Weight Loss Surgery for Better Life from Dr. Brian Evans MD

Weight Loss surgery seriously is not for everyone. It is not even for every obese person who is able it. Regardless of how overweight you will be, weight loss bypass surgery is NOT for you personally if you think that it’s going to once and for all deal along with your weight problem. Surprised? Weight Loss surgery is not a magic wand that magically could make all your weight issues disappear. The surgery for weight loss however will change your life for the better should you fit the profile.


It’s not about body mass index or BMI, height and weight charts, or even the level of you weigh. At issue here is your outlook concerning fat loss and the issue weightloss surgery can address. Dr. Brian Evans says that if you are hunger and concentrate on meals are constant even when eating then surgery could be for you. Bariatric surgical procedures are recognized to quiet the meals monster inside many people. We’re talking about folks who, for whatever reason, consider food and have absolutely hunger pangs sometimes even when eating. Emotional eaters might want to recognize that food will no longer be available as being a supply of comfort and this may lead to other problems unrelated to surgical weight loss.


Understand that surgery has its benefits if ever the grand scheme of things is to lose weight. Many bariatric weight-loss surgery options like lap banding work to shrink your stomach. Some use laparoscopic techniques to put a band around your stomach that constricts the total amount of food which you could eat at any one time. This band ends in something just like a figure 8. The top portion of the stomach is way smaller than the lower section, giving you a sense of fullness with just a few bites of food.


Despite our a lot of our thinner brethrens claims that obesity is just a deficiency of self-control, research has proven many times that excess weight is much more complex. A personality’s weight has as much to complete with their emotional state and previous upbringing as it does with what is really eaten. Evidence of this is seen in food selections made by people in highly emotional or stressful situations. It’s almost a cliché that a lady dealing with a recent romantic breakup will reach for chocolate or the proverbial chocolate chip cookie dough ice cream.


No weight-loss surgery can help with this kind of emotional eating situation. It won’t deal with your weight problem once and for all. Surgery is a tool that will help you eat less, though it’s possible to out eat the benefits. Keep in mind that the only true ways to reduce weight is to consume less and exercise more. This surgery works that can assist you eat less but it surely can be done to out eat its benefits. Staying on the strict diet after weight-loss surgery however is way easier to do.


In the long run, if you are emotionally prepared to live with food only being a source of fuel then fat loss surgery may be for you. You have to be encouraged to continue to do research as any kind of weight-loss surgery is really a life-changing decision not be to undertaken lightly.


Consult Dr. Brian Evans MD a Board-certified Plastic Surgeon for more details. A thorough first consultation by Dr. Brian Evans MD is scheduled to understand the requirement of patients before procedures are performed. Services provided include the surgical reshaping or augmentation of facial features and breasts, surgical body sculpting procedures, stem cell therapy, surgery for skin cancer and wound care surgery.

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Is Cosmetic Surgery Covered By Insurance? Dr. Brian Evans

Is cosmetic surgery covered by insurance? This is a question that many people have and have asked Dr. Brian Evans MD, when planning to undergo a cosmetic surgery procedure. It is a fact that plastic surgery is expensive. The cost is a big factor that influences your decision whether to undergo cosmetic surgery or not.


Financing Options for Cosmetic Surgery


Well, before committing to any procedure, most plastic surgeons will ask you to pay a deposit. Plus, there are additional fees that you have to incur in the facility. The good news is that your insurance may help cover part of your procedure cost. There are many financing companies that offer easy and convenient loans to pay for medical expenses associated with plastic surgery. Insurance providers assist patients seeking cosmetic surgery with financing for their desired procedure. With the help of these financing companies, you can pay for your surgery costs in easy installments over time.


There are certain procedures that the insurance companies refuse to cover. As far as eligibility for insurance is concerned, plastic surgery is categorized into two: cosmetic and reconstructive. Certain cosmetic surgery procedures are undergone for reasons other than aesthetic ones. Cosmetic procedures that are performed to improve function rather than aesthetic aspects are eligible for an insurance cover. For e.g. when a person chooses to have blepharoplasty or eyelid surgery for cosmetic enhancement, then the procedure will not get insurance coverage. At the same time, the same procedure performed to correct drooping eyelids that are causing vision problems is eligible for insurance coverage. Breast augmentation, when performed to meet aesthetic goals is not covered by insurance.



Cosmetic Surgery and Insurance

Some of the cosmetic surgery procedures covered by insurance:


Abdominoplasty: If performed for an obese person to improve or eliminate health problems.

Breast surgery: It is eligible to get financial coverage for breast surgery procedures, if performed to reduce large breasts that cause back pain, shoulder pain, and related conditions.

Ear surgery: If performed to correct ears deformed by disease or injury, or those deformed at birth.

Blepharoplasty or Eyelid surgery: Is covered, if performed to correct drooping eyelids, which cause vision problems.

Nasal surgery: If performed to correct nasal deformities and nasal birth defects.


Find out whether the cosmetic surgery procedures you have opted for are eligible for insurance coverage. It is important to have a talk with both your surgeon and your insurance provider. They can explain to you whether your desired procedure is covered by insurance or not. Coverage for specific procedures and coverage levels might vary. You can receive full or partial coverage for your plan. Choose a reliable insurance company to consolidate and manage your healthcare expenses and make your body contouring dreams a reality.


Your insurance company may cover a portion of the cost of cosmetic surgery if your plastic surgeon reports to them that the surgery is necessary to modify or for some other type of medical need. If you must cover the entire surgery price yourself, our staff at Dr. Brian Evans Plastic Surgery will offer financing options to make affordable cosmetic surgery available to you. For more questions, visit Dr. Brian Evans Plastic Surgery Clinic and get a free consultation at our facility near Canoga Park.

Cleaning Your Incision After a Surgical Procedure – Dr. Brian Evans

This is a plastic surgeon’s perspective on wound care and cleaning your incisions. We are going to discuss how to clean your incisions after any surgical procedure where an incision is required suggested by Dr. Brian Evans MD a Board Certified Plastic Surgeon. The key for healing is to remove all crusting and to start with an incision that has the skin edges as close as possible together, which is partly up to your surgeon. The crusting is very important to remove because the crusts can be nourishment for bacteria that can proliferate and cause more scarring. They do so because bacterial overgrowth can extend the healing process.


The longer the healing process takes the more scarring. Dr. Brian Evans usually suggests to his patients that they use vinegar and distilled water in a 1:3 dilution to clean the incisions. Stronger dilutions with less water will make it sting more. He tells people to do this twice a day. But, you should do this for at least once a day. Sometimes it takes more than 2 times a day if there are a lot of crusts. If the crusting continues you may need to see your doctor. The goal is to get there incision to look like a fine wrinkle and as clean as possible. If they keep doing this during the first 2 weeks the incision has the potential to heal incredibly.


Always have vaseline over the incisions at all times. It has been scientifically shown that skin cells grow faster when they have two surfaces to grow on. The vaseline serves as the other surface and this promotes the healing. You want the skin cells to grow over the incision as fast as possible. This reduces the scarring and decreases the healing time. Some people advocate hydrogen peroxide for cleaning. Dr. Brian would caution that the use of this can be risky. He uses the same dilution with hydrogen peroxide and distilled water in a 1:3 dilution. The important thing to remember with the use of hydrogen peroxide, if you are going to take the risk, is to use it sparingly. You just want to use it to take the crusting off and then stop. If you do this more than that you can have more scarring. So being conservative is very important. If in doubt don’t use the hydrogen peroxide due to the risk. And if you do use it, do so for only the first week and that is it.


During your care for your wound / incision, you should continue to clean your incision for about the first two weeks and keep vaseline on the incision at all times. After this you can do regular skin care and use sunscreen during the day (approximately 12 hours) and then silicone gel during the evening for 12 hours. The silicone gel can be found at any pharmacy or drugstore, like Bartells or Safeway pharmacy. Dr. Brian would do the silicone gel for the next 3 months and it wouldn’t hurt to do it for the first 6 months. Silicone gel is one of the only things that have statistically shown to make a difference in preventing scarring. Vitamin E, Aloevera, Mederma based on my knowledge and recent literature search (05 / 2010) does not make a scientific difference. Following up with your doctor is really important to do, so that they can make sure that you are on the way to healing the right way!


Wound care and the process of cleaning your incisions after a procedure is extremely important to the end results of your incision. Although a surgeon can put together your incisions as perfectly as possible, the after care can determine the ultimate outcome. Plastic Surgery and plastic surgeons are ideal at making these incisions turn out the best that they can be.


Dr. Brian Evans is a plastic surgeon in West Hills, California and is affiliated with multiple hospitals in the area, including Cincinnati Veterans Affairs Medical Center and San Joaquin Community Hospital. He received his medical degree from Case Western Reserve University School of Medicine and has been in practice for more than 20 years.


Dr. Brian Evans MD aims to increase the confidence of patients and to improve their appearance by performing procedures of a high standard. A thorough first consultation is scheduled to understand the requirements of patients before procedures are performed. Services provided by Dr. Brian Evans Plastic Surgery Clinic include the surgical reshaping or augmentation of facial features and breasts, surgical body sculpting procedures, stem cell therapy, surgery for skin cancer and wound care surgery.


Call (818) 676-4001 for free consultation today!

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Cosmetic Surgery Without Leaving Telltale Tracts Behind!

Today’s cosmetic surgery seeks more than a good result. It also seeks to produce the result without leaving telltale tracts behind. This article will describe some of the ways the modern plastic surgeons like Dr. Brian Evans MD perform to accomplish that dual goal.


The most significant innovation in facial rejuvenation in the past several years has been the adaptation of endoscopic techniques. An endoscope is a surgical tool that incorporates a miniature video camera. It provides surgeons access to deeper layers with visualization of essential anatomy through minimal incisions. For example, the old forehead lift operation required a long incision across the top of the head from ear to ear. Surgeon can do the endoscopic assisted forehead lift through small incisions, all hidden within the hair and provide the same benefits of forehead and brow area rejuvenation, all without removal of any scalp and therefore no hair loss. Not even your hairdresser need know.


The middle-third of the face is that part of the anterior cheek area below the eyes and above the lips. Plastic Surgeons perform mid-face lifts by combining the endoscopic forehead lift described above with an incision under the lip. And can then lift all layers together, and support them in place. The result is a more harmonious rejuvenation, including reduction in circles under the eyes, all without a single visible scar on the face.


Other areas of the face can also be improved without leaving any sign that you have had surgery, other than the fact that you look better. Lower eyelid fat bags can be removed from the inner, backside of the eyelid, leaving no scars. Jowl fat can be removed from inside the mouth. Cheek implants, which can have the effect of enhancing and balancing facial features as well as producing a more youthful look, are generally inserted through incisions under the lip inside the mouth. Double chins and poorly defined necklines can be recontoured with very small liposuction instruments passed through tiny incisions behind the earlobes and in the crease under the chin. Even neck muscle tightening can be done with only a slightly longer incision under the chin. The same approach is used for chin enhancement, using implants that plastic surgeon custom design to your particular need.


Another approach to facial contouring and rejuvenation is fat injection. Fat is harvested from your own body stores (like it or not, an almost inexhaustible resource), and prepared for reinjection. It is then used to fill in lines and wrinkles, correct hollows, and enhance structures such as cheekbones, jaw lines, and lips. Often, several sessions are needed to achieve the final result. The great attraction is that the material comes from your own body so that allergic reactions are impossible, the material (your own fat) is free, and the process uses needle injection so that surgical scars are avoided. Alternatively, there are permanent grafts that are well tolerated by the body that can also be implanted without leaving noticeable marks behind.


Breast augmentation has reemerged as one of the most popular cosmetic surgery procedures. An important decision is the location of the incision. Modern plastic surgeons prefer to avoid a scar on the chest, for obvious reasons. And prefer the axillary incision, and place the implant under the large pectoral muscle to obscure the upper margin of the implant. The final scar, which is high in the armpit, usually fades to a fine white line mimicking a natural skin fold. Other surgeons use the umbilical approach that also leaves the breast unscarred.


The plastic surgery profession has always, with good reason, prided itself on its attention to detail and on minimizing scars. Our traditional, more extensive procedures, including major facelifts and tummy tucks, achieve these goals and are still the best choice in many cases. The newer techniques described above build on that tradition. We truly can achieve great results in a stealthy fashion.


If you are interested in any of these cosmetic surgery facial lifts, contact Dr. Brian Evans Plastic Surgery for a consultation to determine the best treatment for your situation. call at (818) 676-4001

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Understanding Proper Surgical Wound Care – Dr. Brian Evans

There are various types of surgical procedures. Of these, the more common are appendectomy, cesarean section, episiotomy, hysterectomy, and laparoscopy. In the area of plastic surgeries, breast augmentation, rhinoplasty, and liposuction are three of the most popular procedures today. During a surgery, the surgeon basically makes an incision on the area and after performing the necessary procedure, closes it off using various methods. The varying ways with which doctors close a surgical wound will now serve as the most important consideration in proper wound management.


Different Types of Wound Closures

With advancements in this area of medical practice, various technologies have been applied in closing off surgical wounds. In the old days, only sutures were used for this purpose, nowadays, doctors have also begun using clips, staples, and skin glue. Some of these may be used to close off the muscle tissues and the rest used to close off the skin layer. Depending on the wound, a doctor may also prefer using a combination of these. In case a doctor used staples or sutures, removing them should be painless, depending on the proper wound care you have performed.


Proper Wound Care

Post-operation, the wound will be covered by bandage to alleviate pressure and protect it from contaminants that could infect the wound. The surgical dressing is normally removed after the first day. Having a nurse or doctor remove the surgical dressing after the first day and checking if the wound looks like how it should is an important step in ensuring proper healing. This is also why it is important that the wound be kept clean and dry for the first 72 to 96 hours.


Afterwards, daily cleaning and bandage replacement must be performed as required. When doing so, one’s hands must always be washed with soap and water. The dressing must also be clean and contaminant-free-you want to keep the wound clean and not introduce things that could cause an infection. Depending on the wound closure, the doctor may also advice that daily bandage replacement be foregone as long as the area has been checked. In cases when the doctor used dissolvable sutures, ideally, these should gradually disappear from one to three weeks and minimal management could be performed in such a case. As for non-dissolvable stitches, these should be removed by the GP.


Problems and Other Concerns

The major problem associated with improper sound care is infection. Some of the tell-tale signs of infection include excessive pain in the affected area, blood or pus discharge, unpleasant odour, and swelling and extreme redness. If these are observed, contact your GP immediately and schedule an appointment. If a patient has diabetes, know that it could also affect the healing period he or she must undergo.


Another problem, although a minor one, is itching. In such cases the wound must not be scratched at all costs. If the itch proves to be too be unbearable, a doctor can prescribe a topical cream to alleviate the discomfort.


Understanding proper wound care is certainly the best way to ensure that any surgical wound heals well and on time.


Consult Dr. Brian Evans Plastic Surgeon for more details.

Reconstructive procedures are designed to repair wounds and trauma to the tissues. Your wound may need a skin graft, tissue expansion, or flap surgery/microsurgery. The treatment for your wound will be individualized to your specific wound. Contact Dr. Brian Evans Plastic Surgery Clinic to schedule a consultation for your reconstructive plastic surgery procedure today.

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The Criteria Discussed by Dr. Brian Evans for a Good Rhinoplasty Patient

Dr. Brian Evans is a Board-certified plastic surgeon whose private medical practice has been divided between cosmetic and reconstructive surgery and the care of the burn-injured patient. Dr. Evans is currently a surgeon at the renowned Grossman Burn Centers at West Hills Hospital in West Hills, CA. Here is what his experience tells us about Rhinoplasty Surgery:


Patient’s Personal Checklists: Am I a Good Candidate?

If you want to ensure that you attain success at the end of your nose surgery, it is important that you first assess yourself if you are the right patient. If you are unaware of what your odds are about the outcome of the procedure. So read on and see how you fare so far. This way you can also arm yourself with the right questions when you go for a consult.


Patient must be generally healthy. The moment that you think about having your body sliced open for elective purposes, you must assess if it is healthy enough to withstand that and recover from it. If you think that you have a rather questionable lifestyle, see to it that you try to manage this first and get your body healthy to sustain the healing process, creating better chances for a successful result.


Patient must not have any pre-existing conditions (e.g. cardiac anomalies, pulmonary problems and clotting disorders). Any pre-existing disorder can pose a serious risk for you during and after rhinoplasty surgery. That is why, if you are well aware of this, you need to disclose this to your surgeon. This will also allow him to work collaboratively with your primary care physician, so that they can come with a surgical plan that just might work for you.


Patient should not smoke or drink alcoholic beverages at least 4 weeks before the surgery. If you are a habitual smoker or alcoholic drinker, it would be good for you if you lay off these things weeks before surgery. This is not to punish you, but rather to prevent any complication. Alcohol can increase your tolerance for anesthesia, which is not good. Nicotine, on the other hand, can deplete the oxygen content of your blood, which impairs the healing process. These two can put you at risk for a poor outcome and sometimes even serious complications.


Patient must inform any maintenance medication he/she is taking. There is nothing wrong if you are taking maintenance medications. You just have to disclose everything to your surgeon, so that he can take the proper precautions. This is also important because maintenance drugs could react negatively to anesthesia, or it could impair your ability to heal properly.

Patient must have realistic expectations. Those who undergo surgery should have achievable goals in mind. If you are looking for perfection, then with all honesty, rhinoplasty may not be right for you. Yes it does provide excellent outcome, but this surgery also has limitations. And it takes a good amount of time to heal before final results can be actualized. By that, it can run from months to a year. But don’t think that it will cause you to just hide and recuperate that long. What this means is that, there will be minor issues which takes more time to go away than others.

Patient must not have any personality disorders. Doctors would not clear any patient for any cosmetic enhancement if they are diagnosed with personality issues (e.g. body dysmorphic disorder).


Patient must be financially able to afford the procedure. Quality rhinoplasty surgery can send a person back thousands of dollars. In fact, nose job cost in Sydney and Melbourne is around $8000, and a revision would run around $10000. So make sure that you have adequate budget, not only to afford the surgery itself, but other incidental expenses as well.

However some rhinoplasty surgeries are covered by insurance, but granted that there is a medical cause behind it, such as a deviated septum.


At Brian Evans MD in West Hills Hosptial & Medical center, Dr. Brian Evans performs rhinoplasty procedure for cosmetic enhancement and also to correct breathing difficulties associated with a deviated septum. If you feel your nose is crooked, too large, too wide, or if you would like to get rid of a bump or raise a droopy tip, our Brian Evans Plastic Surgery center can help. During a rhinoplasty procedure, we will sculpt and shape the nose, contouring both the cartilage and bone until we reach optimum size and shape.

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