Doctor808 Plastic Surgeon Honolulu Hawaii

LASER liposuction and other fancy things as you know are not my forte. I have written before about such new fangled techniques such as belly button approach to breast augmentation. These “newer” , “better”, “cooler” and “gods gift” to plastic surgery techniques I have always look at with a jaundice eye. It seems every two years in the world of Plastic Surgery a new technique or device comes out which is all the rage. I have seen this happen non stop for twenty years.  So please forgive me,  if I am not that excited about 99% of  new devices or so called new techniques.

NEWER !! COOLER !! WOW !!!

In my honest and sincere opinion most of these things are driven by marketing and not by solid medical science. It seems to me that even though cosmetic plastic surgery is more consumer driven and not medically required for health it should be based in a solid foundation. Money drives this market as with a Holywood movie and this produces what we may call “Hype”. So surrounding all of these new techniques is a onslaught of Madison Avenue Public Relations and marketing hype.  Medical and surgical breakthroughs should be studied and the results analyzed first not get a quick aproval from the FDA and then loudly marketed.  Unfortunatedly this is not always the case.

Hype Central

In the case of LASER assisted liposuction the marketing hype is very rich. “go back to work the next day” or “less pain” or ‘faster healing”. All of these crys of better newer faster are more appropriate for Tide clothes washing detergent than for a medical procedure. Marketers know that using these key words like “NEWER” Or “IMPROVED” will grab consumer attention so they of course utilize these keywords as much as possible.

Yet what is really behind LASER assisted lipo, smart lipo or any of the other brand names? I have spoken with many of the LASER liposuction advocates and detractors , looked at the results and feel I have a good understanding of the procedures.  Basically a very small cannula , which is a tube has a LASER at the end which produces heat. This “melts” some of the fat which turns it to an oily liquid. This is then sucked out with  the cannula. Rather simple concept really. The same thing was done (sorta)  with ultrasonic liposuction which was the latest greatest thing a few years ago. The problem with this LASER lipo is that the cannula’s so far are very very small. So each practioner tells me in any sizeble area  of fat , they still have to use traditional liposuction. —–HUH@#$%^&* !!!????.

I am not a “hater” but my gosh these pencil thin cannulas cannot take out any appreciable amount of fat. So that is exactly why the LASER lipo doctors have to go over the area with traditional liposuction technique.  Now the advanatage is lost completely as you are still doing traditional liposuction in the area. So what is the purpose of using the LASER lipo? I have heard skin tightening, which may be true in a small area like under the chin but for abddominal or thigh or any  larger area there does not to be any benifit what so ever to my eyes and the cases I have seen. So I conclude that the only advantage of LASER lipo suction in most cases is simply marketing.

Well marketing is potent stuff. If you do not have any patients you cannot do any liposuction,  be it LASER, Ultrasonic or traditional.  So I see the reason why many surgeons like this idea , it is great marketing. Yet for me I have seen these trends come and go and until someone shows me an advantage that I consider worthy,  I will stick to the techniques which I have used for many years with so much success. Maybe I am old fashion, but somehow I cannot stomach doing something just for marketing or 90% marketing. I know Plastic Surgery is suppose to slick and whiz bang,  but again I like the traditional well proven techniques  over marketing . Thats me.

doctor808

Well ……I am sorry my dear and loyal readers I did not keep my blog up during my travels,  as time was so limited. So, I will briefly go over things here to catch my millions of readers up  (I think I have only  two readers ). I will probably have less readers after this post.

First as previously stated, I was going to Amsterdam which is one of my favorite haunts. The reasons are many. First are the people , I love the dutch as they are always friendly like the Thai people. They are straight forward and get along well. The other Europeans are so…. shall I say snobby (over nothing)  that I dont care for them as a whole. Of course many are quite nice and good descent people , but the Dutch it seems as whole are the way I like people.  Lets take the Swiss in Geneva which are a French speaking people. Some are very friendly,  but overall I would rate that town as a small town with small minded people pretending to be important. If it were not for the bankers hiding the worlds money the place would be just another dying European city in my view. No new life. As the first President Bush would say “old Europe”. They tell me that you have to live there to appreciate Geneva and perhaps,  as I only visited but…..not my cup of tea.  That is my simple minded dumb American view. In this blog I dont review the great history ( like Nazi Germans influence ?) but that’s my basic feeling.  What I do like about Geneva is the kick boxing which is why I went and I will tell you more about that later.

Part one Amsterdam

Well we arrive in Amsterdam and  get there at our usual time of 7 am in the morning from a flight from Seattle. We have to wait for the hotel as check in is at 11 am. This is no problem becuase we can get a great breakfast at the usual spot.  This time we also wanted to look at property for a possible retreat so we scout around. This place is easy to scout as there is one way to see Amsterdam –Bycycle. We rent a couple at 15 euros a day and start to scout around. If you go please rent a bike.

As you can see there is no shortage of bicycles in Amsterdam. In fact they number over 5 times the population but no one knows for sure. There are  so many and they are everywhere. Anyone and everyone old, young , crippled , athletic and entire families use them as their main source of transportation’s. The bike roads are great and easy to use. Don’t wast your time with any other means of transportation.

This is one thing I love about this place everything is so easy to do. No traffic jams, no crazy people or homeless that you can see in the central part of the city. Its clean, organized and easy to navigate around on foot or bike.

I like it because of the people I meet and the kick boxing. Rose likes it because of the Art and Museums and Food. There are great restaurants and since Rose is Malaysian Chinese she has a chance to get real Malaysian food and eats there almost every day. Below is a picture of that restaurant located next to the Red light District. That’s the famous place with hooker on display in the windows. Sort of a another type of take out menu.

The food at the Malaysian restaurant is authentic and quite good. Here you can study Malaysian Chinese, in their natural habitat eating good Malay food. This I believe  is their normal “in the wild ” behavior to eat eat eat.  Such are the Chinese…did you know that when you go into a Chinese persons home they don’t ask how are you,  but the first thing they ask is “Did you eat yet?”. If you find a Chinese person in the wild some day just ask them.  They will tell you its true. The couple at the Top are the owners by the way- her name is “Candy and his is Buddha” , I am not kidding.

Amsterdam is famous for legal drugs ( not hard ones) and everywhere you go are the “coffee houses” where you can buy either hash or marijuana cigarettes and smoke it right there while you drink coffee. Not that I would know,  but I was able to observe this. It appeared fun and seemed harmless enough. Yet I think it must appeal to a different crowd as I am a doctor. Everyone knows doctors don’t smoke pot. In case you want to know what these places look like I have several pictures below. They tell me that its cheap to buy and is high quality.

These establishments are everywhere scattered among the sex shops. I have a picture of one sex shop and of some of the evil weed that people smoke. Why people make such a big deal about a silly plant I can still cannot figure out. Its like anything else in my view–abuse it and it may cause problems. So I remind my readers that as I am a libertarian I am against government regulation of such. Amsterdam has no crime attributable to rampant drug use like we do in The States. The criminalization of this plant and other such drugs is why in my view we waste so much money. Libertarians believe if you want to kill yourself who are we to stop you, as a freedom loving bunch. We believe in a freedom to self destruct.

Well the above is only a very small part of Amsterdam,  there is something for everyone there. Art , Museums , food , drugs, sex, business deals, Muslim and Buddhist temples, churches and and a wide variety of everything. That sums up Amsterdam ,  which is a city of extreme diversity and more important— tolerance for diversity. I watched one night at 5 am the practicality of the place as the party goers were in one square when some drunken hell raisers started a fight. The police cleared them out in less than ten minutes with Horse Riding police they were there in seconds appearing from nowhere. They were professional,  efficient and cleared the crowd with out any evidence of brutality nor disrespect. They did their job quickly and the party on the street continued. I was impressed.

Bicycling around I looked over many properties and potential places to live. Signs were posted as shown :

Ideally one would not need a large place,  but some place to call home in Europe so you could have a home base. A base camp if you will.

Yet there are catches in the Amsterdam’s real estate market. Interestingly, one must be careful about what are some unusual laws.

If you buy a place and leave it empty , squatters may take over and inhabit there and you may have a ridiculous time trying to get them out. They in some case have more rights then the owners who they are not paying rent too. Crazy?  Well yes, but that is Amsterdam. I never saw such a bad deal for property owners. The original idea was that the city did not want empty buildings around by absentee land holders or something like that. Well it seems to work and the properties are all well kept. Yet maybe its been taken to far. I have more research to do in these laws.

Geneva

Well I went to a kick boxing place in Geneva where my old instructor from Thailand recommended as he was recruited in his younger years as a Swiss Muay Thai fighter. There he went on to be a Swiss national champion before returning to his home in Thailand where I first met him.

This gym was quite busy with over twenty fighter level members and huge intermediate level trainees in Muay Thai. They take their fighters to Thailand once a year for training. This gym is run by a Swiss fellow and his Thai wife. Very nice place I recommend to anyone. Unfortunately back in Amsterdam I could not find the Merijo Gym which is the famous gym there I trained at before a few times. This gym apparently moved location and due to time limitations I could spend too much time looking. So I trained on my own while in Amsterdam jumping rope , weights and shadow boxing and of course cycling hours a day.

That’s about it for Geneva to me that’s all the two itself offers. I did meet a few people and had brief conversations shall I say. The Swiss don’t speak much english There main languages are German and french. They also have that attitude of your stupid if you only speak french. As example I asked a cab driver to take me to the Hotel Savoy. He looked at me like I was nuts. I pronounce Savoy as most Americans would like rhymes with “JOY”. So he finally figured out what I was saying as he pronounced as Sav-0-aaa a definite french accent. But what I found most ridiculous was the scolding he gave me. “I have been driving a cab for 15 years and never once have I heard that way to say Savoy” he said in a most condescending manner. I could not help but tell him back—” I believe that you have not in your limited life experience of driving a cab in Geneva heard any other variation”  as I chuckled to myself. Score one for the American verses the Geneva Red neck cab driver with a “limited ” small mind. So it goes. I left Geneva vowing never to come back…well maybe I will for the Muay Thai.

Other than these issues of looking for property , relaxing and Muay Thai the most memorable issues was the Bicycling. I truly loved that around Amsterdam and I will do it again and again its a bike paradise. I also thought I will take a motorcycle trip around the country and maybe to others next time I go.  That will be fun. As far as business goes , well I did see some plastic surgeons in Geneva and was impressed but the Swiss are known for a long History of cosmetic plastic surgery. I also spoke with some Web Designers and found out about the local community in terms of Web design and marketing as well as in Amsterdam. There will be some of the best Internet and media conferences coming up these next few years like next fall which I will plan for.

Well my dear readers I don’t want to bore you with too much, so I will go over some other details in later blogs as I am still suffering from jet lag. As always enjoy.

Doctor 808

Many of you may not have known that I invented a special instrument that I have used for over 12 years for my Axillary and Buttock Augmentation cases to place the implants. I have been selling this instrument and teaching other surgeons to use it as well. This instrument is patent pending , trademarked and FDA approval pending payment of their fee.

The instrument is excellent for a consistant dissection of the breast pocket or the pocket to place the buttock implant. I will show you a picture of it here. Then you will know why I call it the Butt-a-rang and the Boob-a-rang. Though this may sound like a joke that is what I named it.

So now you know it looks like the Australian boom-a- rang so that is why I call it the boob-a-rang or butt-o-rang depending on its use. This instrument we manufacture and ship all over the world. Surgeons are using them in Korea, Japan and Europe. Its simple design and simpler use makes it do fine for beginner surgeons to use. Yet I will save that part  to tell them.

The funny part- I want to tell you my dear readers. Today I had to pick up some that were manufactured for me so that I can ship them to the surgeons who ordered them. I went to the machine shop where all the fancy LASER cutting equipment is for metal and of course I was late. The only people who were in the shop were the craftsmen who do such fine work for me. It was funny becuase it was at the end of their day. So they know me and said  ”Hey Doc how about making us some boobs?” .  Typical workers who were enjoying a beer after they closed their shop on a Friday night. So fun and I recall when I was 18 and worked in construction. At the end of the week working hard with physical labor al week in the heat—nothing is better than sitting around drinking a beer with your fellow workman. It great because you dont do anything no hard work, just laugh and joke. I know there frame of mind completely. So it did not suprise me when they all got up and started teasing me and making jokes about Botox on their private parts, giving them one breast or having to come to the operating room and personally ,,,,,I mean them inspecting how my instruments work on my beuatiful young female patients. Sorry boys but that would be against the law!!

Well so much for my Friday , I took their jokes and good natured harassment and went to Muay Thai. If any of you are interested in seeing these instruments and how they are used check my web site  www.boob-a-rang.com !!!

Till next time

Doctor808

Recently,  I hijacked my cosmetic surgery friend’s ( in Tokyo)  –Mixi.jp  account. I did this for various reasons , one being that since I have a web development firm that works in all cultures and languages I wanted to gain an understanding of this. Secondly,  its very hard to get your own mixi.jp account unless you have a Japanese cell phone so I just stole his. Sorry Taka.

Mixi by the way is a Facebook on steroids , for those of you who want some understanding of this. It has a login page which list , your profile , friends and what your friends are saying in their blogs. The blog summary  is a very popular item. If you see something interesting you can click and follow that persons journal. There is one the big differences I noticed between the myspace type things and the facebooks of the world and Mixi. The Japanese take their blogs very seriously and there are millions of them. Many Japanese house wives entire world seem to be blog-o-centric.

One other thing I noted is that “everyone is paranoid” which means that not only are the internal security controls very tight,  but most people unlike Face book or Myspace will not put their own picture up. Its Iconic images or many men for example will have woman’s pictures as theirs probably of some models. Also of course there are  the Japanese Pokeman type images seen,  as well as flowers , fruits vegetables etc. This makes it difficult to tell who you are clicking on. In my case its even more difficult because I do not read Hiragana, Katakana or Kanji,  as of this date. So I spend half my time with translation software trying to guess what they are saying. This can be most difficult. Take for example the case of a place called First Kitchen which is a food store in Japan. The Japanese have a funny habit of abbreviating many things so they shorten the words– like Family Mart becomes Fami-ma. Well according to some sources First Kitchen becomes ” fukkin” when they speak abbreviated format. So as you are reading someone’s blog it is feasible that they say ” My friend and I went fukkin”. Sorry for that,  but it illustrates my point of possible miscommunication very well. So when I translate I do not get the full meaning of the blogs.

最初の台所  or  パイズリ I apologize to those offended,  but I think I have this right.

I am also informing you that unless you know Japanese well you probally will not make any friends. I have two friends, my  Japanese web designer and someone who I have no idea or what they are.

The other interesting thing is you can see who visited your page unlike facebook or myspace. I for example was like an elephant in a china shop clicked around not even know what I was clicking and someone told me their friend asked them why I left my footprint? Perhaps they thought I was a trouble maker?  At any rate I suppose one must be senistive to these issues.

Overall I like this mixi. From a web development point of view I did see some advertisments from some cosmetic surgeons and other things. I dont know if viral type marketing like one can see in Youtube or Myspace is possible. Yet I think is see some value but not like in American Social Media.

I have not discussed with my Japanese associate yet but at some point we will find an answer with regard to using Mixi.jp as a marketing tool for our clients. As far as plastic surgery marketing–well like I said I did see two Japanese cosmetic surgeons advertise. I will keep you updated in any significant issues of Mixi but dont expect much until I can learn more Japanese language.

Doctor 808

On Thursday my staff and I gave a event at Fort Schafter an Army Miltary base.  We invited the public to this lecture and question and answer period about Plastic Surgery in Hawaii. We had it sponsored by Mentor Breast Implant Company and Company which makes Dysport. There were about 50 people who showed up. There were three lectures given. One by me, one by each of the representatives. We also had door prizes and live injections of fillers and Dysport. The best prize was a free pair of breast implants dontated by Mentor Corporation.

The crowd was fun and interested

My staff had put a lot of work into this event and I think it was a success. The most important issue to me was I tried to evaluate something new we call the Aloha Dysport Lift. This is where I inject in the superficial layer of the skin Dysport in a special pattern. For reasons I will not dicuss here the facial skin is lifted to a small degree and lines will dissapear. I will be writing more about this later on a web site we are in the process of building. So for now I will tell you what we did. We did this on three patients from the audience but only on the right side of the face. We then waited 30 minutes. I then under High Density Video we asked the audience to raise their hands if they could see a difference. Amazingly every one raised their hands and all agreed that they could see the changes in each of the three patients. I actually begged them to not to go along with the crowd if they doubted what they saw. Still they all agreed that they could see the changes. This to me was amazing. We will show the pictures on the web site at a later date so stay tuned.

My Staff was available to answer questions

The staff stood by to answer questions. Many good questions came from the audience about Breast Augmentation. Liposuction and all the various fillers such as restylene, juviderm and the like.

The food was great and we really enjoyed this event and learned a lot about the Aloha Dysport Lift.

We hope to have future events such as this and we thank our sponsors.

Doctor 808

This is one route there are many path

As mentioned I will keep you abreast of my training progress. Today was an excellent day to incorporate into to my training schedule. I do not care for jogging or running so I need cardio work out another way. One is the monster stair master, which I am up to 15 minutes at level 10 now. Yet I like a more enduring type of cardio which is more pleasant. So today  I added another exercise to my weekly regiment. I cannot train Muay Thai on Tuesdays and Thursdays because I go to my Japanese class, so I decided to Bicycle to work. This will be between 5 and 8 miles one way depending on what route is taken.  The total time is about 45 minutes at a good clip. So riding to work, then to Japanese class and then to home is about 12 or 13 miles and takes a total time of 2 hours. This is because of significant hills.

The hills are fun and one must use their body weight to get up these hills. I am no Lance Armstrong,  but I  can take a hill fairly well. The cardio from this adds color to your skin and gives one the very healthy appearance as the blood vessels dilate up.

One thing that I note about such a ride is that you notice so much more around you then when driving in a car. Especially here in Hawaii the air is so fresh and evening is so peaceful with tropical breeze blowing. We will add this to our weekly routine.

Doctor808

Dysport Package

Dysport Face Lifting is a new procedure I am investigating. This is a non surgical procedure which uses Botox Cosmetic’s Competitor . Dysport is a new approved product by the FDA. They are both botulism A toxins which act in a  manner to paralyze muscle so that one does not develop dynamic wrinkles. These are wrinkles which are caused by the movement of the facial muscles as opposed to sagging of the skin.  The Dysport, as well as the Botox, both stop the muscle movement and the wrinkles do not form or relax and go away.

This new procedure I will call the Aloha Dysport Lift or ADL for short. What the ADL appears to be is a non surgical chemical face lift. Of course its not a true face lift as compared to surgical face lifting,  but from what I have observed is it does produce noticible change rather quickly. We have done the procedure on three patients and everyone in the office was rather amazed.  You could see actual changes before your eyes.  The face was done so that the full right side was done and then compared to the left and so far with the three patients with in thirty minutes you can see the difference between the two sizes. Simply amazing. I will be showing the photos when we have  5 patients completed so stay tuned.

doctor808

In the training mode again

As I mentioned earlier in this blog I would keep my readers abreast of my progress after a rest I had taken after my last fight. I would like to update you now. I started back about 10 days ago. The first thing I did was start with cardio training. The easiest and fastest way is to simply get on my eliptical machine that I have back in my lanai (soon to be garden). I did 30 minutes with a setting at 8 which ramped up my heart rate to a steady 133.  Seemed pretty easy so I continued for a few days. I went back to Muay Thai and my trainer who I have introduced before,  gave me the usual deserved harassment , but very mild. Unfortunately ,at the same time I had the Korean Cosmetic Surgeon visit and he took up my training time which between that and Japanese class i was unfaithful. Yet allow me a moment to point something out about you and about me.

If you want something bad enough and your are really hungry for it —you will find your way.

This is true in physical training, as it is in life. So even though I tell you my Korean Doctor was here and I had Japanese class I was unfaithful to my love, Muay Thai training. I obviously did not want that bad enough. That is the case, now I regret that as I lost a full two weeks of training time. Since I regret I will go starting monday and quit playing excuse game with myself. This is the same advice I will give you my dear readers. If you want it bad enough you will find away.

On the other hand I was not completely lazy. I went surfing quite a few days, continued on my elliptical machine , my pull up bars and even did push ups and sit ups in my house.  kicked my dummy every day with 30 – 50 kicks per day.  I went to the Honolulu Club (our local overly priced gym) and did a few weights.  So I look at the last two weeks as a warm up and now its time to get started.

LETS GO !! YOU HAVE TO WANT IT !!

Today I did  the following in this order:

1. Stairmaster at a setting of 7 for 15 minutes ( by the way this is the first time I did this torture device)

2. Barbell bench press of 135lbs 5 sets and 10 reps each

3. Push ups 3 sets of 15

4. Chest Flys 5 sets of 30 lbs each hand and 10 reps each

5. Weight assisted dips 10 x 3 sets

6  Smith machine squats 70 lbs X 10 reps X 7 sets

8. 35 sit ups x 2 sets

35 kicks on bag each , push kick and lateral leg kick

I must say I did work up a slight sweat but compared to a year ago this was not even 50% of my normal work out. That means I will be ramping it up greatly in the next few weeks. This will be at a minimum 4 days a week and 3 days – 4 days of Muay Thai and sporadic surfing , bicycle and other activities. Its time to get back to my old self. If you stay tuned I may show you before and after photos. I do not want to show you before as I am frankly embarrassed at this point. So remember you like I said —if you want something bad enough you will find a way to accomplish that. That is todays key sentence.

doctor808

I went to Korea some time ago,  perhaps  1 year and met some marvelous Korean Cosmetic Surgeons. I was the invited instructor to teach my technique in Buttock Augmentation. It was a great country and I was of course happy to have my way paid and teach some plastic surgery technique.  Well many of the doctors asked me if they could spend some time in my clinic to observe and learn.

This brings me to Dr. Yeom who had our mutual contact who I know as “Maverick” had emailed me about his desire to come here. In fact I knew he was sincere in his quest to learn more from me. The reason was when I was in Korea he could not speak English so he spent the last year learning English so he could communicate here.

Troy Wilson, Dr. Yeum, ME

He arrived about two weeks ago, unfortunately the clinic is slow,  but we did have enough cases to keep him occupied. So he learned enough to make his trip worth while. We performed several breast augmentation surgeries and he assisted and learned some technique. He also observed Rhinoplasty some facial surgeries and liposuction.

Dr. Yeum has his own clinic in Korea which he names Dr. Beauty Clinic. The problem is he says no one in Korea knows the english term “beauty”, so he is unsure of how effective it is. Never the less Dr. Yeum likes the term so he will keep it.

I have met a lot of plastic and cosmetic surgeons in my 20 years in the field and I must say he is indeed one of the most pleasant I have met. For me as teacher of techniques it was a nice experience, Additionally Dr. Yeum taught some of his non-surgical techniques to me. During his visit we had a new product come in called Dysport. Dysport is now a FDA approved competitor to Botox cosmetic sold by Allergan. Both products are similar yet we had no experience with Dysport. Well with Dr. Yeums visit we had an experienced Dysport teacher for myself and the staff. It seems that dysport has been used in Korea for about 3 years while we just received approval here this year. So we were able to get the scoop and all the insight on the use.  Another potential aspect of Dysport which we learned and actually now have tried on a few patients is something called “dermatox lift” we call it a” dysport lift” until I complete my study of this and then I will give it a catchy name. We noted that by injecting small amounts of Dysport in the dermis ( skin ) it produces a lifting of the skin. This by no means is like a surgical face lift,  but indeed all agreed that they could see a slight lift on all the patients we tried. Originally when Dr. Yeum mentioned this we thought it sounded very strange. Yet when he demonstrated the technique we were all amazed.  I will be writing more about this technique later once our “mini-study” is completed but initial indications are it looks very good.

One more thing about Dr. Yeum is that he likes karaoke and he can really really sing. In fact we were amazed at his wonderful voice.

Dr Yeum as lounge singer !!

Well all I can say is that this was impressive even though he sang a Korean Song which I could not understand. I think he is a baratone. Everyone at our table and entire strangers were simply amazed. The one musician with our group stated that Dr. Yeum missed his calling and should have been a singer instead of a doctor.

I agree though he seemed to be a good doctor as well.

His visit ended with our presentation of certificate stating that he completed a two week preceptorship in cosmetic surgery at our clinic.

We will be having other surgeons visit our clinic in the furture as we have in the past for learning and exchanging the latest techniques. This is always enjoyable and educational.

Doctor808

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Well its been several months since my last Muay Thai fight. I was pretty banged up because of the unorthodox fight it turned out to be and probably my age is catching up to me. It takes much longer to heal and recover when your older. That I have noticed.  I have only been doing some basic cardio since the fight. So I have been very very LAZY. I went to Prague CZ and Amsterdam as well as Geneve as I previously wrote. I became very ill for 5 days there with a dental abscess, this virtually wiped me out. In fact,  I was so ill that I turned pale white, dropped my blood pressure and pulse rate of 144 at one point. Finally in I found a dentist after a root canal that failed earlier  in Praque and dentist who extracted the tooth. My training’s schedule was thrown off and well, the old laziness set in. So for the last few weeks I have been trying to gather up the energy to get going again and now I am ready.

Here I go again

I will share with my kind readers my training this time. I will show you details on how I transform myself. Although I am a plastic surgeon and have been accused of creating artificial beauty through unnatural means -plastic surgery. I do know one thing. The best transformation is through physical training and proper diet. If I document this maybe a few of my dear readers will see an interesting transformation and be inspired.

Well I feel rather anxious about exposing myself on the Internet so I better pull this off. If not you will see what a failure I can be or not. Then I suppose my dear readers you will not be inspired.

One can accomplish so much with exercise and diet in improving ones appearance that it amazes me. Yet of course exercise does not always work. for example a woman has had a baby and her skin stretches and will not retract,  a tummy tuck may be in order. Yet combined with exercise its always better. The results of a person exercise plus plastic surgery is very good.

Yet with pure exercise you can accomplish a lot. Take for example the two photos below which are of  the same person:

The above picture illustrates well what can be changed with exercise in about 12 weeks without plastic surgery. There is no magic only discipline. This was accomplished with 3 – 4 nights a week of kickboxing training. No weight training was done with this transformation. Yet diet played a huge role as well. The one on the left has hair and the one on the right does not but the difference can be still seen.

Not only does the body benefit but the facial features do as well. Lets look at the many faces of the same person as seen  below. Hairstyles, weight changes and of course lightening can enter in the picture all can change appearance a lot as well.

Different People or Different levels of exercise ???

These pictures of yours truly were not taken like ten years apart although some were a two years or so ago. Yet the surprising thing is that the younger looking pictures were taken after some of the older pictures. To really illustrate this look at the facial picture below:

Latest Picture less than 3 months ago

I was training for a muay thai fight in the above picture so my physical condition and shape were at the top in the scale. As you can  see the face is more youthful. The point of this is that good exercise and diet can make for great changes that plastic surgery cannot.

Well to give my readers an idea of my training to undertake I will begin tomorrow with 1 hour of surf & swimming and then to work. After work I will go to my Muay Thai training as noted in this blog elsewhere. The training will be about two – three hours of jump rope, bag drills and other normal activities like 100 sit ups. That will be enough for first day back. I will add weight training and other activities as I go along for the next few months.

Most important is diet. This has to be individualized for each person. What works for me may not work for you. So for example I am very carbohydrate sensitive so to lose weight I have to approach an extremely low carbohydrate intake. So I switched to complex carbs like oat meal in the morning. Resistance training is very important to lose weight as you have to shift to having a higher percentage of muscle. To build muscle you must use resistance training like weight lifting. The reason why this is so important to weight loss is something called Basal Metabolic Rate. That is the rate you burn calories when not doing anything. So since fat burns no calories in this basal state and muscle does burn calories when doing nothing. You want to keep your muscle up and your fat down.

Well we will let you know dear reader how this goes. I will make updates over the next 12 weeks or so. My weight now is 192 lbs and body fat is about 15%. I need to get down to around 9-11% and 180Lbs.

Plastic Surgery can do a tremendous amount as well. Liposuction makes the job of looking better easier. If men for example have that spare tire around the waist. They can loose that with proper exercise and diet. The problem is in some people when they do lose that their face is so thin or other parts of their body become so thin it does not look right. They look like a skeleton except around the waist. These people are the perfect candidates for liposuction in that specific area.

Well as stated I will keep you informed and hope I can inspire some of my readers to get up and exercise.

doctor808