Angela Chouaib on Why Multiple Procedures are a BAD Idea

Angela Chouaib, MD and founder of Secret Surgery, gets asked about multiple procedures on a regular basis – ‘Can I get a tummy tuck with a boob job?’ or ‘How about a labiaplasty with breast implants’? The truth is, any surgeon could perform even ten procedures on a patient in one go, and you could have yourself a full body makeover! But Secret Surgery do not, and will not, do that. Here’s Angela Chouaib explaining why.

At Secret Surgery, we work to the highest standards and take the greatest care to ensure our patients’ safety. If that means that we don’t offer certain options to our patients, then… that’s how it goes! Just think of us as your cosmetic surgery parents – we know what’s best. There are six main reasons why multiple procedures are a BAD idea:

1. It’s not a good idea to keep anyone under general anesthetic for that…

View original post 211 more words

Reconstructive surgery boosts confidence

Many plastic surgery procedures offer a way to reconstruct issues that affect the physical appearance. If you were injured or have had a condition that changed the way you look, you should consider some operations that may help. Take a look at a few of the surgeries available to people who need a reconstructive operation done.

Some people get a nose job because they do not like the way their nose looks. Others get one because they are having trouble breathing after an injury to the area. Whether you were in a car accident that broke your nose or you somehow got hit in this part of your face, you should look into plastic surgery as a way to solve the problem. Your doctor will likely recommend a nose job if this facial feature is now crooked or swollen, and especially if you cannot breathe easily due to the injury.

Another common reconstructive operation involves the breasts. If you had breast cancer and had to get a mastectomy to remove one or both breasts, you may be looking for a way to get your curves back in the future. Breast reconstruction can do this for
you. On the other hand, if your breasts are too large for your frame, a reduction may be the best choice for you. If they are causing your shoulders to hunch and your back to hurt, it may be time to get them reduced, and most doctors in the plastic surgery field can do the job.

If you have microtia, causing one or both ears to appear small or malformed, you can get an otoplasty. This procedure involves having a doctor modify your current ears or even add some if you do not have any. An operation can make a big difference in your appearance and self-esteem, so you should look into option when you are not happy with how your ears look right now. Even if you do not have microtia, but another reason altogether for your ears to look malformed, you can likely benefit from plastic surgery.

Many doctors in this field are able to complete these and other reconstructive procedures. Of course, some specialize in one or a few of them. You should seek out a surgeon with years of experience providing great results to people like you who are looking for ways to improve different aspects of the appearance. This should allow you to look forward to seeing the outcome and finally feeling more confident about certain features.

Boost your esteem contact Sara@SecretSurgery.co.uk today to discuss your options.

6 Things That Can Happen After Gastric Surgery If You Don’t Follow the Rules

4554775-close-up-of-red-ripe-apple-in-female-s-hands-with-her-slim-figure-at-backgroundGastric surgery is without a doubt one of the most popular surgeries we perform. The greatest risks of the gastric surgery come from not following the diet properly. If you eat too much or eat food that you shouldn’t, you could have complications. Here’s a countdown of the six things that could happen to you if you don’t follow the rules!

  • Dumping syndrome. This complication occurs most often after eating foods high in sugar or fat. These foods travel quickly through your stomach pouch and “dump” into your intestine. Dumping syndrome can cause nausea, vomiting, dizziness, sweating and eventually diarrhea.
  • Dehydration. Because you’re not supposed to drink fluids with your meals, some people become dehydrated. You can prevent dehydration by sipping 48 to 64 ounces (1.4 to 1.9 liters) of water or other low-calorie beverages throughout the day.
  • Nausea and vomiting. If you eat too much, eat too fast or don’t…

View original post 201 more words

Why choose high protein snacks?

Protein is an important nutrient in the body for a number of reasons, including providing essential amino acids required for building new cells in the body.  Protein is a component of every cell and hair and nails are made almost completely from protein.

The body does not store protein as it does other macronutrients such as carbohydrates, so we need to eat it to provide the building blocks for enzymes, hormones, bones, skin, blood and muscle cells.

A good level of protein is especially important when you are dieting or undertaking an intensive training regime to ensure that muscle mass is not lost.  If you are not eating a sufficient amount of protein and your stores of carbohydrates are depleted, muscle may be burnt as a source of fuel, leading to loss of muscle mass.  This loss of muscles makes you weaker and more prone to injury.

Eating a diet high in protein is thought to promote satiety and help to keep blood sugar levels constant.  There is also some suggestion that a high protein diet may be effective in reducing risk of some lifestyle diseases such as heart disease and type 2 diabetes, however it is important to note that best effects were usually seen with strict calorie controlled diets that were also low in unhealthy fats.

By snacking on healthy, high protein foods, you may find you are less hungry and therefore less tempted to reach for unhealthy snacks or over eat at meal times thus resulting in fewer calories consumed and possible weight loss.

If you do not normally eat much protein in your diet, snacks are a good way to ensure you meet your requirements and may help those who are very active to maintain muscle and build strength.

After a tough workout, a snack that is high in protein and low GI carbohydrates may be the best option for recovery and to keep blood sugar levels stable (see also: healthy post workout snacks)

How much protein is required?

The US department of health and human services recommends that women consume about 5 ounces of protein per day, although six may be more appropriate for very active women.

Most people easily meet protein requirements daily, although vegetarians and vegans may have more trouble eating this amount.

Healthy High Protein Snack Ideas

 1. Nuts and seeds

Peanuts on PlateThese make the perfect snack on the run as they are easily transportable and keep well.  A small box of these in the car or on your desk at the office makes a quick and easy, yet satisfying snack.

Nuts and seeds are packed full of nutrients and high in healthy fats as well as proteins, making them a nutritious treat.  Unfortunately, nuts and seeds are high in calories due to their high fat content, so it is important to keep serving sizes small, particularly if you are watching your weight.

A small handful should be enough to keep you going without providing too much energy.

For the healthiest snack, choose nuts that are raw and unsalted, as roasted varieties tend to be higher in fat and very salty ones often leave you craving more.  For a balanced post workout snack, add a few pieces of dried fruit for carbohydrates and variety.

2. Yogurt

greek-yogurtHigh in calcium, vitamin D and protein, yogurt can help to maintain healthy bones as well as make a tasty, nutritious snack.  Women are particularly at risk of osteoporosis later in life, so a good calcium intake is vital.

Low fat varieties are the lowest in saturated fats, however may be higher in sugar and therefore calories than normal varieties.  A low fat natural or Greek yogurt is the best option, but check labels to be sure as these can vary from brand to brand.

Top with a little muesli, nuts, seeds or fruit for a more substantial snack.

3. Low fat milk

glass-low-fat-milkOnce again high in calcium as well as protein, milk makes a versatile base for many different high protein snacks.  Try blending with fresh or frozen fruit for a healthy smoothie, or adding a little cocoa for a warming drink that fills you up.

Soy or almond milk makes a good alternative if you do not drink milk.  Always choose low fat varieties for the least saturated fat.

 

4. Tuna fish

canned-tunaCanned Tuna and any other fish in a can make an ideal high protein snack.  Serve on whole grain crackers or in a salad for added vitamins and minerals or buy snack sized tins with added flavours such as sweet chilli or lemon pepper for a more convenient snack on the go and eat with a fork.

For the lowest calorie option, choose fish packed in water.  If you are not concerned about calories, those canned in extra virgin olive oil add some extra healthy fat.

5. Eggs

eggsEggs may have gotten bad press in the past, but they are currently endorsed as a healthy food that can be eaten daily and they are certainly packed full of nutrition as well as protein.

A hard-boiled egg makes a more transportable snack, or poach on whole grain toast with spinach for a more substantial snack or meal.

 

6. Legumes

LegumesChickpeas, lentils and beans are all good sources of protein, especially for vegetarians.  They are also high in other nutrients, particularly fibre which is important for bowel health.  Dips made with beans or chick peas such as hummus with vegetables or whole grain crackers make an ideal snack, or try dried varieties.

Be aware though that some flavoured and fried varieties can have as much fat and salt as potato chips, meaning they are not a healthy choice.

 

7. Nut butters

nut-butterA spread of nut butter on crackers or even fruit or vegetables can add protein to a snack that is normally low in this nutrient.

Peanut or almond butter make a nice topping for celery, apple or banana slices or can even be eaten by the spoonful.

 

 

 

8. Cheese

cheeseCheese is an excellent source of protein, but hard cheeses are generally high in saturated fat, so soft white cheeses make a better option from this perspective.  Unfortunately soft cheeses are generally not as high in calcium, but are a good choice if you have plenty of other calcium sources in your diet.

Spread on crackers or dip fruit and vegetables for a healthy and tasty high protein fix.  Hard cheeses are fine in small quantities, but due to the high saturated fat content, they should not be an everyday food.

Choose stronger flavoured cheeses so you can use less but still get great flavour.

9. Tofu

tofuTofu is a great protein alternative for vegetarians and meat eaters alike.  Low in fat and high in isoflavones, which are thought to have health benefits particularly for women.

Marinated tofu makes for more interesting flavour, but remember that fried varieties may be higher in fat and calories.  Plain tofu stir-fried with a few veggies makes a more filling snack.

 

 

10. Protein bars

protein-barsWhile there is really not need to spend so much money to get your protein fix, (these are normally expensive), there is no doubt they are convenient on the run and may also contain other valuable nutrients.

Sufficient protein can easily be obtained from natural foods; however, the occasional bar is probably a better choice than a high sugar product such as granola bars.

 

Are You Being Trueful With Your Calorie Intake?

One key to maintaining a healthy weight is to balance the calories you eat with the calories you burn.  But that’s sometimes easier said than done.

 

Image

Balancing your calories sounds deceptively simple.  Eat more calories than you burn and you’ll gain weight. Take in fewer calories than you burn and you’ll shed some pounds. Keep your “calories in” and “calories out” about the same, and your weight should stay pretty stable.  So why is it that hardly a week goes by that someone doesn’t complain to me that they’re “exercising like a madman, but not losing any weight” or, “eating like a bird but the scale won’t budge”?  It simply boils down to this: when it comes to counting calories accurately – the ones you eat and the one you spend – there are so many ways it can go wrong.

Let’s say you’re a pretty big guy, and you’re fairly active.  And let’s say that in order to maintain your weight, you need to eat about 2700 calories a day.  That adds up to a million calories in a year.   If you’re calorie counting is off by a measly 10%, you’d eat 100,000 calories more than you thought in the course of a year – and you’d gain 28 pounds in the process.  And that’s just an error on the ‘calories in’ side of the equation.  A lot of people have trouble estimating the calorie cost of their exercise – the ‘calories out’, too.  So if you’re having some trouble with your ‘balancing act’, here are some of the reasons you might be struggling.

You don’t have a clue how many calories you should be eating every day

The logical place to start is by estimating how many calories your body burns in a day.  The problem is, there are a lot of variables – including your age, your gender, how much body fat or muscle you have, and how intensely you exercise.  The bulk of the calories you spend every day (about 70%) are used just to keep all your systems running – circulatory, nervous, digestive, and so on – and this ‘resting metabolic rate’ is determined by how much muscle you have.  The remaining calories you burn are used to fuel your daily activity.  You can find tools to help you estimate your calorie needs – and that’s a good place to start – but keep in mind that they’re only estimates, since they can’t take into account your unique body composition.  One good way to estimate your calorie needs is to keep a very accurate food diary for a week or so, and look at your average daily calorie intake.  If your weight is stable, then you’re eating about the right number of calories.  If you’re gaining, then you’re eating more than you need.

You underestimate how many calories you eat

Unfortunately, the information you get from your food diary depends on how accurately you record everything.  And most people underestimate how many calories they eat – by as much as 40%.  If you don’t weigh and measure everything – and rely instead on ‘eyeballing’ your portions – you could be wayoff.  Also, keep in mind that the calories listed on food packages can be off by up to 10%, and the calories in restaurant dishes can be as much as 25% higher than what’s listed on the menu.  And as you’re writing everything down, don’t forget the extras – the condiments, the gravies and salad dressings, the sugar and cream in your coffee, the handful of crumbs you found at the bottom of the cookie jar, the few bites of pizza you ate while standing at the kitchen sink.  It all counts.  Every single bite.

You overestimate how many calories you burn when you exercise

Most people estimate that they burn 2-3 times more calories through exercise than they actually do. Your calorie burn when you exercise depends on lots of things – your body size, how long you are actually exercising, and how intensely you work out.  Many times, people aren’t working out as hard as they think they are (…or for as long.  One of my clients wasn’t exactly lying when she swore to me that she was ‘in the pool for an hour every day’ – it’s just that she spent most of the time sitting on the steps chatting with her girlfriends).  And your body size matters, too – the more you weigh, the more calories you burn doing a particular exercise. Someone who weighs 120 pounds burns 250 calories walking for an hour at a speed of 3 miles an hour,  but a 200 pound person walking at the same speed burns over 400 calories.  If you’re relying on the exercise machine at your gym to tell you how many calories you’re burning, it may not be accurate.  Just keep in mind that an hour of swimming means 60 minutes of actual movement – which isn’t the same thing as, ‘an hour in the pool’.

You reward yourself for working out… by taking it easy the rest of the day

Maybe after exercising, you’re convinced that you’ve burned up a lot more calories than you actually have, so you figure you’ve earned a treat (see below). But adjusting our “calories in” as a result of exercise isn’t the only way we compensate.  Sometimes we adjust our “calories out” – and after a spell of activity, we overcompensate by simply becoming a lot less active for the rest of the day.  So when all is said and done, we’ve burned about as many calories as if we hadn’t exercised at all.  You need to keep up with your usual exercise and your usual daily activities, too.

You reward yourself for working out… with food

If I had a pound for every time I’ve heard, “I worked out really hard, so I deserved that (…pizza, ice cream, beer…)” I’d be a wealthy woman.  Once you’ve convinced yourself that you burned off a lot more calories than you actually did (see above), it’s equally easy to convince yourself that you’ve got calories to spare –  and that you couldn’t possibly overeat.

So here’s another way to look at it. How much exercise would you actually need to do to burn off that pizza, ice cream or beer?  The chart below shows how much exercise a 150 pound person would have to do in order to burn off the calories in a variety of foods – and it takes a lot more than you think.  Imagine what you could accomplish if your exercise actually burned up as many calories as you thought it did – and you didn’t refuel afterward with a double cheeseburger and fries.

Food…

  Amount…

  Calories…

  Exercise required…

Microwave popcorn   –  4 cups   –  140   –  20 minutes of biking
Average candy bar   –  1 bar   –  280   –  30 minutes of singles tennis
Chocolate fudge brownie ice cream   –  1½ cups   –  780   –  90 minutes of racquetball
Potato chips   –  15 chips   –  160   –  90 minutes of Frisbee
Meat and cheese pizza   –  2 slices   –  1000   –  2 ½ hours of ice skating
Beer   –  16 ounces   –  250   –  1 hour of water aerobics
Chocolate chip cookies   –  4 small   –  400   –  120 minutes of bowling
Mixed nuts   –  ½ cup   –  435   –  165 minutes of dusting
Macaroni and cheese   –  1 cup   –  430   –  45 minutes of stair-climbing
Double burger with fries   –  1 burger + large fries   –  1100   –  2 hours of jogging
Ranch dressing   –  2 TBSP   –  150   –  30 minutes of aerobics
Mayonnaise   –  1 TBSP   –  100   –  22 minutes of brisk walking