Fat dissolving injections
( Lipolysis / lipodissolve )
INTRODUCTION: - Injection Lipolysis is an alternative quick and easy treatment for superficial collections of fat.
WHAT IS LIPOLYSIS? Lipolysis is a series of micro-injections developed to dissolve fat deposits of the face and body. It was originally discovered in Italy in the early 1980’s and modified and improved in 2002 as a more effective treatment option for treating localized fat reduction without surgery.
The solution is made of six natural substances, and the main substance (PPC) is derived from the soy bean and has been used for many years for reducing blood lipid levels; treating fatty livers and fat embolism. With no complications observed. It has been used cosmetically since 1995 for reducing collections of fat and with over 70,000 treatments being performed. It is indicated as a lipid lowering agent, and is a licensed medicine in some European Member States.
Is Lipolysis supported by research? Yes, Lipolysis is supported by clinical studies and monitoring of effects in Europe and the USA.
Which part of the body can be treated with Lipolysis? Lipolysis can be used to address fat deposits of the following areas:
Double chin/neck / Fat of the cheeks and mid face / lower eye pads.
Upper abdomen / Lower abdomen / Love handles / back .
Hips /Thighs / Knees / legs / Upper arms / Lower arms
Fat deposits of the Lipolysis can also help to treat the following conditions: -
Gynecomastia / Cellulite / Xanthelasma / Lipomas / Fat of the pubic/genital area.
How does it work? PPC is injected into the superficial fat layers and is responsible for breaking the membrane (or wall) of the fat cell. The triglycerides (fats) stored within the cell are then released and transported away from the area via the blood stream to the liver where they are processed. By reducing the number of fat cells in a particular area the amount of fat stored in that area is also reduced. Thus Lipolysis can be used to reduce small areas of fat (eg chins and necks) or reduce larger areas, or to smooth out irregularities.
What does a treatment involve? PPC is injected just under the skin and multiple injections are required to get an even effect. This is done using a device multi-injector that allows several injections to be done simultaneously. Thus you will only feel one pin prick for (up to) 5 injections. Each "shot" is only minimally painful.
Is the procedure painful? The procedure is seldom painful, with exception to some body areas and body types which may cause a bit more ache after therapy. Cellulite treatment can contain a little more discomfort which can be reduced by ice or local anesthetics creams.
Is Lipolysis safe? Lipolysis has shown a very promising safety report and compared with many popular cosmetic procedures, it can be viewed as very safe. Pharmaceutical agents used in Lipolysis contain a combination of enzymes, vitamins and medications. Allergic reactions against the medications is possible as in any treatment and patients must inform the physician if they have any known allergies against medications or other or whether they are on medications or suffer from metabolic disorders.
Does Lipolysis work for everyone? Some people do better than others. There is a huge variation in results even between people who have similarly sized areas to treat. A percentage (approx 6%) has such a small degree of improvement that for practical purposes we say they do not respond at all. Prior to each treatment the area is measured and photographed. These are compared at the 6 to 8 week mark to properly assess results
What are the side-effects?
It is possible to develop: - Minor allergic responses to the treatment such as a rash, breakthrough menstrual bleeding, and a temporary feeling of light headedness (common, lasts only minutes), muscular pain through irritation of muscle nodules, some of which may be permanent (Due to muscle irritation)
To date there have been no serious side effects, but theoretically it is very rarely but possible to develop: Infection/abscess / Nerve damage / Allergic reactions (asthma, shock)
How many treatments will I need? It varies from patient to patient case and body areas targeted. It is normal that results are seen in 4 to 10 sessions, although your case can differ, as the number of treatments depends on how much of an improvement you have with your first treatment. We cannot predict this in advance and can only really answer the question when we have measured and photographed the area at your follow up visit.
How fast will I see results? Treatments are repeated every 5 to 15 days apart. If you address large body areas, like the abdomen, and require several sessions you may notice minimal results between the first and second session which generally improve with additional sessions. Many smaller areas, like double chin, often give satisfactory results within two months.
Results vary from patient to patient and can be very dramatic in some patients with excellent cosmetic results, while minor in others depending on their metabolic profile, body type and other factors.
Does Lipolysis work on all body areas? Some areas respond better to treatment than others. In general this is related to how fibrous or tough the fat is. For example, upper tummies do not tend to do as well as lower tummies, as the upper area is much more fibrous. Men have much tougher fat than women and so often will require more treatments
How much weight can I expect to lose? Lipolysis is not a weight loss program, and although some patients have dramatic reduction in circumferal measurement, the actual weight loss may be insignificant. This is common even with liposuction surgery of fat removal. Generally people only lose weight where they make adjustments to their diet and exercise habits.
Will the fat return after Lipolysis treatment? The fat will return if you gain more weight in the future, but observations in Lipolysis have shown that the fat often stay off quite well in the treated area even after some overall weight gain and retains a natural look without pockets of unevenness.
Lipolysis should not be used in the following situations:
- Pregnancy and breast feeding
- User of warfarin
- Severe diabetes
- Certain auto immune diseases - SLE, dermatomyositis, scleroderma
- Acute or chronic infections
- Allergies to B group vitamins, soy beans
NOTICE: - The results are lasting if you don’t gain weight after the treatment, and Fat reduction injections do not stop you gaining weight in the future, so are not an alternative to dieting and exercise.
BACK PAIN IN THE OFFICE
1. Back pain is as mystifying today as it was decades ago. Despite excellent tests and procedures, modern back specialists admit that up to eighty percent of all cases have no clear physiological cause. In fact, many pain-free people show bulging or herniated discs in x-rays.
2. Also, despite everything we know about back pain, ninety percent of us are going to have a disabling episode at some point in our lives.
3. It is difficult to predict which individual person will develop back pain. Strength, fitness, and back x-rays are not good predictors. One major study concluded that the only predictors were 1) whether the person has had back pain before, and 2) whether the person smokes cigarettes.
4. On the other hand, job characteristics are predictors of back pain. Jobs with heavy or frequent lifting are high risk, as are jobs involving prolonged standing or sitting.
5. There is little agreement on how to do lifting with little risk. Lifting with the legs is easy on the back, but hard on the legs and muscles. Lifting with the back puts strain on the disks but is less fatiguing.
6. So-called 'back belts' have not been proven to strengthen backs or prevent back problems. On one hand, they may help remind wearers to lift carefully. On the other hand, they may give wearers a false sense of greater strength, encouraging them to lift more than they should.
7. People who sit for long periods are at risk for back disorders. The two greatest problems seem to be 1) sitting upright or forward, and 2) not changing position.
8. An upright posture with a ninety-degree hip position is actually unhealthy, from the perspective of the intervertebral discs. For a number of reasons, the discs experience more pressure --- and the pressure is more lopsided --- than while standing. So it's a good idea to sit with the hip joints somewhat straightened. Yes, this resembles a slouch, with your rear end scootched (a technical term!) forward in the seat. A supported slouch may be healthy in the long run. Forward-tilt chairs support this posture, but so do chairs with level seats and reclined backrests.
9. Even if the hip joints aren't somewhat straightened, sitting in a reclined posture is more healthy than sitting upright. This is because reclined sitting puts more of your weight onto the chair's backrest. If the chair backrest holds up more weight, the discs in the lower back hold up less weight. (Well-designed armrests also take some of the upper body weight from the discs.) .And reclined sitting lets the back muscles relax.
10. All sitters should move around. In addition to helping the muscles relax and recover, this alternately squeezes and unsqueezes the intervertebral discs, which results in better filtration of fluids into and out of the cores of the discs. Discs stay plumper and, in the long run, healthier.
One implication: chairs should follow the sitter as he/she changes posture.
11. The most important chair adjustments are seat height from the floor --- the feet should be able to rest flat on the floor. (However, this doesn't mean the feet should always be flat on the floor. Legs should be free to stay in different positions). depth from the front of the seat to the backrest --- sitters should be able to use the backrest without any pressure behind the knees.
lumbar support height --- every person is shaped differently.
12. The 'proper' chair adjustments and chair posture are greatly influenced by the rest of the work area. In particular, the eyes can affect posture, especially if the work material is too far, low, or high. Hand positions (especially working far from the body) can also affect body position, particularly the posture of the upper back and neck.
13. Upper back and neck discomfort is often related to upward viewing angles (for example, monitors above eye height) or leaning, twisting, or reaching (for example, looking down and sideways at a document on the desk, or reaching for a mouse).
For a paper on monitor location, click here.
14. For people with existing, chronic, difficult back pain: all the above rules are optional, because each back pain case is different. Rules for prevention of back pain or treatment of medium- level cases may be completely inappropriate for individual cases of severe back pain. Before accepting any advice, trust the "advice" of your own body's discomfort reactions.
EYESTRAIN IN THE OFFICE
1. Eyestrain means different things to different people. It can be experienced as burning, tightness, sharp pains, dull pains, watering, blurring, double vision, headaches, and other sensations, depending on the person. If you have any eye discomfort caused by viewing something, you can call it eyestrain.
2. In VDT workstations, the principal factors affecting the ability to see well are: glare
the luminance (brightness) difference between what is being looked at and its immediate environment
the amount of light
the distance between the eye and the screen and document
the readability of the screen and document
the worker's vision and his or her corrective lenses
3. Watch out for direct glare. Direct glare involves a light source shining directly into the eyes --- ceiling lights, task lights, or bright windows. To determine the degree of direct glare, you can temporarily shield your eyes with a hand and notice whether you feel immediate relief.
4. Reflected glare, such as on computer screens, sometimes causes eyestrain. But its worst effect may be causing you to change your posture to an uncomfortable one, in order to see well.
5. The most overlooked cause of eyestrain in offices is contrast --- usually, a dark screen surrounded by a bright background such as a window or a lit wall. The best solution is to find a way to darken the area around the screen. This problem occurs mainly on screens with light letters on a black background.
6. How much light is right? It depends on your age, the quality of the print you're reading, and other factors. There should be plenty of light for easy reading, but too much can, depending on the person, cause eyestrain.
7. Eyes are strained more by close viewing than by distant viewing. The "right" distance for computer monitors and documents depends entirely on how clearly they can be read at a given distance. The general rule is to keep viewed material as far away as possible, provided it can be read easily!!!
For more technical information & research backup, click for a viewing distance article.
8. If you gaze at something too long, your eyes can tire. Eyes need to focus at different distances from time to time. It's a good idea to follow the "20/20 rule" --- every twenty minutes, look twenty feet away for twenty seconds.
9. If two objects are only a couple of inches different in their distance from the eyes, the eyes actually do NOT have to refocus to look from one to another. Greater distance differences, however, can overwork the eyes if you have to look from one object to another frequently - -- as when typing from printed copy and looking at the screen. In general, keep viewed objects at about the same distance if you have to look back and forth a lot.
10. Can computer work cause nearsightedness? Rarely, according to optometrists. It's more likely that computer work makes you realize that you need glasses.
11. Sometimes eyestrain is just a case of dry eyes. Lowering the monitor can help. Looking downward means more of the eye surface is covered by the eyelid, and two other things happen: the eyes unconsciously blink more, and they produce more lubrication. For more information on why you should consider a low monitor position, click here.
11. People who need bifocals should consider other options besides bifocals. Two good ones are: "Computer glasses" that focus at the right distance for the computer screen.
Wearing contact lenses --- corrected for computer or reading distance in one eye, and for far distance (if needed) in the other eye.
Some optometrists have taken special training in computer-related vision. Click here to go to a website that gives names of computer vision specialists in your geographic area ... the site also has a nice step-by-step analysis of your computer vision situation.
12. Bifocal wearers often experience sore necks and shoulders because they have to tip their heads back to see the computer screen. Lower the screen as much as possible --- if it sits on the CPU, move the CPU. If necessary, remove the monitor's tilt-swivel base (consult a computer hardware person first) to gain a couple additional inches. Lower the work surface that the monitor sits on.