Consulting with Dr. Newman  

Consulting with Dr. Newman
In pursuit of the washboard stomach

With the upcoming New Year’s resolution to achieve a washboard stomach, many of us will fail to realize this goal with just diet and exercise.  Many factors contribute to having the extra “pooch”, “beer belly”, “love handles” and loose saggy skin that just won’t go away.  Below I will review some of the causes for this and the treatment options available to help you achieve your desired physique.
Causes of Abdominal Bulging
Besides your lifestyle and habits, which determine your eating and exercise routines, hormonal factors, childbearing, obesity and obesity treatments all may contribute to this problem.
Hormonal causes:
  Insulin resistance Syndrome
Physical causes:
  Pregnancies, childbearing
  Dramatic weight loss
olycystic Ovarian Syndrome can include the following symptoms: Irregular or absent menses, numerous cysts on the ovaries in many but not in all cases, high blood pressure, acne, elevated insulin levels, Insulin Resistance, Diabetes, infertility, excess hair on the face and body (hirsuitism), thinning of the scalp hair (alopecia), and weight problems or obesity that is centered around your mid section.
Insulin Resistance Syndrome (IRS)
The hormone insulin regulates sugars in the blood.  When the body does not respond properly to the hormone the blood levels of insulin are elevated and this is called Insulin resistance.  The syndrome is made up of a group of medical conditions that may include obesity, hypertension, high cholesterol, high triglycerides, type 2 Diabetes, and high insulin blood levels.  Although the disease process can remain effectively hidden for years, some clues of this syndrome may be seen as abdominal obesity, fatigue, and intense craving for sweets. 
With pregnancy and childbearing, the abdominal muscles and the skin are stretched apart and loosened causing the abdomen to protrude and unsightly stretch marks on the skin.  At times hernias can develop with the weakened abdominal muscles.
Dramatic Weight loss
Patients with weight problems suffer from similar conditions as women whom have undergone pregnancies.  In patients who lose this weight, either through dietary modification and exercise or from surgical procedures such as stomach banding, the loss of fat results in a greater amount of loose skin than seen with pregnancy alone.
Solutions: Medical Treatments
Medical treatments for hormonal problems are effective in correcting the root cause of the medical condition and can help you lose weight and improve your overall health.  For the hernias that may be noted by you or your physician, surgical correction can be done safely and you will be sent hone the same day.  Most insurance plans will cover these medical treatments.
Solutions: Cosmetic Surgery Options
Liposuction & Liposculpturing
Liposuction is used to remove excess fat and liposculpture is used to sculpt the body by selective removal of fatty pockets.  Liposuction may be able to give you your desired body figure without much scarring and with minimal down time.
Tummy tuck (abdominal plasty)
When the abdominal muscles are bulging and when there is much loose skin then an abdominoplasty is done to remove the excess skin and to tighten the abdominal muscles.  The upper part of the abdomen and the sides should be liposuctioned before or during the abdominoplasty to remove the excess fat from these areas and contour the body.  Stretch marks that are on the lower part of the abdomen can be removed with this procedure.
When loose skin is present mostly on the lower part of the abdomen, then a shorter incision is made on the lower abdomen and the excess skin is removed.  The scar is more cosmetically acceptable and the recovery time is shorter.
Periumbilical Tuck
In some cases the loosened skin can be removed by cutting around the umbilicus only.  This procedure does not require cutting on the lower abdomen and the scar around the umbilicus tends to heal well and becomes hidden in the umbilicus.
Omega Tuck
When excess loose skin is mostly above the umbilicus, this procedure allows for tightening of the skin with minimal scarring and with minimal surgery.
Non-Surgical Skin Tightening
If your main concern is the loose skin and would like to improve the appearance of the skin without surgery, then the Titan may be the answer for you.  The Titan is a new laser-type of treatment that has no down time and is very safe.  It can be used on any part of the body and on any skin color to tighten the skin.
The Best Option…
Only through a physical examination and simple blood test for the hormone levels by your physician and consultation on the treatment options for you can you determine which treatments are best for you.