VIEWS: 62 PAGES: 32 POSTED ON: 7/14/2011
health Beauty & The Cheater’s Diet Q&A Breast Augmentation Create Six-Packs with Vaser Hi-Def Cosmetic Procedures and Wrinkles Diabetes Has an Impact on BreastAugmentation issue Sex LifeHealthy Aging 01 Cover Content Emotional and Mental Vitality sp-cosmeticsurgery.com SPONSORED PAGE Cosmetic Surgery Service For more information please go to www.sp-cosmeticsurgery.com 2 Cover Content sp-cosmeticsurgery.com The price already included… 1. Consultation fee 2. Post operation fee 3. Medication fee 4. Hospitalization fee (if needed) 5. Anesthesia fee 6. Lab test fee 7. Free pick up service from the air port/hotel 8. Cost of operating room 9. Doctor fee Liposuction : abdomen or tummy cost $1800 USD (WAL $2000,Vaser$2200 ) abdomen included waist or hip cost $2400 USD (WAL$2600,Vaser$2800) outter thighs $1400 USD (WAL$1600,Vaser$1800) inner thighs $1400 USD (WAL$1600,Vaser$1800) whole things $2600 USD (WAL$2800,Vaser$3000) buttock(both sides) $1400 USD (WAL$1600,Vaser$1800) arms $1600 USD (both sides)(WAL$1800,Vaser$2000) calves $1400 USD (both sides)(WAL$1600,Vaser$1800) male breast $1400 USD (WAL$1600,Vaser$1800) face, cheek, and neckunder chin $1200 USD (WAL$1400,Vaser$1600) Fat Transplant or Fat Reinjection cheek $1300 USD buttocks $1700 USD breasts $1700 USD Penis $1500 USD Labia majora $1500 USD Breast Surgery breast enlargement, augmentation $2500 USD (1 day admission included) breast implants with tear drop shape $3,300 USD (1 day admission included) breast reduction, mastopexy $2800 USD (2 days admission included) breast lift $2800 USD ( 2 days admission included) nipple reduction $500 USD alvolar reduction $800 USD Ear Surgery otoplasty $600 USD Eye Surgery back to top double eye-lids $500 USD upper eye-lids, blephaloplasty $500 USD lower eye-lids, blephaloplasty $500 USD 3 Cover Content sp-cosmeticsurgery.com Face Lift brow lift $1400 USD OPD. mid face lift $2200 USD ( 2 days admission included) forehead lift $2400 USD full fact lift(cheek and neck included) $3000 USD ( 2 days admission included) neck lift $2000 USD OPD. hair transplant < 1000 grafts cost $2500 USD. 1500 garfts cost $2800 USD 2000 grafts cost $3500 USD 2500 graftd cost $3800 USD 3000 grafts cost $4300 USD hair removal (laser IPL) $420 – $520 USD Nose Surgery silicone implant, augmentation $500 USD ala reduction, alaplasty $500 USD hump correction $2800 USD nose reshaping or reconstruction $1500 USD Cheek cheek dimple $600 USD cheek implant augmentation $2300 USD cheek reduction $2300 USD (2 days) Chin chin implant $650 USD Mandible angle resection $2,500 USD botox injection (to reduce muscle of jaw angle) $250 USD per site Lip lips reduction $600 USD lip hair (mustache and beard) removal IPL $500 USD 4 Cover Content sp-cosmeticsurgery.com Wrinkle Botox injection $250 USD per site filler agent Aquamid injection $450 USD per CC. Restylane injection $450 USD per CC. Dermalive injection $500 USD per CC. Sex Change (Sex Reassignment Surgery) scrotal skin graft , vaginoplasty $4500 USD ( 4 days admission included) Penile skin inversion, sigmoid colon graft $6800 ( 4 days admission included) Adam’s apple reshaving $1000 USD Buttock buttock enlargement implant $2800 USD liposuction $1400 USD (WAL$1600,Vaser$2000) Vagina vaginal tightenning vagioplasty $1000 USD hymenoplasty $1000 USD Labia labia minora reduction $600 USD labia majora enlargement(fat transplant) $1300 USD Penile penile widening surgery $2800 USD penile lengthening surgery $2000 USD fat reinjection to penis $1200 USD Botox Injection botox injection $250 USD per site Tummy Tuck tummy tuck $3000 USD tummy tuck + liposuction around the abdomen $4500 USD 5 Cover Content sp-cosmeticsurgery.com MONTHLY ISSUE sp-cosmeticsurgery.com 6 Cover Content CONTENT Breast Augmentation 9-11 Cosmetic Procedures and Wrinkles 12-13 Create Six-Packs with Vaser Hi-Def 14-15 Diabetes Has an Impact on Sex Life 16-19 What is in Your Make-up? 20-21 Healthy Aging Emotional and Mental Vitality 23-25 Q&A Breast Augmentation 26-27 The Cheater’s Diet 28-31 7 Cover Content sp-cosmeticsurgery.com SP-COSMETICSURGERY.COM SPONSORED PAGE Dr. Sompob Sansiri CONTACT DR. SANSIRI FOR FREE CONSULTATION TODAY Completed medical school at Chiang Mai University in Thailand (year 1992). Certified board of International Academy of Cosmetic Surgery (IACS) Certified board of American Academy of Aesthetic Medicine Member of American Academy of Cosmetic Surgery (AACS) Member of American Society of Hair Restoration Surgery (ASHRS) Trainning residency from 1992 to 1994. Trainning liposuction and cosmetic surgery at Pinkloa Surgical Center in 1997. Practicing in cosmetic surgery since 1998. Board – certified and has experience in cosmetic surgery more than 10 years. A member of American Academy of Cosmetic Surgery. A member of American Society of Hair Restorection Surgery A post committee of Thai Soceity of Cosmetic Surgery and Medicine (2004 – 2005) A member of Thai Soceity of Cosmetic Dermatology and Surgery 8 Cover Content sp-cosmeticsurgery.com Breast Augmentation Saline and silicone gel are approved by the U.S. FDA. B reast augmentation is a good mentation can enhance your appearance and choice of cosmetic surgery pro- your self-confidence, but it won’t necessarily cedure for those who have small change your looks to match your ideal, or cause or bigger breasts. When you give other people to treat you differently. Types of birth to your child your breast can Implants To determine the implant filler, size and get smaller due to the breast feed- shape the doctor has to see your breast anat- ing. A mild degree of breast can be lost and omy and body type. Also you will have to tell this needs a correction to get a firm bigger the doctor about your desired size. The medi- breast. The treatment can be done by a breast cal devices that we use to do breast implants implants with great result. The implantation will can be a solid silicone, rubber shell. The shell only leave small scars in the armpits. Those who will be filled with sterile salt water or elastic sili- have too giant breasts can consider about get- cone gel. Saline and silicone gel are approved ter them smaller by doing the operation. They by the U.S. FDA. This means the breast implant will be some scar on their breast, but it’s worth has been researched, tested and reviewed for it. While western people usually develop nice your safety. Breast implants are medical de- scars, but Asian people usually get keloid scar. vices with a solid silicone, rubber shell. The We are using high-grade silicone gel from the implant shell may be filled with either saline United States and Europe to give our patients solution (sterile salt water) or elastic silicone gel. the best result and appreciation. Breast aug- Both saline and silicone gel breast implants are 9 Cover Content sp-cosmeticsurgery.com approved by the U.S. Food and Drug Administration (FDA). Approval means that an im- plant has been rigorously re- searched and tested, and re- viewed by an independent panel of physicians for safety. We will measure your breasts in cubic centimeters (ccs) based on the volume of the saline or silicone filler.Texture: the implant shell may be smooth or textured Shape: the implant may have a round profile or one that is anatomic (teardrop or tapered shape) Profile: the im- plant may have a low, medium or high projection (the depth of the implant from the base to the highest point of the implant curve) Diameter: the width of the implant measured across it’s base (the side of the implant We can use your own fat to increase or reshape your breasts. that will be positioned over the chest wall) For some women. Shaped implants tend to remain additional implants, we can do the liposuction stationary, so they stay in the same place. When and use your own fat to increase or reshape a woman lies down, round implants on the your breasts. This method become more and other hand, settle back evenly, like normal more popular since your own fat gives great breasts. When a woman stands up, the saline natural feel and touch. Round Implants. What’s goes to the bottom of the implants because of natural looking? Round implants, placed under gravity, and the implants assume a natural tear- the muscle may have a more natural appear- drop shape anyway. Shaped, Anatomical, Tear- ance than shaped/contour implants which can Drop. These are all terms used to describe an appear somewhat elongated in appearance in implant that is manufactured to be pre-shaped 10 Cover Content sp-cosmeticsurgery.com Saline implants were long considered an inferior alternative to silicone gel-filled implants like the one pictured at right. Unlike a round implant, a “shaped” implant by design has a top and a bottom (it is tear drop shaped). These have a textured surface to avoid the implant flipping, leaving the implant upside down and misshapen in appearance. This can be corrected but it is not an ideal hap- pening. Unlike round implants, a tear-drop im- plant will maintain the same shape lying down, which can appear unnatural in some women. Saline Filled Breast Implants A saline breast implant is a sac (implant shell) made of silicone elastomer (rubber), which is surgically implant- ed under your chest tissues and/or muscle, and then filled with saline, a saltwater solution, through a valve. Breast implants have been used for breast augmentation for more than 40 statistics may change. Saline breast implants years. Saline implants were long considered an vary in shell surface (smooth or textured), vol- inferior alternative to silicone gel-filled implants, ume/size (number of cc), shell thickness, pro- which may look and feel more like a real breast file and shape (round or anatomical), and are than saline breast implants. even available as expandable implants. Most saline implants are single lumen (only one cham- Silicone implants were removed from the mar- ber), and filled during surgery. Pre-filled saline ket by the FDA from 1992 to 2006 and saline implants were available for a short time but are (salt water) filled shells became an accepted no longer on the market. Pros and Cons: Saline alternative to silicone. Saline implants were ap- implants are more likely than silicone to cause proved by the FDA in 2000 and have always visible rippling and are generally firmer to the been available to women in the U.S. and world- touch and less natural in appearance than sili- wide. Because of the FDA’s ban on silicone for cone gel breast implants. Saline implants are approximately 15 years, women had to be filled during surgery and allow the surgeon to enrolled in clinical trials to get silicone implants. make adjustments in the fill during surgery. As a result, saline implants have been the most Overfilling past recommended manufacturer’s frequently used implants in the U.S. for cos- guidelines can cause too much firmness. Not metic breast augmentation. With the availability filling the implants sufficiently can cause the of silicone as of November of 2006, those implant to have a fold which could 11 Cover Content sp-cosmeticsurgery.com Cosmetic Procedures and Wrinkles Aging and Wrinkles Wrinkles are a by-product of the aging process. W e’ve all heard the clichés: collagen fibers (the major structural proteins in Wrinkles are a roadmap of the skin), which support the outer layer, loosen your life. But many of us and unravel, causing depressions on the sur- would rather not be remind- face. With aging, skin also loses its elasticity, ed of the distance we’ve is less able to retain moisture, oil-secreting traveled. What can you do? glands are less efficient and the skin is slower First, understand what causes wrinkles. Then, to heal. All of these contribute to the develop- if you still want to reduce wrinkles, explore your ment of wrinkles. treatment options. What Causes Wrinkles? The following factors are the most significant Facial Muscle Contractions Lines between the contributors to wrinkles. eyebrows (frown lines) and lines jutting from the corner of the eyes (crows feet) are believed to Aging and Wrinkles Wrinkles are a by-product develop because of small muscle contractions. of the aging process. With age, skin cells divide Smiling, frowning, squinting and other habitual more slowly, and the inner layer, called the facial expressions cause these wrinkles to be- dermis, begins to thin. The network of elastin come more prominent. Over time, the expres- (the protein which causes skin to stretch) and sions coupled with gravity contribute to the 12 Cover Content sp-cosmeticsurgery.com formation of jowls and drooping eyelids. Sun Damage and Wrinkles Exposure to ultraviolet radiation (too much sun) can result in premature aging of skin. Premature aging of the skin is called photoaging. The ul- traviolet sunrays that cause photoaging damage collagen fibers and cause the excessive pro- duction of abnormal elastin. When ultraviolet light damages skin tissue, an enzyme called metalloproteinase is produced. This enzyme creates and reforms collagen. During the pro- cess, however, some healthy collagen fibers are damaged, resulting in a disorganized forma- tion of fibers called solar scars. Wrinkles de- velop when the rebuilding process occurs over and over. Smoking and Wrinkles Healthy skin perpetually regenerates. While old collagen is broken down and removed new collagen is produced. Researchers have found that smoke causes a marked reduction in the deeper chemical peels, may require some production of new collagen. A lack of new col- downtime during the healing process. lagen results in the development of wrinkles. Other lasers, known as non-ablative lasers, may also be beneficial in treating wrinkles. These What Are the Treatment Op- lasers work by heating the dermis and stimulat- ing collagen growth. This process, which leaves tions for Wrinkles? the outer layers of skin intact, has no downtime There are numerous over-the-counter treatment associated with it. However, the results are not options for wrinkles, including various creams as dramatic as the ablative lasers which actu- and lotions. Prescription treatments, including ally remove the surface layers of skin. the retinoid creams Renova and Retin-A, are also an option. Removing skin layers to reduce Botox collagen and other injections are the ad- wrinkles or irregular depressions is an effective ditional techniques available to help minimize way to regain smoother, more youthful looking wrinkles. skin. Dermabrasion (scraping layers away) and If you are considering treatment for your wrin- chemical peels (dissolving skin away) are two kles, ask your doctor which procedure is right of the traditional methods used in skin resurfac- for you. There is no replacement for your doc- ing. Laser skin resurfacing with an ablative laser tor’s professional advice. Each person has his (such as an erbium or carbon dioxide laser) is or her own individual needs; similarly, each another technique that, like dermabrasion and procedure fulfills its own specific need. 13 Cover Content sp-cosmeticsurgery.com Create Six-Packs with Vaser Hi-Def H igh Definition Liposculpture is an advanced surgical procedure that combines cutting-edge technology (VASER) with state of the art techniques, resulting in a natural, sculpted appearance. Many healthy, fit people complain that they go to the gym but they have trouble achieving the muscle definition they desire. High Definition Liposculpture uses advanced liposuction tech- niques to selectively remove small deposits of fat surrounding specific muscle groups in order to enhance the visibility of the natural contours. 14 Cover Content sp-cosmeticsurgery.com People who choose High Definition Liposculpture don’t see it as a failure to achieve fitness, but an enhancement to their current form. VASER® – Assisted High Definition LipoSculpture, or VASER Hi Def™, is an advanced body sculpting technique. The procedure creates a sculpted, ath- letic appearance in males and females by precisely removing both superficial and deep fat around mus- cle groups in order to enhance the visibility of the underlying musculature. Similar to 3-dimensional sculpting, VASER Hi Def takes into account the shape and form of structures underneath the skin that cre- ate body contours. VASER Hi Def is performed using the VASER Lipo System to selectively sculpt and remove fat in the desired treatment area. VASER Hi Def is designed to be a sculpting procedure rather than a debulking technique. Therefore, the procedure is intended for generally fit men and wom- en who have good muscle tone without excessive amounts of fat or excess skin. The typical patient maintains a healthy lifestyle through diet and exercise, VASER Hi Def is designed to be but is unable to achieve the desired definition. a sculpting procedure rather Vaser can be used all over the body but I have found it works best for three areas. All of these areas share than a debulking technique. the characteristic of having dense, tough, fibrous fatty tissue that is hard for other types of liposuction Therefore, the procedure is in- to treat. tended for generally fit men and The #1 area that I like to use the Vaser is to treat male women who have good muscle breasts with Gynecomatia. #2 is flanks or love han- dles, especially in thinner patients, men, and Asian tone without excessive women who tend to have more fibrous fat that is difficult to suction with other methods. Finally, #3 is any area that has previously been treated with any gym but they have trouble achieving the muscle kind of liposuction is best treated the second time definition they desire. VASER Hi Def uses advanced with Vaser. It is very good at dislodging fat from the liposuction techniques to selectively remove small scar of the initial procedure #4 the buttock # frank deposits of fat surrounding specific muscle groups or waist The vaser can be get more muscle expres- in order to enhance the visibility of the natural con- sion or can get more well defined of the Six-pack tours. People who choose VASER Hi Def don’t see immedietly result after surgey without the excercise it as a failure to achieve fitness, but an enhancement or work out by Using the Vaser Hi definition technique to their current form. Many healthy, fit people complain that they go to the 15 Cover Content sp-cosmeticsurgery.com Diabetes Has an Impact on Sex Life M iddle aged and older adults The study found that about 70% of men and are interested in sexual activ- 62% of women with diabetes and sexual part- ity, but diabetes impairs libido ners were found to engage in sexual activity and can result in erectile dys- two or three times a month -- comparable to function, a new study shows. people without diabetes. Researchers in Chicago say men diagnosed with diabetes are more likely to express a lack of interest in sex, but also to The study also found that: experience erectile dysfunction. Men were more likely to express a lack of inter- est in sex if they had diabetes. Men also were Scientists at the University of Chicago Medical more likely to suffer erectile dysfunction if they Center conducted a study of nearly 2,000 had diabetes. Women as well as men with people between the ages of 57 and 85. diabetes reported a higher rate of orgasm dif- 16 Cover Content sp-cosmeticsurgery.com ficulty, including climaxing too quickly for men, or not at all, which was reported by both men and women. Only 19% of women compared to 47% of men, all with diabetes, had discussed sexual problems with a doctor, and men were more likely to talk about it than women. Men in the study regardless of age or diabetes status were more likely than women to be mar- ried or living with a partner, and more men than women said they were sexually active. The research was done as part of the National So- cial Life, Health and Aging Project, which in- volves in-home interviews, self-administered questionnaires, blood tests to assess diabetes status, and medication audits of 1,993 par- ticipants. 47% of men had diabetes. 22% had the disease but hadn’t been previously di- agnosed. than women without diabetes to have a partner. “Those who have partners were more likely than Patients and Doctors Should men to avoid sex because of a problem and were less far less likely than men to discuss a Discuss Sexual Activity sexual problem with their doctors.” “Patients and doctors need to know that most The study found, based on blood tests, that: middle age and older adults with partners are 47% of men had diabetes. 22% had the disease still sexually active despite their diabetes,” says but hadn’t been previously diagnosed. Almost study researcher Stacy Lindau, MD, associate 40% of the women had diabetes, including professor obstetrics and gynecology at the 20.5% who had been diagnosed and 19% not University of Chicago, in a news release. “How- previously diagnosed. ever, many people with diabetes have sexual problems that are not being addressed.” Researchers say those findings are comparable to previous studies of people over age 60 and She says almost half the women in the age consistent with the estimate of 12 million peo- group studied do not have sexual partners, and ple with diabetes in the U.S. over the age of that women with diabetes are much less likely 60. 17 Cover Content sp-cosmeticsurgery.com The researchers report that very little has been “The elevated prevalence of orgasm difficulties known up until now about sexuality among in people unaware of their diabetes suggests people with undiagnosed diabetes, who typi- that these are predominantly physical.” cally are earlier in their stage of the disease and She says erectile dysfunction, as well as loss who don’t know that they have the condition. of interest in sex among men with a diagnosis, “Ignorance of the diagnosis protects individuals may in part be due to the “psychological bur- from the psychological burden and stigma as- den” associated with the disease. sociated with having diabetes,” Lindau says. The study found that 60% of men without dia- 18 Cover Content sp-cosmeticsurgery.com pared to only 15% who had the disease wheth- The study found that 60% er it had been diagnosed or not. of men without diabetes had Women, like men with diabetes -- diagnosed masturbated in the past 12 or not diagnosed -- had a higher prevalence of difficulties with having orgasms. months, Importance of Addressing Sexual Problems “Failure to recognize and address sexual issues among middle age and older adults with dia- betes may impair quality of life and adaptation to the disease,” says Marshall Chin, MD, one of the researchers and a professor of medicine at the University of Chicago. “Sexual problems are common in patients with diabetes and many patients are not discussing these issues with their physicians.” The researchers write that the rate of erectile dysfunction was not “markedly elevated” in men with undiagnosed diabetes (36%), compared to men without diabetes (32%). However, the inability to experience orgasm was high in men without diabetes, and comparable to men who had been diagnosed with the disease. The study findings suggest “that loss of orgas- mic function may not only occur as a conse- quence of erectile dysfunction ... but also may actually precede erectile dysfunction, at least as perceived by some men with diabetes.” betes had masturbated in the past 12 months, “Attention to potentially treatable sexual prob- but the rate was only 47% for men who had lems in middle-aged and older adults with dia- been diagnosed, or had diabetes and didn’t betes should improve quality of life and enhance know it. overall diabetes management,” the authors write. The researchers say only 22.5% of women The study is published online in advance of print reported masturbating in the past year. About publication in the October issue of Diabetes 29% of women without diabetes did so, com- Care. 19 Cover Content sp-cosmeticsurgery.com What is in Your Make-up? You were taught to share, but when it comes to mascara, sharing can be dangerous. W hat Is in Your Make-up? Color your make-up does not have kohl in it, but it is is not just about looks. It mat- okay if the word “kohl” is in the name of a prod- ters what it's made of. uct or used to describe the color or shade. If you wear make-up, it’s im- portant to know not just how If you are worried about animal safety, it’s good it looks on you, but also to know about labels. If a product says “cru- what’s in it. All make-up you buy should have elty free,” it is still possible that the ingredients the ingredients listed. Color additives (what of some products may have been tested on gives make-up color) have to be approved for animals in the past. They just may not be test- use near the eye area by the U.S. Food and ing on animals now. You can always call the Drug Administration (FDA). The dark color ad- company that makes the products to find out ditive “kohl” is not allowed in the U.S. because what their testing methods are. it may cause lead poisoning. Make sure that 20 Cover Content sp-cosmeticsurgery.com What’s the deal with “hypoallergenic” make-up? Hypoallergenic means that a product is less Cars and make-up don't mix likely to cause an allergic reaction, but it is not Life is busy, and you may be tempted to put a guarantee that you won’t have one. Even if it your make-up on in the car. But putting mascara says “all natural” or “organic,” it is still possible and other eye make-up on in a moving vehicle that you may be allergic to the ingredients. The can put you at risk for injury and infection from same is true for products that are “dermatolo- germs. It’s easy for your hand to slip and cause gist tested.” the wand, eye shadow brush, or tweezers to scratch your eye or infect it with germs. So, be You were taught to share, but when it comes careful! Longing for lashes of a certain color? to mascara, sharing can be dangerous.It is easy Dyes are not the way to go. Using dyes on your for germs to make their way into your mascara eyebrows and eyelashes can cause blindness. and other make-up. Do not share your mascara While the colors used for mascara and eyebrow with other people – you will just be swapping pencils are approved and safe to use, there germs and increasing your risk of infection. You are no hair dyes that are approved by the FDA should also never add water or your own spit for tinting or coloring eyebrows and eyelashes. to dried out mascara. Why? More germs. It is What’s also not approved? Color additives for best to throw mascara away after three months, injection into the skin. Color additives are often and make sure you remove yours before you used to tattoo permanent make-up, such as go to bed at night. Mascara flakes can fall into eyebrow liner. You also have the chance of your eyes while you sleep and cause an infec- getting an infection or having an allergic reaction tion. when you get a tattoo. 21 Cover Content sp-cosmeticsurgery.com Healthy Aging Emotional and Mental Vitality E motional and mental vitality are closely tied to physical vitality-just as your mind has powerful effects on your body, so your physical state affects how you feel and think. So- Replacing a “lost” cial contact can also make a big difference in how you feel. activity is a key Replacing a “lost” activity is a key to staying ac- to staying active tive and feeling good about yourself. For in- stance, if you can no longer run, you might try walking, biking, and/or swimming. And if your favorite activity was dancing, you might try 22 Cover Content sp-cosmeticsurgery.com something else that combines social and physical activity, such as joining a water aero- bics class. Replacing lost activities can help you keep a positive attitude and sense of well- being over time, even if aging and changes in your health mean you can not do all the things you used to do. Physical activity. Protect or improve your emo- tional and cognitive health with regular physical activity. While physical activity produces chem- icals in the body that promote emotional well- being, inactivity can make depression, anxiety, and stress worse. For example, one study suggests that older women who walk regularly have more mental sharpness than those who don’t. Social activity. Protect or improve your emotional health by staying in touch with friends, family, and the greater community. Another study showed that regular physical Mental activity. Protect or im- activity 3 or more times a week delayed the beginning of dementia and Alzheimer’s disease. prove your memory and men- tal sharpness by: Social activity. Protect or improve your emo- tional health by staying in touch with friends, Challenging your intellect on a daily basis. Read, family, and the greater community. Whether learn a new musical instrument or language, physically healthy or ill, people who feel con- do crossword puzzles, play games of strategy nected to others are more likely to thrive than with others. Just like an active body, an active those who are socially isolated.6 Volunteering brain continues to develop and thrive, while an in your community and sharing your wisdom inactive brain loses its power over time. and talents with others is a gratifying and mean- Helping your memory along. Write down dates, ingful way to enrich your life. In fact, older adults names, and other important information that who regularly volunteer even a small amount of you easily forget. Use routine and repetition. time generally have a greater sense of well- For example, keep daily items such as keys being than those who don’t. and eyeglasses in a specific place. 23 Cover Content sp-cosmeticsurgery.com Cigarette smoking may speed mental decline. meals and snacks, and include meaningful activity in your daily life (such as learning, creat- ing, working, volunteering). If you think you have depression, seek professional help-antidepres- sant medicine and/or counseling are effective treatments for depression. For more informa- tion, see the topic Depression. If you find that a physical condition or disability is making your depressed mood worse, get the medical treat- ment you need. Not smoking. Cigarette smoking may speed mental decline. This connection was recently identified in a large study comparing smokers and nonsmokers age 65 and over. If you smoke and would like to stop, see the topic about quitting smoking. Stress reduction and relaxation techniques. Too much life stress can take a toll on your body, your mind, and the people who are closest to you. In addition to getting regular physical activ- ity, you can take charge of how stress affects And when you learn a new name, repeat it out you by taking 20 minutes a day for relaxation loud in conversation or to yourself several times time. to commit it to memory. (No matter what your age, having too much on your mind can interfere Meditation focuses your attention and helps with your memory of new information. And as calm both mind and body. Daily meditation is you age, it is normal to take longer to retrieve used for managing a spectrum of physical and new information from your memory bank.) emotional conditions, including high blood pres- sure, anxiety, depression, and chronic pain. Preventing depression, which is a common yet The body responds to stress with muscle ten- treatable cause of cognitive decline in older sion, which can cause pain or discomfort. people. In addition to getting regular physical Progressive muscle relaxation reduces muscle activity and social contact, avoid the depressant tension and general anxiety and may help you effect of alcohol and sedative use, eat healthy get to sleep. 24 Cover Content sp-cosmeticsurgery.com Reframe your thought into a positive one, and speak it out loud or write it down. The way you breathe affects your whole body. Try breathing exercises for relaxation. Full, deep breathing is a good way to reduce tension, feel relaxed, and reduce stress. Positive thinking. Positive thinking may help you live a longer, happier life. But even if you tend to be an optimist, there are times when it takes extra effort to frame your life positively. Take the following steps to harness the power of positive thinking in your daily life. Create positive expectations of yourself, your health, and life in general. When you catch yourself using negative self-talk or predicting a bad outcome, stop. Reframe your thought into a positive one, and speak it out loud or write it down. This type of thinking can help you best recover from surgery, cancer, and other life crises. Open yourself to humor, friendship, and love. Go out of your way to find reasons to laugh and to spend time with people you enjoy. Appeal to a higher power, if it suits you. Wheth- er it be through your faith in a loving, all-pow- erful God or your connection with nature or a collective unconscious, your sense of spiritual wellness can help you through personal trials and enhance your joy in living. 25 Cover Content sp-cosmeticsurgery.com Q&A Breast Augmentation Q uestion: Considering enhancing my breasts through surgery. My biggest worries are about breast augmentation recovery. What can I expect? How much time off work does breast implant recovery require? Will I be able to take care of my 2 children afterwards? A nswer: If the implants are placed in the subglandular (above the muscle) position there is very little down time. Patients are able to resume activities in 24 hours. If the implants are placed in the submuscular postion (below the muscle) there is slightly more discomfort and patients are generally able to return to activies in 48-72 hours. It takes about 6 months for the implants to settle. There are some restrictions with lifting, which is to be expected and it is not advised that you drive while taking pain medications. Be mindful that someone will have to pick you up from surgery and that you will not be able to drive your- self home. Everyone is different and based on your pain tolerance you may not pain medica- tions at all. In this case, you will be able to drive soon after surgery. 26 Cover Content sp-cosmeticsurgery.com Q uestion: I recently had breast lift and implants (200 cc, 1 cup size bigger, age 26 no kids) 2 weeks ago, and my nipples look like something out of a child’s coloring book. They’re completely uneven, choppy, and not at all near perfectly circular. Will these eventually fix themselves? I also thought the breasts would be higher. Does this look like a well executed lift? A nswer: Yes, you are asymmetric and yes you can be corrected if need be. When I do combination breast augmentation/Mastopexy, I will allow three months to pass before any reasonable assessment can be done. This will allow enough time for your soft tissue to settle and allow your skin to relax. If after that time you still notice asymmetry a corrective sur- gery can be safely performed. Remember of all the cosmetic surgeries we perform this par- ticular on augmentation/Mastopexy has one of the highest rates of correction. I wish you well. Q uestion: Before I had my first child, my breasts were a small B-cup. I got pregnant, then all of a sudden my boobs jumped to double D’s. I was extremely excited to have huge full boobs without surgery, but soon after I had my baby, they seemed to just deflate like bal- loons.What would be the best breast surgery to make them higher and fuller? I always heard if you get implants they make them more lifted but I’m not sure. A nswer: You probably will need a combination procedure with both lifting (mastopexy) and implants to restore your volume. You have options for saline- filled or silicone-filled implants, and several scar patterns for your breast lift. The most limited scar invoves a circular scar at the border of the areola (the pigmented skin around the nipple). Usually, however to achieve a better shape a vertical scar from the areola down to the fold beneath the breast is also needed. Sometimes a short horizontal scar hidden in the fold is needed as well. Implants do not “lift” the breasts, but rather help to restore volume and fullness, which especially in the upper part of the breast creates the appearance as if the breast has been lifted. 27 Cover Content sp-cosmeticsurgery.com The Cheater’s Diet to 9 pm Sunday. From Monday through Friday, dieters are expected to eat healthfully and get as much physical activity as possible. If you like the idea of regular exercise, a little "cheating" on the weekends, and following a Mediterranean-style eating plan, the Cheater's Diet could be the plan for you. What You Can Eat On the Cheater's Diet, you're encouraged to eat a Mediterranean-style diet that includes plenty of fruits, vegetables, whole grains, lean protein, low fat dairy (especially yogurt), pea- nuts, and unsaturated fats. You enjoy three meals and two snacks each day using the plate method; fill half the plate with fruits or vegeta- bles, 1/4 with lean protein, and the remaining 1/4 with whole grains. Two weeks of weekday menus, along with recipes, are included in the book to help dieters understand the composi- tion of a healthy weight loss plan. T To help dieters keep portions in check, Rivas he Cheater’s Diet What It Is provides visual associations, such as a portion Most people think cheating is a bad of lean meat being equal in size to a deck of thing, but in the Cheater's Diet: cards. In addition, the plan encourages dieters Lose Weight by Taking the Week- to include snacks twice daily from an approved ends Off, it's the secret sauce to list that includes fruit, nuts, low fat yogurt or successful weight loss. The idea is pudding, protein bars, low calorie frozen treats, that all dieters cheat on their diets at some time, and more. During the week, sugar, bread, but what really matters is not whether you cheat, saturated fats, and alcohol are not permit- but how often you do it. ted. Cheating is not optional but required on the Cheater's Diet, and Rivas suggests foods Author and weight loss physician Paul Rivas, like:Pizza,Wine,Chocolate,Peanut butter Cin- MD, thinks if you are physically active, eat namon buns,Ice cream,Strawberry shortcake, healthy meals the majority of the time, and cheat Cheese,Bread,Meat,Nuts You can choose only on weekends, you will lose weight perma- other cheat foods if you like; the only foods off nently. limits during the cheating phase are "any foods that can trigger a binge," says Rivas. Sample The Cheater's Diet allows dieters to have their Weekday Menu Breakfast Two eggs, any style cake and eat it too -- but only for 36 hours of (cook with PAM cooking spray) One medium sanctioned cheating time from 9 am Saturday 28 Cover Content sp-cosmeticsurgery.com go back to your regular weekday eating pro- gram, you're burning optimal calories. "When you chronically under eat, your metabolism drops," Rivas says, "but if you keep your calo- ries constant during the week and only overeat on weekends, the metabolic rate increases to handle the extra calories and continues to burn calories at a higher rate throughout the week." This way, dieters never go through the yo-yo dieting cycle that lowers metabolism and re- duces calories needed to keep the body alive. By allowing controlled cheating (as in eat a piece of cake, not the whole cake), dieters can look forward to enjoying their favorite decadent food or drinks without guilt. Rivas' theory suggests orange or one half grapefruit Coffee or tea with that being allowed any food during the con- artificial sweetener and nonfat milk Lunch Four trolled cheating time strengthens the dieter's ounces tuna packed in water on a whole grain commitment to eating healthfully throughout the pita or tortilla. Mix with olive oil or fat-free mayo, week. or mustard, or lemon with salt and pepper To- mato and lettuce A serving of any vegetable Diet iced tea or water with lemon and artificial sweetener Snack One handful of peanuts (fresh, dry-roasted, no salt or oil added) Dinner Grilled sliced chicken breast strips Steamed older adults who regularly broccoli and peppers Wild rice Snack One cup volunteer even a small hot cocoa, sweetened with artificial sweetener amount of time generally How It Works In the Cheater's Diet have a greater sense The prescription is for a healthy, reduced-cal- orie diet, along with plenty of physical activity during the week. The real bonus is the oppor- tunity to break free on weekends, when most people tend to splurge and eat those otherwise forbidden foods. According to Rivas, eating a healthy diet, consisting of three meals and two Rivas recommends a list of unusual dietary small snacks during the week, prevents the supplements (Yerba Mate, L-tyrosine 5 HTP, metabolic slow-down that typically occurs on green tea extract, and Mucana Pruriens) to most restrictive and fad-type diets. Cheating augment the weight loss process, but adds on the weekends is essential to "stoke your that "you can also successfully lose weight on metabolism" for weight loss, so that when you the Cheater's Diet without supplements." 29 Cover Content sp-cosmeticsurgery.com What the Experts Say The Cheater's Diet's overall approach to nutri- tion is healthful, emphasizing fruits, vegetables, whole grains, lean proteins, healthy fats, enjoy- ing pleasurable foods, and physical activity. "The plan is likely between 1,600 and 1,800 calories, which of course, may be too many calories for a very petite female, or far too few for a muscular male (especially at the level of activity recommended)," says American Dietet- ic Association spokesman Cynthia Sass, MA, RD, co-author of Your Diet Is Driving Me Crazy, who would like the nutrition information for the recipes and menus included, “My biggest concern with the Cheater's Diet is that there are no references or research pro- vided to back up the author's claims, even though he frequently refers to research in the book," Sass says. Sass' apprehension is that no studies have been carried out to test Rivas' weight loss theory that cheating on weekends boosts metabolic rates. "Studies on people who have successfully lost and kept weight off in the Na- tional Weight Control Registry find these indi- viduals do not cheat on weekends, but rather indulge in treats in moderation throughout the week," reports Sass. Sass also dislikes the supplement recommen- dations because, once again, there are no references to document the effectiveness of the supplements in weight loss. "Some of the recommendations are potentially unsafe, with adverse effects for certain individuals, accord- ing to the Natural Medicines Comprehensive Database (NMCD), and they defy up-to-date science-based references," adds Sass. Sass also found it to be a stretch that the cin- namon in a high fat, high sugar food like cin- 30 Cover Content sp-cosmeticsurgery.com namon buns would help improve blood sugar and lower LDL cholesterol. Food for Thought Sass suggests saving your money on the Cheater's Diet, and instead log onto mypyramid. gov for a much more logical approach to suc- cessful weight loss. Her tip: Follow the 2005 Dietary Guideline's recommendations for small daily splurges (called discretionary calories). "The general public likes the idea that a diet must include sacrifice, and they mistakenly be- lieve that is what it takes to be successful," Rivas says. He maintains that the Cheater's Diet proves that cheater's win, and the plan will re- sult in weight loss. If you like this plan's recommendation of regu- lar exercise, splurging a bit on the weekends, and enjoying a Mediterranean-style diet (minus those unnecessary supplements), you may have found a diet you can stick with for life. 31 Cover Content sp-cosmeticsurgery.com E N D 32 Cover Content sp-cosmeticsurgery.com
"The Cheater's Diet"