Health
'Six-pack surgery' gaining popularity among men, say plastic surgeons
Move over, “Dad bod” — more men are seeking “six-pack abs” with the help of a surgical procedure called high-definition liposuction, according to plastic surgeons.
This type of “ab-etching” technique is gaining popularity among men who can’t get rid of stubborn belly fat with exercise alone, according to members of the American Society of Plastic Surgeons (ASPS).
The method targets removal of stubborn fat much like traditional liposuction, but it also creates defined lines across the stomach muscles to create the illusion of “chiseled” abdominals.
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What is high-definition liposuction?
Dr. Josef Hadeed, MD, a board-certified plastic surgeon at the Hadeed Plastic Surgery practice in Beverly Hills, California, and Miami, Florida, described the procedure during an interview with Fox News Digital.
“It is more like creating that six-pack and creating the ‘V lines,’ and giving somebody that more athletic, toned physique that traditional liposuction can’t really achieve,” he said.
More men are seeking “six-pack abs” with the help of a surgical procedure called high-definition liposuction, according to plastic surgeons. (iStock)
Traditional liposuction focuses on removing fat, volume and bulk, but doesn’t address the specifics of the “underlying anatomy,” according to the surgeon.
High-definition liposuction is more detailed, Hadeed said.
“We remove a little more fat from that vertical line above the belly button, and also those horizontal lines above the belly button,” he said.
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“We also remove a little more fat in those areas to create the illusion or appearance of somebody having a six-pack.”
In some cases, fat is redistributed to other areas to help create a bulkier, more muscular abdominal appearance, the surgeon added.
A growing trend
There has been an uptick in men undergoing this liposuction procedure, according to members of the ASPS.
“I’m definitely seeing an increase in high-definition liposuction requests for men,” ASPS member Dr. Joubin Gabbay, MD, the medical director at Gabbay Plastic Surgery in Beverly Hills, California, told Fox News Digital.
“It is more like creating that six-pack and creating the ‘V lines,’ and giving somebody that more athletic, toned physique that traditional liposuction can’t really achieve,” a plastic surgeon said. (iStock)
“They are coming in with specific requests for a defined, chiseled contour.”
Dr. Finny George, MD, a board-certified plastic surgeon and partner at New York Plastic Surgical Group, a division of Long Island Plastic Surgical Group, has also seen more male patients looking to improve their muscle definition.
“It is becoming more socially acceptable for men to have plastic surgery.”
“There is definitely a growing desire among men [for] alternate means of achieving an athletic physique for two main reasons,” George told Fox News Digital.
“First, it is becoming more socially acceptable for men to have plastic surgery — and second, many have already tried and failed with conventional diet and exercise,” she added.
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High-definition liposuction isn’t the only procedure growing in popularity among men.
There has been a 207% rise in total cosmetic procedures among males since 2019, according to the 2022 ASPS report.
One reason may be that men are looking for a more youthful appearance to “maintain career vitality,” the report said.
This type of “ab-etching” technique is gaining popularity among men who can’t get rid of stubborn belly fat with exercise alone, according to members of the American Society of Plastic Surgeons. (iStock)
Social media influencers and male celebrities have also created an open dialogue about male cosmetic surgery, making it more acceptable for men to seek such enhancement treatments, the ASPS also noted.
“It actually has been very common in Brazil and South America for quite some time now, and it’s slowly been migrating to the United States,” Hadeed told Fox News Digital.
What to know before seeking surgery
If an individual is considering undergoing high-definition liposuction, they should examine their reasons for doing so, said Hadeed.
“They should do it for themselves, not because their spouse or partner is pressuring them to do it,” he advised.
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When a person is seeking those “perfect six-pack abs,” Hadeed said, the surgeon will typically look at the individual’s lifestyle behaviors, such as diet and exercise.
For example, if someone is sedentary and eats fast food every day, “maybe this isn’t for you,” according to the doctor.
It is important to research the credentials of the plastic surgeon who will perform the procedure and make sure they are certified by the American Board of Plastic Surgery, an expert advised. (iStock)
Patients should have realistic expectations of what can be achieved rather than trying to look like a certain fitness model or social media influencer, Hadeed cautioned.
In some situations, he said, “we have to lower the expectations a little bit and say, ‘I can’t make you look like this other person who’s completely ripped and shredded, but I can help you look like a more refined version of yourself.’”
“Having elective surgery is a very major decision, and not something that people should take lightly.”
If the individual were to gain or lose a significant amount of weight after the surgery, that could affect the results, leading to the need for a revision or touch-up, Hadeed said — which is why he screens his patients to identify their lifestyle habits and make sure they can maintain the results.
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Gabbay also emphasized the importance of following a good regimen to maintain the benefits of the surgery.
“I think the treatment is certainly effective at helping many achieve the six-pack look, but it requires work and maintenance to maintain,” he told Fox News Digital.
Experts emphasized the importance of following a good regimen to maintain the benefits of the surgery. (iStock)
“It is important to maintain a healthy, active lifestyle and avoid major weight fluctuations after the procedure,” he went on.
“Unintended weight gain after a high-definition procedure can exaggerate the look of the six-pack, making it look a little less natural.”
Potential risks
Hadeed, who also serves as chair of the Patient Safety Committee for the ASPS, said it is important for patients to understand the risks involved with the procedure.
“Having elective surgery is a very major decision, and not something that people should take lightly,” he said.
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Hadeed agreed that while the surgery is typically safe, there are risks involved.
“In particular, there could be skin necrosis, where some of the skin dies,” he warned. “There could also be fat necrosis, where some of the fatty tissue that’s left behind dies.”
“It is important to maintain a healthy, active lifestyle and avoid major weight fluctuations after the procedure,” a doctor advised. (iStock)
Other potential complications may include blood clots and intestinal perforation.
It is also important to research the credentials of the plastic surgeon who will perform the procedure and make sure they are certified by the American Board of Plastic Surgery, Hadeed said.
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The doctor warned, “There are a lot of physicians out there who are not plastic surgeons who are doing these procedures.”
Health
Brain Health Challenge: Workouts to Strengthen Your Brain
Today, you’re going to do perhaps the single best thing for your brain.
When I asked neurologists about their top behaviors for brain health, they all stressed the importance of physical activity.
“Exercise is top, No. 1, when we’re thinking about the biggest bang for your buck,” said Dr. Gregg Day, a neurologist at the Mayo Clinic.
Numerous studies have shown that people who exercise regularly tend to perform better on attention, memory and executive functioning tests. There can be a small cognitive boost immediately after a workout, and the effects are sustained if people exercise consistently. And while staying active can’t guarantee you won’t develop dementia, over the long term, it is associated with a lower risk of it.
Researchers think that moving your muscles benefits your brain in part because of special signaling molecules called exerkines. During and after a workout, your muscles, fat and other organs release these molecules into the bloodstream, some of which make their way up to the brain. There, those exerkines go to work, helping to facilitate the growth of new connections between neurons, the repair of brain cells and, possibly, the birth of new neurons.
Exercise also appears to improve blood flow in the brain. That ramps up the delivery of good things to brain cells, like oxygen, glucose and those amazing exerkines. And it helps remove more bad things, namely toxic proteins, like amyloid, that can build up and damage brain cells, increasing the risk for Alzheimer’s.
All of the changes brought on by exercise are “essentially allowing your brain to age more slowly than if you’re physically inactive,” said Kirk Erickson, the chair of neuroscience at the AdventHealth Research Institute.
The benefits are particularly pronounced in the hippocampus, a region critical for learning and memory. In older adults, the hippocampus shrinks 1 to 2 percent a year, and it is one of the main areas affected by Alzheimer’s. Researchers think physical activity helps to offset some of that loss.
The best exercise you can do for your brain is the one you’ll do consistently, so find something that you enjoy and that fits easily into your life.
Walking is one option; two neurologists I spoke to said they got their exercise in by walking at least part of the way to their offices. Recent research suggests that just a few thousand steps a day can reduce the risk of dementia. It’s important to get your heart rate up, though, so “walk as though you’re trying to get somewhere on time,” said Dr. Linda Selwa, a clinical professor of neurology at the University of Michigan Medical School.
Or you could try swimming, cycling, Pilates, weight lifting, yoga, pickleball, dancing, gardening — any type of physical exertion can be beneficial.
If the thought of working out feels like a drag, try pairing it with something else you enjoy doing, like listening to an audiobook. This is a trick that Katherine Milkman, a professor who studies habits at The Wharton School of the University of Pennsylvania, calls “temptation bundling.”
For Day 3, we’re asking you to spend at least 20 minutes exercising for your brain. Go for a walk with your accountability partner if they’re nearby. (If not, call them and do a walk-and-talk.) Or let us find you a new workout to try, using the tool below. As usual, we can all meet in the comments to catch up and check in.
Health
Little-known prescription pill is helping Americans drink less alcohol
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Recent studies continue to support a decades-old drug as an alternative means of reducing alcohol consumption.
The prescription opioid pill, called naltrexone, was first approved by the FDA to treat opioid dependence in 1984. A decade later, it was approved for alcohol use disorder.
In addition to the daily pill version, naltrexone is also available as a monthly injectable therapy, which was approved for alcohol use disorder in 2006 and opioid use disorder in 2010.
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How it works
Naltrexone works by blocking opioid receptors in the brain. For those dependent on opioids, it blocks the “euphoric” effects of the drugs and also curbs cravings for alcohol, according to experts.
The prescription opioid pill, called naltrexone, was first approved by the FDA to treat opioid dependence in 1984. A decade later, it was approved for alcohol use disorder. (iStock)
“Naltrexone can be used to assist with reducing alcohol cravings and reduce the pleasurable effects from alcohol ingestion, which can help those prone to binge-drinking to consume less volume,” Dr. David Campbell, clinical director and program director at Recover Together, a behavioral health and addiction treatment facility in Bend, Oregon, told Fox News Digital.
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The medication is useful for people who experience strong cravings, often drink to excess once they start, or drink primarily due to reward or relief as opposed to habit, according to Campbell.
“Naltrexone affects the rewards center of the brain, which blocks the rewarding effects of alcohol.”
Jessica Steinman, chief clinical officer at No Matter What Recovery in Los Angeles, calls naltrexone “an incredibly helpful and life-saving tool” for people who struggle with alcohol use disorder.
“Currently, in our society, many people are looking to get medication-assisted help from overconsumption of certain things or behaviors, including food, cigarettes and now alcohol,” she told Fox News Digital.
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“Naltrexone affects the rewards center of the brain, which blocks the rewarding effects of alcohol and cravings to be minimized. It can assist in telling the brain that alcohol isn’t wanted.”
The drug can also help if someone has a “healthy” relationship with alcohol and is looking to cut back on their drinking behaviors, Steinman added.
“We do not suggest moderation in any way for people struggling with alcohol use disorder or any type of dependence to alcohol or other substances,” she noted. “We do not believe drinking ‘less’ is a solution.”
Side effects
Common side effects of naltrexone can include nausea and vomiting, headache, sleep disturbances, dizziness, fatigue, anxiety, loss of appetite, and joint or muscle pain, according to the Substance Abuse and Mental Health Services Administration (SAMHSA).
These effects are generally mild and may improve as the body adjusts to the medication.
The medication is useful for people who experience strong cravings, often drink to excess once they start, or drink primarily due to reward or relief as opposed to habit. (iStock)
In rare cases, patients may experience more severe effects, such as liver issues, allergic reactions, trouble breathing and mental health effects.
“The most important thing when taking naltrexone for alcohol use is to ensure that there is no concurrent use of opioids, as taking naltrexone when using opioids can induce precipitated withdrawal, a very uncomfortable event,” Campbell cautioned.
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More than 50% of U.S. adults drink alcohol, about 17% are classified as binge-drinkers and about 6% drink heavily, according to CDC data.
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Each year, around 178,000 deaths in the country are linked to excessive alcohol use.
“Heavy alcohol consumption and binge-drinking can lead to many health problems and make chronic health conditions worse, so reducing alcohol intake can really improve health,” Donita Robinson, Ph.D., an associate professor of psychiatry at the UNC School of Medicine in North Carolina, told Fox News Digital.
More than 50% of U.S. adults drink alcohol, about 17% are classified as binge-drinkers and about 6% drink heavily. (iStock)
“Naltrexone helps many people reduce their drinking – it’s an effective medication to reduce alcohol craving and heavy drinking, and it works best in combination with counseling or other therapy.”
Robinson reiterated that people who are on opioid medications, including some painkillers, shouldn’t take naltrexone, as it can block their effectiveness and cause opioid withdrawal.
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Naltrexone is available with a prescription from a licensed healthcare provider, such as a primary care doctor, addiction medicine specialist or psychiatrist.
Health officials warn against purchasing the drug online or without a prescription, as it may be counterfeit and unsafe.
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Those interested in exploring whether naltrexone is an option for them should see a doctor, who can assess the safety of the drug based on the patient’s medical status and history.
They should also “make sure they have their goals and intentions in line before using a medication like this,” according to Steinman.
Health
Brain Health Challenge: Try the MIND Diet
Welcome to Day 2 of the Brain Health Challenge. Today, we’re talking about food.
Your brain is an energy hog. Despite comprising about 2 percent of the average person’s body mass, it consumes roughly 20 percent of the body’s energy. In other words, what you use to fuel yourself matters for brain health.
So what foods are best for your brain?
In a nine-year study of nearly 1,000 older adults, researchers at Rush University in Chicago found that people who ate more of nine particular types of food — berries, leafy greens, other vegetables, whole grains, beans, nuts, fish, poultry and olive oil — and who ate less red meat, butter and margarine, cheese, sweet treats and fried food had slower cognitive decline.
Based on these findings, the researchers developed the MIND diet.
Large studies encompassing thousands of people have since shown that following the MIND diet corresponds with better cognitive functioning, a lower risk of dementia and slower disease progression in people with Alzheimer’s. People benefit from the diet regardless of whether they start it in midlife or late life.
Experts think the foods included in the MIND diet are especially good for the brain because they contain certain macro and micronutrients.
Berries and leafy greens, for example, are rich in polyphenols and other antioxidants, said Jennifer Ventrelle, a dietitian at Rush and a co-author of “The Official Mind Diet.” Many of these compounds can cross the blood-brain barrier and help to fight inflammation and oxidative stress, both of which can damage cells and are linked to dementia.
Nuts and fatty fishes, like salmon and sardines, contain omega-3 fatty acids, which are important for building the insulating sheaths that surround the nerve fibers that carry information from one brain cell to another.
Whole grains and beans both contain a hefty dose of fiber, which feeds the good microbes in the gut. Those microbes produce byproducts called short-chain fatty acids that experts think can influence brain health via the gut-brain axis.
You don’t have to revamp your whole diet to get these nutrients. Instead, think about “MIND-ifying” whatever you already tend to eat, said Dr. Joel Salinas, a neurologist at NYU Langone Health and the founder and chief medical officer of the telehealth platform Isaac Health. For instance, add a handful of nuts or berries to your breakfast.
Today’s activity will help you MIND-ify your own meals. Share your choices with your accountability partner and in the comments, and I’ll discuss the ways I’m adjusting my diet, too. For added inspiration, check out these MIND-approved recipes from New York Times Cooking.
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