B2B Blog

Revisional surgery is an important component of addressing weight regain and complications following primary bariatric surgery. Owing to provincial need and the complexity of this patient population, a specialized multidisciplinary revision clinic was developed.

Bariatric surgical procedures cause weight loss by restricting the amount of food the stomach can hold, causing malabsorption of nutrients, or by a combination of both gastric restriction and malabsorption. Bariatric procedures also often cause hormonal changes. Most weight loss surgeries today are performed using minimally invasive techniques. 

First, similar to most bariatric procedures, the newly created stomach pouch is considerably smaller and facilitates significantly smaller meals, which translates into less calories consumed.

During the past two years, a number of new minimally invasive methods for revising bariatric operations laparoscopic ally have come onto the scene. Although the risks associated with the new techniques are quite low, preliminary weight loss results are similar to those of the operations performed 20 years ago. A critique of these new approaches is found below.

Sclerotherapy

Sclerotherapy is injection of a glue-like substance via an endoscope in and around the stretched anastomosis to make it smaller. Moreover, because the glue alters the tissue where it’s injected, subsequent surgical revision is likely to be more hazardous.

Endoscopic/Endoluminal Suture Plication

This refers to the narrowing of the circumference/size of the stretched anastomosis using either sutures or metal fasteners which are placed through an endoscope.

Banding the Bypass

This is the placement of a laparoscopic adjustable band above the stretched anastomosis/stoma. Subsequently, this procedure functions like a primary LAP-BAND operation.

Selecting the Right Operation

Choosing the appropriate revisional procedure is probably more important than selecting the first bariatric operation. This is because it’s crucial to know or ascertain why the first operation failed.

Advantages of bariatric surgery

1. Produces significant long-term weight loss (60 to 80 percent excess weight loss)
2. Restricts the amount of food that can be consumed
3. May lead to conditions that increase energy expenditure

Disadvantages of bariatric surgery

1. Is technically a more complex operation than the AGB or LSG and potentially could result in greater complication rates
2. Can lead to long-term vitamin/mineral deficiencies particularly deficits in vitamin B12, iron, calcium, and folate
3. Generally has a longer hospital stay than the AGB

Treatment Reference

If you have already undergone a form of bariatric surgery and had complications or did not successfully lose weight, revisional bariatric surgery might be an option for you.

About Weight Loss Revision Surgery

Revisional weight loss surgery is beneficial for correcting complications from a previous weight loss procedure or for enhancing weight loss results.

At UPMC Bariatric Services, we will carefully evaluate you before considering revisional bariatric surgery for inadequate weight loss.

This evaluation typically involves:

• An upper GI series to check the anatomy of your stomach or intestines
• A nutritional assessment to review your eating habits and lifestyle

Risks of Revision Surgery

Revision surgery carries increased risks, such as the potential for bleeding, especially if you have scarring from your original bariatric procedure.

Your bariatric surgeon will review all potential risks and complications with you prior to revision surgery.

Bariatric Revisions Surgical Options

Recovery time for bariatric revision surgery is about two weeks, if the procedure is performed laparoscopically.

• Gastric bypass surgery: Not reversible
• Gastric sleeve surgery: Not reversible
• Gastric (LAP) band surgery: Revision procedures available

TYPES OF REVISION WEIGHT LOSS SURGERIES INCLUDE:

Gastric bypass revision surgery

If you have had gastric bypass surgery and you are not losing weight, you are gaining weight, or you are having medical complications, your bariatric surgeon will first ask you to keep a food diary to ensure that the number of calories you are eating can help promote weight loss.

Lap band revision surgery

Lap bands that have slipped, eroded, or failed for any other reason require revision weight loss surgery. In some cases, it is best to remove the band altogether. Vertical sleeve gastrectomy is a revision weight loss surgery option that can help promote weight loss in patients whose lap bands have been removed 

Vertical banded gastroplasty revision surgery

If you have had vertical banded gastroplasty and are not losing or are gaining weight, your procedure might need to be revised with newly placed staples and / or revised banding.

Treatment Reference

Erectile dysfunction is the inability to get and keep an erection firm enough for sex.

Having erection trouble from time to time isn’t necessarily a cause for concern. If Erectile dysfunction, Maimi is an ongoing issue, however, it can cause stress, affect your self-confidence and contribute to relationship problems.

Erectile dysfunction (ED) happens when a man has ongoing problems getting and keeping an erection. Without treatment, ED can make sex difficult. The problem is reported by 1 in 5 men, and that number gets bigger with age.

A family doctor is a good place to start when you have erectile problems. See your doctor if:

• You have concerns about your erections or you’re experiencing other sexual problems such as premature or delayed ejaculation
• You have diabetes, heart disease or another known health condition that might be linked to erectile dysfunction
• You have other symptoms along with erectile dysfunction

In cases where medications aren’t effective, your doctor may recommend surgical treatment. There are two types of procedures that may be used: implants and vascular surgery.

A penile implant also referred to as prosthesis, can be placed in the penis. There are two different types. An inflatable implant allows you to use a pump to make your penis larger, while a malleable implant allows you to adjust the position of your penis manually.

• Erectile dysfunction (ED) is defined as persistent difficulty achieving and maintaining an erection sufficient to have sex.
• Causes are usually medical but can also be psychological.
• Organic causes are usually the result of an underlying medical condition affecting the blood vessels or nerves supplying the penis.
• Numerous prescription drugs, recreational drugs, alcohol, and smoking, can all cause ED.

Symptoms of Erectile dysfunction

If you can’t get or keep an erection that lasts long enough or is rigid enough for sex, you have erectile dysfunction.

Symptoms of Erectile dysfunction include:

• Erections that are too soft for sex.
• Erections that are don’t last long enough for sex.
• An inability to get an erection.

You may be able to improve your sex life with a few lifestyle changes. Giving up smoking, losing weight, and exercising more often can improve your blood flow. If you suspect a medication could be to blame, talk to your doctor about adjusting the dosage or switching to another drug.

Ageless Solution Reference

Eclipse eVIVE is the first pulse wave therapy device with the specific purpose of making men’s wellness treatments affordable and long lasting in a natural way. eVIVE uses acoustic sound waves which diffuses as it travels away from the applicator tip, creating a therapeutic effect as it passes through the target tissue.

Safety 

No pills or pre-planning required for trusted and proven ED treatment.

Simplicity 

No expensive pills with side effects or pre-planning required, and no risk for patients with health conditions that prohibit other therapies.

Real Results 

Patients enjoy simple ED treatment with no downtime and lasting results.

Simplicity 

Non-invasive, in-office procedure uses high frequency, low intensity sound waves without surgery or use of any drugs.

Profitability 

By offering a convenient, in-office treatment to patients, physicians can see a more profitable solution that produces real results without the long downtime of complex surgeries.

Patient Affordability 

Evive offers patients a more affordable treatment option over more complex and invasive surgical procedures, with little to no downtime.

Complications in sexual wellness often come with age and can be the result of erectile dysfunction, poor scar tissue or loss of sensitivity. Combining eVIVE treatment with PRP has shown to have a positive impact on the sexual wellness for men, with fewer risks than medications or more complex treatments.

Treatment with eVive

eVIVE uses Pulse Wave Therapy to relieve minor muscle aches and pains. It also increases blood flood to the treated areas helping with circulation.

There are have some treatment of eVIVE. They are

• Stimulate the release of growth factors in penile tissue, resulting in the generation of new blood vessels
• Break up plaque formation in existing blood vessels
• Activate dormant stem cells, leading to new cell growth

Ageless Solution Reference

Sexuality is part of being human. Love, affection and intimacy all play a role in healthy relationships from childhood through old age.

This temporary procedure encompass two procedures; micronized fat transfer and stem cell transfer to increase girth of the penis and Priapus shot to corpus cavernosum to increase blood flow and sensation of the penis. Achieving sexual health allows for:

• Healthy relationships
• Planned pregnancies
• Disease prevention

Penis-enlargement products

Most advertised penis-enlargement methods are ineffective, and some can cause permanent damage to your penis. Here are some of the most widely promoted products and techniques:

Pills and lotions. 

These usually contain vitamins, minerals, herbs or hormones that manufacturers claim enlarge the penis. None of these products has been proved to work, and some may be harmful.

Vacuum pumps. 

A vacuum pump can make a penis look larger temporarily. But using one too often or too long can damage elastic tissue in the penis, leading to less firm erections.

Exercises. 

Sometimes called jelqing, these exercises use a hand-over-hand motion to push blood from the base to the head of the penis.

Stretching. 

Stretching involves attaching a stretcher or extender device also referred to as a penile traction device to the penis to exert gentle tension.

A few things that might actually help

Although there’s no guaranteed safe and effective way to enlarge your penis, there are a few things you can do if you’re concerned about your penis size.

Communicate with your partner. 

It may be hard to break old habits or to discuss sexual preferences with your partner. But you’ll be glad you and you may be surprised at the spark it ignites in your sex life.

Get in shape and lose the belly fat. 

If you’re overweight and have a “beer gut,” your penis might appear shorter than it is.

Regular exercise can make a big difference. Better physical conditioning may not only make you look better, but also can improve strength and endurance during sex.

Talk to your doctor or a counselor. 

Feeling unhappy about the size of your penis is common. A certified counselor, psychologist, psychiatrist or your family doctor can help.

Many men feel better with reassurance that they are “normal” or with advice about how to better satisfy their partner without resorting to cosmetic penis enlargement.

Ageless Solution Reference

Hormone replacement therapy (HRT) can help balance estrogen and progesterone levels during or near menopause. There are also many other reasons why a doctor might prescribe supplementary sex hormones.

Hormones are defined as man-made hormones that are very similar to the hormones produced by the human body. These are then used as treatment for men and women whose own hormones are low or out of balance

Intramuscular, transdermal, intravaginals, oral, subcutaneaous by using creams, injections, applicators, pills, foam, etc. Most of these forms require daily or minimum weekly administration.

Some are very common to women who are past the age of having periods (menopause). Some common effects of low hormones include:

• Hot flashes
• Night sweats
• Vaginal dryness
• Loss of interest in sex
• Pain during sex
• Problems sleeping
• Loss of energy
• Fatigue
• Loss of muscle mass

Pharmacies that compound hormones do not have to report drug side effects to the FDA, or provide such paperwork. Side effects can occur when a dose is first given. The body is not used to the new level of hormones. Some common side effects include:

• Weight gain
• Blurred vision
• Tiredness
• Acne
• Increased facial hair (women)
• Headaches
• Breast tenderness
• Spotting

Testosterone pellets, such as Testopel, are small. They measure 3 millimeters (mm) by 9 mm and contain crystalline testosterone. Implanted under the skin, they slowly release testosterone over the course of three to six months.

Pellet implants even deliver more when the body needs it—like during exercise or periods of stress.

1. Right Amount of Hormones

Creams, pills and patches all deliver wildly, inconsistent amounts of hormones unnaturally released into the body that does not mimic how the body naturally delivers hormones. 

2. Simple Safe Pellet Insertion

Once inserted, a steady, low dose of natural hormone flows directly into the blood stream whenever the body needs it. This gives the body the ability to control the release of the hormone just as it did when the ovaries and testicles were working normally. 

3. Promote and Preserve Bone Density

As we age and our hormone levels shift dramatically, maintaining normal bone density becomes critical to good health. Fluctuating levels of estrogen and testosterone decrease bone strength and increase the chance of fractures. 

Ageless solution Reference

Hormone replacement therapy (HRT) can help balance estrogen and progesterone levels during or near menopause. There are also many other reasons why a doctor might prescribe supplementary sex hormones.

Hormones are defined as man-made hormones that are very similar to the hormones produced by the human body. These are then used as treatment for men and women whose own hormones are low or out of balance.

Intramuscular, transdermal, intravaginals, oral, subcutaneaous by using creams, injections, applicators, pills, foam, etc. Most of these forms require daily or minimum weekly administration.

Some are very common to women who are past the age of having periods (menopause). Some common effects of low hormones include:

• Hot flashes
• Night sweats
• Vaginal dryness
• Loss of interest in sex
• Pain during sex
• Problems sleeping
• Loss of energy
• Fatigue
• Loss of muscle mass

Pharmacies that compound hormones do not have to report drug side effects to the FDA, or provide such paperwork. Side effects can occur when a dose is first given. The body is not used to the new level of hormones. Some common side effects include:

• Weight gain
• Blurred vision
• Tiredness
• Acne
• Increased facial hair (women)
• Headaches
• Breast tenderness
• Spotting

Testosterone pellets, such as Testopel, are small. They measure 3 millimeters (mm) by 9 mm and contain crystalline testosterone. Implanted under the skin, they slowly release testosterone over the course of three to six months.

Pellet implants even deliver more when the body needs it—like during exercise or periods of stress.

1. Right Amount of Hormones

Creams, pills and patches all deliver wildly, inconsistent amounts of hormones unnaturally released into the body that does not mimic how the body naturally delivers hormones. 

2. Simple Safe Pellet Insertion

Once inserted, a steady, low dose of natural hormone flows directly into the blood stream whenever the body needs it. This gives the body the ability to control the release of the hormone just as it did when the ovaries and testicles were working normally. 

3. Promote and Preserve Bone Density

As we age and our hormone levels shift dramatically, maintaining normal bone density becomes critical to good health. Fluctuating levels of estrogen and testosterone decrease bone strength and increase the chance of fractures. 

Ageless solution Reference

Vaginal rejuvenation, Miami is a broad term for vaginal corrective treatments. These procedures can be done for cosmetic reasons or to solve age-related problems, such as lack of vaginal tightness and urinary incontinence. 

Energy-based treatments are nonsurgical procedures that use heat. The treatments are done with a device that focuses the energy and heats the tissue. Energy-based devices are used for skin treatments and more recently, for vaginal rejuvenation, Maimi.

Types of Energy based treatment for vaginal rejuvenation, Miami

There are two types of energy-based treatments for vaginal rejuvenation. Both treatments use heat.

Radiofrequency (RF) treatments:

Electromagnetic waves are used in RF devices. Similar to the waves used in a microwave but to a lesser extent the energy is focused to heat the tissue.

CO2 laser treatment:

The laser heats up the upper layers of the tissue, causing the tissue in the lower layers to make more collagen. This makes the skin firmer and tighter.

A patient should wait two to three days to have sex after an energy-based treatment. Obviously, if there are signs of vaginal or bladder infection or significant bright red bleeding, the patient should undergo evaluation.

Thermiva is a Radiofrequency machine that is used to increase blood flow and build up collagen in the tissue where is used. 

Risks of Vaginal rejuvenation, Miami

The risks of Vaginal rejuvenation, Miami include:

• Infection
• Permanent changes in sensation
• Ongoing pain
• Scarring

Vaginal rejuvenation” is a much-contested expression referring to the treatment of various physiological changes affecting a woman’s vaginal canal, vaginal wall, or pelvic floor often following a vaginal birth or menopause.

At MD Ageless Solutions we use a combination of procedures that address some of same issues from a different angle, like for example, vaginal dryness, vaginal tightening, urinary incontinence and decreased libido. 

Ageless Solution Reference

Vampire Breast Lifts take advantage of cutting-edge aesthetic medicine techniques to provide lift, improve the skin of your décolletage, and create the appearance of firmer, fuller breasts. Once your breasts are numbed, the PRP solution will be injected into strategic areas of your breast to renew your skin from within and induce the production of collagen. PRP is often combined with hyaluronic acid and/or microneedling procedures to improve its efficacy.

A Vampire Breast Lift is completely safe and has been proven to be effective. It is non-invasive and requires no downtime. You may experience little bruising and swelling which will resolve in a few days. Most people can even return to their normal daily activities immediately after the procedure.

Effects of a Surgical Breast Lift

Vampire breast lifts get their name from the iconic blood-sucking characters from folk tales to hit T.V. shows because, like their namesakes, the treatments involve sucking out a patient’s blood. There are have some side effects of vampire breast lift. They are:

• Lifts the nipple and the breast
• Adds outward volume
• Does not add volume to the upper breast
• Does not add volume to the cleavage area
• Sometimes has the effect of pulling the breasts apart
• Often numbs the nipple, causing loss of sensation

Benefits of the Vampire Breast Lift

The appointment usually takes an hour or less. Your chest may be a little red afterwards, but it will go away in a few hours. Clients can go home or go to work immediately after the procedure. There are have some benefits of vampire breast lift.

• Changes shape without changing size
• Lifts the breast, reversing sagging that occurs with aging
• Creates fuller, firmer, more shapely breasts
• Restores fullness to the top of the breast
• Pushes the breasts together
• Creates rounder cleavage
• Improves symmetry
• Repairs nerve damage, can restore lost feeling to the breast and nipple

Critics of PRP therapy have argued that adding rich plasma does not equate to more healing power. The human body requires a precise balance of cells and nutrients for optimal function; adding too much platelet-rich plasma could disrupt that balance in useless or even harmful ways. 

Ageless Solution Reference

A double chin, also known as submental fat, is a common condition that occurs when a layer of fat forms below your chin. A double chin is often associated with weight gain, but you don’t have to be overweight to have one. 

Exercises that target a double chin

Kybella chin removal is a nonsurgical injection procedure done to remove excess chin fat. The procedure takes about 15-20 minutes. It is done using a synthetic form of deoxycholic acid. It is an alternative to surgical procedures like liposuction.

Here are six exercises that may help strengthen and tone the muscles and skin in the area of your double chin.

Straight jaw jut

Tilt your head back and look toward the ceiling.

Push your lower jaw forward to feel a stretch under the chin.

Hold the jaw jut for a 10 count.

Relax your jaw and return your head to a neutral position.

Ball exercise

Place a 9- to10-inch ball under your chin.

Press your chin down against the ball.

Repeat 25 times daily.

Pucker up

With your head tilted back, look at the ceiling.

Pucker your lips as if you’re kissing the ceiling to stretch the area beneath your chin.

Stop puckering and bring your head back to its normal position.

Tongue stretch

Looking straight ahead, stick your tongue out as far as you can.

Lift your tongue upward and toward your nose.

Hold for 10 seconds and release.

Neck stretch

Tilt your head back and look at the ceiling.

Press your tongue against the roof of your mouth.

Hold for 5 to 10 seconds and release.

Bottom jaw jut

Tilt your head back and look at the ceiling.

Turn your head to the right.

Slide your bottom jaw forward.

Hold for 5 to 10 seconds and release.

Repeat the process with your head turned to the left.

Ageless Solution Reference