When it comes to defining your body whether it is achieving a more feminine looking hips or a firmer looking six-pack abs, you could try exercise as many others might suggest, but sometimes this exercising just will not do the trick because some people are simply genetically predisposed to have these stubborn little pockets of fat in some of the most obscure places.

For people who have to deal with these pot bellies or manly hips, there is an option which is known as liposuction. While there is a common misunderstanding that liposuction is for persons with excessive weight problems this is not true as one of the requirements for eligibility for a liposuction procedure is that you have to be healthy and fit to undergo it.

The smartlipoprocedure is for women who want a better curved and more feminine looking waist line which means that she may need some work on the thighs, buttocks and hips or it is for the men who no matter how hard they try to get rids of that beer gut and show off a toned set of six-pack abs.

When deciding to undergo a liposuction procedure it is important to know what your expectations are so that you can inform the surgeon of this during the consultation. After the consultation, the surgeon along with an anesthesiologist will determine based on several factors, exactly how much anesthetic that you can safe handle. The reason anesthetic is so important is not so much for the incisions, but rather it is part of the wetting solution along with adrenaline and saline.

The wetting solution is injected into the region to help break up the fat cells that will be removed and the adrenaline and anesthesia is there to help prevent bleeding and pain as there will be some really stubborn fat cells which will be clinging to some of your blood vessels as well as nerves.

When the cannulae is inserted to suck out the used fat cells, it can cause some damage to various blood vessels and nerves and as a result there is a possibility of bleeding, bruising, swelling as well as a significant amount of pain. However, regardless of these risks, the outcome is nothing less then spectacular. All those years that you did sit-ups attempting to achieve those six-pack abs which never seemed to form will shine through. It is not because they did not form but rather because they were not visible because of the stubborn fat clinging for its life in the abdominal region.

Liposuction can help you achieve those 6 pack abs without exercise. Also their are some more plastic surgery procedures that will help you regain your beauty as well.

Aside from post-mastectomy reconstruction, no cosmetic surgery has a medical reason or indication. Patient deaths in cosmetic surgery are uncommon. it is the nature of cosmetic surgery that creates a media frenzy when deaths do happen. It stands to reason that, if you don't have to have a surgery, dying having it would be very unacceptable as well as attract a great deal of media attention.

General anesthesia (GA) is almost certainly the commonest form of anesthesia given for cosmetic surgery. It is expedient but fraught with avoidable risks. There are no avoidable risks for surgery that has no medical indication as is the case for cosmetic surgery. Those avoidable risks include malignant hyperthermia (i.e. recent Florida teen death), lack-of-oxygen mishaps leading to brain damage or death, blood clots to the lungs, vomiting, edema of the lungs. These risks occur because of the significant degree of trespass depressing the patient's ability to protect themselves.

Fortunately, there is a alternative anesthetic technique that creates a minimal trespass and thereby maximizes patient safety while eliminating the risks associated with GA. In 1997, Dr. Friedberg developed BIS monitored propofol ketamine technique, now trademarked as minimally invasive anesthesia(MIA)

The BIS monitor generates a number from 0-100 generated by information collected by a forehead sensor on the patient. The lower the number, the more asleep the patient is.

Most patients desire to neither hear, feel or remember their surgery - a state associated with GA (BIS 45-60). MIA gives the identical experience of GA at BIS 60-75 with 20-30% less medication (i.e. propofol). 'Goldilocks' anesthesia
becomes possible by not letting the BIS drift lower than 60 ('too much') and not letting it go higher than 75 ('too little'). BIS between 60-75 is 'just right' along with adequate local analgesia.

A fair number of anesthesiologists have embraced the concept of brain monitoring as useful to assist in the giving of anesthesia.. However, many anesthesiologists have been reluctant to adopt technology approved by the FDA in 1996.

Since the brain is what is being medicated, it stands to reason that using a device like the BIS that measures the brain response would be a far more accurate way to give patients their anesthetic drugs. Rarely has a member of the lay public failed to grasp this obvious point. Having patients request this type of monitoring may be a positive force for change.

Gradually giving propofol while following the BIS down to 75 often permits patients to continue to breathe on their own without requiring additional oxygen to be safe. Under these conditions, lack-of-oxygen mishaps have never occurred with MIA.

Once BIS reaches 75, ketamine may be given. Propofol at BIS less than 75 prevents all of the historically reported negative side effects while to sparing the patient from experiencing the pain of the local anesthetic injection that is common to all cosmetic procedures. The numerical value of the patient's brain response to propofol makes giving the ketamine a predictable, reproducible, and very safe experience.

Propofol is a powerful anti-nausea medication, so MIA patients have the lowest incidence of vomiting (0.5%), even without additional anti-nausea medications like Zofran. Neither propofol nor ketamine are triggering drugs for malignant hyperthermia which eliminates that risk.

The Doctors' Company (TDC) is a medical malpractice insurer with a large number of plastic surgeons as insured. The Fall 2005 TDC Newsletter about deep vein thrombosis (blood clots) and pulmonary emboli (blood clots to the lungs) said:

"... the immobility associated with general anesthesia is a risk factor for thromboembolism. Newer techniques for intravenous sedation that include the use of propofol drips, often in combination with other drugs, have made it possible to perform lengthy or extensive surgeries without general anesthesia and without the loss of the patient's airway protective reflexes." reference #11

11. Friedberg BL: Propofol-ketamine technique: dissociative anesthesia for office surgery. Aesthetic Plastic Surgery Journal 1999,23;70.

Some anesthesiologists are just as reluctant to give patients ketamine as they are to utilize brain activity monitors like the BIS. Patients will likely need to ask for MIA in order to receive it.

Any anesthesia provider has more skill than necessary to provide MIA. Giving MIA is more a matter of being asked to provide it than any technical difficulty in doing it.

Create a force for change! If you knew there was a safer (simpler and better) anesthetic for cosmetic surgery, wouldn't you want to ask for it?

Barry L. Friedberg, M.D. is a Board certified anesthesiologist and has been an ardent promoter of safety in cosmetic surgery. He supports the Anesthesia Patient Safety Foundation. He has been in active practice exclusively in office-based anesthesia for cosmetic surgery since 1992. He has published 30 letters to the editor, 14 articles and 6 book chapters including 3 in "Anesthesia in Cosmetic Surgery" recently published by Cambridge University Press. Dr. Friedberg is also an Assistant Professor in Anesthesia at the University of Southern California in Los Angeles where he is volunteer faculty. He has lectured in the US and abroad. Dr. Friedberg also provides an on-site training service for those who request it.

http://www.cosmeticsurgeryanesthesia.com

Disclaimer: Dr. Friedberg is not employed by Aspect Medical Systems, makers of the BIS monitor. He is not a stockholder or a paid consultant. The opinions expressed herein are his professional opinion based on 11 years experience with BIS monitoring.

Did you know that the foods you eat can help to prevent mental aging along with diseases such as Alzheimer's and Dementia? There are foods that help memory and others that help protect against stroke. To learn about foods that will help keep you mentally young, keep reading.

Good and Bad Fat

Tests have proven that the majority of fat that you eat can lead to serious health risks. However, that doesn't mean every time you hear the word "fat," you should start running. There are good fats too. These good fats help to maintain intellectual performance.

This good type of fat is known as omega 3 fatty acids and you can find the omega 3 fatty acids in foods like fish. Other sources of good fats include avocados, coconuts, nuts and flax seeds.

Remember your Eggs

Choline is probably the best vitamin to improve your memory and mental reaction speeds. It's a form of fat like Vitamin B that can increase memory and energy while simultaneously decreasing stress. You can find choline in eggs, so get cracking.

Amino Acids

Amino acids are created when your body breaks down protein. They're also crucial for neurotransmitter production, meaning your brain can't function without them.

Get your proteins and, subsequently, your amino acids from foods like eggs, dairy, dried beans, dark green vegetables, lean meats, seeds and nuts.

Carbohydrates

Your brain needs a certain amount of glucose to function properly, and to maintain the right levels of glucose, it needs carbohydrates. Try healthy foods like winter squash, beets, corn, potatoes and whole grains and cereals to keep your glucose levels high and your brain working.

A Glass of Wine a Day will Keep the Doctor Away

To prevent new arteries from forming that feed tumors, resveratrol is an excellent antioxidant to eat or drink. It can also prevent blood clots from forming, which are a major cause of strokes. Resveratrol can be found in grapes and it is enhanced when it is fermented into wine.

Berry Happy to be Eaten

Berries, particularly darker berries, are an excellent source of antioxidants. These antioxidants help to improve mental health by protecting the brain from such diseases as Alzheimer's and other forms of dementia.

In fact, blueberries were tested on lab rats, and research has proven that the antioxidants found in berries do help slow down the mental aging process along with the degradation of brain cells and neural connections needed for normal thinking capacity.

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