Web Chat

Takeaways from Dr. Singh and Dr. Eaves’ Chat on Weight Loss and Body Contouring

Weight Loss ChatThank you for attending the live chat on Tips for Losing Weight and Post Weight Loss Body Contouring on Tuesday, July 22nd. We had a great discussion, so thank you to all who participated and asked questions. We were thrilled with the number of people who were able to register and participate in the chat. (You can check out the transcript here).

The response was so great that we had a few questions we were not able to answer during the chat so we will answer them below for your reference.

How expensive is a pannus roughly?

Felmont Eaves, MDDr. Eaves:
That depends on the size of the pannus and how far it extends toward the side. Please feel free to call the Emory Aesthetic Center for some general guidelines, and we’d be happy to see you and figure out the extent of surgery required and costs.

 

How do you feel about the “cryo” procedures to the neck area? Are they effective if one is 60 or older? Will the procedure prevent or tighten the turkey neck?

Felmont Eaves, MDDr. Eaves:
I suspect that in patients older than 60 years of age that non-invasive procedures to remove fat in the neck area will have limited utility due to the looseness of the skin, and are unlikely to have significant impact in tightening a turkey neck. A neck lift, however, can create exciting results.

 

Is it possible to achieve biggest looser weight loss numbers through training at home?

Arvinpal Singh, MDDr. Singh:
The Biggest Loser and other television shows that show extreme weight loss are unrealistic for most of us who are working full time and have other time commitments. Those patients are seeing nutritionists, physicians, and physical trainers on a daily basis, if not more. For any weight loss program, consistent cardiovascular and strength building training is appropriate, combined with a healthy eating plan. Realistic weight loss goals should be one to two pounds per week.

That said, everyone can absolutely eventually achieve their ideal body weight, regardless of where they are starting off. The most important thing is to really clean up your diet – centering it around these four major food groups: vegetables/greens, fruits, whole grains, legumes/beans/lentils. Meat and dairy should be treated as side dishes or condiments. Oils should be minimized. Healthy fats from nuts, seeds and avocados can be used, but in small amounts while you are trying to lose weight. Exercise also is very important because it has significant cardiovascular benefits, and is very important at maintaining the weight loss long term.

My insurance excludes bariatric surgery, do appeals ever work?

Arvinpal Singh, MDDr. Singh:
Rarely. Insurance exclusions are often chosen by the employer. If bariatric surgery is excluded, it is very unlikely that you will get approved for surgery unless the employer changes the coverage. You may want to try to talk to your HR department. Explain your situation and discuss how bariatric surgery will help to improve your medical issues.

 

Which exercise works with getting mid section in shape?

Arvinpal Singh, MDDr. Singh:
Everyone wants a slimmer waist line! All core/back exercises are great at strengthening the core (yoga, pilates, planks, etc). Cardio exercises (brisk walking, jogging, swimming, rowing, etc.) to get the heart rate up are also helpful with burning fat and reducing weight. The most effective way to reduce inches off the waistline is to clean up your diet, especially reducing the saturated/trans fats, added oils, and refined sugar. Abs are not made in the gym, they are made in the kitchen!

 

 

 

Lose Those Extra Pounds! Join our Live Chat on Weight Loss & Body Contouring

weight loss and body contouringLosing those extra pounds is often a challenge. And even when you meet your weight loss goals, you may have excess skin or areas of the body that you would like to tone. Please join a dual live chat on Weight Loss & Body Contouring with Dr. Arvin Singh, Medical Director of the Emory Bariatric Center and Dr. Felmont Eaves, Medical Director of the Emory Aesthetic Center on Tuesday, July 22nd from noon to 1 pm. Learn how you can achieve your weight loss goals and improve the look of your body.

Dr. Singh will provide tips on the healthiest proven methods for weight loss, and Dr. Eaves will discuss post weight loss body contouring options available to you. They will also answer questions such as:

  • Is there a specific diet you recommend for healthy weight loss?
  • How can I get past a plateau in my weight loss?
  • What is a reasonable goal or time frame for weight loss?
  • What happens during body contouring?
  • Is achieving ideal body weight required before body contouring?
  • Are there any risks associated with body contouring?

Sign Up

Chat Details:

Date: Tuesday, July, 22, 2014
Time: 12 noon – 1pm EST
Chat leaders: Drs. Arvin Singh and Felmont Eaves
Chat Topic: Tips for Losing Weight and Post Weight Loss Body Contouring

Takeaways from Dr. Anderson’s “Body Lifts – Everything from the Breasts, Buttock, Thighs and More” Live Chat

body-lifts260x200 (2)Thank you to everyone who joined us for the live web chat hosted by Emory Aesthetic Center plastic surgeon, Dr. Erica Anderson. Dr. Anderson discussed body lifts and how they can improve your shape and tone, and raise sagging body contours. She answered questions about body lifting procedures—including the abdomen, waist, thighs, buttock, breasts and more.

Get more info and see more of Dr. Anderson’s answers by checking out the chat transcript!

Below are just a few of the questions and answers from the Emory Aesthetic Center’s live chat:

Question: What would be the benefit of getting a thigh lift vs just getting lipo in that area? Is the lift used to tighten the skin?

anderson-ericaDr. Anderson: The thigh lift tightens the skin and would be required if there is excess skin. Liposuction is appropriate for someone who has excess fat but not loose skin. Loose skin will not be resolved through liposuction.

 


Question: For loose skin on thighs & legs from weight loss, how much scarring is left, and where is the scarring? Would it be visible in swimwear, or other summer-type clothing?

anderson-ericaDr. Anderson: Great question. Typically, the scars appear on the inner thigh and the back of the hip. We design these scars so they aren’t visible in swimwear.

 


Question:
Is there such a thing as minimally invasive lifts? I could use a breast lift, but I am not too excited about the scars that may be left behind.

anderson-ericaDr. Anderson: The short-scar breast lift is available. It results in a “lolipop” scar pattern as opposed to the traditional “anchor” scar. The lolipop scar is much smaller and more discreet than a normal breast lift scar. To see if you are a candidate for the short-scar technique, feel free to come in for an evaluation.

 

Question: How long is the recovery time after a breast lift procedure?

anderson-ericaDr. Anderson: Recovery from a breast lift is relatively short, pain is minimal, and there are few physical restrictions. You would likely need a week off from work, but would be able to care for yourself at home.

 

Question: How often do the results of a lift procedure not come out as expected?

anderson-ericaDr. Anderson: Rarely do results not meet our patients’ expectations. If that ever were the case, our team here at the Emory Aesthetic Center would work with you to achieve your desired result. One way to make sure your expectations are met is to have detailed conversations with your surgeon about YOUR expectations and desired outcomes.
 
 
 
 
If you missed this informative chat with Dr. Anderson, be sure to check out the full list of questions and answers on the web transcript. Be sure to visit our website for more information about body lifting procedures.

If you have any questions for the doctor, do not hesitate to leave a comment in our comments area below.

Dr. Anderson to Host Live Chat on Body Lifts – Everything from the Breasts, Buttock, Thighs and More

body-liftsA body lift can improve your shape and tone, and raise sagging body contours. It can be applied to many different parts of your body based on your area of concern – the abdomen, waist, thighs, buttock, breasts and more. Join Dr. Erica Anderson of the Emory Aesthetic Center on Tuesday, March 25, 2014 from Noon – 1 p.m. as she discusses the different types of lift procedures available to you. If you are considering a body lift to just one or more of your body parts, join our live chat to ensure you are confidently ready to take the next step.
Dr. Anderson will be available to answer all of your questions such as:

· What are the different types of body lifts offered to me?
· What can a body lift surgery do for my figure?
· How long is the recovery time after a body lift?
· Does the body lift leave scars?
· What types of results can I expect to see?
· What is the benefit of having my lift performed at a place like Emory Aesthetic Center?

Body Lifts Chat

Take-Aways from Dr. Sethna’s Cosmetic Injectables & Fillers Web Chat

Dr. Anita SethnaOn Tuesday, November 19th, Dr. Anita Sethna of the Emory Aesthetic Center hosted a live chat on the topic of cosmetic injectables and fillers. Injectables and fillers have revolutionized the field of facial rejuvenation by filling in areas of the face that are missing fullness and restoring volume, without the need for surgery. During the chat, Dr. Sethna answered questions about the different types of products offered, how they each work and what provides the best individualized solution. She also shared a special offer currently being offered by the Emory Aesthetic Center for a limited time discount on dermal fillers and injectables.

There were a few questions from the chat that we didn’t have time to answer, and as promised, Dr. Sethna answered them below in this post.

My friend got Sculptra injections. What is that? Is it the same as other fillers?
Sculptra is poly-L-lactic acid. It is a collagen-stimulating product that is injected in several areas around the cheeks, sometimes temples to assist your body in producing its own collagen. The product itself dissipates over weeks and in its place is the collagen your body produced. The product takes several weeks to take effect, so it is different from traditional fillers, and should last up to 2 years based on the FDA approval. Several vials usually need to be injected to obtain the ideal results, sometimes 3 or more.

Is it true that Restalyne is painful? Which procedures are the least painful? 

Any injectable can be perceived as causing some pain just because it is placed with a small needle–the injectable itself usually is not painful. There are several steps we try to take to reduce the discomfort associated with any injectable. We can use the preparation from the company that contains lidocaine (an anesthetic that is safely used as long as you are not allergic), we can allow you to sit with topical numbing cream which we do in most cases, topical ice right before the injection to numb the skin, and depending on the area to be injected, we can use a blunt needle that requires one needle prick to allow it to go into the skin, but after that, is rounded at the edge so it causes much less discomfort during the injection. These types of blunt needles can also have the benefit of less bruising and swelling in most cases. These days, injectables tend to be pretty easy to tolerate because of these measures, and if these interventions are appropriate for you based on your consultation, they can be done without spending a lot of time in the office.

How do these products affect people of color? Should you see someone who has experience on darker skin?
Most of these products are perfectly safe for use in people of color. Seeing a physician with experience treating your particular skin type is always an option but not always feasible. That being said, there are a few issues that are more common in patients with more pigment in the skin: dark spots, dry skin, melasma, etc. that may be more easily treatable by someone with this particular experience. Topical medications such as hydroquinone and tretinoin are safe in most patients as long as you are not pregnant or breastfeeding, and can have real benefit for patients with these issues. Once you begin discussing other interventions, such as laser treatments, surgery or peels, it becomes more important to seek out people with real experience with darker skin types. Topical medications rarely cause significant issues or complications that are not reversible but surgical interventions/lasers/peels can cause irreversible damage if done improperly.

Which brand of skin care products do you prefer? 
There are plenty of excellent skin care products, pharmaceutical grade, as well as some over-the-counter. There are only a few that I believe truly need to be obtained through a pharmacy or medical-grade spa–tretinoin being one of them. There are several companies that offer these products, and under several trade names: Retin-A, Refissa, Renova just to name a few. Each may be formulated slightly differently to appeal to a different skin type. SkinCeuticals and Revision make some excellent topical vitamin C products that can help with brightening the skin and are easy to tolerate. Several companies make excellent daily sunscreens as well, but for that, i am often using CeraVe or neutrogena products that are relatively inexpensive and easy to obtain at the drugstore. Regular facial moisturizers and cleansers are also fine to obtain that way, and I alternate between some cleansers at our Spa as well as CeraVe products and sometimes Cetaphil. I firmly believe the cosmetic counters that attempt to sell very expensive anti-aging products, with no medical grade ingredients, are not worth the price consumers pay for them. They have expensive additives and perfumes that have absolutely no effect on the structure of the skin and tend to be completely ineffective. I encourage my patients to spend money on the few products that are medical-grade that can effect change on the skin, and the rest they can purchase at the drugstore. I have yet to have problems with this philosophy and it has fared well for me as well!

What creams/moisturizers do you recommend for the face to prevent lines?
Importantly, the best cure is often prevention. Using sunscreen daily (at least SPF 15 or 30 and NOT just the “SPF that’s in your makeup”) can prevent the onset or worsening of lines around the eyes and on the skin. After that, using tretinoin is a fantastic way of reducing the signs of aging. Tretinoin is a vitamin A derivative (not safe in pregnancy or breastfeeding) that resurfaces the skin, stimulates collagen and reduces dark spots/sun spots. I’m a firm believer in using these products every night or every other night to prevent premature aging. Retinols (one step down from tretinoin) are easier to tolerate in most cases and in some preparations, can be safe around the eyes as well for fine lines that are difficult to treat with other OTC preparations. The best idea is to meet with a true skin expert (medical aesthetician, dermatologist, facial plastic surgeon, etc.) to obtain the best initial advice and get a few items that will truly benefit your skin, and continue to wear daily sunscreen!

What is a Life Style Lift?  It seems too good to be true.  I’m interested in having something done on my aging facial skin.  I’ll be 50 in January.  It’s time!!
Lifestyle lift is a proprietary technique that is only taught to those people who perform it under that company’s marketing and treatment guidelines. There are surgeons who “sign-up” for this participation and are taught a specific type of facelift that has been registered. This type of surgical procedure is one that has been done by many of us for many years, but no one thought to trademark it until a few years back so that it could be marketed with a particular message and brand. In most cases, it is a short-scar facelift that has benefits in the right type of patient–very little concerns in the neck, some need for tightening along the jawline but not for a patient with excessive heaviness in the neck and jowl area. At the end of the day, whether or not one of these “short-scar” facelifts, of which there are now plenty of trademarked names, is right for you depends on your anatomy, and your desires. The right surgeon will consult with you about your concerns and be able to explain what type of surgical or nonsurgical procedures you will need to address your these areas in the best possible way. The worst decision is the one made just on price and not taking into consideration what would actually make you happy.

Can you recommend any doctors in the NY area? Atlanta is a little far to go for an injection.
There are some excellent facial plastic surgeons in the NY area: Dr. Steven Pearlman, Dr. Andrew Jacono, Dr. Thomas Romo, III, Dr. Philip Miller to name a few. I have met them personally at many conferences where they have all been speakers and have had the pleasure of hosting some at our Emory facility as well. They have phenomenal professional credentials and I would trust any and all of them to take excellent care of you!

Thank you to those who joined in Tuesday’s chat. If you missed it, you can check out the chat transcript here and you can also check out our Emory Aesthetic Center website for more information.

See you next time!

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