbal supplements whose quality and actual contents vary considerably. Most of the time, nobody really knows what is actually inside those tablets.

As a result, I provide my patients prior to surgery a comprehensive list of supplements that must be avoided in the weeks before and after surgery to minimize potential surgical complications. Stopping certain herbal supplements prior to surgery is just as critical as stopping aspirin, ibuprofen, or plavix. One should stop taking them two weeks before and for one week after any major plastic surgery procedure that requires an anesthetic and is more than just a minor operation.

Dr Barry Eppley is a board-certified plastic surgeon in private practice in Indianapolis, Indiana at Clarian Health Systems. (http://www.eppleyplasticsurgery.com). He writes a daily blog on plastic surgery, spa therapies, and medical skin care at http://www.exploreplasticsurgery.com. Dr. Eppley can be heard on his weekly radio show, Doc Chat, on WXNT 1430AM Indianapolis on Saturday afternoons.


By Dr Barry Eppley

Anti Aging Cosmetic Procedures - Patients Options

Now, there are some cosmetic procedures & medical treatments that are available to combat signs of anti-aging in individuals. Ranging from the oral treatments to the chemical injectables, and nothing will perhaps appear more confusing to first time cosmetic patient than deciding on treatment to aid them minimize tell tale signs of years.

The plastic surgeons & cosmetic surgeons will best take benefit of this by giving comprehensive description of services and processes that are available to patients on their site. Use of this free info exchange coupled with virtual decision will undoubtedly help to guide patients in your practice door.

Example, in place of listing and giving short descriptions about services & treatments that you offer, architect your info so it reads like descriptive flow chart. "In case you have an sensitive skin, then opt for Kinerase..." or else "If you are having dark complexion, then opt for Vipeel".

Leading patient to right process automatically can help you minimize sit down consultation times & allow you, as cosmetic surgeon, focus on the direct patient care. Handling decision making procedure in this means, you are cutting out an middling time in visitor or interested customer to client or patient conversion procedure Visit Anti Aging SkinPremium!

Apart from information about procedure itself, try and offer complete comprehensive write ups about any of the complications, side effects, as well as recovery information. In case you do not give this information on Web site, then your potential patients might navigate elsewhere to find out all these facts - minimizing chance that they will come to practice for anti-aging treatment. When you get to your site, it is very important they stay there unless they make call to action, no matter whether it is phone call, online information request, or else consultation appointment.

For further information on how you may create more efficient visitor to the client conversion procedure with your site. No matter whether you select an expensive European wrinkle face cream, or else an less expensive anti wrinkling cream, anti-aging cosmetic products will help you fight ravages of time on skin.

By Marion I Armstrong

Liposuction - Top 3 Myths Busted

Liposuction or (lipoplasty) is a very popular procedure for the removal of stubborn fat deposits in the stomach, arms, neck, buttocks and thighs. In most cases, liposuction is a relatively safe outpatient procedure treatment in which fat is suctioned out using what's known as a Cannula tube.

The procedure has been known to instantly help those struggling with body fat, including obese individuals,or disproportion ed individuals, or just average moms who can't get back to their pre-pregnancy figure no matter how hard they try.

Although the testimonies about liposuction are limitless, the myths have also begun to run rampant, as people believe lipoplasty is a quick fix to their poor diet and lifestyle issues. The following article lists the top 3 myths (or false expectations) that people have regarding liposuction.

For those considering the procedure, it's important to familiarize yourself with the following myths to gain the most realistic expectation of what lipoplastyplasty can actually do for you or your body.

* Myth 1: Liposuction is a weight loss tool.

Fact-False.

While a person may not gain weight again in the specific area where fat cells were removed, any weight gain will spill over disproportionately to other parts of the body. Furthermore, because the fat cells are not completely removed in the targeted areas, excessive overeating following this procedure can cause the remaining fat cells to grow, thus causing the person to gain weight in spite of the treatment.

* Myth 2: Liposuction will remove problem areas such as cellulite, stretch marks or loose skin.

Fact-False.

The procedure is only meant to remove stubborn fat cells, while contouring and shaping a person's existing figure. Conditions such as cellulite or stretch marks are actually skin conditions that are not removed during this procedure. In fact, cellulite and stretch marks may actually look worse following liposuction, as they stand out more next to the new toned and contoured body part.

* Myth 3: A person will lose weight immediately following liposuction.

Fact-False.

A person will actually weigh more during the first 2-3 weeks following the procedure. That is due to fluid retention that often takes days or weeks to completely subside. However, the full effects of the procedure will not be noticed until 4 to 6 months post-op, as it takes this long for the body to adjust to the changes that have been made.

Admittedly, adding a regular diet and exercise routine immediately following the surgery can help to significantly reduce the amount of time that it takes to see dramatic results in the body.

As the points above make clear, liposuction is not a cure all for those that refuse to diet and exercise, or for those expecting a different cosmetic look (i.e. the removal of loose skin that may be better achieved by undergoing a tummy tuck than it would liposuction).

However, after learning the common myths surrounding lipoplasty, the chances are a greater that a number of people will enter the procedure with realistic expectations and find themselves they are very satisfied with the final result

In Boston MA liposuction surgeon Dr. Moss has an excellent reputation for providing his clients with Gold standard of care and treatment. For information on his customized approach on liposuction, visit http://www.drmossthebeautyboss.com


By A Aaronson

How to Find a Good Surgery Center

For anybody considering any sort of cosmetic surgery, it is important to find a reputable, well known surgery center. Why? Well, cosmetic surgery deals with altering the body, or parts of it. Would you feel comfortable putting your bodies in the hand of a surgery center that has doctors and surgeons that are not trained? Let alone, are you comfortable being operated on in an area that is not clean, unsanitary, and so forth? Most people would not be, which is why finding a good surgery center is important for anyone considering some sort of cosmetic surgery.

Firstly, try to ask around. Ask friends, family, or colleagues. Ask them whether they have ever had any sort of cosmetic surgery done, or if they know anyone who has. If so, they can possibly forward you to the name of the surgery center where the operation(s) took place. Aside from asking where they had surgery done, you should ask more specific questions. Ask questions such as, what type of cosmetic surgery was done exactly, how long it took, how much it cost, how long was the wait before the surgery, and anything else that could come to mind.

Secondly, you can read reviews on the web. This should be a second option (if you cannot find people who have actually had cosmetic surgery done). Why? Because reviews on the web could be biased, fake, and so on. Though the web is a great resource these days, it should never be fully trusted. In other words, do not make your decision of going forward with surgery or not based on what you read on website. If you are going to use the web to read reviews, read several. If you only read one, the chances are it may not be accurate. If you read lots of reviews about a specific surgery center, and all of them say it is great, chances are, the reviews are legit. If you end up only finding one review about a specific cosmetic surgery center, you should probably not go with it.

Finding a good cosmetic surgery center is not hard. It will just take a fair amount of research and questioning on your part. The hardest part of cosmetic surgery is finding the right place to have it done. Once you have completed that part, the rest is in the hands of the surgeons and doctors, thus you need not worry from that point on.

When looking to improve your appearance with plastic surgery, make sure you have all the facts. If you're in the Los Angeles area, you can find more information at the Los Angeles Plastic Surgery site. It's full of relevant information, as well as in depth profiles of the top Los Angeles Plastic Surgeons.


By Matt Robison

Plastic Surgery Gets Down to the Details With Microsurgery

Microsurgery is a new development that makes plastic surgery much easier for both the doctor and the patient. With this advanced surgical technique, the plastic surgeon can do work better and more precisely than every before.

Microsurgery uses a microscope to do detailed work under high magnification. This includes new techniques like sewing blood vessels and suturing nerves. It allows implants to get the blood they need, and actually function as a part of your body. This way, implants are no longer a foreign object. Microsurgery can work wonders in both cosmetic and reconstructive surgery.

Breast Surgery Using Perforator Flaps

Recovering from breast cancer is painful, but now plastic surgery can wipe the pain away using a new type of implant called perforator flaps. Implanting these flaps puts microsurgery to use. It can get the breasts you lost through breast cancer back, and they will feel perfectly real.

This procedure uses skin, tissue and blood vessels from other parts of the body to reconstruct your breasts. Like a skin graft, perforator flaps are connected to an implant in the chest. The difference between flaps and implants is that flaps are "wired" to the rest of your body. This means that you have feeling in them, and they function just like real breasts.

Getting Yourself Reconnected with Hand Surgery

One of plastic surgery's main trouble areas has always been hand surgery. What do you do when your hand no longer works the way it is supposed to? You start to realize just how important your hands are. In the past, plastic surgery was powerless to do anything about it. Now, using microsurgery, hands can be fixed.

Some hand problems are caused by nerve trauma. Others may be caused by cuts or fractures that sever a key artery or nerve. The most common hand problem is arthritis, which many of us suffer from in middle and old age. Microsurgery can reconnect all the hand's parts and get it working again. Fingers can even be reattached, or damaged nerves reconnected.

Microsurgery for Treating Kids

One of the major areas where this technique has helped is in pediatric surgery. These days, it is essential for treating problems in children. These problems might include anomalies in the body. The hands and feet are the most common areas that need help. Some children are born with too many or not enough fingers, and this means a lifetime of social problems and possibly pain.

Facial deformities are also an area where now cosmetic surgery can help. Without microsurgery, doctors can't fix these problems without giving patients a fake prosthetic face. Now all the tissue can be connected and function as if the patient was born with it.

It can also treat traumas in children. If kids have suffered damage to the face, hands, arms, feet or legs, it can now be fixed. Prosthetic limbs can now be connected with all the nerves and blood vessels working properly.

Whether you are getting cosmetic work done, or treating traumas and abnormalities, microsurgery can open doors that before would have been shut. Microsurgery is a weapon for the toughest jobs that would have been impossible years ago. New techniques such as this are being perfected everyday, that make what we could only imagine yesterday a reality today.

You don't have to be dissatisfied with your appearance or sit back and let aging happen. Board certified Monroe plastic surgeon can help you take control of your appearance. To find out how he can help you achieve a rejuvenated sense of self, visit http://www.kellyplasticsurgery.com


By A Aaronson

Breast Augmentation Tips For Implant Size

Many women choose to get breast augmentation surgery to change the shape of their bust, by making it larger or more symmetric. If you want to get augmentation surgery, you will want to take proper steps to insure your bust looks natural and have minimal side effects.

Many women are unhappy with the size of their breast and choose to enlarge them. If you are considering this procedure then you will want to research the procedure carefully. First, you may want to decide on ways to finance your surgery.

Since the procedure is usually considered cosmetic and therefore elective surgery, this is usually not covered by insurance. Therefore you may want to use cash or some type of financing. There are several plastic surgery financing companies who can help you finance the procedure.

Remember that these loans are usually considered unsecure loans, which means they are a bit riskier to offer. This means that the company will normally pass on much of the risk to the individual by way of a higher interest rate. If you are considering a financing company, choose one who can provide you with the best terms and conditions.

While you decide on how to finance the procedure, you will also want to think about what size breasts you want. Do you want to go dramatically larger or just a bit larger? Look around and individuals walking around and also in magazines and see what shape you may want to get.

In addition, you may want to try a few tests to see if you are able to handle a larger bust. For example, there are kits that you can get that will give you temporarily larger breast. If you do not want to get the kits, then you can place some oatmeal or rice in a bag and put them in your bra to see if you are able to go about your daily activities with your new size.

You will want to sleep with a bra on and the sizers in your bra, to make sure you can handle sleeping comfortably. Remember to look at the shape of your body. If you have a small frame, then large breasts may look very unnatural on you. A very large bust can also create pain in your back, which may pop up well after the procedure is over.

If you are considering the surgery, make sure you choose a doctor who has years of experience performing the procedure. This person should undergo regular training and should be monitored by some governing body to insure they adhere to certain standards. If you do this, you will minimize the risks of side effects during the surgery.

Although most surgeries occur with minimal side effects and are considered safe, there sometimes are complications that occur during and after the surgery. If this happens, you want be with a doctor who can address your needs.

If you are considering breast augmentation surgery, you will want to choose a doctor who has experience in this technique. Breast augmentation surgery can be great as long as you choose the proper sized breast implants.

New Jersey breast augmentation surgeon will explain and demonstrate the differences between silicone gel and saline breast implants to you during your consultation. Learn more about breast augmentation and see the results he achieves when you visit http://www.premierplasticsurgeryarts.com


By A Aaronson

Breast Implants - How Much Do They Cost?

Breast augmentation doesn't have to be expensive. Breast implants usually cost anywhere from $2,000 to $10,000, depending on a number of factors. The average cost is about $4,000. You can expect to pay more for implants in major metropolitan areas, especially New York and Los Angeles.

The least expensive place to get your surgery is in the southern states. When you're asking about the price, be sure to ask if it includes one implant or both. This might seem obvious, but this simple mistake could mean seeing the cost double when you get your bill! It's important to make sure you've got all the details covered.

Some Things That Affect Price

$2-10,000 is a big range. So, what factors affect the price?

First off, the type of implant makes a difference. Silicone implants cost more than saline. You can expect to pay about $1,000 more per implant, although this varies quite a bit depending on location. Another major factor is what the price covers. Implants themselves usually cost around $1,000 a piece.

Anesthesia is usually $500 to $800, and hospital fees usually run about $1,000. Medications to help you in your recovery will also add to the cost. Make sure your quote covers everything, so there won't be any surprises. A reputable clinic will give you all the detailed information you need up front.

A few years after you get your implants, you'll want to have a follow-up. This will include an MRI, which usually costs somewhere around $2,000. Don't think of this as an optional cost! The purpose of the follow-up visit is to make sure the implants are not ruptured. This is an important safety measure, so don't try to cut costs by not doing it!

Breast Implants and Insurance

Many folks find it hard to get funding for their implants. Health insurance almost never pays for breast augmentation. In cases where the operation is for breast reconstruction following a mastectomy, coverage is sometimes available.

Even when there is coverage for breast augmentation, it usually doesn't cover health problems that might occur as a result of the surgery, follow-up appointments or MRI's. Be sure you know exactly what is and isn't covered in your health plan.

In face, some health plans will raise your premiums if you have had breast work done. They view it as a risk, even though breast implants are safer than ever these days. Your health company may be one of these, so be sure you read the fine print and know where they stand.

How Much Should You Pay?

You can't really put a price on quality breast augmentation work. If a doctor says they will do the job at a ridiculously low price, it might be a good idea to look elsewhere. It's not worth the risk going with a clinic that may not be safe or trustworthy in order to save money.

A breast job done badly will end up costing you more because you'll have to have corrective surgery, or have the bad implants removed. When shopping for a clinic, don't worry as much about the cost as about the quality they offer.

By A Aaronson

Plastic Surgery Can Help One Regain Confidence

While the idea of life being hard is about as old as life its self, this new era is being defined by this saying in the worst of ways. And while the people old enough to remember the last depression will undoubtedly say they had it way worse, the only thing people can be sure of now is that they will probably be sprouting the same sentiments to their great, great grandchildren someday.

There's no question that the future is bleak, and that it's being felt nationwide. Once sturdy, possibly even noble conglomerates are disappearing at record rates leaving the masses with only unemployment and decidedly less options when seeking affordable home electronics.

While the economy boomed over the past decade, health, a fad actually started during the rather rough economic times of the early Reagan administration swept the nation, placing physical looks and physical health at a premium. In some ways, a healthy lifestyle was as valued as a lifestyle based around having luxury.

Those with regular jogging routines and a love of a crunch-based exercise regiments could stand proud regardless of how large their stock portfolios were. And while the rest were alright with this, what with the security of a decent paying job and being able to afford things for their children, they didn't have to take care of themselves from a fitness perspective.

Suddenly, many find themselves facing middle age not only looking unhealthy, but without any financial blanket to help themselves sleep at night. The ability to eat fast food while passing their less financially motivated neighbors jogging vigorously down the sidewalk has become a thing of the past.

That's why looking one's best is more important than ever in today's day and age. And for those who haven't been as good about helping up their health, plastic surgery is a great option to start one living a better life.

For these individuals, as the economy has dwindled, so has their confidence. Plastic surgery can be a great motivator to encourage one to make the changes now, to start a better existence. There are many options, from liposuction, to facelifts, to abdominoplasty (tummy tucks), to lipoabdominoplasty.

These can take the weight off, remove age lines, get rid of excess sagging skin, and even help form those well defined abs that most people never bothered to get in the first place. These techniques can not only make a person look younger, they can make a person look better than they'd ever looked in the first place.

While plastic surgery can do wonders, it's up to the individual to make the necessary steps to maintain that physique. It gives the luxury of showing the results up front. This provides a base for a person to maintain, which is much easier than years of hard work with so much uncertainty. And while there's still hard work involved, it is easier when one can see how attainable it is. Check it out today, and help cure those nagging recession blues.

By A Aaronson

Nipple Deformities - Simple Plastic Surgery Corrections

Nipples are as variable as the size and shape of breasts. No two nipples are ever exactly alike, usually not even on the same person. While much breast reshaping (breast augmentation, breast reduction, breast lift) goes on in plastic surgery, many men and women suffer from nipple deformities as well which also affects their self-esteem. Nipples can stick out too much, can be turned in, or the areola (the colored area surrounding the nipple) can be too large. Some of these nipple problems may affect certain breast functions such as feeling or lactation. The good news is that there are some very simple plastic surgery procedures that are quite effective at improving these problems.

For the sake of clarification, what most call the nipple is actually two different structures. The true nipple is the central projecting skin area that has both enhanced sensation and milk ducts for lactation. The flatter, almost always more pigmented, skin around the true nipple is called the areola.

Nipple inversion (shy nipple) affects about 2% of the population, more commonly in women than men. Some nipples can be turned in slightly or to a significant degree. Some people are born with nipple inversion, others occur later often after breastfeeding. In rare instances, a tumor may be pulling the nipple inward and this should be ruled out particularly if it occurs later in life and just on one breast. Correction involves a simple procedure done under local anesthesia. The nipple is released and brought out. The biggest problem with nipple inversion correction is relapse, the nipple losing projection and returning to an inward position. Nipple inversion surgery can also be done at the time of other breast surgery. I usually like to delay repair in the case of breast augmentation until later as the implant may help to push out some nipples, making correction unnecessary.

Enlarged nipples often create visible 'headlights' which can be a source of embarrassment for many women. This can also be an issue for some men. An overly projecting nipple can be easily reduced through a wedge excision or a 'ring' reduction approach. Sensation and the ability for milk production can be preserved with either technique. Done under local anesthesia, nipple reductions are very stable and are not associated with any significant relapse.

"Puffy" nipples can occur in women and are usually associated with the tubular breast deformity. In this nipple problem, the areola and the nipple are pushed outward due to an underlying herniation or protrusion of breast tissue. Correction of this problem is slightly more complex than isolated nipple surgery. It is usually treated as part of tubular breast surgery which involves the use of a breast implant and areolar manipulation. This is treated by making an incision around the areola, removing some of the pigmented skin (if needed), and lifting the areola skin up and decreasing the projection (puffiness). This is a more extensive surgery and requires an operative room experience under anesthesia.

Large or wide areolas are extremely common in big breasts. Usually the size of the areola is related to the size of the breast, but not always. Large areolas are commonly reduced as part of breast reduction surgery. They can be reduced independent of a breast reduction through the periareolar approach. By removing a ring of the outer areola, the circular diameter of the areola is narrowed. Due the tightness of breast skin, there is a limit as to how much the areola can be reduced. This procedure results in a scar at the junction of the areola and skin which occasionally widens and requires secondary revisional surgery.

Dr Barry Eppley is a board-certified premiere plastic surgeon in private practice in Indianapolis, Indiana at Clarian Health Systems. (http://www.eppleyplasticsurgery.com). He writes a daily blog on plastic surgery, spa therapies, and medical skin care at http://www.exploreplasticsurgery.com. Dr. Eppley can be heard on his weekly radio show, Doc Chat, on WXNT 1430AM Indianapolis on Saturday afternoons.


By Dr Barry Eppley

Failed Nose Job Surgery

My need for a nose job

I used to have a big nose in high school, bigger than most of my classmates which was not an issue until I was made aware of this fact by my peers, who started picking on me because of it. As they saw how irritated I became some of them even mounted the pressure which I could not always handle, and I admit I even cried sometimes at home in the shower, punching my nose in despair. Quite sad, looking back at it now, and so young I was not yet familiar with positive thinking and other methods, but had enough willpower to decide that I have to do something about the situation as I was not the type who gives up easily.

The Nose Job Surgery Failure

First and foremost I was determined to change my external appearance, and started hectically searching for the descriptions and costs of a nose job surgery procedure by cosmetic surgeons. I imagined that if I will have a smaller nose I will be accepted and cherished by my looks, and I can just fit in easily with the others. It came to a point that my parents sat down with me and explained that a nose job could have unforeseen consequences for such a young person, and I should wait with it until I get older and more mature to make a more informed decision. I can tell you now, that I did not undergo a nose job surgery at the time, because I was shown some failed procedures by our psychiatrist which succeeded in turning me away from such a drastic procedure, not even advised for young and growing persons.

Happy Ending

As I approached my 20s, my high school mates were far away and I joined communities where performance was emphasized rather than looks, and hence no one was picking on something that I was born with. I also grew taller thus my body became proportionate with my nose. So even if that failed nose job surgery was not mine, the sight of it helped me in changing not my nose but my perceptions and my communities. If someone picks on me today which rarely happens, I tell them to watch out, tomorrow you might want to have a nose as big as mine, when I will be all over the newspaper as the newest star. Aside from this joke, I beg you to get informed prior to committing yourself to a nose job or other cosmetic surgery.

Here is a video resource, called Cosmetic Surgery Tell All - Face Lifts, Breast Jobs, & Tummy Tucks, http://www.reviewcritical.com/cosmetic-surgery-tell-all, that I shared with my kids when they had doubts about their looks. This is not a collection of failed cosmetic surgeries, but a very informative resource on all kinds of cosmetic jobs, like nose, breast and tummy jobs.


By George Gregory

Plastic Surgery - Feel Good About Yourself During Bad Times

As the economy is hurtling quickly towards borderline oblivion, and the majority of Americans are recalculating retirement age to the upper echelons of their seventh decade, it's becoming very, very difficult to find something to feel good about.

From those facing layoffs, to those working insane hours because of greatly reduced work staffs, everybody is feeling worse and worse about the future. These times are scary and nobody can predict what will possible bring an end to this recession.

As a society that loves to buy things, it's fair to say, things are bad. People aren't buying things, so stores aren't selling things, and thus nobody is happy anymore. Beloved electronic behemoths, once thought of as almost comforting in their monolithic embodiment across shopping malls nationwide are disappearing almost as fast as the nation's collective dream of having some money to retire on.

It's fair to say America's caught a case of recession depression, a notion embodied and talked about endlessly by both great grand relatives nationwide and ironically high priced documentary films, but mostly ignored or tolerated until something more interesting came along. And now faced with a new depression, the nation is naturally shocked and surprised by such an unpleasant outcome. It's why now more than ever feeling good about one's self is of such value.

Plastic surgery, reconstructive surgery and cosmetic surgery are all great ways to help improve not only one's appearance but one's entire outlook on life. It's great for improving how one sees them and how one feels others see them.

It's not only effective, but increasing in popularity among men and women. With all the negative feelings floating around, the least a person can have is a little pride. It's not only helpful, but necessary. Plastic surgery, reconstructive surgery and cosmetic surgery offer a tremendous variety of options.

Abdominoplasty, liposuction, lipoabdominoplasty, Botox, and face lifts are just a few of the most popular and commonly performed procedures done today. Plastic, reconstructive and cosmetic surgery work so effectively because they help show people how good they can look.

And when the results are shown up front, it is motivation to maintain a healthier lifestyle. With liposuction, it can help remove the fat evenly, and even helps remove the layer that's resistant to exercise. Face lifts can help take years off a person's life, better representing how they feel on the inside.

Abdominoplasty not only removes the excess skin that's an ugly reminder of progress, but it can also help form the abdominals that months of crunches haven't seemed to have any effect on. By fixing the physical areas, you're helping fix the psychic areas too.

By fixing what you feel others need fixed, you're better preparing yourself for how you feel others should treat you. That's power that can only come from change. And those are just a few of the benefits of plastic surgery, reconstructive surgery and cosmetic surgery and how it can help regain positive focus. Check out these procedures and others today and make the first steps to being happy again.

With plastic surgery, Washington DC surgeons can helps you attain the look you desire with advanced surgical techniques. Visit http://www.cpsdocs.com to see before and after pictures of plastic surgery patients, view video information, and read all about the latest advances in cosmetic surgery.


By A Aaronson

Plastic Surgery Release of Tongue-Tie Deformity

Being tongue tied is more than just not knowing what to say. It is an actual medical diagnosis (ankyloglossia) that is not that uncommon. (estimates are one in one to two thousand people) In my Indianapolis plastic surgery practice, I have seen lots of them over the years. It is a condition inside the mouth where the tip of the tongue is tethered down to the floor of the mouth. It is marked by an inability to move the tongue beyond the front teeth.....or just barely past them. When there is an attempt to stick the tongue out, a V-shaped notch appears at the tip. Technically, it occurs when the lingual frenulum (on the underside of the tongue) is either too short or anteriorly placed , restricting the mobility of the tongue.

Ankyloglossia occurs as a result of a developmental aberration in utero. Early in fetal development, the tongue is attached to the floor of the mouth. Like how fingers become separate from the initial fetal webbed hand (planned cell death and atrophy), the tongue and the floor of the mouth separate leaving a residual attachment known as the frenulum. Tongue-tie results when this frenulum is short and thus limit the movement of the tongue. This is a condition which can be seen at birth if one looks carefully enough. But it becomes very apparent when the front teeth have erupted. Physical exam will easily demonstrate the short or anteriorly placed lingual frenulum. While the tongue continues to grow until about four years of age, one does not outgrow a short frenulum. Once present, it remains so.

Tongue-tie most commonly appears as a partial restriction and rarely as a complete fusion. There is considerable controversy as to what functional problems that it may or may not cause. It has been implicated in speech defects, breastfeeding difficulties, and a source of dental problems. While I have seen and treated many tongue-ties in babies and young children, the few I have seen in adults did not appear to be causing any significant problems. The main reason tongue-ties are treated is for better tongue mobility which has a cosmetic benefit and probably some minor functional improvement as well.

The main reason to treat tongue-tie, in my opinion, is the sheer simplicity of doing it without postoperative complications or relapse. One can have a lot of debate as to whether it is medically necessary, but if you can eliminate the problems with a very simple and quick procedure, that debate takes on less significance.

Tongue-tie is released through a procedure known as a frenuloplasty or frenectomy. The frenulum is incised near its midportion until the tongue is fully released. Then it is sewn together with small resorbable sutures creating a long unrestricted frenulum. In babies and children this requires a general anesthetic. In adults, it can be done under local anesthesia in the office.

Dr Barry Eppley is a board-certified premiere plastic surgeon in private practice in Indianapolis, Indiana at Clarian Health Systems. (http://www.eppleyplasticsurgery.com) He writes a daily blog on plastic surgery, spa therapies, and medical skin care at http://www.exploreplasticsurgery.com Dr. Eppley can be heard on his weekly radio show, Doc Chat, on WXNT 1430AM Indianapolis on Saturday afternoons.

By Dr Barry Eppley