An upper arm lift (brachioplasty) is a procedure commonly performed on individuals who have lost a large percentage of body weight in a short time frame. Once the redundant skin is removed and proper postoperative protocol has been followed, the longevity of results will solely depend on the efforts made by the patient to maintain the same body weight. As with any area of skin that stretches due to weight gain, it is entirely possible that results from a brachioplasty could be undone without a proper diet and exercise routine.
Is there more than one type of arm lift surgery?
A traditional brachioplasty involves making an incision from the armpit to roughly the elbow region. Excess fat and skin are removed, and the skin is contoured and sutured together. This results in scarring, and each scar has varying degrees of thickness and appearance. Anyone with a history of developing thick scars may want to weigh that factor into the choice of surgery very carefully, especially if hoping for a very pleasing outward appearance with little scar visibility.
There is also a minimal-incision arm lift, which consists of making a small incision in the armpit and performing liposuction to remove some of the fat from the area. That incision is then closed, and the recovery is much shorter. This procedure is an option for individuals who do not have sagging or loose skin.
When will I know I’m ready for the arm lift procedure?
Loose, hanging skin from the upper arms can be very bothersome in that it can force an individual to purchase larger clothing, to accommodate the excess skin, and also due to possible skin rashes or infections that occur due to rubbing and chafing of the skin. The appearance of sagging skin on the upper arms is largely what drives patients to seek removal of the skin, in hopes of boosting their self confidence.
We advise patients to reach and sustain a weight that is within 30 lbs of their recommended BMI. While it is possible to perform the brachioplasty more than once, it is most beneficial to the patient to undergo the procedure only one time. If a patient is having extreme discomfort and has not yet reached their goal weight for the surgery, we can discuss options.
Depending where a patient carries weight in their body, it is entirely possible that more than one brachioplasty procedure will be necessary to help the patient achieve their desired outcome.
Will recovery take a long time?
The upper arm lift is done as an outpatient procedure, under general anesthesia; and you will go home on the day of surgery. The usual recovery time is 2-4 weeks. This time will be spent with compression garments around the arms and drains that collect blood and fluid. These drains will need to be managed for a few weeks as well. The compression garments help the skin adhere to the underlying tissues. Edema, particularly of the hands and fingers, is very common following this procedure. Compression garments will help minimize swelling of the arms, but it may take a few months for all swelling to completely resolve. Following the postoperative instructions very carefully will ensure the healthiest and speediest recovery.
Is there any chance that insurance will cover this procedure?
Currently, most major health insurance companies are not covering the brachioplasty procedure. There may be the rare instance that the procedure would be covered, and we can submit documentation to your insurance company to see if the procedure receives prior approval, but history has shown us that most insurance companies consider an upper arm lift to be a cosmetic procedure.
Can I have other procedures done, while I am under anesthesia for the arm lift?
In some instances, this is a possibility. Combining procedures is not uncommon, and we can discuss what your options are during your evaluation. There are several factors to consider, and the complexity of each case dictates what is safest. We take all of these factors into consideration when planning the best strategy for each individual patient.
To learn more about your arm lift options, you may visit or consult Dr. Joseph Rucker. Dr. Rucker is a board-certified plastic surgeon and owner of Rucker MD Plastic Surgery Clinic, who specializes many intricate plastic surgery procedures including arm lift surgery in Wisconsin. As arm lift surgery has grown in popularity, Dr. Rucker has stayed at the forefront of his field, educating future doctors as a Clinical Assistant Professor at the University of Wisconsin Medical School.
My Kids Can’t Eat That: How to Deal with Allergies & Intolerances in Children. Christine Bailey Nourish Books August 2018
As a coeliac myself and mother of three boys who between them have reactions to various foods I have learnt how to adapt our family life and eating patterns without compromising our health or enjoyment of delicious foods. I feel I am lucky. As a qualified Nutritional Therapist and Chef if anyone was going to be able to create delicious healthy allergy free family recipes it was going to be me. Being trained through the Institute of Functional Medicine I am also aware that there are many reasons why allergies develop and if you can address the route causes and the underlying imbalances in the body you can reduce your child’s allergic potential and optimise their health long term.
As parents we want the best for our children. Being diagnosed with a food allergy can feel very daunting both for the parent and the child. That is why my latest book includes plenty of practical advice on living with a food allergy in addition to tackling the underlying imbalances – whether it’s avoiding cross contamination, coping when travelling, eating away from home or managing parties and family events.
Supporting Your Child With Allergies
When doctors refer to a food allergy, most of the time they are referring to an IgE-mediated food allergy, which is also called a “true” or “classic” food allergy. These types of reactions are more common in children rather than adults. Symptoms tend to be immediate, typically occurring within two hours of eating and are normally very obvious. It can be triggered by consumption of only a tiny amount of food. It may result in a range of symptoms, including itchy rashes, sneezing and in some cases anaphylaxis. While any food can trigger such a reaction the most common are cow’s milk, eggs, fish and shellfish, peanuts, soybeans (and related products), tree nuts (e.g. almonds, pistachios, hazelnuts, walnuts, cashews, pecans, Brazils, macadamia nuts) and wheat.
Once you know what your child’s allergies or intolerance are then you can start to make practical steps to ensure their diet is safe and nourishing. This includes taking steps at home, eating out, dealing with schools and nurseries, parties and travelling
Caring for a child who has been diagnosed with a food allergy is a whole household – even lifestyle – experience. From the moment that you know there are certain foods that are now out of bounds for one (or more) of your children, you’ll need to get organized.
For many families, the simplest, clearest and most failsafe approach to ensuring that home is not a place that exposes children with allergies to foods they can’t eat is to remove the culprit foods completely. That is, everyone eats in the same, allergen-free way. For example, if one child is diagnosed coeliac, the whole family switches to a gluten-free diet; if a child is diagnosed with a nut allergy, your home becomes a nut-free zone.
If you are cooking separate meals you will also need to take steps to avoid cross contamination. Using separate chopping boards, baking trays, dishes, pans and so on for free-from foods and washing utensils thoroughly is important.
Whatever food allergy your child has, instead of focusing on what your child cannot eat explore all the nutritious foods they can enjoy. By cooking real food from scratch you’ll find your meals are fresher, tastier and more nutritious. It can also be cheaper too.
Just as it is important to speak to children about their allergies, it’s really important to have good communication with your child’s school staff. When your child starts a new school and at the beginning of each school year, make an appointment with the head teacher, the class teacher and the school nurse to talk about what your child is allergic to and what to do if he or she has an allergic reaction. If they are having school meals you will also need to speak to the school caterers to ensure the menu is suitable. If you’re worried, you may prefer the option of bringing a packed lunch rather than eating a school meal.
In many schools it is common practice to share a birthday cake or sweets on special occasions. There may be other times, such as festivals or international celebration days, when new foods are shared in class. When you speak to your child’s class teacher at the start of the term, explain that you’d like warning of any occasions that the class will celebrate in order that you can provide alternative foods for your child to enjoy at the same time as everyone else, so that he or she can join in.
European and UK law require eateries across all European countries to let customers know which foods on their menu contain any of the 14 primary allergens. However, there is no regulation as to how this information might be conveyed, which can make eating out incredibly stressful, particularly in the early days of diagnosis, when you’re just getting used to the kinds of questions you need to ask on behalf of your child.
Some restaurants, for example, will train their waiting staff to convey information about allergen foods on their menu directly to their customers in response to queries; others might add labels, highlights or symbols to the menu; in takeaway restaurants, labelling might be on the counter, on signage or in fridges next to food itself. Many restaurants will have special allergy-free menus to make choosing appropriate dishes as straightforward as possible – you just need to know to ask for one. In the book I provide my top tips on how to keep eating out the fun experience it should be.
Points to consider
Choosing your venue – Some restaurants – and cuisines – may be better suited than others for catering for people with allergies. For example, restaurants that cook everything to order, from scratch rather than buying in prepared sauces and other menu items are usually good choices. Look at the menu online – do they have a special allergy free menu. This can help you decide if they have a good selection of dishes your children will enjoy. Forget the children’s menu – good restaurants will be able to provide smaller portions of dishes on the main menu
Plan Ahead – Book a table and explain your child’s allergies when you book – make sure they note it and you feel comfortable they understand the implications. Ask about cross contamination – how do they prepare allergy free dishes and make sure it is not contaminated during preparation and cooking.
Ordering – When you order, ask questions if you need to double check ingredients. For example, ask whether sauces are thickened with wheat flour, or whether fried foods are dusted in flour before frying. If your child is dairy free, ask whether butter is used as an emulsifier in sauces or to coat vegetables before they come to the table. Have eggs been used to bind burgers or as a glaze on meats or breads?
When your order arrives, double check with the staff that they’re confident your requests for allergen-free ingredients have been followed and check to make sure there aren’t any sauces or extras that might have been added inadvertently and be problematic.
PARTIES AND PLAY DATES
No child should feel awkward or embarrassed about going to a party and not being able to eat the food. One thing I would say: there will always be a handful of children at a party who won’t eat what’s put in front of them, simply because of personal likes and dislikes – a child with allergies almost certainly needn’t feel alone.
Take control. If your child is invited to a party, let the host know when you accept the invitation about his or her allergies and tell them you’ll drop off a special party tea when you arrive. Ask what sorts of things their party tea will serve up and offer to bring similar allergy-free food to take the pressure off the host. Some parents will even be happy and confident to make something special for your child themselves – especially if it’s as simple as swapping in gluten-free bread or pasta, for example. But many will be grateful not to take the risk. Good hosts will never be offended if an allergic child refuses food. Reinforce the idea of saying no politely before your child goes to the party, so that he or she feels confident when there.
If your child is staying overnight at a friend’s house, offer to provide plenty of provisions to cover breakfast, as well as other meals and snacks. Use a cool bag, if you need. Keep foods wrapped or sealed within the containers and label them clearly. Remember to pack drinks, if relevant, too. Before you leave your child, make sure the host knows what to do if your child has a reaction and leave labelled medications just in case. Ask if he or she would like a list of culprit foods, and make sure you provide your mobile phone number. This is not only essential in case of emergency, but if the host is concerned about a certain product he or she is serving up, they can take a photo of the food label and send it to you to check yourself.
My Kids Can’t Eat That is available on September 18th in the US and August 16th in the UK and available to buy at Amazon and in all good book stores.
Better Body Ancient Grains
Several ancient grains were worshipped and used by many ancient civilizations, from the Aztecs to the Greeks and Egyptians. Quinoa is one of the oldest grains in the world. It was called the “mother of all grains” and considered sacred by the Inca people. Chia seeds have been eaten for thousands of years in Central America starting with Aztec warriors who ate them before battle or running long distances. Runners would carry water and a pouch of chia seeds because they helped increase endurance. Quinoa and chia seeds are known as two of the seven Ancient Grains. These two grains contain great nutritional value, containing a myriad of vitamins.
But how do we incorporate these mystical and magical products into our daily diets today? BetterBody Foods makes eating like an ancient warrior a breeze. With their Organic Chia Seeds and Organic Quinoa, we can all channel the ancient Incas and treat our bodies like a temple!
Did you know that chia seeds can be used in baking as an egg replacement? These magical little seeds are small in size, but they pack a punch in terms of nutritional value, texture, taste AND versatility. In fact, “chia” was the ancient word Mayans used for strength.
Chia seeds contain a vast array of nutritional properties. Just one serving of organic chia seeds gives you protein, fiber, calcium, iron, zinc, phosphorus, thiamin and omega-3 fatty acids. With all of the fiber they contain, chia seeds can absorb around 12 times their weight in water. This means they give you more sustained energy and helps you feel fuller longer.
“How can I incorporate chia seeds into my daily routine?”
For starters you can remember ‘shake and bake’. Shake some Organic Chia Seeds into your favorite muffin recipe, or use as an egg replacement by mixing 1 Tbsp. Organic Chia Seeds with 3 Tbsp. water and let sit for 5 minutes. Are you in the mood for a protein packed drink? You’ll find 2g of protein in every serving of Organic Chia Seeds, so you can add it to your smoothie or juice. To add more nutrients to your favorite bowl, go ahead and sprinkle chia seeds on yogurt, salad or cereal to add a natural, healthy boost full of texture and protein.
You don’t have to worry about your meal not tasting right because chia seeds are virtually tasteless. Just add them to your favorite foods and enjoy your meal along with the added nutrients. Don’t stress about adding chia seeds to your diet because they are suitable for all. They are an omega powerhouse that supports all dietary restrictions- considering they are gluten-free, vegan, nut-free, raw, low-carb and paleo-friendly.
Beauty. Goodness. Delicious. Versatility. Flavor. Organic Quinoa really does have it all going on. Quinoa (keen-wah) has taken the world by storm because it takes on the flavors you cook it with, adds protein and fiber to any dish, and is easy to make. Originating with the Incas, Quinoa has grown in Peru and Bolivia in the mountains of the Andes for thousands of years acting as a staple food for indigenous people in South America. It is to be believed that the Incan emperor would hold a ceremony and plant the first quinoa seeds every year. It didn’t appear in the United States until NASA discovered the super food as they searched for a nutrient rich food to give astronauts on long space missions. The United Nations name it a “super crop” because they believe it can relieve world hunger.
“What health benefits am I getting?”
Quinoa is in the same family as sugar beets and spinach. It contains many health benefits that can give you a daily boost. Organic Quinoa contains all nine essential amino acids that your body needs every day: histidine, isoleucine, leucine, lysine, methionine, phenylalanine, threonine, tryptophan, and valine. One serving of this delicious blend has calcium, iron and six grams of protein. Quinoa is one of a few complete plant-based proteins.
Quinoa is a great substitute that will keep you full, energized, and wanting more. Use in place of rice, couscous or other grains. It is a great ingredient to put in salads, soups, breakfast and more. It’s even a great choice for everything from hot cereals to dinner side dishes. Be creative!
One serving of Organic Quinoa contains six grams of protein. Go ahead and power up.
BetterBody Foods believes that making better food choices contributes to a happy and healthy life. They are committed to providing the best organic and natural foods for cooking, baking, health and wellness. There is a reason their peanut butter powder, PBfit has become one of the top selling peanut butter products in the country!!
With ingredients that are sourced from top farms around the world, and BetterBody Food’s state of the art manufacturing facility (which has received a long list of certifications and awards) their goal is to teach their customers about how to use their revolutionary products to make powerful and healthy changes in their lives. They want you to live life to your fullest!
Add these delicious and nutritious products to your daily eating routine and have confidence that you are putting only the best ingredients into your body!
Don’t Suffer in Silence – Take Your Gut Health Seriously
Taking care of our gut health can often be something we overlook in favour of other health concerns but our gastroenterological vitality is of paramount importance to our overall well-being. It can often be embarrassing to talk about the subject but reputable gastroenterologist clinics have years of experience in everything from indigestion to colonoscopies and they can provide you with specialised dietary advice to help you promote a healthy gut.
Whatever the reason you are seeking a private gastroenterologist, it is important to carefully consider the benefits of getting specialised help, especially if you have been suffering for a while.
Gastroenterology is a large field and it encompasses a variety of complex conditions, so let’s take a look at a few of these conditions and how they can be treated.
- Crohn’s Disease – This condition which affects individuals of all ages and is a lifelong issue where the parts of the digestive system become inflamed. It is characterised by fatigue, stomach cramps, diarrhoea and weight loss. It can be consistent or can go through periods of ‘flare ups’; however, regardless of the frequency, it can cause severe disruption to your life. The main treatments for Crohn’s are steroid tablets to reduce inflammation and sometimes surgery is needed to remove part of the digestive system.
- Acid Reflux – This occurs when stomach acid travels up towards the throat acid and if it is an ongoing situation it is referred to as gastro-oesophageal reflux disease (GORD) and it can cause heartburn which can be incredibly uncomfortable. Other indicators of acid reflux are hiccups, bloating and sickness as well as a hoarse voice. Changing your lifestyle can stop acid reflux in its tracks. Reduction in spicy and fatty foods, quitting smoking and reducing stress all contributing to limiting acid reflux and restoring the balance.
- Irritable Bowel Syndrome (IBS) – An incredibly common condition, IBS causes diarrhoea, constipation and stomach cramps that can last days or even months. It is an ongoing problem that affects 10-15% of the population. There is no cure for the syndrome and it is mostly controlled through diet and medication. It has been linked to a number of causes such as stress, overly sensitive nerves in the gut and the too slow or too quick movement of food through the gut.
- Gallstones – Gallstones are quite common and often do not require treatment but if one of these small balls of cholesterol gets trapped in the opening duct of the gallbladder then intense pain lasting anywhere between 1 and 5 hours occurs in the abdominal area. They can cause fever and even jaundice and are often removed along with the gallbladder itself through keyhole surgery.
Seeking specialist advice is the best thing you can do if you have been suffering from gut problems, a trained gastroenterologist will be able to give you tailored dietary advice and make the right recommendations that can see vast improvements to your health and well-being.