Dr. Peña Plastic Surgery Blog

Naples, Fort Myers, Bonita Springs, & Estero, Florida

Sunday, January 3, 2010

Advances in Bariatric Surgery

Bariatric or weight loss surgery is becoming a more mainstream answer to long term weight loss. As procedures become less and less invasive the use of surgery as earlier option will become a reality. Less morbidity, less recovery, and less cost is bringing a new development in the field of Weight Loss Surgery into the lime light. The so called TOGA (trans oral gastroplasty) literally sews or staples the stomach from the inside thus restricting the size and giving a person a feeling of being full quickly.

Average weight loss of 25 lbs over 3 months have been achieved. Will the stomach 'stretch out'? So far only the Gastric Bypass has withstood the test of time.

For now I will recommend old fashion behavior modification within a physician supervised program for my patients requiring significant weight loss.

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posted by Manuel M. Pena, M.D. at 5:37 PM

Friday, December 18, 2009

Zerona Non Invasive Fat Reduction Laser

Recently attended a conference on this new technology along with Dr. John Guercio. The science is impressive but as of yet not verified in our 'gold standard' peer reviewed journals. Some of the before and after photos left a lot to be desired. One of our major concerns is how enduring will the weight loss results be over time? Aliis verbis, will this intervention be a short-term 'fix' or more permanent?
The method of fat loss is a temporary leak of fat from cells. this is quickly disposed of by the body maybe even improving the patient's lipid profile. The mechanism for the later is to be determined. The 'fat leak' seems to be generalized and not limited to the areas irradiated by the painless low wattage laser. How long will the fat loss/redistribution change remain... and what will happen if you exercise regularly and maintain a healthy diet? Stay tuned.

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posted by Manuel M. Pena, M.D. at 6:19 AM

Disclaimer: Naples dentist Dr. Manuel Peña website provides information on cosmetic surgery in the Naples, Fort Myers, Bonita Springs, & Estero, areas in Florida. This information is not to be taken as medical advice.
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