Dr Brooke R. Seckel asked:


Mesotherapy, also called Lipodissolve is a highly advertised procedure that involves injecting microscopic quantities of natural extracts, homeopathic agents, pharmaceuticals and vitamins into the skin to dissolve fat. Proponents of Mesotherapy or Lipodissolve claim that these procedures can be used to eliminate cellulite, promote weight loss, treat aging skin and redundant (sagging) skin, and rejuvenate the hands and neck. Mesotherapy and lipodissolve are often promoted as an alternative to liposuction and laser liposuction for body contouring.

Mesotherapy or Lipodissolve injections are purported to target adipose fat cells, apparently by inducing rupture and cell death among adipocytes (fat cells). Patients are often led to believe that Mesotherapy or Lipodissolve is a fat melting procedure and can avoid the need for liposuction and body contouring surgery. Since many of our patients ask us about this technology and have many questions, we thought it was important to address the topic with some facts and research.

A recent study published in Plastic and Reconstructive Surgery the Journal of the American Society of Plastic Surgeons, states that Mesotherapy or Lipodissolve, in fact, is not effective.

(See: Effectiveness of Mesotherapy on Body Contouring. Plastic & Reconstructive Surgery. 121(4):179e-185e, April 2008.Park, Seung Ha M.D., Ph.D.; Kim, Deok Woo M.D.; Lee, Min Ah M.D.; Yoo, Sang Chul M.D.; Rhee, Seung Chul M.D.; Koo, Sang Hwan M.D., Ph.D.; Seol, Geun Hye R.N.; Cho, Eun Young A.N)

Mesotherapy or Lipodissolve is traditionally performed in the US in Cosmetic spas and rarely by a physician despite the fact that fairly significant medications are injected into the skin during the procedure. The U.S. Food and Drug Administration have not approved the subcutaneous (below the skin) injection of medications commonly used in Mesotherapy or Lipodissolve.

There are multiple cocktails of medications used in Mesotherapy or Lipodissolve including: phosphatidylcholine, isopterenol, aminophylline, caffeine, L-carnitine, buflomedil, calcitonin, and others. The published scientific study was a randomized, prospective, clinical trial carried out on 20 women. A solution of aminophylline, lidocaine and buflomedil was used in the patient’s thigh area.

The results showed no statistical evidence of loss of fat or improved body contour in the thigh area of these women. In fact, some women had larger thighs after the study.

Despite the many stories of significant fat melting by some cosmetic practitioners and spas as a result of Mesotherapy or Lipodissolve, the plastic surgery community does not feel this is an effective means of body contouring and is certainly no substitute for liposuction.

As with any planned surgical or non-surgical procedure, we recommend you consult with a trained plastic surgeon for advice and answers. We would be happy to discuss Mesotherapy, Lipodissolve, liposuction, Laser Liposuction, Smartlipo, Cool Lipo and other body contouring options with you in our office at anytime. Please contact us with any questions or to set up a consultation.

For more information on plastic surgery and ****** and skin rejuvenation visit drseckel.com or call us at 978-369-4499.

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Clinton

Lisa Jenkins asked:


The topic of weight loss is hot. People want to know how they can shed pounds and keep them off for good. The downside of the weight loss boom is that billions of dollars are spent each year on weight loss treatments that have not been adequately studied to substantiate the claims being made.

First, there are creams on the market that claim to reduce cellulite and slim the thighs. The acids in these creams are supposed to tighten the skin and pull collagen fibers back together. The creams claim to eliminate the “dimple” effect and contour the skin.

According to plastic surgeons and other medical experts, there is no cream that can burn fat or reduce the size of fat cells. Though creams may improve the look of your skin, unless you change your diet and add exercise, the fat will remain.

Second, there’s lipo-dissolve, which is sometimes called injection lipolysis and frequently confused with mesotherapy. Lipo-dissolve usually involves the injection of drugs known as PCDC or phosphatidylcholine and sodium deoxycholate, which practitioners say ‘melts away’ fat. This injection fat removal treatment has become exceedingly popular despite the Food and Drug Administration’s statement that, “these are unapproved drugs for unapproved uses” and the lack of controlled studies to prove the safety and effectiveness of PCDC. In addition, several medical societies have warned against the treatment. In May 2007, the American Society of Aesthetic Plastic Surgery warned patients against the use of injection fat loss treatments stating that none have received FDA approval and there have been no published peer-reviewed scientific reports of properly performed prospective clinical trials to confirm safety or efficacy. This is not an alternative to liposuction for people that want to get rid of large amounts of fat. The injections are intended for small problem areas that can’t be changed by diet and exercise. Seriously obese people are not candidates for lipo-dissolve.

We’ve all heard of transdermal patches. They work by leeching medicine through the skin and into the bloodstream over time. The technology has been used for contraceptives, nausea, and smokers trying to kick the nicotine habit. Now, they say it can be applied to weight loss.

The claims are that this patch, worn behind the ear, can cause you to lose weight. It speeds up your metabolism and suppresses the appetite, The transdermal administration technology appears to work, look at Nicotine patches, for example. But it has not been evaluated by the FDA to be effective in weight loss.

Have you heard of seaweed diet and weight loss soap? It’s a Chinese soap that claims to firm, tone and contour the skin as well as eliminate the inner fat out of the human body. How does it do this? The truth is, we have no idea. The claim that the soap eliminates fat from the body has not been evaluated by the FDA and has not been adequately studied for effectiveness in weight loss.

What about body wraps? Spas claim that customers will lose several inches in one session. Combine that with several more sessions and your body will shrink before your eyes. What is the easiest weight to lose? You guessed it-water weight. These stimulating wraps will squeeze as much water out of you as they can. The kicker is that while you want to trim ten inches off your thighs, you may see a half or quarter of an inch reduction in each thigh. The ten inches comes from the minuscule losses everywhere else added together.

Diet pills have been a popular weight loss treatment for years. Many diet pills that claim to speed up metabolism contain ephedrine, which comes from the Ma Huang plant. Over time, these pills have been shown to cause heart problems in young patients. Other conditions, including increased heart rate and blood pressure were also noted.

Last, Hoodia is a known appetite suppressant that comes from a plant called hoodia gordonii. The plant is only found in the Kalahari region of Africa. Companies have tried to imitate its effects and are marketing everything from gum to pills to drink mixes with hoodia derivatives. Read the fine print. Most of these diet pills don’t contain enough of the hoodia to suppress the appetite.

When considering any type of weight loss treatment, do your homework. You want to be sure that what you are buying is safe and effective and that you aren’t stuck in a position having spent sums of money with no weight loss to show for it. Second, watch out for treatments that claim rapid, easy, and quick results. Healthy weight loss is anything but fast. Keep your expectations about weight loss realistic. You can’t expect to lose 15 pounds in 2 weeks by taking appetite suppressants. Healthy weight loss involves a balance between proper diet and exercise.



Jorge

Josh Stone asked:


A list of some of the alternative medicine practices you’re likely to encounter in the United States. Some of these are considered border-line acceptable even in the professional medical field, and many understand that this is unfortunate. Mostly these are just scams, quackery, and nonsense, which unfortunately gullible people believe in if they are desperate and grasping at false hope. Keep your eyes peeled for any of these, and be prepared to stamp out the harmful ones.

Hallelujah Diet

“Reverend” George M. Malkmus claims to have eliminated his colon cancer and other serious health problems more than twenty-five years ago by “following biblical principles for a natural diet and healthy lifestyle.” He and his wife Rhonda Jean operate ‘Hallelujah Acres’, where they hold seminars, sell products, and advocate a diet that consists of raw fruits and vegetables.

Malkmus and his followers claim that his methods have helped people with obesity, cancer, arthritis, and more than a hundred other health problems. He is a very eloquent speaker who is capable of inspiring people who trust in what he says. It has been speculated that he is in fact running a cult, with an unknown number of followers at the ‘Hallelujah Acres’ site.

Intra-Cellular Hyperthermia

Nicholas Bachynsky, a medical doctor whose license was revoked in the early 1990s, is largely responsible for the persistence of intracellular hyperthermia as a treatment. In April of 2004, he was imprisoned in a Floria jail to await trial on fraud charges related to sale of phony stock in a business founded on the alleged treatment.

The claim is that it is effective against cancer and Lyme disease by way of the intravenous administration of 2-4- dinitrophenol (DNP), which the U.S. Food and Drug Administration banned more than sixty years ago.

Herbal Medicine

Americans are now spending billions of dollars per year for herbal capsules and tablets, bulk herbs, and herbal teas. Although the teas are consumed for their flavor, most of these products are probably used for supposed medicinal qualities. Sales by multilevel distributors and pharmacies amount to hundreds of millions more for products that are obviously intended for harmful self-medication.

Herbs are also marketed by naturopaths, acupuncturists, iridologists, chiropractors, and unlicensed herbalists, many of whom prescribe them for the entire gamut of health problems of every description. Many such practitioners are not qualified to make appropriate medical diagnoses or to determine how the products they prescribe compare to proven drugs, and are not licensed to do anything at all, for that matter.

Mesotherapy

Touted as a nonsurgical alternative to liposuction, mesotherapy involves the injecting of medications and plant extracts into the layers of fat and connective tissue under the skin.

The injected ingredients may include agents that are used to open blood vessels, nonsteroidal anti-inflammatory medications, enzymes, nutrients, antibiotics, herbal cures, and hormones. Mesotherapy is said to be used in conjunction with dietary modification, hormone replacement therapy, exercise and nutritional supplements. No drug is approved by the U.S. Food and Drug Administration for use in mesotherapy, and none will.

Bio Energetic Synchronization Technique

Bio Energetic Synchronization Technique (B.E.S.T.), came out during the mid-1970s by chiropractor MiltonTed Morter, Jr., of Rogers, Arkansas. It is claimed to be “a holistic program that coordinates and balances the workings of all the systems of the body.” Morter defines B.E.S.T. as “a nonforceful chiropractic technique for the 21st century that removed interference from the nervous system by the use of the hands.” Morter claims that such interferences occur when subtle pulses in different parts of the body are not synchronized.

Neuralyn

Between April 1997 and June 2000, Beverly and Thomas Vigil of Meridian, Idaho, touted a product called Neuralyn on the Internet and elsewhere as a highly effective treatment for spinal cord injuries and other ailments. The couple claimed that Neuralyn was an all-natural substance made up of B vitamins, amino acids, and extracts of plants from the Yucatan Peninsula region. According to Thomas Vigil, the idea for Neuralyn came from a dream.

In fact, the Vigils teamed up with pharmacist David Taylor and concocted Neuralyn using a number of homeopathic ingredients as well as a couple of topical anesthetics. According to Assistant U.S. Attorney Wendy Olson, more than 100 people, most of them paraplegics or quadriplegics, paid up to $10,000 per person to come to clinics in Idaho, Utah and Colorado for Neuralyn treatment.

These people were told that Neuralyn treatments had been 85% to 95% successful, and that the product would enable spinal cord injury patients to move, stand on their own, or walk again by regrowing new nerve cells. The Vigils are now in custody facing charges.

Optometric Visual Training

This approach is based on an idea that learning can be improved by exercises that stimulate coordination of the eye muscles or improve hand-eye coordination. Its proponents assume that the basic problem that leads to reading disability is some deficit in the muscles of the visual system.

The American Academy of Pediatrics and the American Academy of Ophthalmology have spoken out against this approach and cautioned that no eye-muscle defects can produce the learning disabilities associated with dyslexia. Dyslexia is actually a reading disorder characterized by omissions, faulty word substitutions, and impaired comprehension. It isn’t due to mental retardation, lack of schooling, or brain damage.

Thought Field Therapy

Abbreviated as TFT, its founder, psychologist Roger J. Callahan, Ph.D., claims that TFT “provides a code to nature’s healing system and addresses their fundamental causes, balancing the body’s energy system and allowing you to eliminate negative emotions within minutes and promote the body’s own healing ability.”

The Callahan Techniques site also recommends dietary supplementation for the persons who “suffer from multiple environmental sensitivities and even allergies which aggravate psychological problems.” During the TFT sessions, the therapist uses sequences of finger taps on “acupressure points” of the hands, face, and upper body. The patient at the same time does repetitive activities, such as repeats statements, counts, rolls the eyes, or hums a tune while visualizing a distressing situation.



Sarah