I often get asked what type of exercise my patients should undertake, especially as most patients that I do see are fairly active, but become frustrated as they don't get to see proportionate results after putting in a decent amount of 'work' at the gym. The classical scenario is the PT instructing you to do endless sets of crunches to get rid of lower abs fat.
Doing crunches will certainly build your abs, but if you have a few kilos of fat hiding the abs then these will not be visible. It is thus imperative to get rid of this first and this means lowering your overall body fat percentage.
There have been many theories on what exercise provides the best 'fat-busting' results and there has been a significant shift in trains of thought.
Much of the scientific evidence now points to a combination of intermediate length aerobic exercise and high intensity interval training (HIIT).
Many personal trainers will promote doing 'cardio' to extremes to get rid of stubborn pockets of fat. This is largely a myth.
The long traditional aerobic workouts have less impact on fat metabolism and also on maximal oxygen consumption (VO2 max) compared to HIIT. High intensity interval training has been shown to burn fat more effectively. Partly this has to do with improving glucose tolerance and lowering insulin resistance. Compare endurance runners and 100m sprinters - the sprinters tend to have a better muscular physique.
HIIT increases the resting metabolic rate (RMR) for the following 24 hours due to excess post-exercise oxygen consumption (EPOC). After intense sessions of exercise the body goes into a state of oxygen 'deficit'. To replenish this lack and return the body back to a resting state there is an increased state of oxygen intake. Various processes take place: hormone balancing, replenishment of fuel stores, cellular repair (esp. muscle), innervation and anabolism (muscle buildup). This repair cycle is accompanied by an elevated consumption of energy. Fat stores are thus released and broken down to release fuel stores. One study result found a greater loss in subcutaneous fat.
Examples of HIIT:
- 2minutes of gentle pedaling followed by 20 seconds of intense rapid bursts at maximal effort for three sets
- 20 seconds of ultra-intense exercise followed by 10 seconds of rest, repeated continuously for 4 minutes (8 cycles)
There are numerous regimens around (Peter Coe regimen, Tabata regimen, Gibala regimen, Timmons regimen) and its best to choose one that incorporates the exercise you prefer.
So, extended sessions of cardio are useful, however, combined with HIIT one can achieve better results in a shorter space of time over fewer days a week, leaving you with more time to socialise and see family.
Tuesday 24 September 2013
VASER, Nutrition and the mummy tummy
Most women find it frustrating trying to lose stubborn pockets of fat. The odd crash-diet interspersed with motivated sessions of gym attendance and denying one-self the weekend night out with the girls. These are all realistic attempts at reducing lower body fat.
This is an all to frequent scenario of many women that cannot get rid of the mummy tummy. One of the main reasons is something called Oestrogen (Estrogen) dominance. One of the most prevalent hormones floating around women's bodies is Estrogen. It is a major player in fat storage.
The anatomical areas that are mostly affected are the hips, thighs and buttocks as they have high concentrations of Estrogen receptors. Hormonal imbalances are created by poor diet and lifestyle choices over a long period of time and hence result in disproportionate deposition of fat in those areas over time. Women thus have a propensity for storing fat in those areas. In addition, there is also a evolutionary reason (going back to the hunter gatherer days) for fat storage in those areas.
It goes without saying that stabilising the hormonal imbalance will help reduce those stubborn pockets.
A few tips to try regulate the Estrogen balance:
1. Refined carbohydrates and Sugars must be one of the first items to be eliminated from your diet. Sugars play an important part in a cycle that controls conversion of testosterone to estradiol, this increasing fat deposition in the lower body area.
2. Green, leafy vegetables - these all contain compounds that have high levels of estrogen detoxifying abilities and thus reduce the levels of the hormone. Examples include broccoli, asparagus, spinach, cabbage, cauliflower.
3. Vit B6, Vit B12, Folic acid, Zinc, Magnesium are all important elements in liver metabolism (Estrogen detox). Thus a good idea to take a high quality Vit B complex, zinc, magnesium supplement if you cannot attain this from your food intake.
Other hormones involved in lipid metabolism
Cortisol, Thyroid & Insulin and Growth Hormones also play an important role in fat metabolism. There is a fair amount of evidence that where people store their body fat is an indication of their hormonal profile. Insulin around the flanks (love-handles) and Cortisol around the mid-rif.
Insulin is probably the main player here as it is the fat storage powerhouse and fortunately we can control it. Insulin levels respond to levels of sugar in the bloodstream. It is an anabolic hormone which results in fat storage. It also results in low energy levels (hence the sleepy feeling after lunch).
High insulin levels prevent fat from being used as an energy source and rather result in fat being stored.......!!!!!
Cortisol is the stress hormone and results in deposition of fat around the belly button or mid-rif. If you eat too infrequently your body becomes stressed and thus releases Cortisol. Its thus important to eat regularly (approx. every 3 hours) and not only when your body desires. Human endocrinology cycles are an ongoing functional process and thus need to be 'fed' regularly. That feeling of starving in between meals results in cravings for sugars and carbs which then result in a wicked Insulin/Cortisol yo-yo effect. RESULT -> love handles and belly.........
It suffices to say that a combination of diet, exercise, a targeted supplementation program and lifestyle modifications can improve your hormone imbalances and thus effectively manage your body fat levels. Blast away that MUMMY TUMMY........and if you are really struggling and come to your wits end VASER is always an option
Other useful tips:
Drink green tea!- high in anti-oxidants
Omega 3 Fish oils (increase E2 decrease E16)
Avoid tap water (Britain’s water supply contains large amounts of estrogen)
Birth control pills (increase estrogen levels)
Don't overdo Spin classes or other aerobic exercises - high intensity interval training is more efficient for fat loss as it results in EPOC (Extended Post Exercise Oxygen Consumption)
This is an all to frequent scenario of many women that cannot get rid of the mummy tummy. One of the main reasons is something called Oestrogen (Estrogen) dominance. One of the most prevalent hormones floating around women's bodies is Estrogen. It is a major player in fat storage.
The anatomical areas that are mostly affected are the hips, thighs and buttocks as they have high concentrations of Estrogen receptors. Hormonal imbalances are created by poor diet and lifestyle choices over a long period of time and hence result in disproportionate deposition of fat in those areas over time. Women thus have a propensity for storing fat in those areas. In addition, there is also a evolutionary reason (going back to the hunter gatherer days) for fat storage in those areas.
It goes without saying that stabilising the hormonal imbalance will help reduce those stubborn pockets.
A few tips to try regulate the Estrogen balance:
1. Refined carbohydrates and Sugars must be one of the first items to be eliminated from your diet. Sugars play an important part in a cycle that controls conversion of testosterone to estradiol, this increasing fat deposition in the lower body area.
2. Green, leafy vegetables - these all contain compounds that have high levels of estrogen detoxifying abilities and thus reduce the levels of the hormone. Examples include broccoli, asparagus, spinach, cabbage, cauliflower.
3. Vit B6, Vit B12, Folic acid, Zinc, Magnesium are all important elements in liver metabolism (Estrogen detox). Thus a good idea to take a high quality Vit B complex, zinc, magnesium supplement if you cannot attain this from your food intake.
Other hormones involved in lipid metabolism
Cortisol, Thyroid & Insulin and Growth Hormones also play an important role in fat metabolism. There is a fair amount of evidence that where people store their body fat is an indication of their hormonal profile. Insulin around the flanks (love-handles) and Cortisol around the mid-rif.
Insulin is probably the main player here as it is the fat storage powerhouse and fortunately we can control it. Insulin levels respond to levels of sugar in the bloodstream. It is an anabolic hormone which results in fat storage. It also results in low energy levels (hence the sleepy feeling after lunch).
High insulin levels prevent fat from being used as an energy source and rather result in fat being stored.......!!!!!
Cortisol is the stress hormone and results in deposition of fat around the belly button or mid-rif. If you eat too infrequently your body becomes stressed and thus releases Cortisol. Its thus important to eat regularly (approx. every 3 hours) and not only when your body desires. Human endocrinology cycles are an ongoing functional process and thus need to be 'fed' regularly. That feeling of starving in between meals results in cravings for sugars and carbs which then result in a wicked Insulin/Cortisol yo-yo effect. RESULT -> love handles and belly.........
It suffices to say that a combination of diet, exercise, a targeted supplementation program and lifestyle modifications can improve your hormone imbalances and thus effectively manage your body fat levels. Blast away that MUMMY TUMMY........and if you are really struggling and come to your wits end VASER is always an option
Other useful tips:
Drink green tea!- high in anti-oxidants
Omega 3 Fish oils (increase E2 decrease E16)
Avoid tap water (Britain’s water supply contains large amounts of estrogen)
Birth control pills (increase estrogen levels)
Don't overdo Spin classes or other aerobic exercises - high intensity interval training is more efficient for fat loss as it results in EPOC (Extended Post Exercise Oxygen Consumption)
Tuesday 10 September 2013
Scar treatment post VASER (for incision points)
In most cases the tiny incision points will heal very well and remain pink for a couple of months post-procedure.
I try and place my VASER access points in fairly inconspicuous areas so they are not that obvious. Unfortunately some areas that I treat require incisions that are a little more visible. The placement of the incision points is something you need to discuss with your surgeon beforehand if this if going to be of concern to you.
Points to remember are that they may become:
1. Keloid- slightly raised and bulky (more common on the chest and back in individuals of darker skin colour)
2. Hypertrophied - slightly stretched.
3. Underlying fibrotic tissue - the underlying tissue feels a little lumpy - this usually resolves with time.
4. Hyperpigmentation - the scar becomes slightly darker compared to the surrounding skin
5. Scar retraction - the scar becomes a little indented
What can you do to prevent this?
Unfortunately genetics play an important role in this and if your skin has those specific qualities then there is not much one can do to prevent this. Make sure there is not too much tension on the scar (this prevents hypertrophy).
Keloids can be treated with low does steroid injection to flatten them out.
Use bio-oil or even better, a Silicon gel. There are various types available and they are non-prescription. Apply the gel 2-3 times a day for about 2-3 months and you will see a vast improvement of the scar.
I try and place my VASER access points in fairly inconspicuous areas so they are not that obvious. Unfortunately some areas that I treat require incisions that are a little more visible. The placement of the incision points is something you need to discuss with your surgeon beforehand if this if going to be of concern to you.
Points to remember are that they may become:
1. Keloid- slightly raised and bulky (more common on the chest and back in individuals of darker skin colour)
2. Hypertrophied - slightly stretched.
3. Underlying fibrotic tissue - the underlying tissue feels a little lumpy - this usually resolves with time.
4. Hyperpigmentation - the scar becomes slightly darker compared to the surrounding skin
5. Scar retraction - the scar becomes a little indented
What can you do to prevent this?
Unfortunately genetics play an important role in this and if your skin has those specific qualities then there is not much one can do to prevent this. Make sure there is not too much tension on the scar (this prevents hypertrophy).
Keloids can be treated with low does steroid injection to flatten them out.
Use bio-oil or even better, a Silicon gel. There are various types available and they are non-prescription. Apply the gel 2-3 times a day for about 2-3 months and you will see a vast improvement of the scar.
Tuesday 6 August 2013
PRP - Platelet Rich Plasma
PRP - platelet rich plasma - also known as Vampire Facelift, or Dracula lift - uses your own blood to rejuvenate your skin. It also achieves slight volumisation and gives the skin a fresher look.
I use the Tropocells™ (Estar Medical) kit as it has a filter in it which ensures purity of any unwanted matter.
I use the Tropocells™ (Estar Medical) kit as it has a filter in it which ensures purity of any unwanted matter.
What is involved?10 ml of blood is withdrawn from your arm -similar to having a blood test. The sample is then centrifuged and this separates the red blood cells from the platelets and plasma. The latter is the "good stuff". This plasma is then injected into the superficial part of the skin most commonly in the cheeks, lower lid, around the mouth and naso-labial folds. It can also be used on the forehead and temples.
How does it work?
When platelets are activated they release many types of growth factors. These substances start a cascade of many processes. Fibroblasts are recruited to manufacture collagen. Vessel growth factors manufacture more tiny blood vessels. Keratinocyte growth factor stimulates healing, skin cell proliferation and tissue remodeling.
Its evident that all these processes are useful in creating a rejuvenated skin texture.
What is the recovery period like?
A mild stinging sensation is felt during the treatment. Initially the skin looks sun-burnt for the first 12 hours. Occasional bruising occurs. The next day the skin should look slightly red, but otherwise back to normal.
How safe is PRP?
The beauty is that it is all your own tissue. Therefore you cannot have an allergic reaction to the treatment. Adverse effects are related to the injection procedure itself and not to the PRP content of the injection.
How many sessions are required?
Usually 3 sessions 6 weeks apart and then top up treatments every year.
Come see our website www.DrWolf.com
Tuesday 30 July 2013
Top 10 tips before considering any cosmetic surgery
Top 10 tips before considering any cosmetic surgery
1. Know your practitioner
Select a qualified, reputable practitioner to perform your procedure and research that practitioner thoroughly. Find out how long they have been practicing, what qualifications they offer, which areas or procedures they specialise in, and you will slowly get an idea whether they are the right doctor for you.
2. Meet them in person
It is crucial that you meet the doctor or surgeon who will carry out your procedure before the day of your treatment. Rather surprisingly, not all practices demand that patients meet the practitioner who will deliver the procedure in advance. If you are advised that it is not possible to meet in person with the doctor ahead of treatment, you should not progress any further and choose to go elsewhere. Any reputable practitioner will demand that they meet the patient themselves beforehand. It is also important that you feel comfortable with your doctor and that you trust them.
1. Know your practitioner
Select a qualified, reputable practitioner to perform your procedure and research that practitioner thoroughly. Find out how long they have been practicing, what qualifications they offer, which areas or procedures they specialise in, and you will slowly get an idea whether they are the right doctor for you.
2. Meet them in person
It is crucial that you meet the doctor or surgeon who will carry out your procedure before the day of your treatment. Rather surprisingly, not all practices demand that patients meet the practitioner who will deliver the procedure in advance. If you are advised that it is not possible to meet in person with the doctor ahead of treatment, you should not progress any further and choose to go elsewhere. Any reputable practitioner will demand that they meet the patient themselves beforehand. It is also important that you feel comfortable with your doctor and that you trust them.
Cellulite
This condition is probably the bain of many a women's life.....
The underlying architecture of the subcutaneous fat is the cause of the visible change. There is herniation of fat deposits in between fibrous connective tissue strands. Almost like a honey cone where the honey represents the fat and the cone the fibrous septa.
I
get asked about solutions and treatments for this skin appearance on a
daily basis. It rears its head in many forms and severities from mild
dimpling to severe orange-peel effect.
mild cellulite only on compression visible without compression
mild cellulite only on compression visible without compression
The underlying architecture of the subcutaneous fat is the cause of the visible change. There is herniation of fat deposits in between fibrous connective tissue strands. Almost like a honey cone where the honey represents the fat and the cone the fibrous septa.
CELLULITE is almost exclusively found in women, although occasionally seen in men on hormone treatment. We see it most commonly in post-pubescent women.
Scientific evidence is still scanty on the exact cause and related factors, but we know that oestrogen hormone plays a large role. Other factors include genetics, lifestyle, diet, weight (esp. raised BMI). Some of these factors we can obviously change, but others not.
Treatments
At this stage there are no specific treatments that can conclusively eliminate cellulite. External treatments that promise to eliminate cellulite are not very successful and result in many post-treatment tears and disappointment. The vital ingredient of any cellulite-busting treatment will be to remove the fibrous septae.
I am working on a novel treatment that is minimally invasive and involves separating the fibrous strands under local anaesthetic. The results look promising, but we are waiting for longer term results to offer this treatment confidently. WATCH THIS SPACE...........
Come see our website www.DrWolf.com
Tuesday 18 June 2013
Visceral FAT and VASER
As the majority of my work consists of body contouring I see many patients that spend many months and even years in the gym trying to get rid of unwanted fat. This is often combined with healthy diet and lifestyle.
Occasionally patients have only recently changed their lifestyle and attitude towards exercise and become really frustrated when they see no change in their shape or contour. In many cases seeing a nutritionist (here is an excellent one by the way) can be of great value in tweaking your diet and eating routine. Most can also assess your food intolerances which may be contributing to the sensation of bloatedness and give you advice on combinations of foods. Money well worth spent.
If fat has accumulated over a few years then its most likely visceral fat. An excess of visceral fat
is known as central obesity, the "pot belly" or "beer belly" effect, in
which the abdomen protrudes excessively (see picture).
This body type is also known
as "apple shaped‚" as opposed to "pear shaped‚" in which fat is
deposited on the hips and buttocks (more commonly seen in women).
This is not in the superficial layer under the skin but fat that has been deposited around your organs (see figure below).
With any form of VASER, liposuction or fat removal this can only be performed in the subcutaneous fat layer. One cannot enter the abdominal cavity under the muscle.
This fat content unfortunately only responds to weight loss and changes in diet and lifestyle. And yes, it responds VERY SLOWLY and this is why many patients become so frustrated. When treating patients with significant amount of visceral it is imperative that they agree to make lifestyle modifications and diet changes. Subcutaneous fat removal can help and may speed up the loss of visceral fat, but only in conjunction with the above.
Visceral fat has many health implications. There is a strong connection to cardiovascular disease, diabetes, and dyslipidemia. Central obesity plays an important role in the impairment of lipid and carbohydrate metabolism shown in high-carbohydrate diets. Diet modifications and lifestyle CHANGES ARE THIS VITAL.
In summary, results are achievable, however, it is not easy and requires a combination of angles of attack. See what exercises are worth considering.....
Tuesday 30 April 2013
Hand rejuvenation using autologous fat
When you are introduced to someone the first body part you engage with is the hands when you shake them.
One of the most common attributes of ageing is that we lose volume - be that in the face, breasts, buttocks or hands. Volume loss can make us look gaunt, and many people try maintain a certain weight to keep at a particular BMI. Unfortunately as we get older we have little control over the fat loss - lipoatrophy.
Most patients in tune with trying to keep younger looks concentrate on their face, neck and decolletage. Hands are often neglected and not seen as vital in maintaining.
We have started using lipo-filling or autologous fat transfer as a rejuvenation technique for the hands.
Most candidates have some fat they can donate for this purpose. The most common are we harvest from is the thighs, as we can harvest fat without leaving any visible asymmetry or disproportion. Alternative areas are - abdomen or flanks.
This procedure can obviously also be combined with larger liposuction techniques and added onto the end of the procedure.
On its own the procedure is performed under local anesthetic and takes approximately 1 hour. I tend to overfill the hands as some volume is lost over the first few weeks.
Recovery is very straight forward with only minor swelling of the hands. The harvest sites again remain swollen for 1-2 days and occasionally minor bruising does occur.
Click here for a recent article in the Daily Mail on fat transfer case I performed.
One of the most common attributes of ageing is that we lose volume - be that in the face, breasts, buttocks or hands. Volume loss can make us look gaunt, and many people try maintain a certain weight to keep at a particular BMI. Unfortunately as we get older we have little control over the fat loss - lipoatrophy.
Most patients in tune with trying to keep younger looks concentrate on their face, neck and decolletage. Hands are often neglected and not seen as vital in maintaining.
We have started using lipo-filling or autologous fat transfer as a rejuvenation technique for the hands.
Most candidates have some fat they can donate for this purpose. The most common are we harvest from is the thighs, as we can harvest fat without leaving any visible asymmetry or disproportion. Alternative areas are - abdomen or flanks.
This procedure can obviously also be combined with larger liposuction techniques and added onto the end of the procedure.
On its own the procedure is performed under local anesthetic and takes approximately 1 hour. I tend to overfill the hands as some volume is lost over the first few weeks.
Recovery is very straight forward with only minor swelling of the hands. The harvest sites again remain swollen for 1-2 days and occasionally minor bruising does occur.
Click here for a recent article in the Daily Mail on fat transfer case I performed.
Come see our website www.DrWolf.com
Update on MLD and foam inserts, compression garments after Lipo or VASER
Our experience in postop care has improved tremendously in the last few years. I suppose with the vast number of patients we are treating (I'm treating on average 9-12 patients a week) we come across all types of torsos and body types. This helps us understand many different types of healing and recovery times.
As all patients are different in terms of how rapidly they heal and can return to normal activity, we can give most patients an accurate idea of what to expect.
Our instructions on postop garment wearing has not changed much. Furthermore, the MLD routine has also not changed much. I think the awareness of MLD in the post lipo patient aftercare has become much more commonplace, although I still get the odd patient that comes to see me for advice after being treated elsewhere. This is usually in connection with what to do about lumpiness.
I have also started using foam inserts or vests which create a more even spread of pressure and compression. These pieces of foam are inserted between the garment and the skin (available from Macom-medical). They fill the negative spaces which are often not filled be the compression garment. Also, they tend to force upright posture which will prevent skin creasing which is an occasional concern in patients that have fluctuated in weight and have some skin laxity. See abdominal insert (top) and flank insert (lower). For any form of definition I create it is vital to use the full abdo insert vest which contours the negative and positive spaces.
As all patients are different in terms of how rapidly they heal and can return to normal activity, we can give most patients an accurate idea of what to expect.
Our instructions on postop garment wearing has not changed much. Furthermore, the MLD routine has also not changed much. I think the awareness of MLD in the post lipo patient aftercare has become much more commonplace, although I still get the odd patient that comes to see me for advice after being treated elsewhere. This is usually in connection with what to do about lumpiness.
 |
| Abdo insert |
 |
| Flank insert |
Come see our website www.DrWolf.com
Thursday 31 January 2013
Update on Fat Transfer Breast Augmentation
One of the most sought after treatments we offer has been the Fat Transfer Breast Augmentation. In light of the PIP breast implant scandal women are seeking alternatives to implants.
In 2012 we saw a steep rise in fat transfer procedures- not only to the breast, but also the the hands and face. "FAT HAS BECOME THE NEW FILLER"- its your own tissue, you cant reject it, and it wont result in capsule formation or contracture. Furthermore, it is soft, feels like surrounding tissue and blends in with the natural shape and contour.
The most popular procedure was still breast augmentation (‘boob jobs’ using implants) but numbers dipped by 1.6%, from 10,015 in 2011 to 9,854 in 2012
Women had more fat-injecting than fat-removing procedures for the first time, with 2,641 fat transfer procedures compared with 2,638 liposuction ops.
BAAPS have also commented “Interestingly,
for the first time we see a greater number of women having procedures
to re-insert fat (known as fat transfer, to add volume to the face) than
to remove it, in the form of liposuction."
The most popular procedure was still breast augmentation (‘boob jobs’ using implants) but numbers dipped by 1.6%, from 10,015 in 2011 to 9,854 in 2012
Women had more fat-injecting than fat-removing procedures for the first time, with 2,641 fat transfer procedures compared with 2,638 liposuction ops.
Graft retention rates (the volume of fat that survives) have improved vastly. This is mainly due to healthier respect for the tissue and utilising different techniques. Using more volume has also allowed us to achieve slightly larger sizes than before.
Important is still to have very realistic expectations. These are not implants and thus sizes like DD and E are not achievable. Also many women require significant lifting of the breast and this procedure is not suited for that, although more projection of the breast is often achieved.
Important is still to have very realistic expectations. These are not implants and thus sizes like DD and E are not achievable. Also many women require significant lifting of the breast and this procedure is not suited for that, although more projection of the breast is often achieved.
Come see our website www.DrWolf.com
Cosmetic procedures 2012
I've been able to audit my 2012 figures as I keep a very accurate record of every procedure I do. This enables me to improve on my outcome and also track my performance in terms of patient satisfaction, percentage of male to females, ratio of various treatments etc.
In the UK on the whole the figures have jumbled a bit.
According to BAAPS “Interestingly,
for the first time we see a greater number of women having procedures
to re-insert fat (known as fat transfer, to add volume to the face) than
to remove it, in the form of liposuction. The growing appreciation that
facial ageing is more than just about the effects of gravity, combined
with scientific advances the rejuvenating qualities of stem cells
contained within fat help explain this trend. The Nobel prize for
medicine in 2012 being awarded to research in the field of stem cell
physiology suggests this may be an area of continued growth in the
future.”
Highlights:
- The most popular procedure was still breast augmentation (‘boob jobs’) but numbers dipped by 1.6%, from 10,015 in 2011 to 9,854 in 2012
- All anti-ageing procedures experienced a double-digit rise including face (up 14%) and brow (up 17%) lifts, eyelid surgery and fat transfer (both up 13%). Fat transfer to the face as taken the UK by storm.
- Male brow lifts went up by an impressive 19% from 125 to 149, facelifts up 14%, eyelid surgery by 11% and even fat transfer procedures to the face (to restore lost volume) by 10%
- Women had more fat-injecting than fat-removing procedures for the first time, with 2,641 fat transfer procedures compared with 2,638 liposuction op. We combine our VASER technique with fat transfer and thus achieve two results in one. Its become one of our most sought after treatment, especially as an alternative to breast implants.
- In contrast, demand for body-shaping procedures such as liposuction and tummy tucks tumbled by 14% and 12% respectively, for both genders combined
- Male breast (or ‘moob’) reduction surgery, possibly shunned in favour of new non-surgical approaches, was down by 18% - yet still maintained its place as the third most popular procedure for men. We have definitely seen a rise in male chest reductions. As we only perform the minimally invasive VASER technique it is much more attractive as a day case procedure.
- Male surgery overall fell by 4.5%, from 4,298 ops performed in 2011 to 4,102 in 2012, but men still account for roughly one in ten of all cosmetic surgery patients
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