Too many Carbs, Too much weight

 

In we ring the New Year with hopes and expectations and lots of resolutions for 2018. Some we will keep, some we won’t, and some we completely fail at doing. One resolution that needs to be on your list for 2018 is an absolute resolve to reduce carbohydrate intake for the coming year. Unless you are working out several hours a day, running, or work in a demanding physical job, YOU ARE KILLING YOURSELF WITH EXCESS CARBS.

First of all, what are carbohydrates? Carbohydrates are a necessary food group that provides fairly instant energy to the body for normal metabolism and daily activities. Therefore, it is a necessary part of your diet, but in moderation. Carbs consist of breads, cereals, sugar, everything made with sugar (including sodas and sweet tea), potatoes, rice, and pasta just to name a few. Carbs as I stated provide the energy for metabolism and the breakdown of protein in your diet. However, in most of our normal sedentary life styles very little carbs are required to drive that metabolism. As a matter of fact some studies show, as little 600 calories per day are required to run the basics of your daily function. On average as little as 1500-1800 calories is enough for a moderately active person. Now on to the problem. Look at how many calories you intake just in one day. Most everyone averages about 3000+ calories of daily food and drink intake. If you are not active, and I’m not talking about moving your chair around the office, you are going to store at least half or more of those calories. That storage is called FAT. Now repeat this intake day in and day out and you can see why fat accumulation can occur and why the obesity rates are climbing rapidly all over the US. In fact, SC is now 12th on the list of the most obese states in the US. To our credit that is a change from 8th the year before. (Mississippi is #1)

Obesity has been classified as a disease and excess carbohydrate intake has been pegged as one of the main causes. With the almost exponential increase in obesity rates over the years there has been a parallel increase in Type 2 diabetes where the size of the body and the calorie intake outstrips the ability of the pancreas to produce enough insulin to metabolize the sugars. This leads to more requirements for medicine to increase the insulin output. Ongoing elevated blood sugars can then lead to an increase in heart and vascular disease resulting in poor circulation to the extremities and eventual numbness and possible loss of a limb.

Obesity appears in some studies to have a negative effect on cancer risk, recurrence, and mortality. In a position statement by the American Society of Clinical Oncology as many as 84,000 cancer diagnoses each year are attributed to obesity with implications of 15-20% direct mortality related to obesity. There has been a direct link to an increase in breast cancer due to obesity.  As it relates to orthopedics and joint problems, THE KNEE AND THE HIP JOINT WERE NOT DESIGNED TO CARRY SEVERAL HUNDRED POUNDS and, therefore, are prone to wear out earlier in life.

What can be done? Understand that Carbs are the most addicting food group. Simple carbs have a way to drive your appetite center to want to eat more and order more food. That good smelling bread that is put on your table at the restaurant can drive your appetite to order more food.  As fat builds up, a hormone in the fat called Ghrelin can further drive the appetite center to crave more and more food. See the endless cycle? Control is not easy. When going on a weight loss diet the hardest thing to do over the first week or two is to not eat carbs. Once that time frame has past it seems most patients aren’t grabbing for the carbs.

Drinks have carbs and count in the overall calorie intake. Many patients think drinking several sodas daily doesn’t count. A 12-ounce regular soda has 135-150 calories, all from carbs. A 20-ounce soda has 250. Drink 2 or 3 a day and you are at 300 -750 calories of that total intake. Add some sweet tea (usually 120 plus calories per glass) and you may exceed any recommended total daily intake for food and drink.

It’s a New Year, a new beginning. Make determinations that an obese life does not have to happen to you. Stop the Carbohydrate poisoning that is ruining your life. Look for ways to decrease your carb intake and take advantage of every opportunity to eat smaller portions and healthier choices. If you don’t exercise, don’t commit to a gym that will only be a memory in a month. Start small by short walks where you live. Park away from the door at work. Take the stairs at work or at church instead of the elevator. Do multiple small things each day and then work toward a longer walk or workout. Most of all commit to be healthy. Get the grilled chicken without the bun, use the vinaigrette dressing instead of the Ranch and don’t get fries with anything. Water is good too especially with a little lemon squeeze. If you must get dessert, only a bite or two will do. Remember, GET LEAN IN ’18.

 

Live lean, Live happy

 

New plasma energy for skin tightening and resurfacing

Every year it seems that new technology emerges in the field of aesthetics and lipo suction.  I always listen to the sales people and read what they have but take a critical view of each new device that comes out as many of them are a re-make or a combination of older devises.  Last year in 2017 I started looking at a completely new method for skin tightening with lipo that also can be used for facial resurfacing.  I glanced at it at first then saw a presentation on it at a national meeting on lipo and fat transfer.  Wow, a new game changer was on the market.  After spending some time with one of the pioneer users I am amazed at what it can do.  Presently it is called J-Plasma but soon will be marketed as Renuvion. 

What makes it unique?  The Bovie corporation who have made coagulation units for the OR for over 50 years was able to combine Radio-frequency energy with Helium to produce a cold plasma stream that is shown to tighten skin and also resurface facial skin giving an almost “face lift ” appearance….all without any surgery.  Radio frequency energy has been used alone in several devices for years for external skin tightening.  You would come in, get a 20 minute treatment with the device and repeat in a few days.  Some skin tightening was evident but in my opinion was not great especially in larger patients.  Now Bovie has taken that energy and as I said used it in a stream of Helium gas and created a plasma beam.  This was first used for precision cutting in open surgery cases but is now being utilized under the skin during liposuction and giving an almost instant contraction of the skin that continues for several weeks. I am seeing skin laxity decrease at a much faster pace than what I was seeing with using the laser for skin tightening.

Another use of this technology is to go over the skin (after numbing) to resurface the facial skin and tighten it.  Before and after pictures are showing stunning results.  It is necessary to have about 7-10 days of down time with the facial resurface as the skin has to grow back after the resurfacing.  The doctor I trained with told me he has completely given up doing face and neck lifts since starting use of this plasma technology.  It’s that good.

Genesis is once again proud to be the first in South Carolina to incorporate this new technology into our lipo and facial program.  Staying on the cutting edge with the right devices and treatments is what we always want to bring to our patients.  We will be posting more info on our web site soon.  Again, Bovie corporation will be changing the J-Plasma name to Renuvion in the next couple of months and you should be seeing more ads and info about it as they begin to promote this platform in multiple magazines and on television.

In the meantime…..stay healthy……stay beautiful

Dr. ODell

New inside, Bodysculpting and self confidence

For the uninitiated and those who need little cosmetic work done it is easy to look at those who do need it and judge them that they are somehow vain and selfish.  I will repeat what a famous General in WW2 said about surrender….NUTS.  Yes, there are those who look great already but continue to want more and tweek their look into something not natural.  But what we do goes way beyond the visible.  What cosmetic transformation does for the majority of my patients is give them back not only a better look but an inner self confidence that many have not had for years.  I recently had a young woman who has been obese since her teen years and is now 30.  She was tired of being relegated to the larger, loose clothes and other than work did not want to go out in public or participate in any social activities.  We did our Genesis Signature LipoSculpting on her abdomen and flanks with attention to contouring details that would develop as her skin retracted.  Because of her size a minor touch up on the abdomen was done to further stimulate the skin to retract.  Now at 5 months out from her first procedure she is smiling and wearing form fitting clothing that was denied her for over 10 years.  She admitted that she now realizes that her size made her depressed and that drove her to eat more which made her bigger then more depressed which drove her to eat more…get the endless cycle.  Lipo has given her body back to her and in turn her diet is healthy now and her social life is exploding.  A recent picture she sent in was a wonderful “wow” moment for me and my staff.   I am not implying that all obese people lack self confidence and are ashamed.  Many live life to the fullest. But so many don’t due to self conciousness about their size.  If you are one of those consider a combination of Lipo at Genesis along with a re-focus of your diet and lifestyle.  You may be the next one for that “wow” moment.

Live healthy

Dr. ODell

Fat transfer in body Liposculpting including the lastest tech

As part of our ongoing Signature LipoSculpting program we do a lot of fat transfer/grafting to several areas of the body.  Simply put, fat is harvested gently from one area such as the abdomen or legs, processed to remove excess fluid and debris then transfered back to an area of the face or body needing enhancement or correction.  We commonly Lipo the flanks and lower back to give a beautiful curve to the back but find that the buttocks is flat and needs to be rounded out.  Strategically placed we can give the buttocks that “pop” that has been missing for so long.  Other areas can be done such as breast enhancement using your own fat and also the hands to make them look younger.  Transfer to the face is our number one area.  If you are tired of looking tired due to the baggy skin sagging under the eyes or those deep defects around the mouth then fat placement there and other areas on the face can correct it with ease.  We can even fill in hollow temples and effect a slight brow lift by placing fat in those areas.  We have used fat to correct surgical defects that sometimes occur after mastectomy reconstruction and even filled in areas on the hip and buttocks caused by frequent medication injections.

New to Genesis over the last 5 months is the introduction of O2 enhancement to the grafted area.  This has resulted in a tremendous increase in fat retention survival and further enhancement of the grafted site.  Simply done, after the area is numbed, CO2 is passed into the graft site thru a small injection needle.  Once under the skin, CO2 is then quickly replaced by Oxygen and the CO2 is removed thru the blood stream.  This results in a marked increase in the oxygenation of the grafted fat giving us tremendous survival of the fat. I am excited at how this CO2 technology is improving our fat grafting/transfer program.  Also new this year is the addition of low pressure infusion for grafting larger areas.  Fat is delicate and this system prevents high pressure injection of the fat that may rupture the fat cells and decrease survival.

I am so excited to let you know about our newest enhancements.  It is always my goal to offer the latest technology that will give you a better result and the look you desire.  In future blog posts you will see more on the CO2 therapy for other conditions.  This is technology that has been worldwide for over a decade and has recently been approved by the FDA in the U.S.  Stay tuned.  Stay healthy.

Dr. O’Dell

Awake anesthesia in Lipo Sculpting

One of the most frequent questions I am asked when doing LIPO seminars is how we do this without general anesthesia.  Our minimally invasive LipoSculpting uses what is known as Tumescent Anesthesia.  Basically we mix Xylocaine (Lidocaine) into an IV bag of normal saline and add Epinephrine and Bicarbonate to the mixture.  The Xylocaine is the same numbing medicine used by just about all doctors for doing minor skin lesion removal or for sewing up a wound.  It is also used in spinal and epidural preparations.  It is very similar to what your dentist uses when numbing your mouth.  We very carefully calculate the maximum amount of Xylocaine that we can use based on your weight and medicine profile.  The epinephrine is used to make the small blood vessels in the fat “spasm” closed so that it will minimize any blood loss during the procedure.  In addition it helps to slow the absorption of the Xylocaine so that the numbing is slow to wear off.  The bicarbonate is a buffering agent to raise the pH of the solution so that it won’t sting going in.

This solution is then placed under the skin of the area you are having sculpted.  We do this through small puncture holes strategically placed in your skin.  There is NO cutting or incisions involved.  The numbing solution works rapidly to numb the area but at the same time acts to spread out the fat so it is more easily treated and suctioned.  Yes, it provides complete numbing of the area without the need for general anesthesia.  More can be added during the course of the case if needed.  We do give you oral meds pre-procedure that will relax you and sometimes let you doze off during the case.  Nice thing is that you don’t have an anesthesia hangover afterwards.  Also nice is the excellent safety profile of this type of anesthesia.

Dr. ODell

 

Laser your way to tighter skin

Many of you have asked specifically how the laser works in both Liposculpting and skin tightening.  At Genesis we have several lasers of different frequencies that are used in different ways.  First of all let’s address the one we use in LipoSculpting.  The frequency of our Lipo laser is tuned so that it maximizes both skin tightening and disolving  of fat.  Basically we place it under the skin via an artificial quartz fiber and use it to make micro damage on the underside of the skin.  We are very careful not to burn the skin but only to do micro damage.  The body wants to heal those micro burns so it sends in some platelets that then bring in growth factors and cells to make new collagen protein to replace the damage.  The new collagen is very elastic so it tends to shrink and, therefore, pull the skin tighter as it does so.  This results in a remarkable lifting and tightening of loose skin that has stretched out due to excess fat that is also being removed.

Likewise, a similar laser with a different frequency is used externally on the face and neck to tighten  wrinkles, close open pores, and lighten pigmented areas.  This is our Fraxel laser.  The Fraxel handpiece is rolled over your numbed skin and very tiny “pixelated” pin size punctures in the skin are the result.  Again there is micro damage under the skin that results in new collagen protein being formed that shrinks as it heals.  The result….tighter skin and less melasma.

We also use the laser for hair removal.  This laser has a frequency that is tuned to the color of dark hair and is , therefore, absorbed by it.  The laser heat is then transmitted into the hair follicle which is then destroyed.   Reapeat treatments are then done to assure all the follicles in that hair “pore” are destroyed by the laser.

Next blog post…..our newest laser for vaginal rejuvination and bladder leakage.  Stay tuned.

 

Dr. O’Dell

Vaser Smooth..Your answer to Cellulite

If unsightly Cellulite has you down and wanting to wear long pants this summer, listen up.  Genesis offers the Vaser Smooth for long term Cellulite reduction in the leg and buttocks area.  Don’t be fooled by a lot of the non-invasive cellulite treatments that clutter the market.  All are temporary.  Basically cellulite is caused by fibrous bands that have fat between them, giving you that rippled look on your legs.  The external treatments merely break those bands temporarily but don’t destroy the culprits.  Yes, you look good for 2 or 3 months but the bands re-form and no effect is noted after a time.  Our Vaser Smooth treatment goes way past the temporary band breakage by destroying much of the band tissue, not allowing it to heal and re-form.  Result is a longer lasting more permanent solution to your cellulite problem.  The treatment is done by placing a numbing solution under the skin and then doing a Vaser fat dissolve of the affected area.  This is followed by using our specially designed Cellulite instruments to break and destroy the bands that are giving you the irregular look.  Because of the power of those instuments protein damage to the cellulite bands will not allow them to heal.  If volume reduction of the leg is necessary we can also lipo suction the leg.  In many cases that is not necessary because the main culprit is the cellulite.  Long term there is a marked reducution and elimination of the banding and a much improved look to your legs.

So…Hey…don’t be that person in long pants all summer due to a condition that is easily treated.  Call us about our Vaser Smooth cellulite treatment.  You won’t regret it.

Interesting thought for today:  “A person will sometimes devote all his life to the development of one part of his body…..the wishbone.”  Robert Frost

Don’t just wish…let us help you do.

Dr. O’Dell

Lipo of the arms

We do LipoSculpting all over the body.  One of the often needed areas is the upper arm.  Many women get that loose hanging skin early in life due to genetic factors while some have it after weight loss or aging.  The Signature Lipo works well for this area.  We have had many women who are told that cutting and removing the skin is the only way to achieve a slimmer look but that is not true.  I have seen some patients who had the removal surgery done only to have an unsightly scar down the inner upper arm.

With lipo of the arm we simply make a small puncture just above the elbow toward the outside edge of the arm.  Through that small hole we fill the hanging area with our tumescent numbing fluid.  After adequate numbing the Vaser is used to break-up and liquify any fat in the hanging area.  This is followed by a thorough treatment with our Laser to stimulate tightening of the skin.  Suction then follows to remove the fat that has been destroyed.  We then send you home with an arm garment to conform the newly treated skin to the underlying arm.  While you are healing and awaiting the skin to tighten I usually suggest doing triceps exercises starting about 2-3 weeks post procedure.  This will build up the triceps muscle under the treated area to give you a more shapely arm.

This treatment is ideal if you are tired of having to wear longer sleeves all year to hide your arms.  We have so many patients who are thrilled to get back into short sleeves or sleeveless clothes within weeks of the procedure.  Now is a good time for us to look at any issues you may have with your arms.  Getting that area treated now can make you look good in that slimmer top for summer.

Thought:  When you common things in an uncommon way, then the world takes notice.

Dr. O’Dell

Fat Transfer with PRP, the Genesis way.

We get a lot of questions concerning the fat transfer and how we get the fat to last in the grafted area.  Many things go into our fat grafting.  First of all we use our Tickle lipo system with a specialized suction cannula to get just the right size fat for transfer.  You see fat usually comes in  “clumps”.  Large particles of fat like that would not be ideal to transfer because it is to large to fit thru our small transfer instruments.  What we want is small rice sized pellets of fat that can easily pass thru our instruments.  Also, smaller particles of fat lend themselves to be better nourished by new blood vessel growth as compared to larger particles.  We are also less likely to have “clumping” by using smaller particles.  Our specialized harvest suction device also separates away millions of stem cells that are now in solution with the fat.  These stem cells are powerhouses that make new blood supply and structural components for the newly transfered fat.  Prior to our specialized suctioning we also use low power Vaser which helps to break up clusters of fat and increase our yield.  Studies have shown a huge increase in the amount of stem cells harvested using Vaser.

Now a very important additive to the fat is Platelet Rich Plasma (PRP).  At the time of the fat transfer we draw your blood, concentrate your platelets then add this back to the fat.  These platelets are the switch that turns on the stem cells, thereby helping permanently incorporate the new fat into the surrounding tissue.   At the same time,  if injected close to the skin,  good stimulation of collagen occurs to help make the skin look youthful and nourished.

Many lipo centers that do fat transfer do not use PRP.  These centers tend to overfill the area knowing that most of the time they will get as much as a 60% loss of transfered fat.  Studies show that using PRP and specialized harvest instruments greatly reduces the loss and the need to overfill.  Bottom line, a better and more consistent look post transfer.

Deep thought of the day:    Well begun is half done.  Aristotle

Dr. ODell

Lipo vs. Tummy Tuck

I am all the time seeing patients who want to know if they should get a tummy tuck or do the LipoSculpting in order to pull up that loose skin at the bottom of your abdomen.  Many have seen another doctor about a tummy tuck and told to go ahead but decided to see what we could offer.  In most cases our Signature LipoSculpting is the ideal way to correct that sagging tummy.  Best of all it can be done using only small puncture holes and not a very long incision required for a tuck.  The tummy tuck requires removing all that skin using an incision that extends from over the hip, across the lower abdomen and ending over the other hip.  Many times moving the belly button is required due to the amount of pull down.  Beside having a very long scar another problem is that most surgeons do nothing to the upper abdominal fat or the fat on the “love handles” or flanks.  Therefore, you have a nice flat lower ab below the belly button but continue to have a lot of unsightly fat above it and on the sides.  I have had many patients who have come to me about a year or two out from a tuck wanting the upper abs lipo’d and the flanks and back sculpted in order to look balanced all around.

What we can achieve with our Signature LipoSculpting is to safely remove the fat in both the upper and lower abdomen then laser the skin to get a pull up that results in a flatter abdomen WITHOUT the long incision.  In addition, by using our Vaser and Laser along with careful suctioning we can sculpt that 3-D hour glass figure that makes you look so fine. Yes, it is entirely possible using our lipo system.

So don’t think that if you have that hanging skin at the bottom of your belly that all you can do is a tummy tuck.  With our LipoSculpting we have time and again helped our patients achieve a tighter, lifted tummy without the long incision and downtime required.

Thought of the day:  Music washes away from the soul the dust of everyday life.   Berthold Auerbach

Stay healthy,

Dr. ODell