It is well known that we are in the midst of an obesity epidemic. For as long as we have been keeping track of the nation’s weight, we know it has never been higher. Houston, we have a weight problem. I know that it is a problem because it is the number one reason why patients in my practice are not candidates for plastic surgery.
My day in the office with two patients helps illustrate the problem and the solution, and will allow you more insight into some key considerations for plastic surgery and weight loss.
I saw a patient who had a consultation with me a few months ago for face and body work. At the time, she was clearly overweight and I felt that I would not be able to achieve the result we wanted, as it put her at increased risk of complications. She had a history of taking weight loss pills.
When she returned to the office today, she had lost 10 pounds and the difference was dramatic. I now felt that she was a great candidate for phenomenal results that will rock her world and I am excited for the opportunity to provide and share her joy.
My second patient is someone upon whom I had performed a major liposuction years ago. She had gained 15 pounds since her last surgery and was interested in facial work and an abdominoplasty. I wasn’t hopeful or optimistic walking into her room. As I had expected, she was doing well overall, but her face and neck were too full to benefit from face work, and her abdomen was too round from intra abdominal fat (fat around the intestines on the inside of the abdomen).
In her case, she needed to lose significant weight in order to be safe and to benefit the most from the procedures. I spoke with her at length about these issues and the benefits of a weight loss calculator and she completely understood. In fact, she knew what I was going to say. My honesty and integrity are reasons why patients keep coming back to me.
Integrity: the quality of being honest and having strong moral principles. I actually have haters on Yelp who couldn’t handle the truth and went to a review site just to share their anger with the rest of the world. I’m ok with that. Although I don’t enjoy upsetting my patients, as a physician surgeon, my primary concern is with the general health and welfare of my patients. This may mean bringing up subject matters that can be painful and unpleasant for some people, but it needs to be said and it can even be therapeutic to talk about it with a doctor.
Remember, just because I’m a plastic surgeon doesn’t mean that I simply take orders like a waiter in a restaurant. Having said that, I’m sure you will find plenty of surgeons out there who will jump at any opportunity to “make a sale.”
I understand how hard it is to control weight, and I realize it’s often even harder to lose weight. I don’t know of any shortcuts to weight loss. In general, we simply eat too much food, and poor quality food, and we don’t get enough exercise. There is no reason to look around for a quick fix to weight problems; it’s just a matter of finding the right time and incentive to make the wholesale changes that are needed to achieve your goal.
If you become more conscious of what is passing between your lips and look at foods as a calorie source, you will learn to cut down to the level needed to lose weight. For most people, long term results require a complete lifestyle change. Don’t focus on weight loss plastic surgery before and after photos until you have lost the weight necessary for successful plastic surgery.
I’d like to apologize in advance to all prospective patients who take my discussions regarding weight poorly. It’s my role as a physician to do what is best for my patients, even if on occasion that leads to hurt feelings and bad Yelp reviews. I can handle it – it’s all about integrity.