Body Contouring Following Gastric Bypass Helps Maintain Weight Loss

Body contouring surgery following gastric bypass is a key component to maintaining weight loss for bariatric patients, according to a recently published study in Plastic and Reconstructive Surgery, the journal of the American Society of Plastic Surgeons.

body contouring

Abdominoplasty, more commonly known as the tummy tuck, is the most common body contouring procedure, but it can be paired with other other procedures to remove excess skin from the breasts, legs and upper arms.

 

According to the study, bariatric patients who had a tummy tuck or another body contouring procedure following their weight loss were more likely to keep the weight off for a longer period of time than those who only had gastric bypass surgery. The study compared two groups of approximately 100 patients each, one who underwent body contouring following their gastric bypass, and one who only underwent the bypass. On average the patients lost 100 lbs. on average.

 

Ft. Lauderdale plastic surgeon Dr. Paul Wigoda sees body contouring as an essential component for bariatric patients in their recovery process.

 

“Patients who lose large amounts of weight with bariatric surgery typically will have a lot of loose skin that requires excision.,” states Dr. Wigoda, “Leaving the loose skin likely causes some distress, which could in turn lead to depression or overeating.

 

He notes from a logistical standpoint, it’s also more difficult to exercise with large amounts of excess skin.

 

According to the study patients who underwent body contouring gained back less weight in the years after their gastric bypass.  On average, they gained just over one pound per year, while their counterparts gained four pounds per year. After a period of seven years, factoring in the weight of the removed excess skin, those who had gastric bypass and body contouring surgery regained on average 14 pounds, while those who had only gastric bypass gained back approximately 50 pounds.

 

Dr. Wigoda believes the reason for this is mental just as much as it is physical.

 

“It is logical that patients who have surgery to remove the excess skin will feel better about themselves, exercise more, and be able to maintain their weight loss.”

 

“They become less self-conscious about their appearance once the excess skin is removed, and they become more encouraged to maintain a healthy lifestyle.”

 

He urges patients undergoing bariatric surgery to take this into account when planning their future medical needs, such as taking into account the need for multiple surgeries after the weight loss.

Florida’s Popular Plastic Surgery Procedures by Age

Fort Lauderdale Plastic Surgeon Dr. Paul Wigoda reports nip and tuck for men and women trends from as early as 16 years old to their 60’s.  With recent news of Hollywood celebrities getting plastic surgery or cosmetic enhancements at various ages like Heidi Montag, Kim Kardashian and Lisa Kudrow’s reveal of a nose job at 16, plastic surgery has gone mainstream. So it makes sense to analyze who is electing for plastic surgery, and why.

While the “why” may be tougher to pin down, due to each individual’s own desires, the American Society of Plastic Surgeons Report looks at which cosmetic procedures are most popular amongst different age groups.

 

Nosey Teenage Plastic Surgery: 16-19

The nose is the body part which changes the least throughout life, meaning the nose you have now is the nose you will have for life. For this reason nose reshaping is most popular amongst teenagers.   While skin around the nose can thicken, and cartilage can lose its support, it is the least susceptible to time or changes in habit.  Adolescents looking for a fresh start often turn to rhinoplasty.

 

Busting into Twenties: 20-29

According to the report, breast augmentation is most popular among 20-29 year-olds, at a time when image is of high importance to a woman. However, Dr. Paul Wigoda counters that many women 30 and over come into his office looking to enhance their breasts.

“Many come in complaining that their breasts have deflated after having kids,” Wigoda states, “while others feel that their breasts are starting to sag and they want to be filled in more and get a small lift that a breast augmentation can provide.”

“It’s not uncommon for women over 30, who are going through a divorce to come in looking to make some changes in their body as they return to the singles scene,” he adds. Wigoda counters that liposuction is also popular with the 20-29 years olds, who also have trouble getting rid of fat in certain areas, even with a normal metabolism.

“In women in that age range, it is often fat in the love handle and bra strap areas, as well as the inner and outer thighs, that are treated through liposuction.”

 

Preventative Thirties 30’s

30 Going on 21. The study cites liposuction as the most popular procedure amongst 30-39 years olds, as many women in that age range notice their bodies retain fat easier as they get older, even if they maintain the same diet and exercise regiment.  While there are an increasing number of non-surgical options for combatting fat, liposuction is still the most popular cosmetic enhancement.

Eyeing 40’s and 50’s

Aging begins to have noticeable effects on the human body as people enter their forties, particularly around the eyes and forehead. The skin around the eyes can be prone to wrinkle or show redundancy, while the upper eyelids and forehead can often droop, making a person look unnecessarily tired or sad. So patients between the ages of 40-54 most often turn to an eyelid and/or brow lifting surgery to keep age at bay.  Removing or tightening can be used to treat the lower eyelids, as well as treating fat pockets.

Facing 55+

Lastly, the facelift has proven to be the most popular procedure for adults over the age of 55.  They may look to address several parts of the face, such as the cheeks, which can deflate. Other changes that become apparent: the corners of the mouth can turn down and jowls appear.   Also the jawline can lose its contour and the neck becomes loose and droopy at times.  The facelift can be used to address any of of these ailments, and bring back the youthful appearance the 55 and over crowd seek.

 

Contact us today to schedule a free consultation with Dr. Wigoda.

 

 

 

Dr. Wigoda Shares Aesthetics Plastic Surgery Stats and Trends

Women say breast augmentation is “in”, men are loving liposuction this year and social media is making us all take a second look at those sags and wrinkles. Dr. Paul Wigoda’s Fort Lauderdale plastic surgery office shares some of the latest trends in plastic surgery and cosmetic surgery.

Originally reported by via 2012 National Totals for Cosmetic Procedures, hot off the plastic surgery press from the American Society for Aesthetic Plastic Surgery (ASAPS), tells you exactly which facial features and body parts Americans spent their hard-earned dollars on last year.

The winner and champion of all surgical procedures, breast augmentation, has regained its status as the leading surgical procedure in the US (second place last year).

There were 330,631 breast augmentations performed in 2012 compared with 316,848 in 2011. Last year’s frontrunner, liposuction, had 313,011 procedures in 2012 compared with 325,332 procedures in 2011.

The omnipresence of social media in our personal and professional lives has put “the face” on full display.

The tried and true facelift increased 2.5% from 2011. This is especially significant when you consider all of the facial noninvasive injectable, laser, and other skin tightening procedures available to women, including the king: Botulinum Toxin Type A (Botox, Dysport, Xeomin), which skyrocketed 24% in 2012.

Men and women had their own big jumps. Male breast reduction or gynecomastia had a very healthy growth from 17,645 procedures in 2011 to 22,736 in 2012 (29%). The vagina is also gaining some surgical notoriety. Vaginal rejuvenation grew from 2,142 procedures in 2011 to 3,521 last year (64%).

A Cut Above For Cosmetic Surgery

Out of the 10 Million surgical and nonsurgical cosmetic procedures performed in 2012:

  • 17 percent were surgical

  • 83 percent were nonsurgical

The top 5 surgical procedures for women were:

  • Breast augmentation

  • Liposuction

  • Tummy Tuck

  • Eyelid Surgery

  • Rhinoplasty

The top 5 surgical procedures for men were:

  • Liposuction

  • Tummy Tuck

  • Eyelid Surgery

  • Breast Reduction

  • Otoplasty (ear surgery)

The top 5 overall nonsurgical procedures were:

  • Botulinum Toxin Type A

  • Hyaluronic Acid

  • Laser Hair Removal

  • Microdermabrasion

  • Chemical Peel

 

Breast Augmentation Inflates Again

Breast augmentation took the top spot as the most popular surgical procedure for women, surpassing liposuction in 2012. Breast surgery accounted for 17 percent of all surgical procedures in 2012.

 

Silicone implants have made a comeback since their return in 2006. In fact, the FDA just recently approved two new silicone-gel based breast implants.

 

According to the ASAPS statistics:

In 2006:

  • 383,886 breast augmentation procedures were performed.

  • 81 percent saline

  • 19 percent silicone

In 2012:

  • 330,631 breast augmentation procedures were performed.

  • 28 percent saline

  • 72 percent silicone

From 1997 to 2012:

  • There has been a 226.8 percent change in the total number of breast augmentations. 4.4 percent of the boost was from 2011 to 2012.

  • Most procedures were done on two age groups.

    • 37.8 percent (of total) were age 35-50

    • 52.2 percent (of total) were age 19-34

 

Breast Augmentation has a 93 percent RealSelf “Worth It” rating.

Facial Procedures Show Their Best Side

Between 2011 and 2012:

  • +24.4% Botulinum Toxin Type A

  • +14.0% Rhinoplasty

  • +25.1% Laser Skin Resurfacing

  • +15.5% Chemical Peels

57.9 percent of all 2012 nonsurgical procedures were injectables.

Skin rejuvenation accounted for 25.0 percent of all 2012 nonsurgical procedures.

Everyone Likes to Look Good

  • Men accounted for 10.0 percent of all cosmetic procedures at almost 1 million performed.

  • Cosmetic procedures for men have increased 106.0 percent from 1997 to 2012.

  • Plastic surgery in males increased 19.8 percent from 2011 to 2012.

Mommy Makeovers became even more popular this past year. A combination of surgeries, which includes breast augmentation, tummy tuck and liposuction, and represents the top 3 procedures of 2012.

Vaginal rejuvenation had the least amount of procedures performed, but has increased 64 percent over the last year.

Ages 35-50 received 40 percent of all the surgical procedures in 2012 and the majority of the Mommy Makeover procedures in total:

  • 40.0& Breast Augmentation

  • 55.8% Tummy Tucks

  • 47.0% Liposuction

Where do you fit in? Schedule a plastic surgery consultation with Dr. Paul Wigoda today.

Bride and Groom Say I DO to Plastic Surgery by Dr. Wigoda in Fort Lauderdale

Wedding planning and plastic surgery is IN! It’s that time of year for brides and plastic surgery by Dr. Paul Wigoda. The bride gets a breast augmentation, the groom wants a nose job, the mother-of-the-bride will take a facelift and the father-of-the bride needs botox. The wedding registry calls for a secret list that might include plastic surgery, a growing trend reports Fort Lauderdale-based plastic surgeon Dr. Wigoda.

“First comes the bride, then comes the wedding entourage; this time of year I see dozens of wedding parties making their way to my office to see what they can sneak in cosmetic procedure-wise in time for their big day” says Dr. Paul Wigoda. “The good news is that Spring is the perfect time to do practically any cosmetic procedure and be good to go in time for wedding season.”

 Here are Dr. Wigoda’s top 5 most popular plastic surgery for soon to be brides to time it right:

  1. Painless Breast Implants – Say “I do” to that strapless gown that will knock ‘em dead when you come down that aisle! Plan at least 3-6 months in advance.

  2. Liposculpture – It’s a fact that most brides gain rather than lose weight in the months leading up to their weddings. All that stress, and the cake tasting! What’s a girl to do? One word – Liposculpture  Plan at least 3-6 months in advance.

  3. Botox and Fillers – Guys need this to! Despite tradition “something old” has no place at your perfect wedding! Make sure to book a double appointment so your groom can get in on this quick fix too! He’ll thank you when he sees how fabulous you both look. 3-4 weeks ahead and your smooth to go!

  4. Facelift – Gone are the days of 20 year old brides. At least brides that are actually in their 20’s (and don’t just look like they are)! Allow 3-6 months before lights, camera and wedding action.

  5. Browlift – All those sleepless nights you spent worrying about your wedding don’t need to leave you looking tired! Allow 3-6 months.

 If you are getting married and would like to see what you can achieve before your big day we invite you to come in for a free consultation. Remember, sure it’s just one day but those pictures are f-o-r-e-v-e-r!

Dr. Paul Wigoda Reports Silicone Breast Implants Grow 72% in 2012

Faces are lifting, silicone breast implants are IN, skin is smoothing, Botox is booming and tummy tucking is far from flat, growing 70% in the last 12 years. The biggest bump Dr. Paul Wigoda noticed was the fact that 72% of breast implant surgeries in the United States used silicone implants; 28% used saline or sterile salt water implants.

The American Society of Plastic Surgeons has just released their 2012 annual statistics reporting the number and variety of plastic surgery procedures that were performed last year. The report, a virtual “state of the union” for plastic surgery profession, provides us with several interesting insights into trends in plastic surgery for the year.

“The fact that total U.S. cosmetic procedures were up last year is not surprising given that the economy is beginning to bounce back and these procedures are high on many people’s list of things to do with the extra income they are seeing.” says Dr. Paul Wigoda. Check the infographic below for increases in cosmetic procedures in relation to other important economic indicators, also on the rise.


Overall, cosmetic procedures in total were up a whopping 5%! The most popular procedures by volume were breast augmentation with 286,274 performed in 2012, followed by nose reshaping (242,684), eyelid surgery (204,015), liposuction (202,128), facelift (126,320) and tummy tuck (106,628).

Faces Lifting!

The biggest bump last year came in the form of facial rejuvenation procedures.

Here are some highlights:

 

  • Facelifts up by 6% from 2011

  • Eyelid Surgery up 4%

  • Microdermabrasion up 8% with 973,556 performed

  • Soft Tissue Fillers up by 5% with 1,988,767 performed

  • Botox and Dysport up 8% with 6,134,631 performed

Why so much focus on the face? The ASPS suggests “one has to assume that economic recovery and consumer confidence plays an important role… Another factor is people entering or re-entering the workforce at an older age, needing to compete with younger applicants. Having our appearance look as good as our experience and resumes… is a strong motivation.”

Other Notable Performers Include:

  • Breast Augmentation, up 35% from 2000

  • Calf Augmentation up 8% from 2011

  • Pectoral Implants up 6%

  • Upper Arm Lift up 3%

  • Tummy Tuck up 70% from 2000

Male Surgeries on the Rise

A clear indicator of the increase in male surgeries is in the treatment of male breast development or gynecomastia with an increase of 5% over last year. Says Dr. Paul Wigoda, “We have seen a marked increase in male procedures over the past several years, especially last year. Not just for gynecomastia but for facelift, eyelid lifts, pectoral augmentation, dermabrasion and nose reshaping. Plastic surgery is definitely no longer just for women.”

All in all, the ASPS reports prove that the state of the plastic surgery profession is very promising with further increases projected for next year. So, if you’ve been waiting for an economic turnaround to plan a cosmetic procedure, the time to schedule it is officially now. Come in for a free consultation with Dr. Wigoda and celebrate our improved economy!



[UPDATED] All I want for Christmas is … plastic surgery from Dr. Wigoda

‘Tis the season for giving, and this holiday season men and women are stuffing their stockings with gift certificates for plastic surgery procedures and cosmetic treatments. This new trend in gift-giving makes Botox and Juvederm injections, breast implants and tummy tucks hot numbers on 2016’s holiday wish list. Therefore, we are upon a busy time not just for Old Saint Nick, but also for plastic surgeons like Fort Lauderdale-based Dr. Paul Wigoda.

plastic-surgery-holiday-gift-guide

Here’s a stocking full of Santa’s Checklist:

For Her

  • O-Shot: Enhance sexual satisfaction and get a rejuvenated look around the skin on the vulva (lips of the vagina)
  • Breast Augmentation: Boost your chest to look your best. Did we mention it’s painless?
  • Face Lifts: Look and feel young as another year goes by
  • Tummy Tuck: Flat and firm frame following childbirth or weight gain
  • Fillers: Wrinkle-free New Year’s Resolution

 

For Him

People are more willing to make large purchases on gifts during the holidays rather than a birthday or Mother’s or Father’s Day, according to doctors and gift-givers. Plastic surgery procedures are ideal during the holidays because many people have time off of work to undergo treatments and recuperate.

The American Society for Aesthetic Plastic Surgery strongly suggests that people who accept cosmetic procedures as generous holiday presents are having them done for themselves and not because they were given as a gift from a loved one or friend. It pays to look and feel young and refreshed, so the holidays are perfect for spouses to rejuvenate their look and their love for one another. However, this gift shouldn’t come as a surprise out of the blue – spouses should discuss and be on the same page, so it doesn’t send a wrong message.

“The gift has to be self-motivated and not because the partner is interested,” said Dr. Paul Wigoda, a plastic surgeon in Fort Lauderdale, who contributed to a Sun Sentinel article.

So Dr. Wigoda might not see lines at midnight on Black Friday or husbands and wives scooping up treatments on Cyber Monday, but the holidays are upon us, and plastic surgery can only help impact some action under the mistletoe.

Image Source: jawwa / 123RF Stock Photo