Stop Your Snoring Naturally-The Best Solutions to Quickly and Easily Cure Your Snoring Permanently

OVERCOME SNORING ONCE AND FOR ALL

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There are many unanswered questions that remains when talking about snoring for instance does snoring have something to do with health, is snoring caused by improper breathing, does snoring pertains to our blood or is snoring related to our emotions. Some of the major questions that are asked are about men and their snoring and why do we snore, is snoring normal and not a health issues or is snoring a more serious condition than what we think, is snoring a condition or is it a disease, is snoring hereditary or is snoring as common natural. Have you always had snoring issues ever since you could remember? Are you aware of the reasons why you snore? Are you aware of what causes you to snore? Has snoring become a bother to you now? Are you doing something about your snoring? Did you know that there is a cure for snoring? Do you want to have snore-free sleeps?

Has it ever occurred to you that snoring can be a health problem? What is snoring actually to you? Do you ever ask yourself if snoring is really normal or not? Is your snoring beginning a bother to you and your partner when sleeping at night? Are you willing to take actions about your snoring soon?

Snoring is a normal occurrence for men culturally.

Do women snore? Of course, women snore too therefore snoring is not gender specific. The common notion of the society is to blame men for snoring because snoring. Males generally believe that snoring is just a normal condition that most men have.

WHAT IS SNORING?

When we breathe, we inhale air through our nose and mouth which flows down our air passageways which goes straight to our lungs. Could snoring be a feeling that most men encounter when they are having a good nights rest or could snoring be a result releasing exhaustion unconsciously. Snoring is somewhat similar to the same sound that is emitted from our air pathways but snoring makes a louder expression or sound. Some people have a common idea that snoring is a state of body status such as times when you are so tired and exhausted that you just want to fall on the bed due to your long daily activities.

TYPES OF SNORING

The tongue inflicted snore is caused when the back of the tongue is blocking some parts of the air passageways which produces the snoring sound. Snoring when sleeping in any positions shows that you have a severe problem.

MOST COMMONLY KNOWN CAUSES OF SNORING

Asthma, sinusitis, and colds are known causes snoring as well. Snoring can be caused by allergies. A person who is inclined to sleep flat on their back makes the throat very relaxed and the back of the tongue tends to block their air pathways and creates the snoring sound. Smoking can make the tissues vibrates and creates snoring. A person who intakes too much fatty foods and oily foods that can create a fat deposit around the air tracks and pathways will cause the throat to be rigid and thus constricts the air to flow so the air tries to pass through in which creates vibrations and causes snoring to occur.

CONTROLLED AND UNCONTROLLED FACTORS OF SNORING

Some researchers say that there are things that we can do to control snoring and while others say that we cannot control snoring.

WHAT FOODS CAUSES US TO SNORE?

Sometimes or most of the times, eating dinner together with the entire family on is just great but that is also the time when overeating occurs. There is no rush when monitoring the types of foods that you eat therefore you can easily do this slowly and you will eventually notice a big difference within. Overeating may induce inflammation which is one of the main causes of some serious snoring issues. A little wheat intake is okay but eating too much wheat is not therefore try to eat it sparingly.

TIPS ON HOW TO MAINTAIN YOUR WEIGHT AND EATING HABITS TO AVOID SNORING

Cutting out the heavy dinners will help you to avoid snoring. Using smaller bowls and plates will trick your body into thinking that you have had your normal full-sized eating proportion in a single serving rather than having a full sized bowl eating proportion. Stay away from your food temptations all the time if.

WHAT TO DO WHEN YOU ARE SNORING SEVERELY?

There are some simple ways in which you can stop snoring on your own. By losing weight, you will feel more active and by keeping in shape it helps the body to function normally, including you air paths that can cause snoring. One of the most important ways to stop snoring is to try to lose more weight. To determine if you have severe snoring, ask yourself if your snoring is VERY loud.

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Plastic Surgery Nose Job – Don’t Get Rhinoplasty Before You Have Answered These Quesitons

There are many reasons why a person would want to get a plastic surgery nose job done. Most people believe that a person gets rhinoplasty done because they don’t like the look of their nose. This is because of all the publicity given to celebrity plastic surgery. In today’s world of ever present media, celebrities are unable to hide any plastic surgery they have done. What they don’t realize is that nose surgery is very important in order to correct breathing problems or when the nose has been damaged due to accident or disease.

You have every right to get a nose job done if you feel that it will improve your life in any way. However, you do have to ask yourself a few questions about why you want a plastic surgery nose job done so that you might spare yourself from making a mistake and having to live with the consequences of bad plastic surgery, or worse still, having to undergo corrective nasal reconstruction.

You have to be very clear about why you want the nose surgery done. If you truly feel that the quality of your life will be enhanced by a surgically reshaped nose then you should certainly not deprive yourself of it. The question is easier to answer if your nose has been damaged due to various circumstances.

The next thing to consider is how you will look after the plastic surgery nose job is done. Blindly copying celebrities is always a bad idea, and it is even worse when it comes to medical matters. The nose that you are eager to have might not even suit the rest of your features. Your doctor should have a frank and clear discussion with you about what the expected results will be. If you are unable to visualize the final result, take a few opinions from your friends as well.

You also should find out who exactly will be doing the nose surgery on you. There is no need to risk getting awful plastic surgery by trusting your nose to an inexperienced doctor. Make sure that only a very skilled doctor does the nose job for you. You cannot afford to make a mistake on such a visible part of your body which can’t even be hidden. Do not hesitate to ask the plastic surgery center for the qualifications of the various doctors. You can even find lots of information online. Only go to a reputed clinic because you should not spare any effort to get the best job done with the least possible problems.

Be prepared to feel some discomfort after your nose job, even if it goes well according to plans. After all, your body needs some time to recover from the surgery. Find out from your doctor about the various steps you need to take to alleviate the discomfort.

Ask around for the best doctors available, particularly ones who have refined their techniques and skills to such an extent that they can reduce the discomfort and the recovery time.

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Plastic Surgery Rhinoplasty Explained – The Day of Surgery

Do you hate the way your nose looks right now? You are not alone in feeling this way, going by the statistics concerning the numbers of people who are opting for rhinoplasty these days. With the growing popularity of plastic surgery rhinoplasty, also called a nose job, it is no longer considered a radical surgery. The reason that so many people opt for a rhinoplasty is that any imperfections on a nose are clearly visible and are very difficult to hide. A skilled surgeon will be able to give you the nose you desire without too much trouble. However, nose surgery is not without any inconvenience, and you need to know exactly what it entails so that you know what to expect on the day of the surgery.

Plastic surgery rhinoplasty is a small yet crucial surgery, and it is almost always done while with local anesthesia. You will be able to go home the same day of the surgery, although you should make arrangements to be taken home because you will certainly be feeling groggy. However, in some cases, especially when there is extensive nasal reconstruction to be done and you require a complex surgery, you will need to go under general anesthesia. Your surgeon will discuss the various options with you in great detail and go through the exact procedure you will undergo.

If your surgeon has decided to go in for a closed procedure, he will make an incision inside your nostrils. The biggest advantage of this is that the surgery scar will not be visible to others. As preferable as this type of surgery is, you will sometimes have to go in for an open procedure. In such a case, you will be left with a small scar on the outside of your nose, which will take some time to heal and become invisible.

Every person has a different image of what the perfect nose is. If you feel that yours is too big or has unsightly lumps on it, the plastic surgeon will simply remove excess cartilage in order to make it the required shape or size. It is far more complicated to increase the size of your nose, but it is not impossible. If this is what you want, your doctor will have to harvest some cartilage from other parts of your body such as your ears, septum or your ribs.

Once the incision is closed, you will have to wait a while in order to see whether your surgeon has been able to translate your desire into reality. Your nose will take some time to heal, and you can expect to have some swelling for a while. This is only normal since the tissues have been through some trauma. You will only see the shape of your new nose after the swelling has come down.

If, however, you feel that your plastic surgery rhinoplasty has not gone as expected, you could always schedule another surgery in order to attain the exact look you want.

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Oriental Eyelids and Plastic Surgery Answers

Question: I’m a 28 year old Chinese female and dislike my eyelids. My eyelids have always had a flap of skin that hangs down to my lashes. I would like to have the extra skin removed from my lids but am afraid of not looking Chinese to my family. Can you do eyelid plastic surgery and still have a patient look Oriental?

Answer: You ask some very good questions about Oriental eyelids. Please read below and contact me at Orange County Plastic Surgery if you have any further questions concerning this, or any other cosmetic surgery procedure.

First of all, Oriental patients do have different eyelid anatomy than most Caucasian patients. In the typical Oriental type of eyelid patient, the superior palpebral fold (the upper lid fold between the lashes and brow) is absent. This occurs in approximately 50% of Oriental patients and is a genetic feature that is passed on from parents to their children with a dominant gene. The Oriental eyelid without a palpebral fold is often referred to as a “single eyelid”, while an eyelid with a fold is called a “double eyelid”.

Operations designed to construct a superior palpebral fold are becoming more popular in Oriental patients around the globe. This surgery has become commonplace in large cities in the Orient as well as in the United States areas, especially in areas like Orange County containing large Oriental populations. The “single eyelid” occurs because a muscle called the levator palpebrae ends within the substance of the lid, instead of attaching to the top of the cartilage plate in the lid, and is not caused by a skin excess! In such procedures, every attempt is made to create the desired fold but not to alter the general shape of the eye or to destroy the web that many Oriental patients have medially, near the nose. Destroying this epicanthal fold would make a lid look more Caucasian and destroy this important Oriental feature of an eyelid and give the patients and eyelid version of Michael Jackson’s nose – this is to be avoided!

As mentioned, 50% of Orientals lack the palpebral fold, but the other 50% do have such a fold – the Oriental eyelid procedure is designed to create such a fold and still leave the patient looking Oriental. A surgeon doing such surgery should be familiar with the differences between Oriental and Caucasian anatomy. It is possible to get a very good result with this plastic surgery procedure, but as with any cosmetic procedure, it is important to research the options and all potential outcomes. It is also important to communicate with your surgeon about how you would like to look after the surgery and obtain comprehensive pre-procedure and post-procedure information.

If you have any specific questions about the Oriental eyelid, plastic surgery procedure, or any other cosmetic procedure, your best bet would be to see a qualified, board certified plastic surgeon to review your options. A plastic surgeon should be able to work with you to get a result with which you are satisfied!

Dr. Juris Bunkis, MD, FACS of Orange County Plastic Surgery is a Harvard trained, Board Certified Plastic Surgeon and has 30 yrs of surgical expertise. Call OCPS at 949-888-9700, email your questions to info@ocps.com or visit our website for more information.

Eyelids and Brow Lifts, Questions and Answers

Q: My upper lids droop over my eyelashes and I would like to have them fixed. I have seen two plastic surgeons, one who agreed that he could help me with my upper lids, another who told me I’d have to have a brow lift as well. My brows are fine with me and I do not understand why a brow lift would be necessary? Why would a surgeon recommend a procedure I did not ask for?

A: You really should go and have another talk with your plastic surgeons – if one recommended a brow lift, he should have explained why he did so. Rarely would we suggest a procedure about a body part not brought to our attention by a complaint originated by a patient. For example, we would never comment about very large or small breasts if a patient came in to discuss an abdominoplasty (i.e. “tummy tuck”).

The two exceptions I can think of relate to chin implants and brow lifts, but in such a situation, I sure would hope that the patient left the consultation with an understanding of why we are recommending the brow lift or chin implant procedures! Patients with weak chins who come in complaining of a large nose or a droopy neck cannot get a great profile without addressing the weak chin because the chin, nose and neck all contribute to the profile. Likewise, if a patient complains of heavy upper eye lids, we have to analyze the balance between the eyelid and brow position.

As a plastic surgeon, our duty is to lay out the options for a patient and each person has to choose the procedure(s) that will give them their desired results. In a pure upper eye lid blepharoplasty, the thin skin excess of the lids is removed but the distance from the lashes to the brows is not changed. In patients with low brows, removing the thin, excess upper lid skin may not be appreciated unless the thicker tissues just below the brows are raised as well. This is not to say that every low brow must be raised when doing an upper lid procedure, but the patient has to understand that only the thin, upper lid skin excess will be removed, that the thicker brow hooding will be unchanged, and that the distance between the brows and lashes does not change with an isolated blepharoplasty.

If a patient desires a more open – eyed look, this will only be accomplished if a brow lift is added to the eye lid procedure. Not only will the eye area look more open following a brow lift, but during a brow lift, the frown lines between the brows will be minimized because we can remove some of the muscles that cause these frown lines, called the corrugator and procerus muscles. And finally, occasionally I’ll see a patient with hooding caused by low brows who thinks they would like an upper eyelid blepharoplasty, but when I gently elevate the brows, I can see that this patient does not have an excess of thin, upper lid skin, just low malpositioning of the brows and I will recommend to this patient that a brow lift be performed without a lid procedure per say.

A brow lift is a minimally invasive procedure. In the endoscopic brow lift, a few half inch incisions are made behind the hair line, allowing the instruments to be inserted. The tissues are freed from the bone, the muscles sculpted, and the brows raised a few millimeters. The brows are fixed in their new position with a variety of devices. The incisions are rarely perceptible after healing has taken place. Occasionally, a brow lift will be performed as an isolated procedure, but more commonly it will be combined with a minimally invasive midface or thread lift, an eyelid procedure or a standard face lift.

If you have any specific questions about cosmetic procedures, you should see a qualified, board certified plastic surgeon to review your options and have additional questions answered!

Dr. Bunkis,MD, FACS of Orange County Plastic Surgery is a Harvard trained, Board Certified Plastic Surgeon and has 30 yrs of surgical expertise. Call OCPS at 949-888-9700, email your questions to info@ocps.com or visit our website for more information.

Are There Alternatives to Liposuction?

Q: I am a fit 54 year old, have had a face lift and look good for my age, but I have a few fatty deposits over my hips and cellulite that don’t go away with exercise and are driving me crazy. I have heard of nonsurgical fat removal – is there any way, shy of having liposuction, which will remove my cellulite and fatty deposits?

A: First of all, congratulations on being fit at 54 and for caring how you look! General health wise, there is nothing better that you can do for your body than to keep fit and to keep excess weight off!

In order to answer your question, I’d first like to give you some background about fatty deposits and cellulite. We all have fat within our bodies, some fat is necessary, but too many of us have an excess of fat. Our body needs energy to survive, and that energy comes from what we eat or drink. No matter whether you are consuming protein, carbohydrates or fat, the body breaks down the food you take in into tiny molecules. The body uses what it needs to survive, and all of the excess, no matter whether it started as protein, carbohydrates or fat, gets converted by the liver into fat. This fat is transported by the blood to fat cells throughout the body for storage. On days when you do not consume as many calories as are needed for survival, the stored fat gets returned to the liver where it is re-manufactured into usable parts throughout the rest of the body. We all know that fat is stored in different ways and places in different people. Women tend to store their excess fat over the hips, thighs and in the external layer, between the skin and muscles, over the abdominal wall. Men tend to store their excess abdominal fat internally, around the intestines, as well as externally over love handles and the chest.

Cellulite refers to the surface irregularities seen over the thighs, hips, and buttocks of almost all women, and is rarely seen in men. Men and women store fat differently under the skin, men more in horizontal layers with a smooth surface, while women store the fat more in a perpendicular manner, which leads to the objectionable surface lumpiness.

Now that we understand about excess fatty deposits and cellulite, let’s discuss what can be done to improve cellulite or remove unwanted fatty deposits. Let’s start with cellulite. There have been many, many treatments varying from home remedies, commercially available creams and ointments, wraps, garments and machines that have been promoted as providing cures for cellulite. It has also been claimed that caffeine, through its ability to constrict blood vessels, can make your skin appear tighter and improve cellulite.

I well remember when, about 20 years ago, Endermologie® was introduced, received a lot of interest from the press and doctors were lining up to purchase these $150,000 machines. These machines basically used rollers that the company claimed, sent a message to the cells, triggering actions such as fat break down and collagen production. The company claimed that cellulite was removed and inches would come off the treated areas. Multiple treatments were required. After any one treatment, the cellulite did seem to improve, probably from the swelling caused by the localized trauma, but unfortunately, a month later, when it was “time for another treatment”, all the cellulite would be back in its full glory. What patients ended up with was basically an expensive massage! This machine simply did not live up to its claims or patient expectations.

Next came mesotherapy or Lipodissolve®, a “non-surgical alternatives to liposuction”. Mesotherapy involves a series of injections that may melt away unwanted small, localized areas of fat. While the main ingredients used in these injections vary, the chemical cocktail typically includes phosphatidylcholine/deoxycholate (PCDC), multivitamins, alpha lipid acid, enzymes and plant extracts. Phosphatidylcholine is FDA-approved to break down blood fats that may increase risk for heart disease, but it is not approved for injection or any other purpose. Use of this substance to dissolve superficial fat is performed in an off-label manner. During these treatments, your doctor injects the chemical cocktail into the fat layers. The injection is relatively painless, with no need for anesthesia. The medication produces a chemical reaction which dissolves localized areas of fat. Benefits can be seen within three weeks of the treatment but proponents claim that several treatments, four to six weeks apart, are required to produce the optimal result. After a treatment, the patient can return to their usual activities. Approximately 100,000 Lipodissolve® treatments have been performed in the United States and Europe and some papers have been written, showing post treatment improvement, but problems remain, and because of these problems, Kansas and Nebraska, are in the process of enacting legislation to ban Lipodissolve®. ANVISA, the Brazilian version of the FDA, banned the use of phosphatidylcholine-based products for injectable fat removal, and Health Canada, the Canadian FDA, has ordered physicians to stop marketing and administering the products. We know that these injections can liquefy fat, but where the fat goes is anyone’s guess. Harmful deposits in the liver or blood vessels could lead to serious medical problems including fatty plaque and increase the risk of heart attack or stroke. The American Society for Aesthetic Plastic Surgery (ASAPS) has reported that infection, disfiguring masses of inflamed tissue and tissue death can occur after Lipodissolve®. I have seen a number of previously treated patients with indentations in the treated sites. Ignoring the health issues, from a purely aesthetic point of view, the main problem with Lipodissolve® is that the results are unpredictable and that surface irregularities are quite common. Lipodissolve® is still in the experimental stage. Clinical studies in the United States that look at the safety and efficacy of Lipodissolve® are underway. This is a treatment that we would only recommend under special circumstances at this time.

The latest nonsurgical technique which is being touted as a magical cure for cellulite and fatty deposits is Cryolipolysis™, using a machine built by Zeltiq, and promoting a “One hour fat fighting treatment”. This is a new technology with very little published information and their machine is not FDA approved yet. From what I’ve read, probes are placed on the skin that cool the fatty layer to about 5 degrees Celsius, about the temperature in a refrigerator. This damages the fat cells and some will die over the next four months. This procedure does not work on large people, or those with a thick fatty layer because the cold cannot penetrate more than a few cm. But for thin people with very small fatty pockets, it might show some promise. The reason it is not FDA approved yet is because there are questions as to what this cold treatment does to nerves, blood vessels, skin, muscle, etc. long term. I see similar question to those discussed above with the Lipodissolve® – where does the fat go, what are the health risks? I simply do not think that loosing an inch off your hips is worth an earlier heart attack!

To summarize, simply put, nothing tops liposuction when it comes to the removal of unwanted fatty deposits (as long as skin laxity is not an issue – if it is, a skin resection may be indicated).

Liposuction is the only scientifically proven method for safely removing fat cells permanently and is the top overall surgical cosmetic procedure performed in the United States. A variety of different cannuals are now used for liposuction, but all are inserted through tiny, hidden incisions and recovery after the procedure is relatively quick and uncomplicated. If you have any areas that are of concern to you, your best bet would be to come in to discuss your concerns with a board certified plastic surgeon.

Dr. Bunkis, MD, FACS of Orange County Plastic Surgery is a Harvard trained, Board Certified Plastic Surgeon and has 30 yrs of surgical expertise. Call OCPS at 949-888-9700, email your questions to info@ocps.com or visit our website for more information.

Celebrities and Cosmetic Surgery to Consider

Celebrities and cosmetic surgery are on many people’s minds today. Did they have work done? Who may have had a certain procedure? It is very difficult to tell most times. There may be many perfect examples of cosmetic surgery that no one knows about. With some celebrities, it may be obvious. However, most celebrities will not reveal that information. Here are some cosmetic surgeries and famous people involved.

Rhinoplasty Surgery

Rhinoplasty is often called a nose job. When done properly, it can make a big difference in facial appearance. The results can be dramatic. It is also done for medical reasons. Improved breathing is a good example. Britney Spears recently had a rhinoplasty procedure. Her nose is a little smaller now. The shape of it has not changed. Public opinion is favorable on her decision.

Breast Surgery

Breast Augmentation surgery is commonly done today. When Pamela Anderson’s breasts enlarged, she became a famous centerfold model. Most breast implants are not as dramatic today. The quality of the surgery makes it almost impossible to tell at times. People wonder how breasts enlarge. However, there may be no way to be certain that is was from cosmetic surgery. In a few cases, they are made smaller. Dolly Parton had this done for back problems.

Facial Implant Surgery

When you wish to enhance a particular facial feature, you can use implants. They are also used for medical purposes like reconstructive surgery. It can help someone’s return to his or her previous lifestyle, after a terrible accident. Roseanne Barr’s cheek implants are an example of good facial implant surgery. However, she remains one of the few that will admit to such procedures.

Eyelid Surgery

Blepharoplasty may be done by itself. It may also be part of an entire face-lift. You may look years younger after an eyelid surgery. The upper or lower eyelids may be done. When you age, your eyelids get fatty deposits under them. The skin also loses flexibility. You may develop bags under your eyes. Your eyelids may droop. This can make you look tired as well as old. A good eye job can drastically improve your appearance. A good example is Jane Fonda.

Brow Lift Surgery

Your forehead skin can gradually move down your face. You may look very tired and weary. Forehead wrinkles are a sign of age. A brow lift will bring the skin back in place. The face will appear young and alert. Some people elect to have eyelid surgery with this procedure. You will not hear of many brow lift surgeries. One can only speculate, most times. Many people think that Debbie Harry’s recent procedure was a success.

In Closing

Celebrities and cosmetic surgery continually makes headlines. How do they continue to look young? Did they have it done? We may never know about most famous people. They reason may be simple. The good work is hard to tell. Few people want to admit to surgery. Unfortunately, the cosmetic surgery horror stories make news frequently. This casts a shadow on all the good work that is being done. A few celebrities like Jane Fonda and Britney Spears will admit to it.

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The Many Types of Cosmetic Surgery

Many people are not satisfied with the way they look. Some feel hopeless because they think they are unattractive. All of these things can be solved by one thing, cosmetic beauty surgery. The industry is booming. People all over the world are looking into getting this type of correction to gain the appearance they want. This article will briefly describe some of the most common types and what they can do to improve your appearance.

Before getting into the types of procedures it is important to know what it is. Basically anything that uses surgical precision to improve your looks is classified as cosmetic beauty surgery. With this said we can now discuss the various types and what they will do to help you become a more confident being.

The first type to be discussed is abdominoplasty. This is more commonly known as a “tummy tuck”. People that have issues with their abdomen being un-firm usually choose to have abdominoplasty.

Next we will discuss blepharoplasty. Blepharoplasty is a procedure that will change the shape of the eyelids. Both the upper or lower eyelids can be changed, and they can be formed to look how you choose.

Most people of older age choose to go with the face lift procedure. A face lift will allow wrinkles and excess facial skin to disappear. A face lift will allow people to look years younger than they actually are.

Breast and buttock augmentations are also very common. A breast augmentation will change the size of your breasts. This can make them smaller, or larger. A buttock augmentation is performed to lift the buttock or make it bigger.

Another common procedure is rhinoplasty. Rhinoplasty is the procedure to change the appearance of the nose. Most people that are unhappy with the shape or size of their nose with undergo rhinoplastic treatments.

Otoplasty on the other hand reshapes the ear. When people have an ear, or both, that stick out or is unsightly they will have otoplastic surgery. This can make the face more symmetrical and change your overall appearance.

Chin and cheek augmentations are also very common. If people do not feel comfortable with the way their chin or cheeks are shaped these procedure will work great for them.

It is important to remember that not all of these procedures turn out how they are expected to. Some people go into surgery looking better than they do when they come out. Most people do not want to take the risk of making themselves more unconfident, however many people take the risk and undergo this type of correction enhancement.

This type of procedure is not just to help your appearance. It is to help you be a happier more healthy being. It is a proven fact that when people feel good about themselves they are more likely to be confident a free of depression and anxiety. Many people that have had this corrective surgery feel better on the inside and out than they did before the treatment.

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The Truth About Liposuction

Q: I had a friend years ago that had liposuction on the bottom half of her body. 10 years had passed since I saw her; I could not believe my eyes, her face and arms had gained so much weight I didn’t recognize her! Is it true when you lipo from one part of the body it can deposit to other parts?

A: This is an interesting question and addresses a common misconception. Liposuction is currently the most commonly performed aesthetic surgical procedure in the United States. The concept is relatively simple, analogous to a vacuum cleaner that selectively removes excess fat between the skin and the first layer of muscles – it cannot remove deeper fat, for example that inside your belly around your intestines (the deep fat can only be removed by decreasing caloric intake).

The excess outer fat can be reduced by running a metal tube through the fatty layer, creating empty tunnels, which collapse as the patient heals and gives a patient the desired contour improvement. During the liposuction process, the excess fat is physically removed, collected in large bottles (up to five liters can be safely removed in one sitting), and disposed of as biological waste. This removed fat, therefore, cannot go to other parts of your body! Even the thinnest super model has a thin layer of fat under the skin and, when surgeons perform liposuction, at least a half inch layer of fat is always left between the skin and the muscles. The problem is that removal of the fat does not prevent someone from gaining weight in the future!

The equation is pretty basic – your weight is the result of what you consume minus what you burn off. If you eat roughly what you burn, before or after surgery, your weight will be stable and your fatty layer will remain at the same thickness. If you burn more than you consume, your fatty layers will decrease in thickness. Unfortunately, the converse is also true – if you consume more than you burn, whether or not you have had liposuction, your fatty layers will increase in thickness. This increase in thickness will occur over the part that was liposuctioned as well as over other parts that were never suctioned. We all know some overweight people with massive thighs or arms, large bellies, and very full necks, whether they have had prior liposuction or not. Liposuction is designed to treat stubborn area that do not respond to diet and exercise – liposuction is not a weight loss technique and does not prevent someone from gaining weight in the future!

When considering any surgical procedure, it is important to find a surgeon who you trust and to have all of your questions answered. You should know all the facts about your procedure and be aware of the risks prior to committing to the procedure or entering the operating room. It may also be a good idea to see photographs of your surgeons previous patients and their results.

Dr. Bunkis MD, FACS of Orange County Plastic Surgery is a Harvard trained, Board Certified Plastic Surgeon and has 30 yrs of surgical expertise. Call Orange County Plastic Surgery at 949-888-9700, email your questions to info@ocps.com or visit our website for more information. Serving Irvine, Newport Beach, Mission Viejo, Laguna Beach, Rancho Santa Margarita and surrounding cities.

Who to Believe – My Plastic Surgeon or My Dermatologist?

Q: I am 54 years old and beginning to see signs of aging. I asked my dermatologist for suggestions regarding products and she told me I was “too far gone” and suggested a laser procedure. I saw a plastic surgeon who told me that was nonsense and suggested a face lift instead. I want to look better but don’t know who to believe.

A: I can begin by telling you that both are correct, at least in part, and I am certain that both doctors are giving you advice based on their view points, training and expertise. The problem is that most dermatologists do laser resurfacing and not surgical procedures – they tend to recommend procedures they know how to do, regardless of what is best for the patient. And likewise, many surgeons do not do resurfacing procedures and may suggest a surgical procedure without considering the resurfacing option.

Without a consultation, I will have to answer this question in the most general terms. I will begin by telling you a few words about aging and what we can do about it. Two events happen simultaneously as we age. Surface changes occur from excessive sun damage. You can use sun blocks, hats and sun glasses to minimize sun damage as you get older. A laser treatment will remove these superficial signs of aging, but will not affect the dropping and skin laxity, particularly in the jowl and neck regions, that also occur with time.

These latter changes are the result of heredity and will not be altered by sun blocks or helped with a resurfacing procedure. In order to alter neck and jowl sagging, plastic surgeons pick these layers back up and tighten them as part of any traditional or midface lift procedure. Frequently, brows will be elevated back to where they once were, or baggy eyelids will be addressed at the same operation so as to restore a sense of balance to the final result – for example, very baggy eyelids would detract from an otherwise well done face lift which gave a patient a youthful neck.

Such surgery will not, however, alter sun damage or the quality of your skin. Another very important factor is a patient’s expectations – these have to be met! Some patients want nothing but a total improvement, others are willing to settle for less improvement because they are not bothered by certain features or because they are trying to save money. Your best bet is to find an aesthetic surgeon well versed in both the traditional surgical procedures as well as the various resurfacing procedures (chemical peels, laser resurfacing and dermabrasion) so that you can be presented with all the options and then you can decide which is the best option for you. Though your results may vary from a surgeon’s previous patients, during your consultation, you may ask your plastic surgeon to see photos of patients they have worked on. In this way you can get a better idea of the results of different procedures and decide on what will suit you best.

Dr. Bunkis MD, FACS of Orange County Plastic Surgery is a Harvard trained, Board Certified Plastic Surgeon and has 30 yrs of surgical expertise. Call Orange County Plastic Surgery at 949-888-9700, email your questions to info@ocps.com or visit our website for more information. Serving Irvine, Newport Beach, Mission Viejo, Laguna Beach, Rancho Santa Margarita and surrounding cities.

Looking Beautiful on a Budget – Wrinkle Repairs

Q: I am in my early 50′s and I’m starting to see wrinkles. Many of my friends have gotten facelifts and Botox® injections but I’m terrified of needles and knives! Are there any over the counter products that will tighten my skin?

A: Great question! You will know when you are saggy enough to warrant surgery, but in the meantime, there are many non-surgical treatments that can improve the quality of your skin.

Most of us do not appreciate fine facial wrinkles, hyperpigmentation and tactile roughness. Now you can have smoother, less pigmented skin with the newest FDA approved Tretinoin cream, Refissa®. It is emollient based and does not dry out your skin. This product has become the gold standard medical treatment for photo-damaged skin. It works by stimulating cell turn over and causing the sun damaged outer layers to slough off. Refissa® is the first important step to healthier skin. Always remember sun protection year round!

The next step, now that your skin is healthier, may be one of the many peels offered. There are many peels to choose from. For the purposes of this article we will focus on the Microlaser peel. Microlaser peel, the “week-end” skin peel, treats skin conditions more aggressively than the Refissa® is capable of doing. The Microlaser peel is performed with Sciton’s Erbium laser which uses a computer guided scanner to ensure maximum precision treatment uniformly. You will see improvements in just a few days

What exactly does the Microlaser peel treat?

It is a minimal to full epidermis laser peel that precisely removes the outer most layers of the skin. The procedure is individually tailored to the nature of the problem to be corrected: wrinkles, scars, keratoses, pigmentation problems, overall sun damage.

How often does a Microlaser peel need to be done?

As mentioned above, year round sun protection is a key to healthy skin. The results of any treatment, not just the Microlaser peel, will last longer and be more efficacious if you avoid future sun damage. One Microlaser peel procedure will usually be sufficient for a few months but subsequent treatments may be required. As mentioned earlier treatments are customized to each person. During your consultation we can determine what will be best for you.

What can I expect from the treatment?

Smoother, healthier, more vibrant skin. A blended complexion with a lessening of fine lines.

Is the treatment painful?

When you go into the office, a topical triple anesthetic cream will be applied. This application will make the procedure quite tolerable. Afterwards you can have a surface Oxygen treatment.

What is my aftercare? Do I need to wear any bandages or dressings?

No. Microlaser peel is not like a CO2 laser and requires nothing more than a protective ointment like Aquafor or vaseline. This is used as a barrier while you grow new epithelium(baby cells, new skin). You may also go back to your plastic surgeon’s office for oxygen treatments over the next few days.

As you can see, there are options to a scalpel and needle when making your skin look better! Make sure you discuss your concerns with your plastic surgeon prior to any procedure.

Dr. Bunkis MD, FACS of Orange County Plastic Surgery is a Harvard trained, Board Certified Plastic Surgeon and has 30 yrs of surgical expertise. Call Orange County Plastic Surgery at 949-888-9700, email your questions to info@ocps.com or visit our website for more information. Serving Irvine, Newport Beach, Mission Viejo, Laguna Beach, Rancho Santa Margarita and surrounding cities.