Complications after cosmetic surgery Houston Austin Dallas San Antonio
Hi, this is Hourglass, and welcome toanother tutorial in our channel Superhourglass. Today we are going to discuss obesity andpostoperative complications after cosmetic surgery. In this channel, we will discuss everything you need to know for you to get the hourglass shape you've always wanted. Welcome back. Obesity continues to climb in the United States. According to the CDC, more than 30% of the adult population is now considered obese based on the BMI. A body mass index of above 30 is considered obese.
Overweight is above 25, and morbidly obese is about 40. There is a continued debate and conflicting studies relating to non obese and obese patients when it relates to complications after surgery. Obesity has been related to postoperative complications including a 5 times higher rate of heart attack, 7.1 times higher rate of wound infection, and 1.5 times higher rate of urinary tract infection. In addition, obese patients are at a higher risk of pulmonary disorders like sleep apnea and hypoventilation syndrome (in other words, breathing slowly).
The problem with determining if obesity actuallycauses an increase in postoperative complications is that different studies have been designedusing different methodologies. Also, there is no strict definition of complications relative to the level of risk of the surgery. Some studies have related obesity to an increasedrisk of postoperative pulmonary infection, collapse of lungs, and pulmonary embolism. However, other studies have found no association between overweight, obesity, and postoperative respiratory complications. When it comes to cosmetic surgery, one of the main concerns with obese patients
and this has been shown in multiple studies is problems of wound dehiscence or wound opening after surgery, wound healing problems, and wound infection. There is no question that the more obese you are, the more likely you are to have wound healing issues and complications. Typically, we have the BMI to determine therisks of obesity and complications of surgery, but recently, as I discussed before, the amount of visceral fat, which is the fat around the internal organs, has been shown to have a major role in postoperative complications. Adipose tissue is now recognized to be morethan simply a lipid storage organ,
but a highly active metabolic organ with endocrine, paracrine, and immunological properties. In addition, excess adipose tissue, especially in the intraabdominal or visceral tissue, is considered a main metabolic syndrome where there is prothrombotic proinflammatory state associated with insulin resistance. The bottom line is that even if there areconflicting studies related to obesity and complications, it is generally accepted thatsomeone obese with a BMI above 30 is not going to be a good candidate for cosmetic surgery. Leaving the postoperative complications aside, an obese patient will have a less than satisfactory outcome
due to the fact that cosmetic surgery mainly involves contour procedures rather than weight loss procedures. Patients believe that they can come and have a tummy tuck and liposuction and all of a sudden their body will diminish from a size 10 to 12 to a size 3 or 4, but this is not the case. It is important that obese patients with a BMI above 30 reach a BMI that is within the healthier scale. In addition, it is important for the surgeon to assess the distribution of fat, including the visceral fat, because visceral fat has a significant role in proinflammatory conditions. It has been determined that it can actually increase the risk of prolonged recovery, poor wound healing, and blood clots.
5 Ways to Prevent a Stroke
5 Ways to Prevent a Stroke PEOPLE WITH HEALTHY BLOOD PRESSUREâ€”LESS THAN 12080â€”HAVE ABOUT HALF THE LIFETIME RISK OF STROKE AS THOSE WITH HIGH BLOOD PRESSURE, OR HYPERTENSION. â€œHigh blood pressure damages blood vessels throughout the body, making them more susceptible to developing clots,â€� says Lewis Morgenstern, MD, director of the University of Michigan Stroke Program.
Women over 55 are significantly more likely than men to develop hypertension, perhaps because theyve lost whatever protective effects estrogen might have provided. Exercise regularly In a study of more than 47,000 men and women in Finland, moderate and high levels of physical activity were associated with lower stroke risk.
Exercise helps reduce blood pressure by making the heart stronger. And the stronger the heart, the less effort it takes to pump blood around the bodyâ€”so the lower the blood pressure. Physical activity also can help decrease the risk of developing diabetes and control cholesterol levels, both of which up your chances of a stroke. Drink moderately
a particularly deadly type of stroke caused by the rupture of a blood vessel on the surface of the brain; it tends to strike premenopausal women. Likewise, Tulane University researchers reported several months ago that the risk of ischemic stroke rises with greater alcohol intake. Control your weight Gaining even 22 pounds after the age of 18 is associated with increased risk of stroke. Eat a healthy diet
Diets high in saturated fat and cholesterol can raise bloodcholesterol levels. â€œCholesterol tends to adhere to the arteries, and blood tends to stick to those spots, increasing the risk of clotting,â€� Morgenstern says. Excess sodium intake can contribute to high blood pressure, too. Eating five or more servings of fruits and vegetables a day may reduce stroke risk. stop smoking
Stroke risk decreases significantly two years after quitting and is at the level of nonsmokers by five years, research shows. In fact, recent data from the Womens Health Study showed that women who smoke a pack a day are at increased risk of hypertension. Whats more, the nicotine and carbon monoxide damage the cardiovascular system, leading to a higher risk of stroke.