Dr Coleman
Dr Coleman

Obesity trends in the US are now approaching epidemic levels. Obesity related complications account for approximately 16% of all deaths in the US and obesity will soon surpass smoking as the most preventable cause of death. Health problems associated with obesity include hypertension, coronary artery disease, asthma, sleep apnea, osteoarthritis, diabetes, hypercholesteremia, gallstones, and dermatitis. There are also socioeconomic and psychological sequelae in addition to discrimination suffered by those who are morbidly obese. Most clinicians measure obesity by the Body Mass Index (BMI) which is the weight in kilograms divided by the height in meters squared (kg/mē).

Body Mass Index (kg/mē)
20-25 Normal
26-30 Overweight
30-35 Obesity Class I
36-40 Obesity Class II
> 40  Obesity Class III

The BMI is not an ideal parameter of obesity as it doesn't discriminate between weight due to muscle versus fat. A true measure of body fat composition by displacement measurements is more accurate. The BMI is however an acceptable clinical parameter recognized by many institutions. If you are defined as obese by whichever parameter, it is likely that you will decrease your risk of developing many of the above diagnosis by addressing this. Fortunately, many of the above diseases are preventable if not reversible by maintaining an appropriate body weight. It has been a concerted effort of the medical profession to both recognize and treat obesity as early as possible. As a result, surgical treatment of obesity has increased dramatically over the past decade and approximately 150,000 such procedures were performed in 2005. An uncounted number of people have also achieved significant weight loss by non-surgical means. As a result of the concerted effort of so many to address obesity, plastic surgery has come to the forefront in encouraging healthy lifestyles and providing treatment for patients who necessitate it after weight loss. The primary reason for this is that although fat gain is reversible, in most cases, the damage to the skin is not. Therefore many patients who successfully lose significant amounts of weight are left with excessive or hanging skin. The memory retained in the skin usually necessitates surgical excision and/or lift . These procedures usually entail basic plastic surgery principals and techniques however, the degree of skin laxity and the unique requirements of such patients makes their treatment unique. The memory of the skin makes it behave differently and it can often be quite challenging to manage. The most common plastic surgical procedures performed are abdominoplasty, mastopexy, breast augmentation, lower body lift, brachioplasty, thighplasty, and face/neck lift. These patients often therefore require excessive length of scars and multiple procedures to address all problem areas. Overall, we find these patients to be our most positive and pleasing to encounter. Patients should seek plastic surgeons that are supportive and experienced in addressing their needs.

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Dr Coleman is an specialist in Plastic Surgery - including Aesthetic Surgery and Reconstructive Surgery - serving patients in the areas of Beverly Hills, Los Angeles, Orange County, Tustin and the whole San Fernando Valley California CA. As a Board Certified Plastic Surgeon he has vast experience in procedures like breast augmentation (breast enhancement, breast enlargement with breast implants), breast lift, breast reconstruction, breast reduction, inverted nipples, gynecomastia, male pectoral augmentation, liposuction, abdominoplasty (tummy tuck), hips liposuction, legs liposuction, thigh lift, flanks liposuction, mini tummy tuck (mini abdominoplasty), neck liposuction, neck lift, brachioplasty, blepharoplasty, arm lift, buttock augmentation (gluteal surgery), surgery after gastric by pass, scar revision, spider veins, chin implant, cheek augmentation and implants, face lift, eyelid surgery, fat injections, enjectible fillers, Botox, radiesse, restalyne, lipoma surgery, midface lift, nasal implants, nose surgery, otoplasty (surgery of the ear), rhinoplasty, rhytidectomy, sagging skin, submalar implants, thread lift, surgery of the hand and microsurgery and others. If you would like to schedule a consultation or have any questions regarding this or other procedures please call us to the 310-393-7668 in Beverly Hills or the 714-508-2105 in Tustin CA, or you can visit us at 8670 Wilshire Blvd. Suite 203, Beverly Hills CA and 12791 Newport Ave. Suite 202 Tustin California. Dr Coleman and his Staff are always happy to assist you.

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