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Breast-Feeding Linked to IQ |
| A study confirms that breast-feeding of infants is accompanied by about a five-points higher IQ than in bottle-fed infants.At least 60 percent of the average intelligence gain seen in breast-fed infants comes from breast milk’s nutritional value, rather than benefits from maternal bonding.Intelligence is benefited by breast-feeding for up to six months. Children who are breast-fed for less than eight weeks show no IQ benefit. |
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Tea may protect elderly Bones |
| A daily cup of tea may protect elderly women from osteoporosis. New research suggests that daily tea-drinking makes the aging bones of elderly women look five years younger and significantly reduces the risk of bone fractures. Elderly tea-drinkers have 5 percent higher mean bone-mineral density than non-tea-drinkers.The apparent benefits of drinking tea are independent of whether women smoke, drink coffee or use hormone replacement therapy. It also makes no difference to the bone-mineral density increase if women drink one or two cups or several pots of tea a day.The positive effects of tea on bone density may be caused by the presence of isoflavonoids. Flavonoids – brightly colored chemicals found in fruit, vegetables and herbs – are being credited with an increasing number of positive effects on health. |
| Ultrasonic liposuction |
| Ultrasonic liposuction is a very new technique. There are now two main types of ultrasonic liposuction:INTERNAL (with the vibrating cannula) and
EXTERNAL (done by a vibrating machine just prior to the liposuction procedure). It can be performed with either the traditional, wet or tumescent methods. Unfortunately, the ultrasonic equipment used (referred to as cannulae, or tubes) may overheat and has caused burns to patients. At times, Ultrasonic cannulae have perforated patients kidneys and gallbladders. Additionally, Ultrasonic Liposuction may cause “end hits”, a burning through of the surface skin. “End hits” occur when the ultrasonic cannula pushes on the skin from the inside out, resulting in blister formation and sometimes scarring. Ultrasonic Liposuction results in more seroma formation than other methods. Seromas are collections of fluid. These fluid balls are made in the tissue as a response to injury. Seromas may be long-lasting and unsightly. Moreover, Ultrasonic instrumentation is very expensive. |
Obesity Liposuction Tumescent Liposuction
| Liposuction |
History of LiposuctionThough liposuction is a relatively new form of cosmetic surgery, it has, nevertheless, become the most commonly performed cosmetic procedure in the United States. Since it was first introduced in the US in the early 1980’s, many refinements have been made. The most significant improvement was the use of dilute local aesthetic instead of general anaesthesia: this is the Klein Tumescent Technique. Again, the Klein technique is the most revolutionary technique in liposuction to date. Dr. Klein is a California Dermatologist. |
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SUCTION ASSISTED LIPECTOMY OR FAT SUCTIONING Lipectomy means removal of fat by surgery. In lipolysis the surgeon loosens and removes the fat from an area by using long or short metal tubular instruments connected to a Suction machine. The suction tubes are usually made of stainless steel. The tips are blunt. The tubes have 1 to 5 holes near the tip on one side or on different sides. The suction machines used for this purpose create very powerful negative pressures (1 ton to 35 ton at sea level). Lipolysis was started in France in late 70’s and since 1981 is in practice in the United States and other parts of the world. Fat collections at the Hips, Thighs, Buttocks, Abdomen, Arms, Under the Chin, Upper Torso, etc., can be reduced by this procedure. Can one’s weight be reduced by this operation? Lipolysis is neither a substitute for dieting nor a cure for obesity Persons with reasonably normal weight and healthy elastic skin with extra localized fat in certain areas, get the best results from this procedure. (Healthy elastic skin has the capacity to shrink after the surgery). Lipolysis can be done on patients up to 45 or 50 years of age, but it is not normally done if the skin is loose in the particular area. One could have loose skin after losing lot of weight or after pregnancy,or one could lose the elasticity of skin due to old age or other reasons. In these patients in addition to lipolysis, some of the skin should also be removed, i.e. Dermolipectomy to get a satisfactory contour for which hospitalisation is required. The fat cells that are removed for ever do not come back again. Most of fat cells are situated under the skin. The total number of fat cells present in a person’s body does not increase as one grows older or when one gains weight. When a person gains weight, the size of the fat cells increases as more fat is being deposited in it. When one loses weight, the fat is mobilised out of the fat cells and so these cells become smaller in size. Only liver and skin have the capacity to regenerate in the human body. Fat cells cannot regenerate or multiply. And so, the fat cells that are removed are removed for ever. SURGICAL PROCEDURE: A small cut about 4 mm to 10 mm is made a few inches away from the area to be suctioned & the suction cannulae are inserted. The cuts are usually made in the skin folds and so, the scars are not much noticeable. Depending upon the areas to be suctioned and recontoured or reduced, anywhere from 600 gms to 3000 gms of the material is removed in one sitting. If more material is removed that would require blood transfusions. The removed material usually consists of 65% to 85% fat & the remainder would be blood, plasma and serum. AFTER THE SURGERY snug or light dressings is applied for 5 to 8 days to promote the shrinkage of the skin and to minimise the swelling. In most instances, one is required to wear a support or a girdle for several weeks or months during the healing time. One could feel localised areas of hardness or firmness in the suctioned areas for 1 to 4 months after the surgery. One may require pain medication by mouth for one to two days after the surgery. During the healing period, numbness or discomfort could be present for varied periods of time. After the surgery, there will be swelling in the areas of the surgery. Even through most of the swelling is gone in the first 2-3 weeks. It takes 2-4 months for all the swelling to be gone. Discolouration could last up to several weeks after the surgery. Even after muitiple area lipolysis one should be able to be up and around in 1 to 2 days and back to most of the normal activities in 10 to 14 days Results Results depend upon the expectations of the patients and the amount of fat that is suctioned from the given area. Usually patients with good elastic skin and who come for contouring a particular area are very happy. Older patients and patients who are overweight could be unhappy. Perfection and symmetry are not possible in every patient. Also in some patients, all unwanted fat cannot be removed in certain areas in the first sitting. On these patients, the lipolysis may have to be repeated. But a second lipolysis cannot be done until all the swelling is gone from that particular area (i e. about 4 months). On rare occasions rippled or uneven skin or areas of loose skin could result from this surgery which might require further surgeries to correct them. Dr. Wahiguru Pal Singh Sidhu |
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NOTEWORTHY HISTORICAL HIGHLIGHTS ABOUT LIPOSUCTION |
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| 1974 | Liposuction Invented in Rome, Italy by Dr. Giorgio Fischer, a GYNECOLOGIST. |
| 1978 | Taken to Paris, France and popularized by Dr. Illouz, a Plastic Surgeon. |
| 1980’s | Liposuction reaches the US. Initial enthusiasm peaks and falls as news spreads of increased complications and several deaths. Many of the deaths related to Board Certified Plastic Surgeons combining liposuction with abdominoplasty “tummy tucks.” |
| 1985 | Dr. Jeffrey Klein, a California Dermatologist, and Dr. Patrick Lillis, another Dermatologist, invent and pioneer the Tumescent Technique, the safest method known. |
| 1993 | Dr. Klein publishes his technique in the prestigious journal PLASTIC AND RECONSTRUCTIVE SURGERY, November issue. |
| 1995 | 20/20 and Dateline interview and broadcast Dr. Klein and his methods. |
| Obesity & its associated Risks |
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It was always known to us that obesity has associated health related risks. The risks result primarily from increased risks for cardiovascular disease, high blood pressure, diabetes mellitus, and, possibly, some types of cancer.
Cardiovascular systemIncreased risk of sudden death, Cardiac Arrhythmias, increased risk of atherosclerosis, abnormal lipid profile with decreased levels of HDL, and increased levels of low density lipoproteins. Prevalence of hypertension is also increased. Diabetes MellitusType 2 diabetes mellitus [non-insulin- dependent diabetes mellitus] has direct relation with abnormal weight of an individual. Diabetes is almost nonexistent in individuals with a BMI below 22. CancerObese men – higher incidence of cancer of prostate, colon and rectum. 24% of all cancers are linked to obesity Gall Bladder DiseaseGall Bladder disease with formation of cholesterol stones also increases with obesity. Respiratory systemSleep apnoea occurs with excessive obesity. JointsOstheoarthritis and gout is associated with obesity. Skin ProblemsAcanthosis nigricans, manifested by darkening of the skinfolds on the neck, elbows, and dorsal interphalangeal spaces. Fungal and other skin infections in the skin folds. Endocrine systemInsulin resistance leading to hyperinsulinemia is a uniform feature and is directly related to the degree of obesity. Testosterone levels may be reduced in extreme obesity in men. Obesity leads to an earlier onset of menarche, and greater frequency of irregular and anovulatory cycles, and to earlier menopause. |
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